How A Charge Nurse Uses Mission Command CDT Revels, Michael J. University of Texas at El Paso Abstract This paper discuss the how a charge nurse uses mission command on a daily basis. It discusses the responsibilities of a charge nurse as a leader and as a nurse, the definition of mission command and the mission command system, the principles of mission command, and how a charge nurse uses three of the six principles. Various articles, books, and journals were pulled in order to discuss these various topics concerning mission command and how a charge nurse utilizes its principles. How a Charge Nurse Uses Mission Command Mission command is a basic, yet complex concept used by leaders to bring their people together to complete a mission. Though it is a term coined by the military, the concept behind it is almost universal in the sense that it can be utilized within any team of people to complete a task. Those who work in a hospital environment know this better than most, and for charge nurses, utilizing the concepts of mission command is essential if they want to be an effective leader when taking charge of their floor. The responsibilities of a charge nurse must first be defined in order to completely understand how they utilize mission command to complete their tasks. A charge nurse’s primary responsibility is to manage the specific ward or floor in a hospital to which they are assigned and the many staff also assigned to that floor. There
The charge nurse can continue to search for an available CNA that could possibly float to the unit. There are several hospitals that do cross training with the CNA’s just in case they are asked to float to another department. The charge nurse can help several ways by helping Brandi with the CAN tasks until help comes, she could care for a patient of Brandi’s, ask if one of the CNA’s could stay an extra hour or so to help with the tasks that need to be completed by 8am. Also, look over any morning tasks that could potentially be moved to a later time. She can possibly redo the assignments on the unit to even out the work load between the nurses until help arrives. We are all a team working together to provide the best care possible, so team
Wide reaching, nurses significantly outnumbered physicians as providers of health care often having utmost vast reach remoteness to underserved communities. Having personally lived in one of the underserved communities in my hometown Western Africa before moving to the United States of America and my life calling to be a nurse from a young age with the deep desire to make a difference. I plan to contribute and continue to contribute immensely to the underserved communities by delivering quality health care to remote regions around the world. I do volunteer service at several clinics in the Atlanta area with many well-known Emory physicians that care for homeless and underserved populations, these volunteer experiences provide me with opportunities and fulfillment to develop added headship skill and experience to meet my daily patients, needs.
Delegating is one of the most valuable leadership skills a charge nurse possesses. Effective delegation skills are essential for proper patient care and safety. Delegation is defined as when a nursing professional entrusts the performance of a nursing task to someone who is qualified, competent, and able to perform the assigned task (Q1). In order for the charge nurse to delegate effectively, he or she must take into consideration the patient's needs as well as the capabilities of the nursing professional for whom he or she is delegating the task to. The American Nurses Association outlines The Five Rights of Delegation as a guideline for nursing professionals. The first right is for the professional to determine if the task is one to
Nurse mangers is the leader of a specific department or unit of a healthcare facility. The nurse manager is responsible for recruitment and retention of the nursing staff, collaborating with other health care providers on patient care, and assisting patients and their families when needed. The nurse manager works with administration communicating and interpreting the facility’s policies and procedures to the staff. Usually with other departments in the facility, the nurse managers develop quality improvement measures tracking the patient services and care. According to Espinoza et al (2009), the nurse manager plays a pivotal role in
On one of my clinical days at San Ramon Regional Medical Center, my classmates and I all had the opportunity to be a student charge on the Med-Surg unit. As I have observed from my work place as well as at our clinical sites, charge nurses are the ones in charge of dividing bed assignments, solving conflicting issues among the staff, helping or coordinating with admissions, and keeping nursing care adequately delivered to patients. Charge nurses also do a lot more including signing doctor’s orders, resource or advisor for others, answering phones and call lights, rounding with doctors, and dealing with family members. I always viewed the role of charge nurse to help other nurses and make their loads easier. As I continue to be exposed to what their role truly is, my views changes through time and experience.
identify the educational preparation and role(s) of the clinical nurse leader (CNL) designation. Give an example of how the CNL influences direct patient care whether in a hospital or out in the community.
The National Council of State Boards in Nursing defines delegation as “transferring to a competent individual the authority to perform a selected nursing task in a selected situation” (National Council of State Boards of Nursing, Resources section, 4). When delegating, the registered nurse (RN) assigns nursing tasks to unlicensed assistive personnel (UAP) while still remaining accountable for the patient and the task that was assigned. Delegating is a management strategy that is used to provide more efficient care to patients. Authorizing other individuals to take on nursing responsibilities allows the nurse to complete other tasks that need tended to. However, delegation is done at the nurses’
The charge nurse is a person who has the duty of a specific department in a healthcare institution for their assigned shift. It should be noted that a charge nurse is a vital job because the person holding this job has to interact not only with the patient and his families, but also has to interact with doctors, nurses, and other staff members in order to update them about the patients that the charge nurse is looking after. The qualification of a charge nurse is to have a master’s degree from a recognized school that is accepted by most of the hospitals. Furthermore, the charge nurse is supposed to have specialization in a specific area so that she is looking after a particular department in the best way possible (Urden, Stacy, & Lough, 2013). The training of a charge nurse usually involves with diverse ways of dealing with the
Mission command consist of the following six principles: build cohesive teams through mutual trust, create sheared understanding, provide clear commander’s
In her charge nurse role, Ms. Cetiner evaluates the daily activities of the unit and delegates care appropriately while promoting autonomy of others. She has the skill to make independent and interdependent decisions regarding patient care, staffing and unit issues. She communicates and collaborates with the interdisciplinary care team for seamless, patient-driven
The mission command system is expressed as the placement of individuals within a unit conducting operations with a specific set of procedures and principles in place to optimize the use of its equipment. What does it mean to recognize or comprehend the art of Command and the science of Control? There are six key principles of mission command in developing a cohesive team that support all aspects of a mission. The following essay will discuss these principles and examine examples of how the famous Operation Anaconda both endured victories and inadequacies.
effectiveness (Cioffi & Ferguson, 2009). Therefore, it is important to ensure that nurses who assume leader roles have the skills to manage and delegate tasks as required. There must be clearly defined roles and responsibilities for each team member that take into account the levels of expertise among the members. It can be troublesome when team members do not carry their share of the work. When this occurs, other team members take on an additional work burden to address the shortfalls in patient care. If the team leader is unable to provide clarity and direction for the team, the model will not be effective.
Once the nurse realized the medication error, she alerted the charge nurse for help. The charge nurse looked over the medication scheduled times and realized that even though the medication was given on time, the dose was off 24 hours ago by 1 hour and 30 minutes. Since that dose was off schedule 24 hours ago, the nurse was to give that dose at the same time as the other dose was given. Once the nurse understood her mistake, the resident on call was notified of the error and a medication safety report was filled.
To facilitate mission command within my organization, I must first support and complement the commander’s authority and direction in exercising mission command. Next, I must ensure the Soldiers in my organization understand mission command and their role in enabling mission command. By supplementing the commander in their execution of and mentoring
Urgency of acute care varies depending on the situation but can range to anything from emergency surgeries, to injuries, chronic illnesses, and also for the recovery of those procedures. Majority of the patients in acute care settings are critically ill. Nursing responsibilities in acute care settings are vital to patient’s recovery due to the front line position nurses play as well as the wide variety of tasks carried out. Assessments are made during every encounter the nurse has with the patient along with monitoring the patient’s progress. Nurses are responsible for recognizing symptoms the patient may be experiencing due to illness or injury and whether they fall in the spectrum of normal reactions. Vital signs are measured routinely and can be indicators of the patient’s current status. When vitals are questioned diagnostic tests can be arranged to further assess possible comorbidities the patient may have. Care plans are made to plan interventions the health care team can take to help patients through challenges they face, both physical and mental. Nurses administer medications as well as first aid as needed. They are responsible for maintaining special equipment patients may require including monitors and ventilators are well.