Nursing Workplace Scenarios

The purpose of the nursing practice field experience is to enhance leadership and research skills; identify shortcomings in policies, procedures or processes; and improve the current processes to ensure optimal patient-centered, healthcare delivery through the use of up-to-date evidence-based resources.

Transitioning from an licensed practical nurse to a registered nurse is of the hardest things I have ever done. Twelve years ago I took my boards and became a licensed practical nurse. Going to school to become an LPN was difficult, but I was not a mother and I did not work full time as I do now. Getting to know the students I attend school with has made me realize that each student’s role transition is different, with unique outlooks and emotional roller coasters. In the following paragraphs I will preview licensed practical nurse to registered nurse role comparisons, my change in

Anything… the word I professed some time ago. I prayed the prayer that I would do anything. The woman who tends to always be in a state of trepidation, prayed that she would do anything for Him. From that one word, many plans surfaced. I had hoped that it was just spontaneous thoughts and that they did not mean anything. Among the list, was the idea of becoming a nurse. It was an outlandish notion. How on earth could I be a nurse? Somehow that random thought has turned into a reality. I am currently striving toward one of my “anythings”. I know that my current situation is definitely not by my own doing and that He has been continually opening doors. It has not been an easy road. Thoughts of doubt, negative

"Many older people fear that a hospital stay could leave them even more disabled than they were before. Unfortunately, there's new reason to believe this fear is justified. Elderly patients who are hospitalized are at much higher risk of cognitive problems afterward, according to a study published on Wednesday in the journal Neurology."

On 6/4/16 Client Ryan Bowman #205 was involved in a verbal disputes with resident Anna Jones # 203, he stated that his neighbor, called the police against him for no logical reason, he stated that Ms. Jones was banging on the wall from inside her unit and Mr. Bowman told to stop making noise because her son was sleeping, however Ms. Jones do not stop the noise and them call the police. Mr. Bowman also mentioned that both residents meet at PATH during the intake while were waiting for placement and that Ms. Jones was very friendly at first , going into Mr. Bowman unit offer him to cook for him and because he does wanted Ms. Jones approach he believe that now she acting

During my clinical make-up simulation, I had the opportunity to partake in different scenarios with other nursing students from different semesters. I was also able to watch and criticize other students from different simulation scenarios. In regards to what students did well, certain examples included communication, collaboration, teamwork, and organization. Communication and collaboration went hand and hand with every group during their simulation scenario. For example, each student that called the physician utilized the tool SBAR in order to prevent gaps in communication. Another example was when two students from different groups called laboratory to ask for lab results. These students showed effective communication by stating the patient’s

This patient arrived on time for her scheduled appointment with this writer. This writer introduces herself as the patient assigned counselor, at which the patient was pleased to be assigned to a counselor. This writer discussed with the patient UDS and the patient's prescribed medication. According to the patient, she provided information of her current medical concerns such as the seven blockage with her heart, her chronic back pain- the patient reports that she needs to replace 2 or 3 discs, and her foot surgery. The surgery for the patient's heart and foot are pending at this time. The patient reports she is scheduled to conduct a sleep apena on 03/03/2016 and is aware that she must provide an update to Nursing at the clinic. The patient praised about having a excellent Cardiologist, who is currently monitoring her heart. the patient was emotional discussing the many loss of her family who suffers from congestive heart failure. The patient reports, " I believe there is a GOD and he is

R.O. is a 43-year-old female Latino patient who has been living at home alone since she got divorced three months ago. She does not have any living or available family in the United States. She is the oldest of three children. Her parents died of an accident when she was little. Two of her sisters live in Mexico. She has lost contact with her family in Mexico when she got married and move to the United States. She also has stopped communicating with her ex husband since they got divorced. Although she does not have any support from her family, she states that her church member has been very supportive. Moreover, R.O. states she was a homemaker until the divorce. Currently, she has been working as a dishwasher near her house.

Two major forms of staffing guidelines will be discussed, nurse-to-patient ratio and staffing by acuity. This paper will discuss the history of each staffing form. It will point out the benefits and negative features of both practices, describe how hospitals deal with staffing and discuss the states that have laws requiring certain guidelines be followed.

Our Health Our Future: Creating Quality Workplace for Canadian Nurses (Maslove and Fooks, 2004). Safe working environment plays a vital role in the ability for providing quality nursing care. So, workplace safety is a main issue for discussion in every occupation particularly in nursing profession in health care setting since nurses are an integral part of public health. Violence against nurses causes hamper in achieving personal, professional as well as organizational goal. According to Canadian Centre for Occupational Health and Safety (CCOHS) “workplace violence is any act in which a person is abused, threatened, intimidated or assaulted in his or her employment”. Similarly, Occupational Health and Safety Act (OHSA) defines ‘Workplace

As the nursing profession advanced, numerous modifications transpired, driving the progression of this health sector in a new direction (Thomas & Richardson, 2016, p. 1072). In the past, regulations of working conditions allowed nurses to work on a rotation of eight-hour shift, but in the 70s and 80s the healthcare system progressed to working 10-12 hour shifts. This new working condition was implemented to accommodate the rise of nursing-shortages (As cited in, Bae, 2012, p. 205; Witkoski Stimpfel, Sloane & Aiken, 2012, p. 2501). In 2009, it was approximated that roughly 60% of nurses are now abiding to 12-hour shifts, according to the American Nursing Association (ANA) (As cited in, Bae, 2012, p. 205). Today, not only is this practice still used, but a new development has occurred, overtime. Overtime work began to be used by the healthcare system as a supplement, alleviate the on-going nursing shortages and remediate new compilations being brought by understaffing issues, therefore becoming a custom in nursing practice (Debrit, Ngan, Hay, Alamgir, 2010, p. 28; As cited in, Bae, 2012, p. 205; Berney, Needleman, Kover, 2005, p. 165). A national survey completed by a sample of Registered Nurses (RN), concluded that 43% of nurses work more than 40 hours a week, and that 9% work more than 60 hours a week (As cited in, Bae, 2012, p. 61; Bae & Brewer, 2010, p. 99). In 2010, a survey completed by the U.S. Department of Health and Human Services, also calculated that

I was assigned the first scenario (Lydia) for this week's discussion. I contacted Deborah Funk via telephone. I explained the scenario to her and she explained to me why it is I am having such a difficult time answering this question after reviewing the Nurse Practice Act and the section that governs the scope of Practice for APRN's in Missouri. She explained that the Missouri State Board of Nursing and the Nurse Practice Act will be the least restrictive on the scope of practice for APRN's. The organizations and the institutions of employment along with the Joint Commission will be the most restrictive when it comes to the scope of practice for APRN's (D. Funk, personal communication, July 14, 2015). I was unable to find an age range

Patients with complex chronic conditions can benefit from nurse-led care coordination in ambulatory care settings in the aspect of reductions in ED visits and hospitalizations. Nurses provide guided-care and facilitate cross setting communication and transition between specialty and primary providers (Haas & Swan, 2014). Nurses support patient decision-making and self-care management. Nurses hear concerns and goals of patients and enhance their engagement in care interventions. Nurses empower patients and families in understanding health care resources and seeking consultation prior to increased severity of the disease (Forbes III, 2014).

Nursing bedside handover is as an important part in the transferring of nursing responsibilities of clinical care for all patients from one nurse to another nurse at the end of the shift (Chin, Warren, Kornman & Cameron, 2012). Nursing handover is significant in maintaining the continuity of patient care for better health outcomes. If the information provided to another person is poorly conveyed may lead to major issues such as communication barrier, patient’s privacy, and confidentiality at the bedside (Anderson, Malone, Shanahan & Manning, 2014).

Kelly, I commend your enthusiasm and desire to facilitate a change project that will promote greater competency among new nurses. This project has the potential to not only benefit your academic institution, but even greater, all the facilities where your graduate nurses will work in the future. We had a great simulation lab at my nursing school; however, our supplies were often limited due to costs and the staff that was supposed to help in the lab was lacking. Being allowed to practice a nursing skill one time, due to the high cost of supplies, was far from effective and even more frustrating was having to teach ourselves due to lack of faculty participation. I can imagine how beneficial it would’ve been to have a seasoned nurse explain why we were being instructed to do skills a certain way and also give insight as to how to handle potential situations that could arise in real-life.