Skin Issues In Nursing

You started your first job at a large hospital. You are assigned a patient to treat who no one wants to work with because the patient always says “NO”. The Occupational Therapy team leader tells you that you need to treat the patient because the doctor is angry that the patient has not been receiving therapy. You are told that the patient’s nurse has called to complain to the therapy department about the fact that the patient has not been receiving therapy

Organizational climate refers to the nature of the perception of values, beliefs and behaviors of its members. More specifically ethical climate refers to the collective perception of what is ethically acceptable within the context of an organization. Ethical climate is not only an identifiable and measurable organizational phenomenon but also a central variable in the promotion and socialization of ethical and unethical behaviors . Ethical climate represents the informal yet collective perception of individual ontology and acceptable or unacceptable behavior (Malloy,2009).

Every field of occupation requires each position to operate under a variety of different tasks and responsibilities. Depending on the work that is to be completed, sometimes, delegating certain tasks to those who are well-trained and competent to finish it plays a major role ensuring what needs to get done is completed. In the nursing field, registered nurses are tasked with many responsibilities that need to be finished in order to guarantee that patients are getting the quality care they need and are healing effectively. Part of the responsibilities of a nurse is to delegate tasks to unlicensed assistive personnel (UAPs) and licensed practical nurses (LPNs). In order to properly delegate tasks to these workers, the registered nurse needs to follow the five rights of delegation provided by the National Council of State Boards of Nursing (NCSBN) (n.d.): (a) right task, (b) right circumstance, (c) right person, (d)

A literature review was conducted to answer the following evidence-based research question "What are the effects of horizontal violence in the workplace on nurses and patient care?" The review includes a systematic review, two qualitative reviews, one quantitative review and a mixed method review that will aid in answering the research question while focusing on the effects of horizontal violence on nurses and what interventions could possibly be used to prevent this type of violence in the workplace. These studies were retrieved through various electronic databases in which will be discussed in the remainder of the literature review. The literature that was used were all published within the last five years with four of them being published in the United States and one from the United Kingdom. Information regarding the reports such as research limitations, level of evidence, research method and design are included in the discussion and implications of nursing. The literature review found that nurse on nurse bullying does indeed effect nurses in a physical and emotional way as well as effecting the adequacy of patient care.

According to the California Board of Registered Nursing (2011), “An Explanation of the Scope of RN Practice including Standardized Procedure” documentation defines the scope of practice for RNs licensing in California also explains the process of determining if a standardized procedure is required. It is RNs’ responsibilities and accountabilities to enforce the Nurse Practice Act (NPA) pertaining to the specific state for nursing practice within the scope of educational level and entitled licensure allowed. In addition, “Code of Ethics for Nurses” (American Nurses Association [ANA], 2015) provides guide indicating how to care patients with ethical obligations.

Florence Nightingale has impacted my nursing practice. She came into a hospital setting that had low standards and the environment had caused more problems for the patients than the war. She made efforts to clean up the facilities. She kept records of the changes and was able to show that a more aseptic environment was crucial to the healing process. This is something that I use in my daily tasks as a nurse. I wash my hands regularly, keep my patient’s rooms clean and organized and make sure that my patients have baths daily to prevent infections.

One ethical obligation nurses are required to fulfil during their shift is to ensure no harm is done to their patient. Due to nursing shortages and too many patient’s, nurses are finding this hard to do. Ethics help nurses make the right decisions with the guidance of their morals, but due to shortages and overworked nurses they tend to feel dissatisfied with their jobs. This results from unsafe work environments, lack of time for communication and quality care of patients. “Understaffing and overtime hours have been associated with increases in patient mortality, hospital-acquired infections, shock, and bloodstream infections” (Kane et al., 2007b). Ethical conflicts are work can lead to physical and mental burnout for nurses. According to the Nurse Code of Ethics nurses are morally obligated to

Hospitals frequently enhance their quality of care by improving their best practices. Bedside reporting is a best practice that has numerous benefits including a decrease in the potential for mistakes, increased patient involvement and understanding of their care, increased teamwork among nurses, and an increased accountability of nurses (AHRQ, 2013). A review of the literature was run and showed several studies and literature reviews on bedside reporting. The majority of these articles were conducted on adult medical-surgical

Safety is a condition characterized by minimal risk of harm coupled with protection from potential harm. In health care, patient safety involves instituting mitigation measures to prevent potential adverse events. Unfortunately, the existence of potential adverse events is only recognized after such an event has occurred. Reporting an adverse event, therefore, is the first step towards developing mitigation measures. However, some nurses fear reporting adverse events, because they erroneously believe they will be penalized for the occurrence of such an event. I believe, reporting the occurrence of an adverse event should be rewarded, since it is the initial stage of preventing future events.

The codes and principles that have been put in place such as The Nursing Code of Ethics, are there to ensure that patients are subject to and receive the best possible care that Health Professionals can give them. If a health professional is to disregard or ignore the codes and principals, then the wellbeing of the patient is being jeopardized and the health professional has fulfilled their duty of care, as shown in ‘Assignment 3 Scenario 3’ when Sally administers the incorrect medication to Mrs Thompson after Mrs Thompson tried to tell Sally the medication was incorrect yet Sally ignored her, not showing good Patient-Centred Care. All though there were no significant negative effects with the mistake, the scenario demonstrates the incorrect procedures and low level of competency demonstrated by the nurse as she chose the “‘least said soonest mended’” and did not fill out an incident report

Bedside reporting assist nurses with a chance to improve patient safety and increase patient collaboration in the arrangement of care. There is also less care correlated to inaccurate or deficiency of information because the report process includes actual patient apparition. Increased staff approval with bedside reporting supports teamwork and supports accountability.

Valerie, I agree with you, the solution to these problems begins with the charge nurse, Sherry. The charge nurse seems preoccupied and does not give James the time he needs. He is a new nurse to the unit and has questions about this type of surgery and it is the charge nurse’s responsibility to make him feel at ease. Like you stated, the charge nurse should have went and spoke to the patient and try to understand what the issue or issues were with the patient and why she was being nonverbal towards James. The patient’s safety and satisfaction are of utmost importance, it not only reflects on the care given, but the organization as a whole. By law, a nurse cannot just stand by and watch unsatisfactory care being given, the nurse has an

The key reason for this Act is to secure the health and providing so as to well of individuals from public in general, for systems to guarantee that health experts are capable and fit to hone their callings. According to section 16 of the Health Practitioners Competence Assurance Act (2003), the RN needs to have met the provisions therein and demonstrated fitness for registration. According to the Act, She or she should have satisfied the responsible authority that he or she is able to communicate effectively for the purposes of practising within the scope of practice before being given limelight for practising his profession. The inability of the Registered Nurse (RN) to communicate in this particular scenario since his speech was slurred

Mr BW was transferred to gastrosurgical ward for continuous assessment related to his surgical wound. A week after the surgical intervention Mr BW commenced negative pressure wound therapy, where the perineal wound was managed by an application of vacuum dressing. The purpose of NPWT was to enhance wound healing and at the same time to remove purulent fluids from the wound. A continuous negative pressure was set to -125mmHg. At the same time, the negative pressure wound dressing was changed three times a week for the assessment of the wound. After a week following of vacuum dressing, the treatment of choice was through the usage of capillary wound drains, which was placed in the middle of the perineal wound to drain superficial collection.