You hear a distinct crashing sound in the near distance following a loud screeching noise while driving down a dimly lit road. As you are driving down the road you come upon a car wreck and you can see people that need your help. You jet out of your vehicle and immediately get your medical bag with all your instruments that you use to save lives. You have to react fast because the people that crashed have already lost a lot of blood and will not survive if they wait for the ambulance to arrive. You start the normal procedure by cutting off their clothes to find where the wounds are or anything that needs to be attended to. You try to cut off the blood flow and apply pressure to the wounds to slow down the amount of blood loss in the patient …show more content…
They provide high quality evidence based care across the lifespan to enhance patient safety, reduce adverse events, impact and improve patient’s satisfaction, support and promote optimal health status, track admissions and readmissions, and manage costs within and among continually expanding, diverse, and complex populations. This means that registered nurses are essential to the delivery of safe, high quality care and should not be replaced by less skilled licensed or unlicensed members of the healthcare team. Registered nurses are the people that are best prepared to facilitate the functioning of interprofessional teams across the care continuum. They also coordinate care with patients and their caregivers, and also mitigate the growing complexity or transitions in care. Registered nurses play a critical role in the delivery of telehealth services and virtual care. The development of the art of science of telehealth nursing practice has improved and expanded coordination of healthcare services, reduced patient risk, and contributed significally to care management models. Registered nurses must practice at the top of their license, education, and expertise to affect quality and cost through patient engagement, care coordination, enhanced teamwork, resource reduction, improved access, and quality and outcome improvement. Registered nurses must lead, participate, and support performance improvement activities designed to promote and enhance quality and safety, improve efficiency in care delivery, and evaluate impact on patient outcomes. Registered nurses also have the expertise in the development, implementation, and sustainability of quality measures and clinical practice
The purpose of this memo is to explain how I adapted my letter and resume to a specific job. I initially started by browsing online through the website that I am familiar with such as monster.com and careerbuilder.com.
I agree with your post-Sabrina. I am currently working in ICU and I have a co-worker that works day shift that nobody wants to take the report from her. She’s a bully, she has been to the manager’s office couple of times already but she is still the same. No doubt she is hardworking, well-rounded open-heart nurse, but her attitude “sucks”. Not sure why my manager tolerates her attitude. But since my manager does not want to do anything about it, the night shift nurse came up with an idea to rotate all of us (night shift staff) to take turns in a getting report from her.
A baby was just born at 26 weeks gestation. Just over half the normal 40 weeks a baby should stay inside the mother. The baby is immediately whisked away and taken to be evaluated and prepared for a long journey ahead. Ever since I could remember babies and the nursery at the hospital have fascinated me. Whenever we would go visit a friend who had a baby, I would find myself peaking over the windows into the nursery. I have known for a while that working in the neonatal intensive care unit is what I want to pursue. Recently I have been looking into nurse practitioners and furthering my education beyond my BSN. Being able to care for these infants in the most critical stages of their life, and being able to provide them the support they need to survive outside the womb seems so satisfying . Neonatal nurse practitioners have years of education, deep history, detailed job description, high demands and some legal issues.
Service personnel experience a tremendous number of traumatic experiences while in service. These traumatic experiences include situations such as different forms of explosion, gun battles, vehicle crashes, helicopter crashes, intense fear, seeing fellow service members dying as well as a feeling of helplessness (CITE). These are situations that an average American can simply not fathom. Certified Registered Nurse Anesthetists (CRNAs) who work with service personnel typically do understand these traumatic experiences. In this article, Wilson and Pokorny conducted a study to understand the experiences CRNAs have with service personnel who have traumatic brain injury (TBI) and posttraumatic stress disorder (PTSD) and are emerging from general anesthesia with emergence delirium (ED) (CITE). There are no studies in literature that contain information on patients with these specific problems, which makes this study important. Wilson and Pokorny hope other researchers will get involved to help learn more about this subject and get the service personnel and CRNAs the advanced medical help they need.
Prior to this assignment, I had very little insight to what gatekeeping, state certificate of need programs, and Medicare PPS meant and how they affected lowering health care costs and spending. Thank you for sharing your perceptions and opinions on the regulations that’s were established within each of these laws. As a nurse who worked in a hospital, I remember having monthly educational meetings regarding length of stay, reimbursement and health care costs and spending. At that time, I felt the information seemed tedious and irrelevant to my role as a registered nurse. As a future family nurse practitioner, I can now appreciate the information and education I have gained from both my profession the assignments within this course.
The prevention of CAUTI remains a top priority in all of the hospital-acquired infections, therefore, preventive processes is utmost to the reduction in lengthy hospital stays, costly healthcare services and sustained quality of life for the patient and community at large. To reduce CAUTI rates, the Psychiatric Mental Health Nurse Practitioner (PMHNP) can play a major roles in the prevention and eradication of harm as a result save lives. Foremost, the PMHNP acknowledges the “do no harm” ethical principle by seeking alternative choices prior to utilizing an indwelling catheter; armed with knowledge that frequent usage leads to CAUTI (Hanchett, 2012).
There is a wide range of what a Labor and Delivery Registered Nurse can provide, such as planning a care system, taking vitals, monitoring patients, teaching them to care for their newborn, performing tests, recording, and charting information about patients, helping deliver a baby, and consulting with staff; just to name a few.
The Quality and Safety Education for Nurses (QSEN) Institute developed six core competencies: patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics (Quality and Safety Education for Nurses Institute, 2017). At my facility, it is clearly evident that they have adopted these six core competencies to improve patient quality and safety. My facility created the Office of Patient Experience which supports care that is safe, of high quality and high value. Patient satisfaction is a top priority which is why our guiding principle is known as “Patients First”. Through teamwork and collaboration, we deliver care that is patient-centered by working together in multidisciplinary rounds on the inpatient units. Also, the nursing education department supports quality, safety and consistent nursing care through a database of policies and procedures developed using evidence-based research. Lastly, the nursing informatics department is working towards making our EPIC system more patient-centered. They are doing this by decreasing the redundancy in charting for the nursing staff and finding ways to improve processes which automate tasks. This in turn will reduce the time that the nursing staff spends with their computer and increase the time that the nursing staff can spend with their patients.
In 1893 a graduate nurse, Lillian Wald, founded the Henry Street Settlement (HSS). The purpose of HSS was to assess the needs of the poor population that lived in the overcrowded, and rat infested tenements. The HSS visiting nurse program visited thousands of patients and obtained standing orders for emergency medications, and treatments. In the 1930s developed the Frontier Nursing Service (FNS) which was considered to be the first primary Nurse Practitioner (NP) role. The FNS nurses made diagnoses, and treated patients, while dispensing herbs, medicines with the acceptance of the medical advisory committee. In 1931 American Association of Nurse Anesthetists (AANA) was founded. In 1965 Pediatric Nurse Practitioner (PNP) certification
Did the call to be a nurse just ring? You may have questions about becoming a Licensed Vocational nurse or a Registered Nurse. There are differences and similarities to each position. The education, responsibilities and pay are quite different. Here’s some information to explain those variances.
Throughout the twentieth century, several critical factors had facilitated the emergence and development of four distinct roles in advanced nursing practice. Joined forces of medicine and nursing leadership have attempted to address health care crises by creating expanded roles for nurses (Asubonteng, McCleary, & Munchus, 1995, p. 3). Striving to eliminate the disparity, fragmentation, and sub-optimal care, nursing academia sought to prepare future nursing workforce, who would be able to work in “an autonomous and collegial way with physicians” to improve the quality and accessibility of health care (Stanley, 2011, p. 20). Ongoing changes in the delivery of health care, such as
With the primary care clinicians’ shortage projected by the year 2020 and the new Nurse Practice Act Bill HB313 that will grant Advance Practice Registered Nurses (APRN’s) the ability to practice without a written collaborative physician agreement effective January 1st, 2018, many entrepreneurial minded family nurse practitioners (FNP’s) may consider starting their own private practice in the state of Illinois. They may be considering to be their own bosses as well as to have more control over the quality and quantity care delivered to their patients.
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Nurse Practitioners (NP) are highly educated and skilled registered nurses. Licensed and authorized to work autonomously and collaboratively in an advanced and extended clinical role providing focused specialist nursing care. Therefore, NP works in a variety of settings such as hospitals, rural and urban communities, private practices, nursing homes, health clinics, women’s health clinics and school-based health clinics. (Bauer, 2010). Opportunities for nurse practitioner are growing exponentially. In fact, the U.S. Congress (2010), Office of Technology Assessment says, “Nurse Practitioners provide care whose quality is equivalent to that of care provided by physicians”. Studies have shown evidence that suggests NPs provide sustainable service, safe, and cost-effective care without compromising quality; in addition to reduce burden within an already stretched health care system (Edmunds, 2012). Working with the inter-professional team in a broad range of health care
The roles and functions of a nurse include being an advocator, researcher, educator, and provider. As a leader, a nurse takes the initiative and acts as a role model for others in health care. The nurse aids in the patient’s comprehension of their diagnosis and treatment for an overall effective care while acting as a liaison between the doctor and patient. Being an active researcher and having the will to expand their knowledge is an important aspect of a professional nurse. I think research contributes to improving the effectiveness of medicine and the quality of care while widening personal enlightenment. Functioning as an educator enriches the public on promoting safety measures in the community because patient education is essential in