Registered Nurse with extensive experience in the healthcare field. Goals direct. Exceptional leadership ability and good professional judgment. Strong patient advocacy.…
In the NICU, we work with a traditional team nursing organizational structure, however, aspects of the multidisciplinary team leader role are a part of the overall care of the baby. According to Marquis and Huston (2015), team nursing allows more autonomy for the nurse as they share responsibility and accountability in the unit. My unit operates smoothly with the nursing manager at the top of the chart. In descending order is the chain of command: charge nurse, who could also be a clinical lead, clinical lead, the nursing staff, and then the patient. The roles are clear and concise when the charge nurse is a clinical lead; we have 8 total in our unit, divided equally between day and night. Conversely, the role becomes cloudy when a floor…
Clinical Nurse Leader (CNL) is an American Association of Colleges of Nursing (AACN) approved title for nurse leader prepared at master’s level to oversee health care delivery system in any settings where care is offered. CNL integrates evidence-based practice in the formulation of work design, care delivery, and evaluation of care outcomes across the different point of care settings. The focus for the CNL may be an individual, family, community or a large population. In his/her role on Clinical Prevention and Population Health for Improving Health, the nurse evaluates the effectiveness of health care initiatives in the population through analysis of available data. The nurse need to ensure that the interventions are patient-centered, culturally sound and that they are effective in health promotion and disease prevention in the population at hand (AACN, 2013).…
RN’s are greatly needed solely for the reason is that they provide the greatest level of care for many patients. An RN not only provides all types of care, but they also gives advice and helps coordinate other health services for their patients. An RN may be in charge of other nursing personnel such as interns, volunteers and techs. They may be also responsible for a patient’s overall case management, working together in conjunction with everyone from the patient to the primary care physician, as well as other…
At present, the developmental role for the Associates level RN is clinically oriented (Saccomono & Pinto-Zip 2011). The educational requirements are related specifically to the clinical setting. For example; Anatomy and Physiology, Microbiology, Pharmacology and related math’s, but it lacks specific leadership teachings. Unfortunately Associate level RNs find themselves poorly prepared to delegate or preform in supervisory roles. Even as nursing students, we are taught how to assess patients, monitor vital signs, and administer intramuscular and intravascular medications. We are told that we are supervisors to LPNs and Certified Nurse Assistants (CNA) yet the program lacks classes specifically designated to leadership and delegation. Even in the clinical setting while we are putting all of our classroom knowledge to the test, the clinical setting is about developing bedside nursing and assessment skills. As a result, staff nurses are often thrust into managerial positions but have…
(2) The nursing task must be one that a reasonable and prudent RN would find is within the scope of sound nursing judgment to delegate. The RN should consider the five rights of delegation: the right task, the right person to whom the delegation is made, the right circumstances, the right direction and communication by the RN, and the right supervision as determined by the RN.…
The changes necessitated by healthcare reform and consequences of the economy are challenging hospital administrators to decide how they will thrive and respond. A change instituted by the Chief Nursing Officer (CNO) at the hospital where I am employed is the discontinuation of special pay practices. The special pay practices involved are compensation for 40 hours per week when actual worked hours are 36 and compensation for at least a 4 hour minimum. This change has a positive financial impact which allows for growth of the organization. However, if not managed…
I have been in a nursing leadership role for many years. Approximately 8 years ago, I lead a group of nurses to develop a shared governance nursing model in our organization. Shared governance is having staff involved with making decisions related to unit operations. Staff looks at professional practice, staff development and orientation, quality improvement initiatives, and research. We created a three tiered governance model that included a unit council, specialty senate, and nursing congress. This model was implemented; however some units and departments had more success than others. Four years later, I was asked to gather a group of clinicians across the organization to look at how we could enhance the governance model to be an interdisciplinary model. We included clinicians from respiratory therapy, dietetics, clinical therapies, case management and discharge planning, pastoral care, lab and radiology services, pharmacy, and advanced practice nurses. This model was also implemented with varying levels of success.…
I work as a team leader in a 16 bed unit, a very busy inpatient setting with dementia and end of life care, majority of our staff are nurses and care support worker..I am saddled with the responsibility of assessing middle age and elderly patients with dementia presenting with challenging behaviours that can not be managed else where, following referrals from continue care team and other agencies. We manage patient on short and long term bases, We provide end of life care for the dying patients.. The unit function under a shift pattern system and uncompleted job is to be handed over to the relieving staff.…
of other health care peers for which she delegate task. ADN nurses assess, implement and plan…
It is the RN responsibility to delegate nursing tasks to other team members like the LPN/LVN and the nursing assistant. These task should follow the legal parameters established by professional nursing organizations in the scope of practice and standard and defined by the state of its nurse practice in addition to the institution policy (Cherry & Jacob, 2014).…
The nurse is always accountable for the task or activity that is delegated. The nurse should use the 5 rights of delegation to ensure the patient is receiving the best care.…
The nurse may delegate tasks, but is accountable for the patient’s safety. That being said, the nurse needs to ensure that the task is delegable, the nursing assistant is competent to perform the assignment, and the task would not put the patient safety in jeopardy before assigning any task to a nursing assistant. When delegating task, the nurse needs to give proper instructions and clear directions while using critical thinking and professional judgment. (Westrick, 2014). In the case of Harry, I do not think the nurse was negligent in delegating the task. Even though the nurse provided verbal direction to the nursing assistant, the direction was properly given because the nurse told the assistant that the patient needed…
The contemporary definition of nursing according to the Scope and Standards of Practice (2010) is: “Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations.” (p. 66).…
I think that diversity is incredibly important, especially in the case of education; it allows others to work with those who have a different background than their own, through which they may learn something they could not learn from school. As a nurse, diversity is even more important, because you will be caring for a diverse population in your patients, thus, you must be sensitive to their needs and background in order to be successful. I contribute diversity to the class because of the way I was raised. I am open minded and accepting of everyone because, as I child I lived on three different continents. This allowed me to interact with those who had different beliefs and came from cultures aside from my own. This upbringing led me to develop a strong desire to learn more about other people, cultures, and their traditions or beliefs. For instance, when I had a class with an exchange student from Cambodia, I was intrigued by his life, and was thrilled to learn more about about his life and experience in Cambodia, as well as his new experiences in America. My upbringing has taught me that even though someone may have different beliefs than myself, I should still respect them and their…