Cetiner Role Model

The person I interviewed was a Chronic Renal Failure patient that has been on dialysis for about 4 years.

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).

She created a flow sheet used by the nurses to import data useful for review at

The Health Care System 's purpose is to meet the physical and mental health needs of the communities in which they serve, these systems operate using people working within heal care facilities as well as other health delivery resources. One group of individual that help with facility operations are nursing administrators. Nursing Administrators contribute in managing along with directing the nursing care delivery system. Their leadership style, characteristics, communication strategies, including the way that they negotiate as well as manage conflicts can determine the quality of the healthcare services treat the facility provide as well as help to develop a set of guidelines to standardize the type and quality of the nursing services. (Cipriano, 2011) Together the Nurse Mangers work toward the same goals along with guiding nurses in their practice and contribute to the facilities successes. (Frankel, 2011) The nursing leaders are advocates who directly affect the quality of the nursing care along with also having a positive impact on healthcare through leadership.

MSN, RN, the 2004 recipient of the Mary Mahoney Award. “I first had heard about her before I

R/s Paul Ashley has end stage renal failure and he needs hemodialysis or he will die. R/s Mr. Ashley was staying at Southland Nursing Home, but he can’t returned there until his daughter, Gloria Echols sign for him to receive dialysis. R/s Mr. Ashley is qualified to receive dialysis treatment at Fresenius Medical Care Freedom, but Ms. Echols is failing to sign the paperwork. R/s Mr. Ashley has been discharged from McLeod Medical Center, but he is stuck there because he has nowhere to go. R/s Mr. Ashley also has dementia and he is total care.

Upham realized that this was a poor choice for the patient collaborated with the nephrologist to maintain his treatment time at 3.5 hours. Ms. Upham has taken on the role of PD Coordinator and in collaboration with the Nurse Manager and Nephrologist has developed policy and procedures to facilitate the initiation of the program. She assisted in the coordination of services with logistics for supplies, the lab for special peritoneal services, and the OR Surgeon responsible for insertion of PD catheters. Ms. Upham worked closely with the Palliative care team to ensure the patients, family members and staff had the correct resources needed to provide end of life care. Ms. Upham continues to volunteer for the PVAMC Interfaith Service Remembrance. She encourages patients’ family members who have passed over the last year to attend and share in this Interfaith Service. She facilitates the emergency evacuation process for both patients and staff on a quarterly basis. She was instrumental in helping to move the hemodialysis unit from the old space to the new space in coordination with 2 staff members and the Nurse Manager, resulting in a seamless transition for

Educating the patient is a very important part of the nursing role. The patient with chronic kidney disease needs to be educated on the disease process, how to slow the progression of the disease, medications, diet restrictions, dialysis and how to care for the dialysis access site, and the importance of regular visits with their physician. The more a patient knows, the more he/she can be proactive in the treatment plan. Kidney disease is manageable if diagnosed early and the patient needs to understand that it is not a death sentence!

Ms. Cabral keeps up competency in providing CAPD/APD. She is now the back- up PD coordinator during time of need. She is part of the nursing professional development skills fair this year with her focus being blood transfusions, specimen labeling

Dr. Joanna Hudson is my role model in pharmacy practice field. Dr. Hudson has been recognized with awards including the UTHSC Student Government Association Executive Council Excellence in Teaching Award and the UTHSC College of Pharmacy Class of 2007 Teacher of the Year Award. She is the current president of the National Kidney Foundation of West Tennessee and is actively involved in various organizations related to pharmacy and nephrology. She has all the qualities of a great mentor in her personality, her knowledge, and her achievements. Dr. Hudson guided me throughout my nephrology rotation and even afterward to make a better version of myself. She shaped me to be an independent clinician and educator. In addition, she taught me how to

She mentors newer members, and is an active contributor at events. As a registered nurse she brings her advanced level of knowledge to Event Health Services. She is well respected as a mentor, teacher and support person.

It was 0730; I stepped off the elevator after two 12-hour NOC shifts, instead of being tired and eager to go home, I headed to the cafeteria. As I walked toward the cafeteria, I had a huge smile with thoughts of excitement and satisfaction. For my Senior Preceptorship, I am assigned to work on the Tower 8 Transplant/Metabolic/Telemetry Unit at UC Davis Medical Center (UCDMC). My experience with the Tower 8 Unit has given me the opportunity to collaborate and work under the guidance of a registered nurse. According to the California Board of Registered Nursing, (2013) under “Observation of signs and symptoms of illness, reactions to treatment, general behavior or general physical condition,” I am able to implement intervention based on my observations of abnormalities. Not only am I refining my clinical skills and utilizing effective communication, I learned the required specific policies and procedures for renal transplant patients. According to Bonuel and Cesario, (2013), “The care of a patient undergoing renal transplant is complex and centered on critically assessing renal function, administering immune-suppressive therapy, observing the function of the newly transplanted kidney, monitoring fluid and electrolyte balance, preventing sources of infection, detecting early signs of complications and rejection, and managing and supporting the patient and family through the recovery phase.” I agree with this statement as I am learning the transplant nursing culture and the

She has been mentored by the Nurse Manager to fulfill this role. In doing so she has created improvements in the program to better serve the Veteran. She worked closely with the Infection Control MD to coordinate the addition of a new antibiotic into the units PD practice.

A negative perception of illness brings unhappiness and depression. For example, Clarice and her family’s life will not be the same as planned (“they have carefully planned the trips they would eventually take abroad when they retired”). Perception and acceptance improves when illness is viewed as something that occurs within a setting. Nurses and heath professional can help and encourage patients like Clarice and her family to viewing illness as a part of life allows. Therefore, this will allow patients to live more fully in the present. Thanks to the discovery of dialysis, ESRD patients are not dying within weeks as they did before. “It is one of the few treatments covered by Medicare for patients”. As Nurses, we have to widespread access

In conclusion, the authors see that now they have more ways to help someone new coming into hemodialysis after chronic kidney failure starts. This article and interviews have shared the struggles of people on