Nursing Accountability in Caring Central Venous Catheter
Nursing Accountability
in Caring Central Venous Catheter
Katie Rha
Grand Canyon University
NRS 430V
August 19, 2011
Accountability means “obligation of being answerable for one’s own judgments and actions.” If someone gives you a job to do, you may be able to get others to carry out that task, but you are still held accountable to produce the results. In the nursing profession, a nurse is accountable for the actions towards his or her patient, even if he or she has delegated the work onto another assistant’s shoulders (Answer.com). If the job is not done correctly, then it is the nurses that hold accountability for the patient’s health and safety. The American Nurses Association code of ethics emphasizes the individual nurse is to accept responsibility and accountability for individual nursing practice (Milton, 2005). A nurse is accountable to the public, clients, profession, employer, and to his or herself (Professional Accountability). Organizational structures or characteristics include interdisciplinary respect, adequate communication, and an organizational approach to management of care delivery that encourages participation in care-giving decisions. RNs are accountable to comply employer job descriptions, policy and procedure legally. It is a legal obligation. This paper focuses on to address two aspects of nursing accountability in the area of infection management using central intravenous catheter. As a nurse working in chronic dialysis, I recognized that the importance of infection control related to CVC (central venous catheter). Patient usually diagnoses end stage of renal disease which needs to initiate dialysis when patient is inpatient with severe s/s of uremia. There are two types of dialysis accesses. The first kind involves the creation of a permanent connection between an artery and a vein under the skin, calls
in Caring Central Venous Catheter
Katie Rha
Grand Canyon University
NRS 430V
August 19, 2011
Accountability means “obligation of being answerable for one’s own judgments and actions.” If someone gives you a job to do, you may be able to get others to carry out that task, but you are still held accountable to produce the results. In the nursing profession, a nurse is accountable for the actions towards his or her patient, even if he or she has delegated the work onto another assistant’s shoulders (Answer.com). If the job is not done correctly, then it is the nurses that hold accountability for the patient’s health and safety. The American Nurses Association code of ethics emphasizes the individual nurse is to accept responsibility and accountability for individual nursing practice (Milton, 2005). A nurse is accountable to the public, clients, profession, employer, and to his or herself (Professional Accountability). Organizational structures or characteristics include interdisciplinary respect, adequate communication, and an organizational approach to management of care delivery that encourages participation in care-giving decisions. RNs are accountable to comply employer job descriptions, policy and procedure legally. It is a legal obligation. This paper focuses on to address two aspects of nursing accountability in the area of infection management using central intravenous catheter. As a nurse working in chronic dialysis, I recognized that the importance of infection control related to CVC (central venous catheter). Patient usually diagnoses end stage of renal disease which needs to initiate dialysis when patient is inpatient with severe s/s of uremia. There are two types of dialysis accesses. The first kind involves the creation of a permanent connection between an artery and a vein under the skin, calls
References: Milton, Constance L. (2005). Accountability in Nursing: Reflecting on Ethical Codes Professional Standards of Nursing Practice from a Global Perspective. from nursing.yale.edu/Centers/International/Ethics Conference/.../15_Milton.doc Professional Accountability and Nursing Classification Systems. Lecture 3. from http://angel03.gcu.edu/section/default.asp?id=1020866. http://www.cdc.gov/hicpac/pdf/guidelines/bsi-guidelines-2011.pdf http://www.op.nysed.gov/prof/nurse/dialysis-lpns-and-end-stage-care.pdf