As you know, I review the charts for holding unit on a daily basis for documentation compliance. I am concerned regarding the issues we are having with a few of the holding nurses; in particular M. Wagstaff and Ray Suarez. Every day the morning nurses have legitimate concerns regarding their nursing practice and documentation related to the hospital’s standard of
There are a few ethical issues that in the provided scenario which need addressing from the nursing shift supervisor. The first occurs when the Certified Nursing Assistant (CNA) fails to appropriately address the possibility of a developing pressure ulcer. A wound care team can be consulted about developing an educational program about pressure ulcers for hospital staff. Also, there is the issue of restraints. The ordering physician should be contacted about the necessity of restraint use. Along with the wound care team, data could be collected about the use of restraints and the subsequent development of
“Bittersweet regret.” An emotion the main characters in both Lewis Carroll’s and J.T. Holden’s poems feel. J.T. Holden used Lewis Carroll’s poem, “The Walrus and the Carpenter,” as source material for his poem, “The Walrus & the Carpenter Head Back,” and he used drew from Carroll’s structure, word choice, plot, characters, and theme to write his continuation.
“Our culture, our traditions, our languages are the foundations upon which we build our identity.” - Unknown. Bilingualism has many different interpretations and definitions and can cause problems in the community or unite it. The concept of bilingualism represents several different ideas, two writers, Martin Espada and Richard Rodriguez share in their essays their personal stories about being immersed into the English culture and learning the language. They share their views of what bilingualism means to them personally and make arguments about the importance of the concept. The two essayists bring awareness to the major role bilingualism plays in the communities today and highlight the effects of disagreements between cultural groups.
Robert Greenleaf and James Hunter are both experts when it comes to leadership. Greenleaf coined the term “servant leadership” and published his first essay regarding this topic in 1970. Hunter is a world renowned author and speaker because of his leadership forte, and has worked with thousands of business executives on developing leadership skills that create successful businesses (Hunter 1998). Both of these men are distinguished professionals because of their philosophies and approaches to efficacious leadership, but they each have a different approach of how they present and represent these ideas.
Change of shift in the nursing profession is unique (Caruso, 2007). Information is transferred between nurses verbally and through written communication. In many facilities shift report from one shift to another involved sitting down and getting all your orders from a caredex and then talking with the previous nurse face to face going over pertinent information regarding their patients. This type of report usually happens in a report room or sometimes in the hallways or other common
In a profession where others' health and well-being are priority, there leaves room for neglect of those who are delegated to care for these people. As a professional nurse, there are many obstacles that arise and affect the care provided to a patient, as well as the livelihood of the nurse. The current deteriorating and unsafe staffing conditions in hospitals and other institutions prompts workplace advocacy as the universally appropriate concept for maintaining professional nursing practice. Common
Discuss how an understanding of nursing-sensitive indicators could assist the nurses in this case in identifying issues that may interfere with patient care.
The American Nurses Association supports a legislative model in which nurses are encouraged to create staffing plans specific to each unit. This approach will aide in establishing staffing levels that are flexible and can be changed based on the patients needs, number of admissions to the unit, discharges and transfers during each shift (“Nurse staffing plans,” 2013). This model will assist in keeping the unit staffed appropriately and organized in need of a change during each shift. Without an organized plan like this, a nurse may be required to take on a new admission and already have too big of a workload.
nurse staffing ensures quality nursing care for patients and can be a challenge for nurse
The general understanding of democracy is that it is a state of leadership where citizens of a country participate equally either directly or by representative individuals in the establishment of laws, which run the society. However, like many other forms of leadership, democracy has its cons and may not give the citizens the necessary freedoms that they think they have. Different philosophers have different insights on democracy in terms of concepts such as liberty, which they embraced. This paper will look at Benjamin Barber and Joseph Schumpeter’s idea of democracy contrasting their definition in terms of citizenship, obligation, rights and duties of each individual in the society declaring whose idea of democracy creates a compelling vision (Terchek & Conte, 2001).
Record-keeping and documentation are a hugely important part of nursing practice that unfortunately is often overlooked. Good record-keeping is in fact an essential element of being a good nurse. This assignment will discuss the importance of record-keeping in the healthcare setting. Record-keeping is vital for three main functions of nursing. It facilitates communication, promotes safe and appropriate nursing care and meets professional and legal standards (CRNBC 2008). These purposes and other important functions of record-keeping will be described in this assignment. The professional and legal implications of poor record-keeping will also be outlined. The topics will only be briefly and broadly discussed due to word count
The Ohio house bill 346 also protects nurses by providing laws on staffing. HB 346 “requires hospitals to establish staffing plans, with meaningful input from direct patient care nurses, which are consistent with the principles of safe staffing developed by the American Nurses Association and other nationally recognized organizations” (Ohio Nurses Association, 2011). The American Nurses Association as well as other nursing organizations should continue to advocate for nurses to work towards decreasing nursing workload and preventing burnout.
One important result that is occurring because of the lack of staff is the neglecting of tasks and more responsibility. Nurses are reporting that a lot of nursing tasks that are applicable to patient safety and good nursing are being left out. Nurses discussed how patient and family preparation for
Carl Rogers and Fritz Perls played important roles in the field of psychology. They modeled two great theories that are still used in the current psychology and counseling sessions. Even though Rogers and Perls are certainly two very extreme personalities, there are a lot of commonalities that exist between the person-centered and Gestalt theories those that stem from a similar existential base (Larsson, 2006). This work will explore major assumptions of the two theories, compare and contrast views and assessments of the normal and abnormal behavior between the two theories; it will further look into how behavior change is facilitated between the two theories. The work will also explore various technologies used between the two theories; it will also highlight the strengths and shortcomings between the two theories.
Issues and dilemmas highlighted by this incident Management issues Several management issues where highlighted by the incident. The analysis will focus on record keeping, effective communication, risk management and ethical issues. The day to day management issues affecting nursing practice such as record keeping, effective communication and risk management do not operate in isolation but are frequently interdependent and affect each other. The central focus will be on the observed failure by the night duty nurse to record or pass on information on Mark’s report. The Nottinghamshire Healthcare NHS Trust (2009) policy on record keeping states that a record of an event must be made immediately or within 24 hours of the occurrence. The rationale for this requirement is that an immediate record of