Ms. Conlon Applies The Nursing Process System Or Processes At The Unit / Team / Work Group Level

My nursing philosophy is influenced by ten years as a critical care nurse while caring for patients and their families during vulnerable and difficult points in their lives. In critical care, patients vary on the wellness-illness spectrum. A young trauma victim with no health history, now has a life altering diagnosis of spinal cord injury. A chronically ill patient requires dialysis and limb amputation due to complications from diabetes and hypertension. I try to assess each patient’s situation independently to decide the best approach during my care. Nurses can easily become focused on the mechanics of the Intensive Care Unit and forget a human is connected to the machines and medications.

Ms. Mancinho continues to strive for excellence and patient care improvements in her position as staff nurse in the hemodialysis unit. She is currently the primary nurse for five of our chronic dialysis patients. All of her primary patients exceed recommended adequacy guidelines and maintain patent, infection free arterial venous fistulas/grafts. While participating in monthly interdisciplinary care plan meetings, she makes suggestions that have led to positive outcomes such as: changes in dry weights, reviews of patients medications with the nephrologist to facilitate warranted medication adjustments as needed, referrals/close coordination with other disciplines such as podiatry and wound care to prevent infection/amputation in patients with advanced vascular disease, and endocrinology for educational purposes for well controlled blood sugars. She is able to quickly assess subtle changes in her patients to then notify the charge nurse and physician for appropriate guidance in facilitating positive patient care outcomes. Through her acute assessment skills she prevented an access from clotting. Prevention of clotting leads to extended longevity of the access. She applies the nursing process to systems or processes at the team/unit/work group level to improve Veteran care. She worked with flow in the new unit which led to better patient care and staff satisfaction. She developed the time out policy: a requirement for

DaVita Dialysis is no different in 2005 the organization fell prey to the nursing shortage and had to

She was on the unit interviewing committee for 2 new nurses hired in March 2016. She provided useful insight to the 5 candidates interviewed.

This process paper will evaluate the complex relationship between disease pathophysiology and how it has progressed to the patient’s current state of health. It will include a comprehensive discussion of chronic and acute problems leading to the patient’s hospital admission, a complete description of interrelationships and pathophysiology for all medical diagnoses, a comprehensive discussion of the client’s signs and symptoms and results of all diagnostic studies to the underlying pathophysiology, and a comprehensive listing of all medications ordered at the time of admission with explanations of why each was ordered and identification of the most common side effects which may

Studies show nurses play a very important rule of teaching the patients; especially improve patient’s knowledge about the medications (Bradley et al., 2012). Nurses are responsible to educate the patient about the purpose of every medication and their side effects. It is also necessary to tell them some alterations to the medication list (Bradley et al., 2012). The purpose of teaching the patient is to help them understand how the medications benefit them. In this way, they will become more compliant. In addition, it is important for the patients to know how the medications work. For example, they need to hold the some blood pressure pill if they have low blood pressure. There is another example shows nurses successfully improve patient’s condition through medication education. The study by Van Camp et al. (2012) investigated how nurse-led education and counseling enhance medications adherence in chronic dialysis patients. The medication is called phosphate binder that prevents the patient from absorbing phosphate in the food. The study showed “the mean adherence group increased from 83% to 94%, phosphate values decreased from 4.9 to 4.3 mg/dl and the knowledge of the medications increased by twenty percent” (Van

A few service models are generally accepted as an outpatient dialysis service line. Healthcare organizations have to decide which mode of dialysis they deem most effective in serving their patients: 1) Outsourcing their dialysis service line to a specialized service provider such as Fresenius or Davita, 2) instituting a home dialysis service 3) Implementing a hospital stand alone outpatient dialysis center 4) Free standing dialysis clinic. In addition, organizations need to establish protocols on the two-dialysis treatments, hemodialysis or peritoneal dialysis, and reach a consensus which to provide.

The next step will focus on educating the unit’s staff. Employees that place an indwelling catheter will be required to go through a refresher course on proper insertion technique, indications for catheterization, and catheter care. Additionally, there will be a class on the new flow sheet created to track indwelling catheters (Andreessen et al., 2012). Posters with information pertaining to catheter care, CAUTI prevention, the new charting system, and alternative bladder management systems will be placed in highly visible areas such as break

While I provide an important service to my patients, they unknowingly provide purpose and meaning in my own life. I am beginning to understand the act of selflessness, the value of servanthood, and the understanding that giving is more fulfilling than receiving. Davita has become my home away from home. Working and spending time with patients has had a profound and lasting influence in my life. Every day and every patient is a constant reminder of the goal I am striving to accomplish. They have inspired me to improve myself, and in turn, become a better servant. I would like nothing more than to one day be able to better serve my family of patients. I believe that Colorado Christian University can provide the training and mentorship needed to achieve this goal. Furthermore, I am confident that I have the ability to succeed at this endeavor and provide exceptional service to future patients. A dialysis clinic can be extremely overwhelming, stressful, and demanding at times. I am quite certain that pursuing a nursing degree will bring forth similar emotions and test my perseverance. I am prepared for the task at hand and have faith in my family to provide the support and motivation to accomplish this goal that God has placed in my

The American Nephrology Nurses’ Association (ANNA) is the professional association that represents nurses who work in all areas of nephrology. The ANNA was established in 1969, as a nonprofit organization. The organization promotes excellence in and appreciation of nephrology nursing so a positive impact can be made on the lives of people living with kidney disease. Members of the organization practice in areas such as hemodialysis, chronic kidney disease, peritoneal dialysis, acute care, and transplantation. ANNA believes that the demand for quality nephrology patient care will continue to grow in the future, particularly with the variety of changes occurring within health care. The American Nephrology Nurses’ Association acts consistently on their own core beliefs, including the responsibility of nephrology nurses to enhance the quality of care delivered to people with kidney disease. As an organization, the responsibility to provide the educational programs necessary to create, preserve, and augment competence in practice is their purpose. In addition to their values and purpose, the organization has outlined their desired outcomes. These include: more interaction and commitment of members to ANNA; more diversity in age, race, and gender, as well as professional levels and subspecialties. The ANNA believes that nephrology nurses are in a unique position to enhance the quality of care delivered to individuals living with kidney disease. The organization offers continuing education, with a focus on nephrology, in hopes of creating a larger impact on the care of these individuals. The ANNA believes that continuing education is essential to the development, maintenance, and augmentation of competence in practice. As well as, a team-based approach and inter-professional collaboration as the basis of

In the article “Facilitating Change in Medical -Surgical Units Through an Educational Program on Chronic Kidney Disease” by Mary Ann S. Isales, exhibits the concerns of insufficient knowledge regarding with chronic kidney disease among professional medical-surgical nurses. The sole purpose of this article is due to the fact that an experimental analysis by Barrantes discovered that chronic kidney disease has become an extensive health issue; as a result, patient’s mortality has increased by seven folds. Furthermore, another case has a correlation with chronic kidney disease as it unfolds that five percent of hospitalized patients in noncritical areas will result in developing this atrocious condition. In spite of the concerns of obtaining this

I am an active member of the American Nephrology Nurses Association (ANNA) and have been with this organization since 2004, upon first becoming part of the dialysis community. I chose ANNA because of the nearness of the local chapter and the generous benefits offered to its members. Some of the benefits I enjoy are the annual subscription to the bimonthly Nephrology Nursing Journal, the biweekly on-line journal articles, daily e-mailings of the Nephrology on-line list serve promoting networking, multiple discounts for literature, free and discounted CEUs, as well as access

The use of intravenous therapy in the hospitals is now considered a routine therapy. In 2016, DeVries and Valentine stated that 70% to 80% of hospital patients have peripheral intravenous lines at some time during their stay. A peripheral intravenous (PIV) line is a small hollow tube (catheter) that is inserted into a vein and can be connected to special tubing. PIV line is commonly used to administer medications or fluids directly into the vein. The article “Intravenous Therapy: A Review of Complications and Economic Considerations of Peripheral Access,” states that the history of intravenous (IV) therapy dates back to the Middle Ages. Dr. Thomas Latta pioneered the use of IV saline infusion during the cholera epidemic and in the 20th century, two world wars established a role for IV therapy as routine medical practice (Dychter, Gold, Carson, & Haller, 2012).

Nursing is a complicated profession requiring a broad knowledge base, discipline, and a deep desire to understand and interpret scientific data with a goal of obtaining the best possible patient outcomes. This can be very difficult to achieve, requiring the nurse to process a variety of information, prioritize, and problem solve at a critical level (Wilkinson, Treas, Barnett, Smith, 2016). The nursing process is a scientific approach, utilized by nurses to systematically improve patient care by following five steps: assessment, diagnosis, planning, implementation, and evaluation (Wilkinson et al., 2016). A good nurse is someone who understands these phases, continues to build on them, and uses the information to create the best possible, individualized, healthcare plan for the patient. It is a mastery of art to find a way to include all of these concepts with so many diverse medical diagnoses. Having a structural way, such as the nursing process, paves a strong foundation for the nurse to maintain a patient centered approach to implement exceptional nursing care (Goncalves, Spiri, Ortolan, 2017).

These types of workers have a very well developed sense of order, discipline, moral obligation to work hard, and a sense of cohesion with their fellow workers. Theory Z workers can be trusted to do their jobs to their utmost ability, so long as management can be trusted to support them and look out for their well being.