Once again, she returned to surgery, resulting in a colostomy. There isnt a day that I walk past room 417 that he doesnt come to my mind. See calculation below. Along with patient care duties, the charge nurse directs staff members and ensures routines and processes are running smoothly. Unit/Shift _________________/___________ Facility__________________________________ Phone: WORK___________________ HOME___________________ OTHER______________ R.N. TThe exemplar is written in the first person. (Taylor et al., 2019), Development Development is an orderly pattern of changes in structure, thoughts, WebABOUT YOU To join us as a Charge Nurse youll need to be a Registered Nurse with a current NMC registration and supervision qualification. 1. You assume the role of teacher and your patient They have several years of experience as a nurse and are responsible for delegating duties to less-experienced nurses and staff members, including LPNs and CNAs, coordinating nursing schedules, monitoring medications and supplies, It would have been very easy for me to go along with the discharge plan. I was able to pass this data on to ED physician and the Psychiatric services LCSW who came to assess Mr. Y.. The patient was awake, alert, oriented with warm and dry skin. They may be significant one-time events. I treat every call I take with responsibility, professionalism, kindness and compassion. Registered nurses must be knowledgeable and skillful in performing the charge nurse role. These After assessing the patient and not really coming to a clear outcome I felt uncomfortable with giving her an appointment or a message. WebThe charge nurse assesses clients during a mass casualty incident (MCI) and transfers some to other units but discharges others to home. against liability or loss of professional licensure. I looked up at her eyes and saw that what she needed right now was not more instructions she needed emotional support. The Staff Nurse III not only notifies appropriately people but also takes immediate action. this sense of well-being to the patient, particularly by relieving pain. WebClinical exemplars can be defined as a way nurses share their experiences in the clinical setting to identify the significance of caring that is essence in the nursing profession. gas (ABG) analysis is used to determine blood pH, and homeostatic Provides best possible patient care. Corrective measures were taken. NAME AND LOCATION OF FACILITY 4. Though all of these diagnoses are an Axis I in the Diagnostic and Statistical Manuel of Mental Disorders, they are not treated the same. She stated she wanted to try an Ibuprofen first and was going to call afterwards if the HA did not get better. I am aware that when a family member is dying there are complex family dynamics that require staff to pay close attention. When the baby woke her up around 4am the HA was still there but was better so she didnt call. Later she wakes up again with the same burning, drinks more water and goes to the bathroom to urinate. She stated she didnt want to go through that again tonight and though maybe she should have her BP checked. A nurse's workday is unpredictable. By the first week of July T.s tumor was not palpable and visible in this chest and his pain had increased his need for morphine to 110mg/hr and was beginning to have indurations at the sub q sites. Intracranial regulation refers to compensatory mechanisms in the Communication behaviors in clinical settings have been studied through observation, 9 self-report logs, 810 and ethnographic 13 methods. Verification of Hours Paid Form (if applicable) Performance Evaluation within the last 12 months at midpoint or above on average. (Letters of recommendation written for charge nurses should address clinical skills and not Charge Nurse Duties.) I knew how to negotiate with my intuitive use of knowledge, I contributed mightily to this patients and Kaisers best interest. She states that she had some complications after delivery. No one would have questioned my care and maybe even said good job in keeping Mr. Y. comfortable by dosing him with Ativan. They had checked his BP which he was slightly elevated and per protocol, he was sent to the station. They were a very spiritual couple and she brought in incense to burn and body oils to apply that had a distinct smell. 6w} APPLICATION ONLY: DATES: FROM - TO AREA OF PRACTICE EMPLOYER 1. Only last night she got scared because of a bad dream that woke her up in cold sweats and she couldnt catch her breath to wake up her husband. xref I then worked to integrate the familys beliefs and practices by understanding their desire to stay with the patient that night. At all times, the Staff Nurse III behaves professionally and assertively with an unquestionable commitment to every patient. He said sewing her intestines up is like sewing together cubes of butter. WebA) The client is very old and has multiple health problems. Content experts may be called if the committee has limited knowledge in a specialty area Committee members may serve a maximum of 2 years in any single category. Attend a Facility Selection Committee meeting for interview, presentation of exemplars, and clarification of portfolio if needed. The nurse keeps abreast of new medications so as to identify potential errors before they occur. Candidates will be asked to clearly present either one or both exemplars. Hours Worked Calculation A Registered Nurse hired into a twenty-four (24) hour position or more is exempt from any further calculation to determine paid or unpaid time away from work. HW}ZldL;cg`1V`vJdI4R|p")Jnob.{Oo=i/Z. When needed, this nurse calls in members of the multidisciplinary team to assist in providing individualized patient-directed care. volume of one component can be compensated for by a decrease in J. denied any chest pain, swelling, fever, dizziness or heavy bleeding. As a confident and caring professional, dedicated to my patients independence, I was able to guide this patient as he started his final journey. Pressing real close to his face and whispering his name, he opened his eyes slowly, as I had seen him do so many times before. Charge nurses need high organizational and critical thinking skills to successfully handle sudden issues that may come up. Additionally, the applicant must have a Mentor signature on their application to validate that all elements are complete The applicant must: Meet minimum qualifications (see previous page) Submit a complete application portfolio containing the following: Staff Nurse III or HH/H III Application Form with a required Mentors signature.. Verification of Hours Paid form (if applicable) Signed performance evaluation within the last twelve (12) months of application. decisions, solving problems, interpreting the environment, and At the start of a shift, the charge nurse distributes the workload so that staff resources are used most efficiently. Your staff is experienced nurse 49 y.o. During the week T. needed his morphine rates increased to 180 mg/hr with an eighty mg bolus every twenty minutes and twenty-four hour totals of 4.350 mg morphine IV was needed for good pain control. The charge nurse role may also include tracking team performance metrics and solving staffing shortages. well as for the nursing profession. I asked her how severe her HA was last night and she said it was 9/10 but now it was 4-5/10. A less experienced nurse would have not waited while she confirmed care for her daughter. I assisted her and taught her that following the ET tube, she could place the NGT without any further injury. I knew the fear and frustration this family was feeling about it their mother was going to be safe and have her pain controlled. Her history included Parkinsons disease, CKD, COPD, and HTN and elevated K. She was now in a health center where she lived for 3 months prior to her hospitalization. ( Administering medications accurately and safely: Monitoring untoward effects, reactions, therapeutic responses, toxicity and incompatibilities. },e.eI8i6n=_Xz^|M/^,/XN0'a}}c~ Read the results of our latest national nurse work environments study, and see why Healthy Work Environments matter in this critical time. Finally I felt relieved! 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. 1984 0 obj <>stream CHESAPEAKE, Va. Chesapeake Regional Healthcare (CRH) honored four outstanding nurses during its Nurse Exemplar Awards ceremony held Monday night. APPENDIX STAFF NURSE III, HH/H III Application BENNERS DOMAIN THE HELPING ROLE ( The Healing Relationship: Creating a climate for and establishing a commitment to heal. personal desire to increase well-being and health potential (Taylor The Charge Nurse is an exemplar for compassion, acceptance, respect and empathy honoring nursing as a distinct discipline and supporting an environment focused on healing and wellness. In this first link you will find an exemplar that demonstrates my clinical knowledge and skills in caring for the post-operative patient. formation of a stable clot composed of fibrin to prevent excessive Report did not prepare me for what I would see when I unwrapped his feet. I noticed that there were no visits, meds and labs in her file and I concluded that she was new to Kaiser. data reflect how health functioning is enhanced by health promotion Duties and Responsibilities. Example: a) Helping Role - Provide emotional and information support to patients families. The expected that the health center had the order for hospice and that the hospice would start as soon as she arrived at the facility. Culture blend clinical skills with flexibility. Registered nurses working for the government earned the most, while those working in educational services earned the least, said the BLS. I asked her when her sister in law would be there and if she could take her to the hospital if need be. normal balanced state and are perceived as a challenge, threat, or This research investigated charge nurse decision making during the nurse-patient assignment process as an exemplar of the larger I asked her if she could please give me 3-5 minutes and I would be back after talking with the CCMD. I could see that this nurse was nervous about placing an NGT tube but prepared for insertion by using a 16F NGT. A charge nurse oversees all of the nurses in the hospital unit and is responsible for other administrative duties. Coping is any behavior that is used to decrease stress and These are the situations that nurses recall again and again. A hospital unit is often busy as patient care requirements can rapidly change. Accountability Accountability is internalized responsibility, whereby an individual 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. When providing comfort measures, this nurse preserves the patients dignity in the face of pain and emotional or physical breakdown. A strong charge nurse is flexible in distributing resources as the unit's patient population changes. He was added to my caseload in June when his nurse retired. trailer someone learn. After his second round of high dose chemotherapy, a bone marrow biopsy showed poor prognosis, the leukemia was not responding to the aggressive treatment we had started. Name of Committee: _______________ Date Joined: _______________ Committee Charter/Purpose: Committee meeting schedule: Monthly Every other month Quarterly Other Individuals contribution to the committee: (Please list how/what you contribute to the committee or how you share the information with your staff.) I opened the binder up to take a look at her surgical incision and had to prepare myself and her for what was hard for my eyes to believe. This nurse guides patients through emotional and developmental change. Room 6-Mrs. Jones. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. et al., 2019). When the patient is on the line you ask questions, clarify them, look at the history, search in CIPS for past visits, diagnosis, labs, medications, allergies, look for other resources available for that particular case. In our Purple Book the home treatment advice presents a list of food that should be avoided (we all know that Mexican food is mostly spicy) and explains in detail about meal timing and positioning when sleeping to avoid acid reflux. As I was changing my patients gown to keep him warm and dry. She said no to all. He has been sitting on the edge of the gurney since then. Antacids can interact with a number of drugs in the intestines by reducing their absorption. The charge nurse role includes scheduling and assigning If you have difficulty identifying a clinical incident, it is often times helpful to ask a colleague or your director for ideas about a pertinent clinical situation in which you were involved. It takes pressure off of one person and raises morale on the unit when nurses know their ideas are valued. (It is the RN's responsibility to notify the FSC if their hours fall below 24 hours.) Acrobat PDFWriter 5.0 for Windows NT WebVA Department of Veterans Affairs PROFICIENCY REPORT SECTION A - INDIVIDUAL REPORTED ON 1. Laws and legislation define the scope of acceptable 0000000872 00000 n Joelle Jean, RN, FNP-BC has been a nurse for more than 10 years and family nurse practitioner for over three years. Then you put relevant pieces together and solve the mystery. In nursing terms you make the best disposition that fits patients needs. Use action verbs in your charge nurse resume descriptions. , she could take her to the hospital if need be blood,... Had checked his BP which he was added to my caseload in June when his nurse retired was to. Kindness and compassion member is dying there are complex family dynamics that require staff to pay close attention gurney... Paid Form ( if applicable ) Performance Evaluation within the last 12 months midpoint! Portfolio if needed a charge nurse resume descriptions responses, toxicity and incompatibilities could see that this nurse in... As i was changing my patients gown to keep him warm and dry emotional support needed, nurse... Appropriately people but also takes immediate action nurse would have questioned my care and maybe even good. Unit and is responsible for other administrative duties. her and taught her that following the ET,! Sewing her intestines up is like sewing together cubes of butter of new medications so as to identify potential before. Patient, particularly by relieving pain to call afterwards if the HA was still there but was better she... New medications so as to identify potential errors before they occur medications so as identify... The mystery dosing him with Ativan accurately and safely: Monitoring untoward effects, reactions, therapeutic responses toxicity. 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Untoward effects, reactions, therapeutic responses, toxicity and incompatibilities these After assessing the patient, by... To pass this data on to ED physician and the Psychiatric services LCSW who came assess! Would be there and if she could take her to the station with patient care duties the! Patients dignity in the intestines by reducing their absorption patient-directed care you put relevant pieces together and solve mystery. Oversees all of the gurney since then negotiate with my intuitive use knowledge. ; cg ` 1V ` vJdI4R|p '' ) charge nurse exemplar. { Oo=i/Z portfolio if needed ABG. Patient was awake, alert, oriented with warm and dry skin successfully handle sudden issues may... Maybe even said good job in keeping Mr. Y. comfortable by dosing him with Ativan members. Blood pH, and clarification of portfolio if needed as the unit when nurses know their ideas are.., this nurse preserves the patients dignity in the hospital if need be notify the FSC if their fall. 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