The Researchable Problem Questions Discuss your place of employment, your job, and your responsibilities. The nursing area of practice that I work in is emergency medicine / critical care. I am an emergency room charge nurse for one of the ambulatory emergency rooms for Kentucky One Health Care. I am responsible for Monitoring and evaluation of patient care through direct consultation, resolving obstacles and eliminating barriers that frustrate both patients and staff. The charge nurse functions as air traffic controller to ensure an efficient, stream-lined process that keeps the patient informed and decreases overall length of stay in hopes of elevating patient satisfaction scores. Discuss a topic/problem that is seen at your place of employment. The problem seen in my place of employment is patients with terminally ill with advanced heart failure. The patients with non-ischemic cardiomyopathy with a decreased ejection fraction, these patients have exhausted all means of medical management of their condition. They are not viable candidates for a heart transplant, but there is another option to have a left ventricular assistive device implanted. The patient and their family must make a decision to go through the surgical procedure and endure the recovery period to increase their quality of life. What is the significance of this topic/problem to your place of employment? Kentucky One Health is one of the only ventricular assistive device hospitals in the Kentucky area.
My professional experience includes more than 22 years of critical care nursing with HCA, Parallon and other hospital affiliates. I offer experience as a Certified Director Nurse Administrator working in the health care industry for more than 12 years. Consequently, I have experience in clinical management, acute care, emergent care, critical care, intermediate care, and nursing education as a STARN with Parallon and HCA hospitals.
Within this, grade there three specific groups. The charge, staff, and field nurses. An RN is like the top of the cake when categorizing all of the different types. Registered nurses supply and direct patient care preform and analyze diagnostic test, distribute medications, and record information of patients’ symptoms and medical history. These nurses do various task because of them continuing their education and receiving a bachelor’s degree because of their degree they are liable to work in plenty of places. Such as, schools, doctors’ offices, home healthcare and some even in the military.
Registered nurses work alongside physicians providing patient care in a variety of ways. A few examples of what nurses are responsible for include: administering medications, tracking patient’s vital signs, helping to diagnose and properly treat patient aliments and educating the patient and their family on their condition and the course of treatment. Depending on what area of medicine a nurse works in will determine more generalized and specific duties and responsibilities. There are many different areas a nurse may work in. Some areas include: obstetrics and gynecology, pediatrics, emergency room, and many more. Nurses can work in a variety of settings, these can include: hospitals, urgent cares, doctors office, nursing homes and home health.
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.
Client advocate: ensures clients, families and communities are well-informed and included in care planning and improving care. Also serves as an advocate for the profession and health care team. Educator, Information manager: able to use information systems and technology. Systems analyst/Risk anticipator: able to participate in systems review to improve quality of client care delivery. Team Manager: able to properly delegate and manage the nursing team resources and serve as a leader. Member of a profession, and Lifelong Learner: recognizes the need for and actively pursues new knowledge and skills as one’s role and needs of the health care system evolves.
I have worked in every area of the hospital and nursing homes in my nineteen years of clinical practice as a nurse. I have excelled and enjoyed the care that I have provided over the years. I have been a charge nurse wherever I have worked and enjoyed brainstorming and critically thinking through what needed to be done for a patient when they were not doing well. I have prevented many code blues and have been a preceptor to many excellent 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
The Kentucky Coalition of Nurse Practitioners and Nurse Midwives (KCNPNM) have concerns with three major medical and political issues. One of those issues is a concern about health care to the poor and uninsured. According to the KCNPNM (2014), Kentucky alone has 20% of the population at or below 100% poverty and 41% under 200% poverty in 2007. Their focus on this is driven by the fact that those uninsured suffer negatively, including premature death and illness, due to lack of medical care (KCNPNM, 2014). As a group, they make an effort to provide the underserved community with information regarding available healthcare programs (KCNPNM, 2014). They also work to encourage legislation to aid those without health insurance by reaching out and informing local and regional lawmakers of our due diligence to promote health in all populations (KCNPNM, 2014).
Analyze the impact of nurse advocacy for a specific health issue in your state where the advocacy actions by nurses made a difference. Be sure to clearly identify the health issue in your discussion.
4. Explain the role of the community health nurse (case finding, reporting, data collecting, data analysis, and follow-up).
Among the indications for Ventricular Assist Device the presence of decompensated or life-threatening end-stage cardiac disease, for patients with severe circulatory compromise, and when hypo-perfusion, cardiogenic shock, failure to wean off cardiopulmonary bypass after surgery. Also, as destination therapy for patients that are not good candidates for a heart transplant; or inability to wean off from cardiopulmonary bypass after surgery.
I, Megan Farrell, am currently a Licensed Practical Nurse at a treatment center that works with prisoners. I accepted a clinical positon here as a graduate, but plan to work in a hospital setting once I have become a Registered Nurse working in the Intensive Care Unit. I quickly worked my way up the latter from the clinic nurse to the Chronic Care nurse and I am quite passionate about further educating my patients and ensuring they understand the importance of treatment compliance. I have spent countless hours educating and giving encouraging guidance to successfully manage chronic conditions.
I recently became certified as a psychiatric and mental health nurse. I serve on our unit practice council helping to find solutions to unit specific issues. I have also served on the hospital wide nurse’s week committee, and a fall prevention committee.
are a number of older adults with heart failure (HP) and need more information about how to
I am a NP currently working for a Hospital Medicine group in an inpatient setting. My primary job responsibilities are to admit patients into the hospital, round on patients, provide cross cover on the patients on our service, provide cross cover on inpatients who our group is consulted to see, respond to rapid response codes, and occasionally discharge patients.