Practicum Reflection Journal 3 Nurse administrators need to adroitly balance many aspects of their role, moving seamlessly from senior leadership meetings to assisting patients while completing walking rounds on an inpatient unit. This is what I have witnessed over the past three weeks in my practicum. The experience has been rich, and I am grateful to my preceptor, Karen Slifka for having lengthy conversations with me, as we discussed the current happenings at the hospital, and the practicum readings. Karen and I reviewed unit specific budgets, discussing both the revenues and expenses. We had continued attending meeting about the implementation of the agency’s electronic medical record (EMR). Our discussions also included civility in …show more content…
Jannetti, Inc., 2012). This allows for the planning of a learning activity, with a desired outcome in mind. After the material is presented, the REDCap survey will be given again to determine the outcomes for staff. According to American Nurses Credentialing Center’s Commission on Accreditation (2012), there are several requirements for each continuing education offering. Each presenter must submit documentation: bio, conflict of interest, and commercial interest. Offerings must include a gap analysis worksheet that includes: current state, desired state, and identified gap. The nurse planner uses those three elements to determine if the gap is related to deficits in knowledge, not knowing; skill, not knowing how; or practice, not knowing how to put into operation. Learners’ are asked if they have gained knowledge and how likely they are to engage in a practice change (American Nurses Credentialing Center’s Commission on Accreditation, 2012, pp.5-6). Attendees are asked for suggestions for future offering, which can also be used for a gap analysis. It is well accepted that increasing nursing knowledge has a direct outcome on quality of care. The IROP committee members want to establish if ROP concepts result in better outcomes in patients’ perceptions of care. This can be accomplished by analyzing the Perceptions of Care (PoC) patient survey. The 21-item questionnaire
My second clinical day took place on September 24th, 2015 at Saint Barnabas Hospital in Livingston, New Jersey. My preceptor Maria Brilhante, MSN, RN, allowed me to observe the morning huddle that took place with all the nurse managers that are in the hospital. The purpose of this huddle was to keep the director of nursing informed about the census on each unit. I found this processed to be very uniformed and professional because the DON was engaged. The day went on with me attending meetings on how managers could implement plans to contain cost for the hospital. Maria did her daily rounds on her patients and her nursing staff. She has a folder that contains papers on how each nurse is progressing from the time they get off orientation. Her motto to the nurses is, “You are good at what you do, so when I coach don’t take offense. I am only trying to get you to be great”. This boost their confidence which I thought to be important.
The EMR is a software program used to enter patients information into a computer, which organizes and stores the information. I believe most offices will keep the paper charts in a very safe location or shred it. But I think because of the confidentiality that any and all information or records relating to patients is considered privileged. basically saying keeping all information about the patient confidential.
information is loaded into the individual’s medical record to provide an ongoing record of the
Nurses play a vital role in healthcare. They are the patient’s advocate and act as the patient’s “eyes and ears”. Pictured here, is Mark, a Registered Nurse working in the Schulich Heart Centre at Sunnybrook Health Sciences Centre, preparing medications for his patients. Making sure the correct medication is administered at the right time is an integral part of a patient's recovery. On his unit, patients are primarily admitted under three services: cardiology, cardiac surgery, and vascular surgery. His ward in particular only has registered nurses as the patients are very acute and registered nurses have more education and training than a registered practical nurse. His daily activities include administering medications, tracking vital signs,
In 2008 the Alliance for Advanced Practice Credentialing and the National Council of State Board of Nursing published specific masters educational, accreditation, licensure, credentialing, certification processes. The masters educational, accreditation, licensure, credentialing, certifications are based on a set of values steps to practice will ensure that NPs have the skills training to place themselves to serve an fundamental role in national health care reform (Graduate NursingEDU,
Slide 2: A Nurse Executive is a master’s educated individual who is knowledgeable and has developed strong interpersonal relationships with the interdisciplinary team. This individual is accountable and compassionate, showing respect and excellence in their practice. The nurse leader is able to adapt to change especially in regards to technological advances and innovative methods of caring for patients. A driven leader empowers their staff to create an environment that is inclusive and ultimately productive using the team-nursing concept. Individual weaknesses are noted and built upon using team training and consistent educational in-services. This
As a nurse administrator, I have a distinct role to play in the healthcare sector. Preparation for this position commences at the graduate level; either masters or doctoral level. Prospective students at graduate level are expected to indicate a variety of roles across healthcare sector as stipulated in the legislative law. Factors such as the nature of the organization and its system of leadership provide credible knowledge that is critical for nursing management roles. As opposed to Gerontology Nurse Practitioners who are expected to have a wide array of technical and hands-on skills
Woods (2011) “Good practice in an increasingly uncertain and bureaucratic health care climate therefore requires considerable courage and commitment from present-day nurses” (p. 272). I was unable to make the impacts at the facility I wanted, however the situation taught me about leadership and
The Inner City Clinic is experiencing problems with medication prescribing errors and seeks a resolution to this problem through use of electronic medical records and registration medication reconciliation. The Institute of Medicine reports in the work entitled "Preventing Medication Errors" that the "average hospitalized patient is subject to at least one medication per day. This is reported to confirm previous research findings that medication errors represent the "most common patient safety error." (Barnsteiner, nd, p.1) Medication reconciliation is described as follows:
Hospitals nationwide can account for their nurse’s patient care through the survey (). If a nurse is consistently having issues with patient care, it can be shown through this survey and improved on. This leads to better teaching practices in nursing schools and hospitals. When nurses can see what works and does not work, improvements can be made in training new nurses, and this is based on patient needs. Patients are the best source of information on how to improve nursing practices, which is why the HCAHPS has become successfully and widely
For nursing, all administration exercises have moral substance. They are coordinated toward a definitive objectives of ensuring what's more, advancing wellbeing and mitigating enduring utilizing nursing's points of view, whether at the individual level or at unit, center, or wellbeing strategy levels. They include: viable management of clinical consideration and [serves as] an asset individual, instructor and part model. The NP coaches different medical attendants, companions and interdisciplinary group individuals. He or she ought to have the capacity to clarify the subtleties and advantages of propelled practice parts to others including partnered health awareness suppliers.
This summative report is the result of content analysis of post-designation questionnaires of organizations participating in the American Nurses Certification Center’s (ANCC) Pathway to Excellence® program. The intention is to describe major themes found within the responses. The questionnaire included eight open-ended questions related to the Pathway to Excellence® experience from an organizational and nursing
I was particularly impressed by way this meeting dissected critical issues. The participants of this gathering welcomed openness and honesty from all. This meeting investigated ethical issues regarding patient care, and scenarios in which one’s discretion licensed him/her to question a patient’s judgments. This gathering also addressed the issue of productivity, in terms of sustaining it and enhancing it amid a taxing and demanding environment. The participants then proceeded to address common relational issues, which involved disagreements among nurses, and conflict mitigation. After witnessing the dynamics of this meeting, it became readily apparent that conflict
Instead of using paper based records, technology allows physicians to use the electronic medical record (EMR) that improves the quality of programs. By using the EMR, this is not easy nor is it low cost. Physicians’ have to use this method as their daily task. There are some barriers that has been identified with the use of the EMR by the physicians we will discuss. There will be some suggestions made that might can help the policy interventions to overcome the barriers. This will include the support system of work/practice including electronic clinical data exchange, and financial rewards for quality improvement. (Sim, 2004)
When I first began the program I believed that the role of the registered nurse was to care for the patient’s grievances, which was limited to the physical aspect of patient care. I thought that nurses would simply be following orders based on the doctor’s orders. I quickly learned throughout the semester this was a great misrepresentation of the roles of the registered nurse. Throughout this semester, I learned that registered nurses work based off of their own assessment and diagnosis, and they work to improve all aspects of patient care. I learned that the registered nurse was not limited to one role, and that the registered nurse would be working to improve herself in all aspects of practice.