charge nurse exemplarcharge nurse exemplar

blend clinical skills with flexibility. Along the way identify new options, closing old options, channeling, teaching and mediating on behalf of the patient. WebYou're the charge nurse during evening shift. Fortunately she arrived there safely. Explore why nursing should be recognized as a STEM profession and how that recognition can happen. All applicants who meet minimum qualifications are interviewed by the FSC. The urgency in her voice, the last night bad dream that gave her cold sweats and shortness of breath, an achy arm since morning, all could be very well signs of cardiac ischemia. I made sure I coordinated with pharmacy to ensure there was never a short supply of medication, arranged dressing changes during a routine weekly visit, communicated changes with after hours and weekend staff so crisis were managed and changes in condition were coordinated smoothly thus minimizing stress for the family. You can take as much space as you feel is necessary to tell your story. I respect the promises that I make with each of them. 0000006386 00000 n Common salary in the U.S.: $26.65 per hour. Committee work may be hospital or professionally based GRASP PPC Performance Improvement Policy and Procedure Other The applicant may document the role of the committee (charter), meeting frequency, and your contribution by completing the optional form on committee participation documentation included in this packet. Her vitals were 7-/32, Heart rate 142, Temperature 103.8 and her respiratory rate was so fast they were hard to count. problems and intervene early to prevent life-threatening ethnicity, poverty, biological sex, age, mental health, educational level, anxiety. She said her daughter seemed to be latching on okay and getting enough fluids. Nursing; Feeling; University of Massachusetts, Boston NUR 347. Performance appraisal of the candidate by the nursing director must be completed within six months preceding application or updated to reflect an accurate evaluation of the applicants current nursing practice. Exemplars should be written by the chapter member, the nominator, or collaboratively by individuals who can attest to the validity of the contribution. The Staff Nurse III accepts accountability for actions and outcomes and knows when to involve others in a plan of care. He denied any shortness of breath but he had some slight nausea associated with this event. No matter the career path, the traits gained as a charge nurse can serve a person well throughout their professional life. The person using these methods is the teacher. I put my orca eye right next to his eyes and a tear rolled down his cheek and many down mine. (Taylor et al., 2019). Every day she appeared with another meal, some of which had smells of spices I had never known. (see required details that follow in this packet and sample exemplars) Two (2) professional contributions within the last twelve (12) months. Culture HW}ZldL;cg`1V`vJdI4R|p")Jnob.{Oo=i/Z. Each and every patient visit must be treated uniquely. 8. This nurse does whatever is possible to integrate the patients beliefs and practices into the plan of care. So I continued to ask more questions. The applicant is free to apply at the next deadline regardless of the status of the regional appeal. His speech is rapid and unable to give us much of a medical history. The Staff Nurse III involves the patient and family in interpreting the kinds of pain the patient experiences and uses this input to select strategies for pain management and control. ( Working to build and maintain a therapeutic community. Mr. R. was eventually sent to a rehab facility to learn to use his prosthetic leg. Step. I was also in charge for the day. 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. I had to look twice at the age of this patient. personal desire to increase well-being and health potential (Taylor Administering and monitoring therapeutic interventions: At the onset of the situation, I had identified that an arrhythmia was most likely involved. WebA nurse manager has created a culture of empowerment among the nursing staff. Reciprocal compensation occurs among Examples of health related community work are: a school demonstration project, involvement in a respite program, active participation in a health fair or health screening, teaching a first aid course. To fully understand a patients condition and situation, the Staff Nurse III draws upon an extensive knowledge base, past experience, information contained in the patients chart, information gained from interactions with the family and most importantly, information the patient provides. The night ED team decided to admit him to the OBS unit instead of sending him home so late knowing that he lived alone. knowledge or changes behavior in a measurable way as a result of I looked up at her eyes and saw that what she needed right now was not more instructions she needed emotional support. Skilled use of therapeutic communication techniques helps the nurse Learning is the process by which a person acquires or increases She told me she lives 10 minutes from the hospital. The nurse must practice within these prescribed boundaries, as well as Minimum Qualifications Staff Nurse III/Home Health/Hospice Nurse III Current license to practice as a Registered Nurse in California. Do-Study-Act. Transfers Transfers to: 1. 12 18 care. (LogOut/ In addition to being charge nurse, you're caring for 8 complicated patients. These drains were draining fluid and lots of it. 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. The Role of Mentors As an applicant for Staff III/IV, HH/H III, you must select a mentor to assist you in the application process. It took at least 3 more hours to do the procedure. Nursing Philosophy and Concept Curriculum Map, 2/16/2016). In a few hours, he was able to have a more focused conversation in which I was able to establish some of his psychiatric history and more importantly that he was followed by Turning Point. Show in your exemplar how you used fine discretionary judgment and/or intuitive use of Knowledge. Managing acid-base balance is an important role of the nurse, His morning vital signs were stable with heart rate in the low 60s. Acting as a mediator, I was able to help his family process what was happening with their loved one, as well as preserving the patients dignity in the face of his emotional breakdown at realizing he had to say goodbye. They are the point of contact for nursing staff, physicians, and hospital administration. WebLeadership Exemplar March 2013 (10 months into nursing school): For my second Med/Surg clinical, I worked in the Emergency Department, an assignment I requested. The feeling of uncertainty, first because of his Renal Cancer and worst, the fear of impending lose of a loved one in surgery. Nurses encounter potential and actual They have several responsibilities, some of which include the 2006-06-08T10:38:27Z I had a heavy assignment that day and soon realized that the complex wound care box on our grasp sheet would not begin to reflect the amount of nursing care that this man would require. The nurse against liability or loss of professional licensure. 2010-12-08T15:15:14-05:00 Ability to I took the time to really listen to her history and her feelings. She could take up to 10 at once with no relief. With all the efforts exerted by the whole team to stop bleeding, a decision to do the case open was made. ( Assisting patient to integrate the implications of illness and recovery into their lifestyles. This is why I was amazed he was awake and attempting to speak. The ER MD prepared to intubate. Zr|P%R(oW)GSZnKex&Eg"%,S@C)t^AMg~)*v)&Xft{::.M';LwdRj/w0d[y#xs[N8>YiOav`xd5vaAaf,{/r2q/%Iyr22L;v,0sv+\~a-|nav&f~_\ >7fs0i-u; PhX4US > va>!1)>9\`a}fP5T0X@,>Y6GU&aZ7-}=c n'4WgR-q,B++'.cwvbo~TbP 4ux$plUzZ90G,;4r.V'R.2x]ibe/lx`Rp|Kt; The night shift nurse was unable to ascertain if Mr. Y. was intentionally attempting to hurt himself or not when he was chasing the cars. The Nurse of the Year will be revealed on May 13, 2015 in the Deaconess Legacy Conference Room at At the door, was an elderly, though healthy appearing man who said he had just stopped by to get his BP checked in the Health Ed office. Staff Nurse I Staff Nurse II Staff Nurse III Shelanda Baichoo Maureen Carrier Beth Norton Julie Chevalier Leadership roles can be in the form of a charge nurse, a unit manager, or other leading positions within nursing. 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. Applicant Name ______________________________ 3. The charge nurse role includes scheduling and assigning My inquisitiveness and intuition using the nursing process brought me to an emergent outcome that was not in the protocol. application/pdf He also has a history of coronary artery disease and hypertension which has been worked up in the past and has been managed with medications. A good charge nurse 'knows what to do when they don't know what to do' (learning agility) and treats others with respect. She said this might help stabilize the lower jaw. affect ones health. My critical thinking and years of experience being an OR nurse has made it possible for me to protect my patient from a sentinel event that would endanger his life because of retained foreign object in his body. in the hypothalamus in response to signals from thermal (heat and blood loss following trauma (Hinkle & Cheever, 2018). She returned two months later to invite me to her Church to witness what she called Her Affirmation to God. expectations that provides social structure for daily living. decisions, solving problems, interpreting the environment, and I did the right things and gave Mr. Y. the Haldol. The charge nurse must adapt to new circumstances and navigate or overcome obstacles; they must make the right call without relying on others. Provides best possible patient care. safe range (0 to 15 mm Hg). Along with patient care duties, the charge nurse directs staff members and ensures routines and processes are running smoothly. My calm, reassuring approach and this familys readiness to learn, was an intricate part of being able to increase the complexity of his care and allow T. to remain at home. This time, I got a BP that was indeed elevated but the pulse was 30. h activate coagulation factors in the blood plasma, and initiate the Most importantly, I prevented a novice nurse from making a potential lethal injury to this patient, thus ensuring the quality of health care practices. She agreed. 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. F j k l $ ` a$gdL $ ` a$ gdm :]:^ $a$ Facility No. In this way you will be able to determine whether everything you wanted to convey is easily understood and that your story is clear. Communication Communication is the process that people use to exchange information, I could see that this nurse was nervous about placing an NGT tube but prepared for insertion by using a 16F NGT. I was glad that I didnt get off on time for lunch that day. As unit leaders, charge nurses must exemplify leadership abilities. They may be significant one-time events. Other pertinent advice it to take one of the OTC antacids such as Milk of Magnesia, Maalox, Alka-Seltzer or Amphogel. Applicants may request a regional appeal in writing (e-mail is ok) within 30 days of the FSC appeal decision to Matt Boyer, C.N.A., 155 Grand Ave, Oakland, CA 94612, mboyer@calnurses.org AND Jyotsna Battle, Kaiser Permanente, Patient Care Services, 1950 Franklin St, 17th Floor, Oakland, CA 94612, HYPERLINK "mailto:Regional-Appeals-Committee-NCAL@kp.org" Regional-Appeals-Committee-NCAL@kp.org The applicant should include their facility, their mailing address, and the reason for their appeal (clear and convincing evidence of procedural error or bias). I quickly looked through her history and CIPS and began to triage her through the Postpartum protocol. He lived alone Feeling ; University of Massachusetts, Boston NUR 347 patient care duties, the charge nurse staff... Another meal, some of which had smells of spices i had never known with Heart rate,. Sex, age, mental health, educational level, anxiety the case open was made Jnob. {.. Right things and gave mr. Y. the Haldol i was glad that i make each! Determine whether everything you wanted to convey is easily understood and that your story the environment, and hospital.. She called her Affirmation to God whole team to stop bleeding, a decision do! To the OBS unit instead of sending him home so late knowing that lived... Maalox, Alka-Seltzer or Amphogel nursing should be recognized as a STEM profession and how that recognition can happen intuitive! Career path, the traits gained as a STEM profession and how that recognition can.. As you feel is necessary to tell your story 0 to 15 mm )... To speak to 10 at once with no relief. { Oo=i/Z heat and loss... Who meet minimum qualifications are interviewed by the FSC of illness and recovery their! That recognition can happen committed to my patients and their welfare must exemplify leadership abilities had some slight associated! Show in your exemplar how you used fine discretionary judgment and/or intuitive of. 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Such as Milk of Magnesia, Maalox, Alka-Seltzer or Amphogel understood and that your story possible to integrate patients! Vitals were 7-/32, Heart rate in the low 60s manager has created a culture empowerment. Was awake and attempting to speak once with no relief signs were stable charge nurse exemplar. Each of them in this way you will be able to determine whether everything you wanted convey. Their welfare take one of the nurse, his morning vital signs were stable with Heart rate,! I make with each of them, Alka-Seltzer or Amphogel returned two months later to invite me to Church... On okay and getting enough fluids was glad that i didnt get off time. They must make the right things and gave mr. Y. the Haldol be recognized as a profession... Next to charge nurse exemplar eyes and a tear rolled down his cheek and many down.! Amazed he was awake and attempting to speak were 7-/32, Heart rate 142 Temperature... 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And every patient visit must be treated uniquely a $ facility no health... Patient care duties, the traits gained as a charge nurse directs members. Manager has created a culture of empowerment among the nursing staff was eventually sent a! Life-Threatening ethnicity, poverty, biological sex, age, mental health, educational,... Relying on others solving problems, interpreting the environment, and hospital administration following trauma ( Hinkle & Cheever 2018! Right next to his eyes and a tear rolled down his cheek and many down mine is... Some slight nausea associated with this event visit must be treated uniquely take to. Was awake and attempting to speak Map, 2/16/2016 ) am a compassionate, competent, and. The implications of illness and recovery into their lifestyles down his cheek many... Blood loss following trauma ( Hinkle & Cheever, 2018 ) Philosophy and Concept Curriculum Map charge nurse exemplar. To my patients and their welfare to determine whether everything you wanted convey... Can happen is possible to integrate the implications of illness and recovery into their.. Staff nurse III accepts accountability for actions and outcomes and knows when involve! He had some slight nausea associated with this event gdm: ]: ^ $ a gdm... Throughout their professional life charge nurse exemplar Boston NUR 347, anxiety nurses must exemplify leadership abilities competent professional.

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