Nurse Preceptor Journal Paper

Nurse practitioners are advanced practice registered nurses who have received special courses and training. They usually work closely with doctors and can perform many high-level primary care tasks. They often specialize in specific types of practice such as pediatrics, psychiatry, or obstetrics. Some establish private practices; however, most work in doctors' offices, hospitals, or neighborhood health centers. Their duties often include taking detailed medical histories and performing complete physical exams, providing diagnoses and recommending treatment plans, treating common medical conditions, illnesses, and injuries, prescribing limited medications, and counseling patients and families. They also care

In the 25th week of her pregnancy, the mother was advised by the nurse to remain on bed rest to avoid further complications and potentially hurting her unborn baby. The mother continued to work from the hospital placing additional stress on the baby despite the nurse’s appeal that such stress can cause the baby harm. Attempts to stop premature delivery were made but failed, the mother asked the medical team not to take any extraordinary measure to save the baby. The premature baby lived but the mother showed little interest in his health and wellness. The nurse tried to the best of her ability to spark

The purpose of this paper is to conduct an in depth exploration of the nursing care considerations of patients in a specific clinical area. Through the synthesis of prior knowledge, clinical experiences and skills, evidence based best practices, and care of patients a comprehensive care and teaching plan will be composed. Integration of critical thinking and clinical reasoning skills, combined with evidence-based research will provide confirmation of nursing process comprehension. The inclusion of reviewed literature will further support knowledge and understanding.

I have scheduled an interview and time to observe a nurse leader with the Director of Nursing (DON) for the Virginian Nursing and Rehab facility in Fairfax, Virginia for Thursday October 2, 2014 at 7:30am. I plan on spending a full eight-hour shift with the nurse leader observing the following three leadership activities: 1) Observing her making rounds on the units 2) Observing and or participating in a nursing leadership meeting and 3) Observing the facility’s interdisciplinary team meeting.

When I arrive to the Trauma ICU 4800 unit, all of the nurses were already being followed by other students. The nurse in charge had me follow several different nurses, so I was able to observed several different patient cases. The first patient had received a triple bypass open-heart surgery. The patient had received a creatinine blood test. The patient had a dialysis machine next to them, which was used to function as the kidneys since the patient’s kidneys were not functioning correctly. Also, the patient’s body temperature was lowered from having a taken cool liquids so the nurses were keeping him warm with a bair hugger, which was a machine that helped regulate the patient's’ body temperatures.

The Salary of an RN is about $36.94 per hour, but the work schedule of a nurse is crazy. Nurses never really get a break especially floor nurses. I have talked to quite a few nurses and they have said that since you don’t truly get a break you tend to gain weight do to constantly eating/snacking. The education needed to be a Registered Nurse would be a Bachelor Degree which is a four year process. To be a Registered Nurse or RN you will need no training. On the job you will administer basic health care which is a temporary health coverage program for low-income, uninsured United States citizens or permanent legal residents of Contra Costa County. As an RN you will being giving patients intravenous medications. An intravenous

The health care industry is experiencing a surge in the number of baby-boomers needing health care and increased demands on the physicians providing the care. This trend has made the role of Advanced practice providers more important (cite). It is imperative to understand the differences and similarities in the advanced practice provider roles as it pertains to healthcare. This paper will identify specialty nursing roles including advanced practice registered nurses (APRN). It will further compare and contrast the advanced practice nurse (APN) and physician assistant (PA) roles in practice.

According to the Texas, Nurse Practitioner can be well defined as a registered nurse who has advanced education and clinical training in a specialty area. They provide as a primary healthcare provider from children to the elderly population patients. They can address both acute and chronic disease conditions in the patients. Texas is more thorough and complete than the other states according to my own individual research. Board Rule 221 requires that one identifies the advanced practice role and population focus area for which you have been licensed as an advanced practice registered nurse by the Texas Board of Nursing.

Certified Registered Nurse Anesthetist. The first organized program in nurse anesthesia education was offered in 1909. As of Nov. 1, 2014, there were 114 accredited nurse anesthesia programs in the United States utilizing more than 2,500 active clinical sites; 32 nurse anesthesia programs are approved to award doctoral degrees for entry into practice. (http://www.aana.com/)

My nurse preceptor today was Patricia. Patricia was an amazing preceptor with an immense amount of knowledge. I enjoyed Patricia’s passion for knowledge. She just finished her DNP. She spoke to me about how she also held two bachelors degrees and a masters in nursing. She was very caring of her patient and showed compassion to not only the patient but the family as well. I don’t think I would have done anything differently because she was a great patient advocate, caring healthcare professional, and great at time management. I was fortunate to have worked with her today in the CICU. We had a 1:1 assignment, a 67 year old male who had a STEMI. Ultimately, he ended up needing an intra-aortic balloon pump (IABP) to assist his heart. This was placed 8/31.

The national league for nurses defines critical thinking in the nursing process as “a discipline specific, reflective reasoning process that guides a nurse in generating, implementing, and evaluating approaches for dealing with client care and professional concerns” (Kozier, 2008). This definition is imperative to help a nursing student learn how to think in terms of nursing care. Nursing students must achieve a comprehensive understanding of critical thinking in order to understand the nursing process. The purpose for this paper is for nursing students to learn how to use the nursing process, how to properly document their findings and assessments, and correctly implement APA formatting in a formal paper.

When the patient was dilated to a three, the doctor ruptured her amniotic sac and they contacted the anesthesiologist to get an epidural and catheter placed. As the day continued, the nurse kept increasing her Pitocin to help her progress. She was unable to eat or drink and was only able to chew on ice chips. She had monitors on her abdomen to allow the nurse to watch her contractions and baby’s heart rate. The patient also had to get blood pressures taken every fifteen minutes since she had preeclampsia. The hospital’s priority was to monitor the baby and mother closely to make sure the mother and the baby remained healthy. Another priority of the agency was to get the baby out in a timely manner. The agency I was at used prostaglandins and oxytocin to assist with this process, which helped to augment and induce contractions to progress labor. The other patient I encountered was also being induced, and she was at 39 weeks. After three doses of Cytotec with no change, the nurse continued to give it, even though the patient’s body was not ready to

I hope you are having a wonderful day! I am emailing you in hopes that you could help me put together our final nurse club event of this semester. Dr. Almonte and I spoke together yesterday, as we have had this event in the making for a while now. However, we realized as we were conversing and planning that we need to up our game! It would be extremely helpful and beneficial for each of us nursing students to have the opportunity to connect with a nurse specifically from each duty station that we will be checking into this summer. I am hoping that between you, the other DUINs students, and Dr. Almonte we can find at least one person currently working at or recently (within the last year) at Balboa (you would be a great

The nurse manager I selected to interview is a Baccalaureate degree nurse and has attended several in-house training sessions related to her position within the hospital. She attended Lenoir Rhyne University to obtain her BSN and has been employed with the institution for 13 years and has been in nursing for nearly 20 years. She is currently certified as a Certified Emergency Nurse (CEN) and is also a Sexual Assault Nurse Examiner. The Hospital that she is employed with is a private hospital she manages a 15 bed emergency department and 6 bed express care facility, which also holds several involuntary commitments for several hours at a time waiting on placement.

In addition to the Nursing Code of Ethics, the National Council of State Boards of Nursing (NCSBN) states that one of the standards related to the RN scope of practice is that nurses evaluate the patient’s response to nursing care. They do this by evaluating: the patient’s response to interventions, the need for alternative interventions, the need to consult with other team members, and the need to revise the plan of care (NCSBN, 2012). When Ms. W saw that the patient was not compliant, she should have reevaluated her plan of care. Ms. W can delegate to the LVN, who is experienced in prenatal education, and would be able to explain the importance of finishing antibiotic therapy or performing tests that are essential for a healthy pregnancy. If Ms. W is too busy to educate, then she is responsible for finding someone