BHT II And BHPP 2 Level

In conclusion, mental health nurses are able to adapt quickly to new situations such as dealing with complex patients regularly. They have long-term relationships that are otherwise not essential in other fields. This builds a mutual trust between the patient and the mental health nurse. Mental health nurses differ from other fields of nursing as they have unique skills, such as: having a different concept of recovery, providing the right kind of continuing support for their patients, having the power to detain a patient, as well as having the relevant skills and knowledge with regard to ethical and legal responsibilities. All nurses struggle with ethical issues and challenges related to patients care on a daily basis. It is difficult for

It is no secret that communication is key when providing direct patient care in a skilled nursing facility. However, there is a noticeable lapse in the communication between the care team when providing care to the individual or groups of individuals. Two main parts of any care team are the registered nurse and the certified nursing assistant, as these are the two people whom have the most direct and impactful roles with residents in a skilled facility. The Registered Nurse and the Certified Nursing Assistant play similar roles in providing patient care, but have different roles in its entirety. The role of the Registered Nurse (RN) is defined as having the competency and skill to provide direct and indirect health care to individuals, their families, and communities around them. Services are also provided designed to give out medications, to promote comfort or healing, promote healing, and to also provide the dignity of their patients and patient’s families (American College of Rheumatology, 2015).

The Clinical Nurse Educator is on each floor to ensure that the nurses stay up to date and I are performing there can appropriately. For an example education was given for caring for patient with a chest tube because an incident during the night Chris brought to their attention. This consisted of a patient getting transferred to I see you and on the way down to I see you the chest tube was clamped and the atrium was placed on his bed. But clear information was given that the chest tubes are never clients and are always kept I pray and ask the level below the client's chest. Once this meeting was adjourned the clinical nurse educator in the unit supervisor listen to a recording each night nurse and their patients. This what's meant so the unit supervisor Clinical Nurse Educator we're informed of each client situation. Once that meeting was over the unit supervisor attended what you called a bad huddle and I was instructed to go with the clinical nurse educator around on the

The literature provided speaks of the nurse’s responsibility in creating a safe environment for the patient and a healthy work environment for individuals of the organization. Part of providing safe and competent care to patients is for the RN to ensure that she is clinically capable of providing care at the skill level necessary for an assignment, especially when she floats to other units. Otherwise, she must decline the duty to care for that patient, make it known to the charge nurse that the assignment is beyond her competency level, and ask for an alternative assignment that matches her skill set (California Board of Registered Nursing, 1998). In addition to knowing the nurse’s

Never has it been more critical to provide high quality care in the hospital while being cost effective. The American Association of Colleges of Nursing (American Association of Colleges of Nursing [AACN], 2005) has created the Clinical Nurse Leader (CNL) role to introduce lateral integration of care for specified groups by creatively and intentionally using a variety of health care resources (AACN, 2005). The CNL’s purpose is to aid in various departments of the health care system including the psychiatric department. Although there is continuous tension between medical care and psychiatric care and choosing which is more important for a patient, the Clinical Nurse Leader is intended to bridge the gap

Hospitals have human lives in their hands and the greater responsibility to function with precision by delivering high-quality services twenty- four hours a day, seven days a week. Institutions such as hospitals, adopt organizational structures with the goal of facilitating communication, increasing job satisfaction, and improving patient care. This summer semester, I am completing my critical care and leadership preceptorship in the Burn ICU at New York Presbyterian Weill Cornell Medical Center. During my shifts, I experienced and researched how NYP Weill Cornell functions in the caregiver- patient, unit-based, and facility-wide manner by using the “Infonet” and gathering information from the unit manager, nurses and nurse’s aides. This leadership

Charge Registered Nurse, Telemetry Unit April 2006-Present • Train and orient employees on ethics and care delivery • Manage codes, perform and deliver complex bedside care • Oversee and evaluate employees performance • Develop and implement policy based on evidenced based research • Collaborate with different clinical disciplines to ensure quality patient care outcome Holy Cross Laurel Regional Hospital Silver Spring, Maryland Registered Nurse, Intensive Care Unit January 2001-August 2006 • Deliver advanced life support to patients in critical condition • Carry out life-saving medical procedures with physicians • Ensure adherence to quality assurance • Communicate with patient, families,

Contribute to complex nursing care of clients. Administer and monitor medications. Administer and monitor IV meds.

Provides leadership guidance over all departments within the hospital in the absence of Administration. Addresses patient care issues, staffing of departments according to a financial grid, and oversees hospital conflicts that arise. Provides leadership supervision over staffing coordinator, nursing departments, and performs administrative leadership roles. Investigates occurrences during the shift, ensuring appropriate documentation and resolution. Determines if an issue warrants support from the Administrator on call. Collaborates with patients, family members, and physicians to ensure patient needs are met and outcomes are positive.

Acting as a nursing leader, I would encourage the entire health care team to understand and meet a patient’s expectations. My organization embodies patient-centeredness and expects nurses, as well as all health care providers to utilize good provider-patient communication, collaborative decision-making, and coordination of services (SMMC, n.d.). Moreover, managing customer expectation does not end when the patient is discharged. The patient must take what he or she learns from their health care providers to manage their care at home. Patients must understand their follow-up care and who to contact when questions arise (AHRQ,

Nesmith-Barker was recently re-assignment to the Otis Bantam Correctional Center (OBCC) which has a daily census of 449 class members. In addition, she will facilitate the training and re-training of four direct reports. She is knowledgeable and proficient in all aspects of the department functions and has made it her duty to work each area to gain the necessary skills required to be successful. As part of her responsibility, she will continue to ensure the timeliness and appropriateness of discharge plans, supportive housing applications, SPOA applications, CRAN referrals, 30 / 90 day follow ups, and all other entitlements eligible to the patient population. She will participate in all necessary in-house meetings in an effort to effectively coordinate day-to-day responsibilities to staff members while ensuring necessary information is communicated to middle and upper management. Ms. Barker will oversee all reports to ensure timeliness while reviewing charts to ensure that appropriateness is in alliance with good patient care. In addition, she will continue to monitor and work with DOC to maintain production in an effort to ensure patients are presented for services and in accordance with the Brad H stipulation. She is well-informed of departmental policies and procedures in the Social Work Department and ensures they are appropriately operationalized. Ms. Nesmith-Barker’s professionalism and experience provide the department with the key skills necessary to maintain its

As a nurse, a good understanding of the principles regulating this profession is vital. In what follows, I will describe the functional differences between the New Jersey State Board of Registered Nurses and the American Psychiatric Nurse Association (APNA), and how they relate to current nursing practice. I will also provide a discussion of two of

Nurses delegate task daily in order to provide quality care to patients. Delegation is difficult for new nurses, but as new nurses gain confidence the process gets easier. Delegation is based on three major things: responsibility, authority, and accountability (Yoder-Wise, 2015). This writer worked night shift on a nephrology unit, and the unit was short staffed due to call outs. This writer was a new nurse, but precepted during school on the unit. Orientation was 6 weeks but due to the unit was short staffed orientation was cut to two weeks. The third week a full patient load was given. At the end of the third week, the charge nurse got sick and needed to go home. The house supervisor requested that this writer be relief charge. After questioning

The leadership includes the nursing director, nurse manager, nurse supervisors and charge nurse. The nurse director and nurse manage provide guidance to the nursing staff and coordinates the health services provided to the patients. The nurse supervisors manages and supervises the registered nurses enforces the unit’s policies and codes. The charge nurse acts as the unit’s resource nurse and liaison between the nurses and other interdisciplinary staff. The nursing leader overall set goals for the nursing staff and assist in meeting unit goals. The nursing leaders meet with the nursing staff monthly to address issues and update the staff on the unit’s progress.

During my first day of clinical, I met with my clinical instructor and my classmates in the lobby around 2:15 p.m. The goal was to take a tour of the facility and get acquainted with the staff. The lobby was warm and inviting, with wood floors and comfortable furniture. It was also busy with clients being discharged or coming in for the initial intake. One client, in particular, was sitting behind me wearing handcuffs along with two police escorts. The client gave an impression of being stable while sitting there. It seemed as if he was coming from Baylor Hospital. Nurses from other facilities were there filling out paperwork and checking in their patients. Family members were also there picking up their loved ones. The clients were escorted by mental health technicians, to ensure the safety of the client. On many occasions, mental health technicians provide direct patient care under the supervision of a registered nurse. Their primary responsibilities include the provision of a safe and therapeutic milieu, crisis intervention and activities of daily living.