The main problem is that nurse staffing ration is affecting patient's safety. Since there is no Nurse Technicians and not enough nurses, there is so much to do and not enough resources to help me. One of my patients is complaining of severe abdominal pain and the physician is angry with me because I wasn't able to bring the equipment to her. One of the actions I would do speak to the physician and explain to her that charge nurse is currently taking care of a serious patient. In addition, I will let her know that a patient who just had surgery is experiencing severe pain and I need to check on him first. The physician needs to understand that there are not enough nurses on this shift. I will also tell her that I will help her after I check…
Improving the quality of care and patient safety is the top priority of every hospital.…
Worked as Emergency medical technician from 2006-2010. I responses to all non-emergency and emergent calls. Made proper medical judgement with each ambulance transports and ensure patient got the correct prehospital care. Took patient vitals and administrator proper medications. Stabilized and advocated for patient we had to transport to Emergency rooms or anything healthcare facilities. Called in all prehospital care report to emergency room if patient was going to emergency room and maintained patients charts with electronic system, and paperwork. Made sure all prehospital equipment was fully stocked and cleaned for all transports.…
The purpose of this assignment is to explore the professional responsibilities of the nurse and their role in safeguarding vulnerable patients, all of which are based around a fictitious scenario. The scenario is centred on a patient named Margaret and is going to be used to identify any vulnerability issues Margaret may have. Margaret could be identified as been vulnerable, as she is an 89 year old lady who is suffering from a heart condition. Margaret is currently living with her daughter and has said that her mother’s health has begun to deteriorate. Margaret is becoming very confused and forgetting to take her medication which has resulted in numerous admissions to hospital. No consent was needed on this occasion as it is a fictitious patient. Based around this fictitious scenario, the aim is to discuss and identify vulnerability and any issues arising from it. Exploring all aspects of vulnerability involving all models and discussing confidentiality, looking at the importance of it and why it should be maintained. This assignment will also look at the mental capacity act and how the nurse and other healthcare professionals assess the patient for capacity and use the models of assessment. All these are in place to protect the patient’s health and well-being and patient rights. Communication is another important skill for any nurse to have. Good communication skills are essential in providing a high standard of care, which will be explored and discussed in detail. It will also explore what accountability and responsibility is within the nurse’s role. The nurse being accountable for their actions and adhere to the Nursing and Midwifery Councils (NMC), Code. “The core function of the Nursing and Midwifery Council is to establish standards of education, training, conduct and performance for nurses and midwives to ensure those standards are maintained, thereby safeguarding the health and well-being of the public” (NMC, code, 2009).…
I had the opportunity to interview a registered nurse who has worked in this profession for over ten years. She has had the opportunity to travel all over the United States to work as a Registered nurse at many well known hospitals and institutions. The experiences she shared with me where amazing. Her name is Dawn Pope and she is currently employed as a Registered Nurse at Duke University in the intensive care department.…
In 2010 I graduated from associate’s degree in nursing the first time. I then worked at a long term care facility as a registered nurse (RN) supervisor for almost two years before I went back to school to further my education with a bachelor’s degree. I then sought employment at an acute care facility, the local hospital. I have since finished my bachelor’s degree and worked on a cardiac/stroke floor for over two years. I have recently moved positions to work in the surgery department.…
The American Academy of Pediatrics conducted a survey in 2010 which established that there were only 13,000 Pediatrics Nurse Practitioners in practice at the time. It was noted in the same survey that the majority of that number work in primary care settings. In order to establish role delineation for Nurse Practitioners, The American Nurses Credentialing Center (ANCC), a subsidiary of American Nurses Association (ANA), conducted a national level job analysis survey. The purpose of the survey was to describe practice expectations and map out performance requirements and environments that Nurse Practitioners must meet to in order to practice. It is the goal of The American Nurses Credentialing Center (ANCC) to conduct this study every three…
the outcomes-based focuses on producing individuals who can demonstrate the evidence of competencies in designated areas in education. Also, the quality to recognize and improve the nursing curricula to meet current health care challenges is an advantage for all, including stakeholders - students, administrators, colleagues, and patients (Hesook, 2014). It is essential that nurse educators instill in students the standards of quality, safety, and professional excellence of the existing and future challenges in care delivery. For example, teachers sometimes fail to engage students' in the critical thought processes and development of the clinical judgment that students so need at the point of care (Grbach,2011).…
I am a mother of two kids, a four and a seven year old. I also love caring for people. I am a registered nurse by profession and I have being in the medical field for about nine years. I started my career in the healthcare field as a home health aide which I did for a couple year and decided it was time for me to move on to the next level. I enrolled in a community college, where I took my pre-nursing classes while awaiting to be placed into the nursing program. I was accepted into the Licensed Vocational Nursing program. It lasted for about a year and half. After graduating, my quest for becoming a Registered Nurse never stopped. After working as an LVN for about a year, I was accepted into the LVN to RN program at a community college where…
The nursing shortage is a growing concern for the nation. The aging population is causing more demand for qualified healthcare professionals. At the same time, healthcare professionals are retiring faster than they can be replaced. This shortage of nursing professionals is causing more overtime work, which creates more nursing errors. Scholarships and grants are being awarded to students to try and generate more nursing professionals. Many facilities are offering tuition reimbursement incentives to help lure nursing professionals. Many facilities are also offering sign-on bonuses. These incentives show how serious the increasing need for qualified nursing professionals is becoming.…
I am working for one of the best hospitals in downtown Chicago, Illinois as a Registered Nurse. My duties include providing hands-on care to patients by administering medications, observing and monitoring patients' conditions, managing intravenous lines, communicating with doctors and maintaining records. In addition, I am responsible for educating patients and their families on disease prevention and post-hospital treatment. Also, provide emotional support to the patient and family members.…
There is a diverse range of aspects related to nursing staffing in health care organizations. Staffing levels in hospitals are likely to have a bearing on the assurance in the delivery of safe and reliable care. However, nursing staffing challenges have remained perennial prompting prolonged attention on the allocation of nurse staffing resources to facilitate patient safety (Weston et al., 2012). Nevertheless, focus on staffing levels has particularly increased with the prevailing shortage of nurses (Rochefort, et al., 2015). Furthermore, there have been changes in the manner nursing is approached. Traditionally, it would be assumed that well-trained practitioners were not prone to errors. Such was consistent with the traditional tendency…
The Advanced Practice Nurse (APN) is a leader and team member who is capable of diagnosing, treating, and providing follow-up care to a variety of patients. Depending on the state in which the APN is licensed will determine his or her scope of practice. The three different levels the APN can practice are full, reduced, or restricted (Expanded roles, 2015). In some states, the APN is completely autonomous while in other states the APN might need the supervision or collaboration of a physician. The state of New Jersey requires the APN to have a collaboration agreement with a physician. Research validates that APNs’ provide quality, safe, and evidence-based care (Torre & Drake, 2014). In order to increase public access to health care, all states…
Nurse staffing refers to the ratio of nurses to patients in a particular unit. The current global nursing shortage is simply wide spread and dangerous lace of skilled nurses who are needed to care for individual patients and the population as a while. A study on the nursing shortage by Linda Aiken of the University of Pennsylvania School of Nursing, fund that an estimated 20,000 people die each year, because they have checked into a hospital with overworked nurses. (The American Nurses Association, Inc., 2010).…
As a staff nurse in the emergency room I had to develop leadership skills in order to effectively deliver quality care and maintain safety in a fast paced environment. By identifying safety risks associated with the assignment of inexperienced nurses to triage and discussing the breakdown in communication between physicians and staff, caused by inaccurate triage acuity levels, I effectively facilitated the change in the process of assignments to triage. Once the need of education, mentoring and nursing collaboration to support inexperienced triage nurses in role transition was acknowledged significant positive changes were experienced in staff communication, patient safety, and teamwork which ultimately improved morale. Although, I have not held a management position I have succeeded in resolving conflicts and de-escalating patient and family complaints in the hectic emergency room environment by listening and identifying the requests and views of the patient and…