Kathleen Holzerman Individual Analysis Paper Because of the versatility in nursing today going to nursing school and passing licensing exams doesn’t mean you can function anywhere in the clinical setting. However, the basic level of the scope of practice is the same for all nurses. This paper will examine how the American Nurses Association (ANA) and the State of Pennsylvania’s Standards for Nursing Practice are implemented in my plan of patient care. My scope of practice involves caring for patients during the preoperative, postoperative, but mostly the intraoperative phase of nursing. My practice in these areas begins with trying to identify with the patient as more than a disease or problem. I want them to know I am human and view …show more content…
Issues gained from this data collection, such as language barrier is one example how this process of care benefits the patient. A patient who does not have a strong understanding of the English language may need an interpreter to assist with their understanding of their illness, and explain informed consents for procedures, maintaining the patient’s autonomy and respecting their cultural differences is important throughout the care process. This data is electronically documented and can be retrieved for use by other healthcare professionals. During the intraoperative phase, identifying outcomes related to patient care during surgery is paramount due to the fact the patient is under anesthesia and completely dependent on the surgical team, and the nurse acting as their advocate. Examples of identifying outcomes prior to surgery would include; the prevention of electrical burns from cautery equipment, proper positioning during the procedure to prevent nerve or skin damage. Collaborating with other members of the surgical team regarding this information, and utilizing evidence-based nursing knowledge is necessary for the surgical plan. My responsibility as a nurse is to alleviate suffering during the intraoperative phase and as the patient’s advocate ensuring no further injury occurs. I include the surgical team in the implementation of this plan and always have my patient’s safety at the forefront. Is
developing a rapport with ones patients and that a little compassion and understanding can mean the world to a
Non-English speaking citizens and immigrants are receiving improper medical care because of the miscommunication. The people who cannot speak English well are misunderstood, when they go to free clinics or hospital emergency rooms and attempt to explain their symptoms and illness or cannot understand the doctors or medical profession that are trying to help them. ” Interpreters are omitting questions about drug allergies. Patients are not telling nurses the correct symptoms. A mother misunderstood by putting oral antibiotic into the ears of the child instead of the mouth. The Puerto Rican word for mumps is not the same in Central America, so a child was mistreated. A doctor mistakenly told a parent to put a steroid crème on entire child instead of just the face” (Yolanda Prtida, 2005). Language barriers in the medical field are dangerous and some times even fatal. There is definitely a need for more translators in hospitals and doctors office. Clear communication is essential for safe quality healthcare. Poor communication can lead to disastrous outcomes, especially for patients with limited or no English ability.
Also, by properly conducting a time-out session where the patient is provided with a standardized briefing prior to the patient is sedated in the OR could also eliminate some the sentinel or adverse events in the OR. Furthermore, follow a checklist, which not only pertains to the surgery itself, but also focuses on the other procedures involved such as admissions, anesthesia equipment, and discharge (Mulloy & Hughes 2008).
The pre-operative stage is an important phase in patient’s surgery process. This is the time where the patients is experiencing a lot of anxiety issues and have questions regarding the impending procedure. To help ensure good patient outcomes, it is imperative to provide complete preoperative instructions and discharge instructions (Allison & George, 2014). It is the nurses’ duty to safe guard and protects the patient’s welfare during the surgical experience. Effective preoperative preparation is known to enhance postoperative pain management and recovery. Health professionals need to be cognizant of the contextual factors that influence patients’ preoperative experiences and give context appropriate care (Aziato & Adejumo, 2014).
The report shows that the part of nursing must be expanded so that nurses are able to practice to the fullest degree of their education and training. Currently, advanced practice nurses (APRNs) work according to the scope of practice guidelines set forth by their individual state, meaning these highly educated nurses may not be working to the extent of their training but to the individual state laws. The report offers recommendations to streamline these idiosyncrasies and get rid of the red tape so that nurses can work in their appropriate manner and deliver safe quality care to some 32 million Americans who will before long gain access to health care services (American Association of Colleges of Nursing [AACN], 2012). The report correspondingly finds that nurses need to attain advanced levels of education and training through an enhanced education structure which encourages a cohesive academic progression as to safeguard the delivery of quality health care services. Patients are becoming progressively more complex and nurses need to attain the proper skills to care for these persons. Nursing education must embrace the continuous move towards a streamline approach to higher degree programs (Institute of Medicine [IOM], 2010, p. 2). Nurse residency programs
The Nurse Practitioner, Nurse Educator, Nurse Informaticist, and Nurse Administrator have different educational background and training, thus they play a different role in the field of advance practice nursing but they have a common goal, and that is to ensure a safe and effective delivery of care to every patient, regardless of the type of health care setting. The difference is their roles lies in the fact that the Nurse Practitioner practices in the advanced clinical role while the Nurse Educator, Nurse Informaticist, and Nurse Administrator have the non-clinical roles. Having a clinical role means that the having a direct contact with patient. The NP’s main role is to provide direct care to patient, making diagnosis
The ultimate goal for many that attend nursing school is to sit for the NCLEX-RN, or National Council Licensure Examination for Registered Nurses. This exam is taken once a students graduates from an accredited nursing school and wants to become licensed as a registered nurse. Often schools use other tests during their programs as a predictor of student pass rates on the NCLEX-RN exam. The article “A Study of the Usefulness of the HESI Exit Exam in Predicting NCLEX-RN Failure,” the authors perform a study using a “retrospective descriptive, correlation design. Logistic regression analysis was used to predict NCLEX-RN failure from Exit Exam scores.”
As a future certified nurse practitioner (CNP), it is important to know the extent of the role in the health care setting. The role of a CNP is a key contribution to providing quality care to the communities that are served. Working in various settings requires that the CNP has a clear understanding of the Ohio regulations. Ohio has clearly delineated the definition of a CNP. According to Ohio Law (2013), a CNP is defined as a person who is a registered nurse, completed a graduate program, obtained certification, and complete a state application. With this definition, the scope and practice of the CNP can be delineated. The scope of the CNP is to work in collaboration with at least one physician with the responsibility of providing acute,
Health care industry representatives play a vital role in the perioperative setting. When providing technical support to the perioperative team, that can potentially decrease the impact of the operative procedure, they help in facilitating optimal patient outcomes.
The role that nurse practitioner (NP) plays within the increasing complex health care system is a constant changing role with the Consensus Model and the introduction of the Affordable Care Act in 2010. The scope of the nurse practitioner (NP) includes the care of the young, the old, the sick and the well. The educational needs of a nurse practitioner vary greatly from that of a Registered Nurse (RN), in the amount of education as well as the focus of the education. NPs provide coordinated primary care with the use of comprehensive health histories and physical examinations, diagnosing and treating acute and chronic illnesses, the management of medications and therapies, ordering and interpreting tests results, and educating and
After the research is gathered, an audit should be given to the nurses in the unit to gather their knowledge base and practice background. Along with the nurses, the surgeons and anesthesia providers need to be provided an audit, also. Once the data is collected, the information can be given to the manager and educator for evaluation. The manager and educator will review the research and data. Once reviewed, the interdisciplinary team will submit a policy via the approved policy format. The policy will consist of a statement and outline. It will also need to have literature review citations. The policy will then be reviewed and possibly approved by the Medical Executive Committee. If approved, the policy will be posted on the medical center’s intranet and the policy owner will be
A surgical nurse is responsible for monitoring and ensuring quality healthcare for a patient following surgery. Assessment, diagnosis, planning, intervention, and outcome evaluation are inherent in the post operative nurse’s role with the aim of a successful recovery for the patient. The appropriate provision of care is integral for prevention of complications that can arise from the anaesthesia or the surgical procedure. Whilst complications are common at least half of all complications are preventable (Haynes et al., 2009). The foundations of Mrs Hilton’s nursing plan are to ensure that any post surgery complications are circumvented. My role as Mrs Hilton’s surgical nurse will involve coupling my knowledge and the professional
Despite the difference and no matter what phase of surgery the patient is in, the quality and continuum of care is extremely crucial. Kang (2015) states that, “Ineffective handoffs are known to contribute to gaps in nursing care of patients safety.” “The connection between ineffective communication and errors in the OR has been long recognized (Kang 2015).” Between prep carried out by perioperative nurses and safety/comfort tasks carried out by intraoperative nurses, goals of each surgery facility are the same. As long as each nurse is carrying out the duties specific to their particular facility, the patients continuum of care should not be a problem and safety of the patient will be maintained. Kang’s article explains the role of the intraoperative nurse and what downfalls can potentially lead to problems during surgery. Inpatient and single day surgeries may have slight differences in the role of each nurse, but it is what works best for that particular facility to run the smoothest for the procedures that are being
These impose severe constrictions on the ability of the nurse to move forward or advance into the areas of practice where traditional nursing practices were not allowed {Institute of Medicine, 2010}. However with the increase in the number of nurses graduating with advance degrees in nursing; the situation is changing. These well educated nurses are leading the charge to confront the complex issues that the rapidly changing health care situation presents. Regulatory barriers must be lifted so that nurses can practice within their scope in order to be reimbursed by private insurance for the services they provide. These changes can be done through the federal and state legislators as well as supervisory agencies and bodies such as congress and licensing regulatory boards. The IOM also recommends that nurses will expand their scope of practice and increase their responsibility through teaching and counseling of patients. {Institute of Medicine,2010}. The use of Advance Practice Registered Nurses and Physician Assistant in providing primary care services will decrease wait time and increase patient satisfaction. The high turnover of nurses transitioning from school to practice also affects the quality of care. These nurses do not have enough experience to make decisions in patient care.{Institute of Medicine,2010}.The IOM and JCAHO{2012} report supports the recommendations for the introduction of nursing residency
Surgery, whether elective or emergent, is a stressful, complex event. Today, as a result of advances in surgical techniques and instrumentation as well as in anesthesia, many surgical procedures that were once performed in an inpatient setting now take place in an ambulatory or outpatient setting. Approximately 60% of elective surgeries are now performed in an ambulatory or outpatient setting (Russell, Williams & Bulstrode, 2000). This trend has increased the acuity and complexity of surgical patients and procedures. The number of surgical patients admitted for overnight hospital stays is expected to continue to decrease. Perioperative and perianesthesia nursing addresses the nursing roles relevant to the three phases of the surgical experience: preoperative, intraoperative, and postoperative