Do you recommend the applicant for SN III or HH/H III? Mrs. R. had brought him some home-made soups and such, which I encouraged because he was not fond of our food. ( Using goals therapeutically. Those interested in the charge nurse role must hold registered nurse (RN) licensure in the state where they practice and have at least three years of hands-on clinical experience. She feels hot and thirsty. She was drinking a lot of water, took two times Mylanta offered by one of her coworkers but the burning doesnt go away. She asked me to make a promise that her husband could join her back in celebrating their 50th wedding anniversary to renew their wedding vow. I trust my skills and instincts and am an advocate for my patients. danger. gas (ABG) analysis is used to determine blood pH, and homeostatic This nurse makes every effort to assure that all members of the care delivery team share consistent information regarding the patient. With large black eyes, he gave me a smile and nodded, I now understand that he knew how serious his condition was, because he himself was a Kaiser employee; but I wouldnt find that out for some time yet. knowledge or changes behavior in a measurable way as a result of The facility did have Ativan available. Nurses encounter potential and actual generate new tissue, and facilitate healing (Norris & Tuan, 2020). This was very important in keeping stress level tolerable for the family and caregiver. Manager _________________________________Cost Center_______________________ ( Manager informed that applicant is applying for SN III or HH/H III. 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. life and the meaning of death). One of the following: S N I I w o r k s i n t h e a r e a o f c l i n i c a l s p e c i a l t y f o r t h e e m p l o y e r f o r t h e l a s t t w o ( 2 ) y e a r s . I know that I must tell patients that need to go to ED and in many occasions patients get in a state of denial, changing the description of their symptom and asking for an appointment. A disclaimer to call back if her symptom worsens or others develop would end up this call. ORGANIZATION AND WORK-ROLE COMPETENCIES ( Coordinating, ordering and meeting multiple patients needs and requests: Setting priorities. The ED MD thanked me for my good suggestion in performing a tracheotomy versus intubation. I received report, in room 7, Mr. F..-GI Bleed, will need blood. hR8A{sL@ manager (Taylor et al., 2019). quality, efficiency, or delivery of health care (Hinkle & Cheever, 2018). Checking labs confirmed where my thought process was going, her albumin was very low and that would really delay her wound healing. To meet this goal I first needed to realize this was a first time mother of a 3 day old newborn who was sleep deprived, overwhelmed and in pain. Transfers Transfers to: 1. SIGNATURE (PAYROLL)_____________________________________________________ SIGNATURE OF MANAGER___________________________________________________ DATE______________________________________ Letter of Recommendation Form The Staff Nurse III and HH/H III functions in the clinical setting as an exemplary care giver to patients, a model of proficiency for co-workers, and a colleague to physicians. She appeared agitated and anxious. The patient trusts in this nurses expertise and ability to handle even critical situations that involve life and death. AJN, 97(6). A mentor is an advisor and teacher who can guide an aspiring or new charge nurse. ( Building and maintaining a therapeutic team to provide optimum therapy. THE DIAGNOSTIC AND MONITORING FUNCTION ( Detection and documentation of significant changes in a patients condition. For those interested in pursuing this role, it's important to analyze strengths and weaknesses. She stopped taking it after losing her insurance. The patient and family needed teaching regarding the physical changes T. was experiencing and the emotional and spiritual impact of those changes needed to be considered. She said her daughter seemed to be latching on okay and getting enough fluids. She thanked me for my patients and kindness. The Staff Nurse III initiates appropriate teaching and coaching of patients and their families. 2. I directed my surgical technician the need to open and count the instruments trays necessary to do an open case thinking in mind the severity of my patients bleeding. Managing Care Managing care is required of all nurses, even new graduates, as it Applicants will be notified of the Committees decision within ten (10) business days of the interview. care settings, and this number is growing. The Staff Nurse III accepts accountability for actions and outcomes and knows when to involve others in a plan of care. How did your intervention(s) affect patients, their families, your chapter members, or the community? How would you describe yourself and your work? blood loss following trauma (Hinkle & Cheever, 2018). On August 6th T. climbed out of his bed during the night and pulled out his line. She sighed and asked if she could call me back, saying she was a little overwhelmed at the moment and she needed to breast feed her daughter. Finally there was a big relief felt by everybody in the room. Mrs. S. appeared more relaxed, was smiling and thanked me for looking out for her. I am a compassionate, competent, professional and am committed to my patients and their welfare. She could take her in but she didnt want to bring her daughter with her. She didnt know but she will find someone. She told me that she is calling because of the burning in the mouth of her stomach. He came to my unit for reinduction chemotherapy. Social Security Number 3. For the most up-to-date salary information from Indeed, click on the salary link. In addition, the Regional Appeals Committee may review the nurses original application materials and the FSCs decision, including its reasons for the denial. I will attend a workshop on sepsis and present a summary to my unit of what I learned within two months. I realized Mr. P was unable to express his concerns or fear about his discharge. Ask your manager or your C.N.A. They soon realized I understood their concerns and was there to help. She said she really didnt want to come in today but if we thought it was really necessary her sister-in law would be there in about 20 mins. These drugs include some ATB, Propranolol, Captopril and H2 blockers. The boundaries for I explained to him that I could give him more medication, though it may make him sleepy and even slow his breathing to an extremely low rate, one where he would most likely lose consciousness. The appendix of this packet includes a lengthy description of Benners Domains and helpful examples of exemplars. I gave a detailed report to the recovery room nurse. Nurses are advanced to Clinical Nurse III based upon proficiency in clinical performance. Some examples of successful exemplars follow. I quickly had to focus on the current dilemma that she was experiencing. By taking the time to wait for her while she met her daughters needs, I demonstrated I was her advocate by meeting her needs. This includes considering each individual nurse's knowledge, skills, and abilities. THE TEACHING-COACHING FUNCTION ( Timing: Capturing a patients readiness to learn. For Home Health Only: Requirements for HH/H III: ____________________________________________ I obtained my PHN: In (date) __________________________________________ I am a case manager: From (date) ___________________To (date)___________ 9. - 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. information. Attempting to avert a crisis, this nurse quickly assesses the magnitude of a problem in order to identify and assign resources that the patient needs. ( Experiences of an illness: Anticipating patient care needs. Five (5) years of applicable RN experience within the last five years. in a systematic way to make a choice among alternatives related to What influenced your decision-making to do certain things or take specific actions? When providing comfort measures, this nurse preserves the patients dignity in the face of pain and emotional or physical breakdown. K T ^ _ ` g q r { "hL3 h)' 5>*CJ OJ QJ aJ hL3 hv CJ OJ QJ aJ h[Q} CJ OJ QJ aJ hdW CJ OJ QJ aJ hL3 h)' >*CJ OJ QJ aJ hL3 CJ OJ QJ aJ hL3 h)' CJ OJ QJ aJ 8 ! With the translators help I understood that she has epigastric pain. Administering and monitoring therapeutic interventions: At the onset of the situation, I had identified that an arrhythmia was most likely involved. Though all of these diagnoses are an Axis I in the Diagnostic and Statistical Manuel of Mental Disorders, they are not treated the same. 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. All applicants who meet minimum qualifications are interviewed by the FSC. I facilitated the quick delivery of the blood and in no time we were able to transfuse the 2 units to the patient. I got a verbal order to place an NG tube and begin the feedings. Together with other members of the health care team, the patient and the family, the Staff Nurse III initiates the plan of care. J. had no other symptoms. I explained my thoughts and concerns with Mrs. S. and advised her of the upcoming transfer to the holding room to further evaluate her symptoms. All rights reserved. In the same visit, it was necessary to instruct and coordinate the technical side of managing his pain. 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. Now with Haldol, there is a black box warning which requires cardiac observation due to the prolongation qt interval. She had plenty to deal with already she sure didnt need diarrhea. Accountability Accountability is internalized responsibility, whereby an individual Exemplary caregiver to patients. What was the situation and how did you intervene? needs for meaning and purpose, love and belonging, and forgiveness 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. Achievement standard 91329 study exemplar Pages: 8 (2316 words) Holes - Analytical Essay Exemplar Pages: 3 (882 words) BSN nursing VS RN nursing Pages: 3 (898 words) Nursing Knowledge through the Nursing Process Pages: 4 (961 words) Describe the definition of nursing as put forward by the American Nurses Association. 1. I explained everything to the charge nurse and requested that a one-time exception to the policy of no overnight guests be made. 4. Why was this incident significant to you? Nominations to the committee to fill vacancies will be made by the Staff Nurse III and IV and Home Health Nurse peers. In turn, this physician was reluctant to countermand what he was being advised by the ED staff. I also initiated type and cross matching to be certain that units of blood would be available for my patient since the order was just typed and screened. I will join a hospital committee this year and bring information back to the staff within one week after each monthly meeting. specific needs to promote an effective exchange of information. It was wonderful to see her personality start to immerse. understand and empathize with the clients experience. The letter of recommendation for advancement to Clinical Nurse III should be provided by a Clinical Nurse with at least two years of experience at BID Needham or an Advanced Practice Nurse (NP or CNS) who can speak to the applicants practice. Whether the patient is not responding to a particular therapy, this nurse has an inquisitive need to search continually for the reasons. grooming, feeding, and toileting. I was self directed, confident and well prepared when calling the CCMD- I gave my SBART rationale for emergent outcome, which he agreed. reason for your loss, the purpose of pain and suffering, the purpose of I am a confident and caring professional dedicated to obtain safe patient outcomes. (Monitoring and Ensuring the Quality of Health Care Practices) The Following Benners Domain will be addressed: The Helping Role The Diagnostic and Monitoring Function Monitoring and ensuring the Quality of Health Care Practices Exemplar #2 In the dermatology clinic, I have patients who come in regularly for their Narrow Band UVB (ultraviolet B wave) phototherapy treatments. In assessing a patients readiness to receive information, this nurse incorporates knowledge gained from past experience with other patients. As a leader, the charge nurse must demonstrate humility as they collaborate with healthcare teams. The BP machine gave a malfunction error message with the first attempt. When he arrived in the procedure room, he did a quick assessment of the patient, called the ED and advised that the patient would be coming over ASAP. isolating oneself from social contact), and spiritual (questioning the To everyones astonishment the missing sponge was still inside the patient. After making her comfortable, I took her vital signs, and further questioned her about her symptoms. The Applicant-Mentor relationship is required, and, ideally, the relationship would start at least one month before the application deadline. A charge nurse's role is difficult and often complicated. Explained everything to the recovery room nurse need diarrhea a one-time exception to prolongation... Or the community by the Staff within one week after each monthly meeting was necessary to instruct and coordinate technical... 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