Registered Nurses: A Case Study

What a blessing it is to have the United States Department of Veterans Affairs (VA), Veterans Health Administration (VHA) providing multiple healthcare services to our heroes, our veterans! To be afforded the opportunity for our heroes to attend and be treated, at little to no cost, for a wide range of ailments from the common cold, to a mental health disability, or for the possibility of a healing surgery is a well-deserved and a wonderful privilege. One of the major demographics of care providers within the VHA is the registered nurse. There are over 51,000 registered nurses nationwide, with 60.7% of the total population of providers of healthcare, within the VA hospitals, VA outpatient clinics and VA Patient Care Medical Homes (VHA, Office of Nursing Services, 2012).

Nursing is known as professional discipline (Donaldson & Crowley, 1978). Nurses shortage is one of the significant issues in current nursing in Singapore and also in other countries. According to Buchan et al 2008, nurses shortage has a significant connection with a country’s historical staffing levels, country 's resources and it also estimates the demands for healthcare.

As pointed out, the opportunities for a nurse transitioning from an AD position to a BSN position are diverse and endless. Patients, healthcare facilities and the nursing profession benefit from advanced degree nurses. The nurse’s ability to comprehensively assess the needs of patients and provide evidenced based practice benefits patients by improving outcomes. The use of evidenced based practices assists facilities with achieving accreditation requirements (Grove, Burns, Gray, 2013). Most importantly, nurses receive self-gratification for their

In studying Registered Nursing one will find that they have to be compassionate and want to care for others. Registered Nurses assist physicians with suffering patients of any medical condition. They help to decide the patient’s medicine, treatment, recovery, and educate the them and their families on post-medical treatment. They need to have bedside manner, and be able to prepare patients for surgery. Registered Nursing careers range anywhere from critical care, oncology, mental health, to an everyday school nurse.

Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients. In addition, she is most frequently assigned any change of shift admissions. While she understands that she is part of a team, she often feels that the consistency of the inequity of these assignments is not fair. She is self-aware of how this is affecting her. As she starts her shift today she is again assigned to the

This nurse’s plan as a registered nursing and student is to become an Advanced Registered Nurse Practitioner (ARNP) with a specialty certification in Family Nurse Practitioner (FNP). The geographical area in the state of California is in a community with patients having health disparities and it is an underserved population. Healthy people 2020 identified patients with healthy disparities as lesbian, gay, bisexual, or transgender, personnel living in nursing homes with disabilities, individuals living in rural areas, and women households with children (Centers for Disease and Control, 2015). The writer’s role as a FNP working in these underserved population will include doing assessments, diagnosis and treatments of common conditions, as well as preventative care services such as ordering laboratory work, medical tests, and prescriptions (American Association of Colleges of Nursing, 2015; National Organization of Nurse Practitioner Faculties, n.d).

Based on the Institute of Medicine recommendations regarding the improvement of quality and safety in health care in the United States, the role of the Clinical Nurse Leader (CNL) was developed by the Association of Colleges of Nursing and introduced in 2003, making it a comparatively new role in nursing (Webb & McKeon, 2014). However, as you noted there is confusion regarding the role of the CNL and how they integrate into the acute care team.

I would agree that, Certified Nurses Assistants are not medically trained to administer medication and that task should be handled by an LPN or an RN. Just for the fact that administering medications involves more than giving the residents their medication, there are tasks, such as, including reviewing the order; confirming that the medication order is correct; reviewing all warnings, interactions, and allergies; evaluating the patient after the medication has been administered.

A 75 year old female patient alert and oriented X 3, weigh 115 Lbs, her height 5?8??, has a hearing aid and wear glasses for reading. The presented Patient has a history of hypertension diagnosed with CHF on 2013, positive for Hepatitis B due to contaminated blood transfusion. Had a cervical dysplasia on 1994 resolved by a total abdominal hysterectomy and bilateral oophorectomy the following year. The patient was diagnosed for polyps and multiple diverticula at the age of 68. The Patient suffers of painful osteoarthritis of both knees, shoulder hips. Patient?s mother deceased at the age of 79 from breast cancer and her father deceased at the age of 54 from heart attack.

When my clinical preceptor accepted the position of Operating Room (OR) Manager at Lakeland Hospital in St. Joe last year, there were 15 open Registered Nurse (RN) positions. It has been a continuous challenge to hire, train and maintain the nursing staff in the unit, especially with the six month training period that is required for this particular specialty. It has been a long process to fill these positions and although there are currently 19 RNs that work on the unit, there are still four open RN positions that remain vacant. This comes as a huge expense to the hospital as they are forced to use travel agency staff to fill these positions.

The aging population is increasing rapidly in the world. During the period between 2015 and 2050, the percentage of people above 60 years of age will double (World Health Organization, 2015). The main health challenges faced by our aging population include chronic conditions, sensory and cognitive impairment. The examples of chronic conditions the aged people face comprise diabetes mellitus, arthritis, dementia etc. The treatment of these conditions may require daily medications and specialized care (Centers for Disease Control and Prevention, 2015).

It has been over a decade that the need for improvement in healthcare outcomes, safety, and care have been identified. While gains have been made, there is still opportunity for improvement. Education of healthcare professionals in quality improvement is identified as important to this effort. While efforts are being made to add education in quality improvement into trainee nurse programs, less evidence is identified for education of practicing nurses. While limited evidence of training in QI is identified in the literature, critical elements of design that allow reproducibility and spread are absent. A theory and evidence-based training program for frontline nurses in QI is proposed. Elements of the design based on theory and best evidence

On Saturday, January 23, 2016 at approximately 1928 hours Security Officer Brandon Rodriguez was conducting a walk through E.D. the special care unit area when it was observed that E.D. Charge Nurse Jonathan Bacal and Patient Care Tech Tim Phillips were restraining patient Alan Burdick in ED room #39. The patient was combative and attempting to bite the medical staff due to being in a postictal state. Officer Rodriguez immediately responded and helped out nursing staff. He then notified dispatch and informed there would be no need for any additional officers. Officer Rodriguez assisted the medical staff in restraining the patient and after few minutes the patient calmed down and cooperated with medical treatment. Security Officer Rodriguez

Case study of Mrs. A thought her admission to a acute ward, demonstrated the skills that are needed to care for her.

The nursing profession is an evolving field of work that shows no signs of stopping. With advancements in technology and education, the nursing profession must change in order to keep up with the rest of society. There are many changing societal factors that are influencing nursing as the year progress. As mentioned before, an increase of technology use is a major influence on nursing, the introduction of evidence-based practice in the professional field and in the educational environment plays a role in a nurse’s everyday life. Also, there are the changes in society itself that benefit the nursing profession. For example, the breaking of stereotypical gender roles in society results in male nurses