As a registered nurse practicing in the state of California I am responsible for practicing within my states legal regulations and nursing scope of practice. My concern for the welfare of the sick and injured allows me to practice ethical provisions of nursing. These are required if I am to carry out competent and effective nursing care. Nursing encompasses the prevention of illness, the alleviation of suffering, and the protection, promotion, and restoration of health in the care of individuals. Therefore, as health care professionals we must be familiar with the different philosophical forces, ethical principles, theories and values that influence nursing. At the same time, we must be respectful to our patient’s personal beliefs and values so that we do not allow our own moral ethics or values to get in the way of our patients care. Our primary concern as a nurse must always be directed towards our patient’s safety. The scope of nursing practice was created by the American Nurses association (ANA). This organization describes the scope of practice as the “who,” “what,” “where,” “when,” “why,” and “how” of nursing practice. (ANA, 2010, p.2). In accordance to the ANA (2010), “the nursing process is often conceptualized as the integration of singular actions of assessment, diagnosis, and identification of outcomes, planning, implementation, and evaluation.” For instance, I remember taking care of a patient who had atrial fibrillation and I could see in the telemetry monitor that the heart rate would fluctuate within 110-150’s, the patient was asymptomatic. I called the doctor and reported my patient’s status; I received new orders to administer digoxin intravenously. After administration of the medication, my patient’s heart rate was in the 80-100’s. By taking action and using the nursing process, calling the doctor, and administering the appropriate medication I was able to provide the necessary treatment that benefited my patient’s health and prevented any potential harm. In the nursing profession, there are a wide variety of nursing specialties. Because of the many fields such as, emergency nurses, pediatrics, labor and delivery, etc. It is imperative that we follow the California code of regulations derived from the California board of registered nursing to work within our scope of practice. Title 16, section 1443.5 states, “specific requirements are to be followed by RNs performing particular SP functions.” To illustrate, I currently work in an observation unit were the patients are more stable and need 24-48 hour observation care. Once in a while, observation nurses get transferred to other departments that are understaffed for instance, to the intensive care unit. In the critical care unit patients can be very unstable; patients may be intubated, on ventilators, have arterial lines, be on cardiac medication drips and so forth. This unit requires a specialty training that an observation nurse does not have. As a result, it is imperative that we know our duties as a nurse and work within our scope of practice and specialty because a failure to do so can result in harm to a patient as well as liability issues that can endanger the license that we worked so hard to obtain. It is vital that nurses practice ethical codes because it lets people know what it expected of nurses; it provides rules and standards on how a nurse should behave and act. Provision seven states, “The nurse should attempt to advance the profession by contributions to education, research and administration and knowledge development” (Fowler, 2010, p. 91). I include this provision into my nursing practice by using my five years of nursing experience to advance into a leadership role such as a charge nurse. As a charge nurse, I must displaying effective leadership, management, and communication skills. I am responsible for managing, supervising and assisting the nursing staff with patient care. Other regular...
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