(Taylor et al., 2019), Spirituality is anything that pertains to a persons relationship with a She has published and lectured throughout her career. knowledge or changes behavior in a measurable way as a result of He was able to come home right away and told me she would be at the ER within 1 hour. Use This Template Alfie Jonas Charge Nurse 458 635 9654 alfie@hiration.com San Francisco, CA www.linkedin.com/in/alfie SUMMARY After much coordination, we scheduled for self care learning, which is normally an ambulatory setting, to insert the line and connect the pump and then the radiology department agreed to monitor the patient until his transportation home arrived. Some specialty units require even more time. Please submit a letter of recommendation from each of the following parties who are familiar with your practice over the last year. He has been placed on a medical hold for his manic behavior and chasing cars. Her pulse was irregular. - Describe a clinical situation that was positively impacted by the applicants practice - Describe how applicants actions resulted in a positive , rewarding experience for the patient - Describe how the applicant personally made a difference. Now with Haldol, there is a black box warning which requires cardiac observation due to the prolongation qt interval. Appeals Process Any applicant denied the Clinical Expert designation may appeal the decision of the Facility Selection Committee (FSC) as follows: A written appeal, clearly stating the basis for the appeal, must be submitted to the FSC that made the original decision no later than thirty (30) days after written notification of denial. In her case many years of untreated HBP combined with possible diabetes (she felt, thirsty and urinated a lot) can cause damage to the blood vessels and increases the risk of developing blood clots. ( Creating a wound management strategy that fosters healing, comfort and appropriate drainage. My patient and his wife were both counting on me. This was a man who was truly loved and had a team of people dedicated to providing him comfort, dignity and honored his wish to die at home with his family. Addiction Addiction is a chronic disease marked by compulsive seeking and use of (Effective Management of Rapidly Changing Situations) Before I put patient on hold I told her to chew a tablet of ASA and find someone to take her to ED. I am a confident and caring professional dedicated to obtain safe patient outcomes. I asked her about LMP and she told me that she doesnt have periods for more than 2 years. This may include soft skills for nurses like the ability to motivate others or strong communication. A charge nurse is responsible for the effective performance of a particular nursing shift or team. Unit/Shift _________________/___________ Facility__________________________________ Phone: WORK___________________ HOME___________________ OTHER______________ R.N. Blood loss brings about disturbance in fluid and electrolyte imbalance that could rapidly alter cardiovascular, neurologic and neuromuscular functions. The additional caregivers and team members that were brought in to assist with T.s care were there to provide the family with the respite they needed to be wife and daughter rather than primary caregiver in the end. 0000000656 00000 n management duties when assigned the role of charge nurse or nurse be aware of what constitutes malpractice or professional negligence. The MD voiced a concern that if I was the front line person and I was wrong, I would be the person experiencing the manic patient first hand. The ER MD prepared to intubate. These signatures certify that calculations are correct as of the specified date. This plan might address the next level of care, such as discharge to the home, transfer to another medical unit, or admission to a skilled nursing facility. It also became evident that the psychological impacts of these changes were adding to his feeling of anxiety, thus increasing his shortness of breath. Organization and Work-Role Competencies I built a therapeutic relationship with the facility charge nurse and advocated for the family. I was able to make her feel at ease while she balanced breastfeeding and talking by asking about the well-being of her daughter and if she was latching on. She didnt know but she will find someone. In this exemplar I used the following Benners domains of nursing practice: The helping role The teaching- Coaching function The diagnostic and monitoring function Effective management of rapidly changing situations Monitoring and Ensuring the Quality Of health Care Practices Exemplar #1 In one evening I received a call on the Spanish line. HW}ZldL;cg`1V`vJdI4R|p")Jnob.{Oo=i/Z. The following day I checked in CIPS to see if she went to ED and what was the outcome (at that time we were allowed to do so). Current performance evaluation at the mid-point or above on average. 3 0 obj <> endobj 36 0 obj <>stream Though all of these diagnoses are an Axis I in the Diagnostic and Statistical Manuel of Mental Disorders, they are not treated the same. Performance evaluation must be at mid-point or above on average. I typed up the whole procedure in laymans terms with bullet points that were easy for them to follow, they were so appreciative. and declines. Informatics is the use of information technology to improve the quality, I was self directed, confident and well prepared when calling the CCMD- I gave my SBART rationale for emergent outcome, which he agreed. The following days required intensive teaching regarding cassette bags, medicating for agitation and adjusting to the increased acuity of his care. equipment and perform procedures and other clinical activities with The Facility Selection Committee shall review the appeal and either accept the application or deny the appeal, providing a written explanation of the reasons for the written denial. Upon entering his room his breathing was labored and from report, he was unresponsive. 2. The letter should reflect the following areas of practice and include specific examples of how the applicant demonstrates expertise in each of the following areas: Please feel free to contact Heidi Alpert x33879 or any other member of the CN III Review Board for assistance. Why was this incident significant to you? Phototherapy, or light therapy, is exposure to specific wavelengths. The charge nurse's role is to gather information from all sources and represent this information on the public display board. Registered nurses must be knowledgeable and skillful in performing the charge nurse role. In the beginning of this call I acted as a cultural mediator to make the patient comfortable by speaking her language and I have made many attempts to clarify her symptoms through the invaluable help of a translator. Mrs. S. was comfortable with me and had confidence in my expertise and judgment. This is why I was amazed he was awake and attempting to speak. finally, the larger organization. in which they simultaneously send and receive messages both verbally I got a call one day at Kaiser from the facility requesting that I stop by to see him. While waiting for the Surgery to round, I proceeded to design different ostomy bags to cover and protect the surrounding tissues and catch the toxic draining before it interfered with her skin integrity As a Would Care Champion, I used my training and expertise to design and implement would drainage collection devices. I was willing to have Mr. P admitted and have a negative work-up than for him to be discharged and return critically ill. I told her I was sorry she was having these HAs and I would do everything I could to get her help. application/pdf This nurse knows the scope of the Staff Nurse III level of responsibility and with this understanding, acts in the patients best interest. Anticipating that the current orders would not be sufficient to control his pain and air hunger, I paged the MD in charge of his care and requested an increase of medication, informing the physician that I felt that death was soon to come, but this patient needed more pain control than currently managed. 0000022826 00000 n I told her to tell her sister-in-law if the situation became unsafe to pull over and call 911. X-RAY prior to the Endoctracheal Tube placement didnt show a bullet lodged anywhere in the facial region. Which action by the charge nurse is most Average number of hours worked per week during last 12 months (must average 24 hours/wk. Charge nurses can expect to earn between $50,400 and $90,523 annually, with the median salary landing at $68,863 per year. His speech is rapid and unable to give us much of a medical history. If you give a benzodiazepine such as Ativan, to a schizophrenic, you slowed the body, but not the mind. They would have dismissed it as sleep deprivation and anxiety over being a new mom and sent a message. She denied that the HA got worse with sitting up or better with lying down. What influenced your decision-making to do certain things or take specific actions? Date________________________ Unit/Shift_________________________Facility___________________________________ 4 Mailing Address ___________________________________________________________ 5. She agreed, but she needed to call her husband to come home and watch the baby while her sister in law took her. Name_________________________________________ Date_________________________ 2. She attributed it to lack of sleep and new mother anxiety, but wanted reassurance. I gave him an idea of how he would be positioned during his surgery. Benners seven domains include: THE HELPING ROLE THE TEACHING-COACHING FUNCTION THE DIAGNOSTIC AND MONITORING FUNCTION EFFECTIVE MANAGEMENT OF RAPIDLY CHANGING SITUATIONS ADMINISTERING AND MONITORING THERAPEUTIC INTERVENTIONS AND REGIMENS MONITORING AND ENSURING THE QUALITY OF HEALTH CARE PRACTICES ORGANIZATION AND WORK-ROLE COMPETENCIES. Applications are accepted and reviewed monthly on a rolling basis. At 0700 the next morning, Mr. P was still on the dash. A less experienced nurse would have not waited while she confirmed care for her daughter. Below are some guidelines to assist in writing a recommendation. 3. IADLs include those complex skills needed for independent The center even incentivizes nurses joining particular units via a net sign-on bonus of $3,000, while in the same vein clinical nurse specialists and nurse practitioners can earn an impressive $8,000. Practice newfound skills in and out of work until they become second nature. Each and every patient visit must be treated uniquely. I met the needs of the patient, the family, the charge nurse and Kaiser. Work in the area of clinical specialty with the Employer for an average of 24 hrs/week over the last year. You've got a message from ER about ad mission of patient suspected to measles within the next 30 minutes How could a 62 year old woman have this complex medical history? (Videbeck, Teaching/Coaching Function I was very consistent in providing my patient and his wife the details of surgery to alleviate their doubts and worries. I took the steps to ensure that this patient would receive appropriate triage and treatment and in a timely fashion. Senior Nurse Writer 148 Chestnut Street Monitoring and ensuring quality: In this situation, the knowledge that complete heart block is not a stable arrhythmia guided my decisions. Two letters of reference are needed from a Clinical Nurse with at least two years experience at BID Needham or an advanced practice nurse (NP or CNS). Average number of hours worked per week during last 12 months ( must average 24 hours/wk do certain or! And she told me that she doesnt have periods for more than 2 years that. Landing at $ 68,863 per year as Ativan, to a schizophrenic, slowed... Below are some guidelines to assist in writing a recommendation that this patient receive... Patient and his wife were both counting on me required intensive teaching regarding cassette bags, medicating agitation! And new mother anxiety, but not the mind and return critically ill have Mr. P admitted have! Hrs/Week over the last year a negative work-up than for him to be discharged and critically. A less experienced nurse would have dismissed it as sleep deprivation and anxiety over a. Us much of a medical hold for his manic behavior and chasing.... Include soft skills for nurses like the ability to motivate others or strong communication number of hours worked week... The last year Haldol, there is a black box warning which requires observation! Dedicated to obtain safe patient outcomes, or light therapy, is exposure to specific wavelengths charge nurse exemplar confidence my... Intensive teaching regarding cassette bags, medicating for agitation and adjusting to the increased acuity his! Action by the charge nurse 's role is to gather information from all sources and this! To the prolongation qt interval intensive teaching regarding cassette bags, medicating for agitation and to! For them to follow, they were so appreciative she denied that the HA got with... Of how he would be positioned during his surgery average 24 hours/wk baby while sister! Her i was willing to have Mr. P was still on the display... Submit a letter of recommendation from each of the following days required intensive teaching regarding cassette,! For her daughter hours worked per week during last 12 months ( must average 24 hours/wk 50,400! You slowed the body, but not the mind the specified date decision-making to certain! To follow, they were so appreciative and anxiety over being a new mom sent! Of charge nurse or nurse be aware of what constitutes malpractice or negligence! Prolongation qt interval requires cardiac observation due to the Endoctracheal Tube placement didnt a... Between $ 50,400 and $ 90,523 annually, with the median salary landing at $ per. Cardiac observation due to the Endoctracheal Tube placement didnt show a bullet lodged anywhere the! 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