Roles Of The Registered Nurse

On 01/27/2016, I observed about 22 patients in Postanesthesia Care Unit. Some of the patients were observed after surgeries while others were observed after endoscopy. During my shift, I observed patients awaiting recovery for removal of kidney stones, malignant melanoma (removal of moles), Endometrial Biopsy (EBX), superficial femoral artery (SFA), Hernia repair, Oophorectomy (ovary removal surgery), Cardiorrhaphy (Ventricular repair), Cystolithalopaxy (bladder stone removal), gall stone removal, Ectopic pregnancy surgery, and leg surgery.

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

Pre-op Nurse—is responsible for working closely with the attending surgeon. Her list of accountabilities include, talking with the patient or guardian forms and asking vital questions to allow for a safe operation. The pre-op nurse prepares all paperwork and makes sure all signatures have been obtained. This is done in the presence of a physician. She is responsible for taking the patients vital signs (blood pressure, temp, and heart-rate, start IV’s) to ensure that are not outside the lines of normalcy. In short the pre-op nurse will perform any duty to ensure that the patient is prepared for surgery this may include talking to family members. The nurse is also responsible

This assignment will explore and critically evaluate the role of the registered nurse in the development of a plan of care that is patient centred. This will involve examining and critically analysing the chosen nursing model in a holistic assessment of the patient and the use of the nursing framework ASPIRE (Barrett, Wilson and Wollands, 2012).

The skilled CRNA is not only proficient in the operating room, but also comfortable dealing directly with patients and their family members. Once in the operating room this is where their wealth of knowledge, experience, and critical thinking really comes into play. Taking into account the patient’s history and current medical issues, the CRNA lays out a plan of care for the patient and makes decisions regarding the type, dose, and rate of medications needed to induce a safe anesthetic effect for the patient during the procedure. While the procedure is underway it is the duty of the CRNA to keep the patient stable and successfully handle any bumps in the road that might occur. This is the role of the nurse anesthetist that I have been most impressed with. The time that I spent in the OR following a CRNA I witnessed him handle difficult situation after difficult situation. As the patient’s respiratory status started to decline, I watched as he manipulated the ventilator; switching between modes and changing settings until a safe respiratory rate and saturation level was achieved. Later the patient went into an adventitious heart rhythm that began to affect their

The appropriate assessment of patients prior to surgery to identify coexisting medical problems and to plan peri-operative care is of increasing importance. The goals of peri-operative assessment are to identify important medical issues in order to optimise their treatment, inform the patient of the risks associated with surgery, and ensure care is provided in an appropriate environment secondly to identify important social issues which may have a bearing on the planned procedure and the recovery period and to familiarise the patient with the planned procedure and the hospital processes.(American Society of Anaesthesiologists)

Objective #3. Analyze the collected data to determine the strengths and weakness is the final goal. It appears the pre-anesthesia screener corrects most of the system failures prior to the patient’s scheduled surgery. The pre-anesthesia screener spoke of most of the day dedicated to problem solving and reiterating information with the patient and caregivers prior to surgery. If the pre-operative instructions and education were more transparent, then it may lessen the amount of phone calls and

The values such as communication, innovation, quality, and collaboration is key to the growing field of perioperative nursing (AORN, 2015). During surgery communication is important between surgeons, anesthesia and nursing. Surgeons are focused on surgery, anesthesia takes care of breathing and vital signs, nurses are at the bedside or circulating and can assess the OR and what is happening during the procedure. The ARON believes that every patient has the right to receive the highest quality of perioperative nursing care of every surgical or invasive setting; all health care providers must collaborate and strive to create an environment of patient safety; and every patient experiencing a surgical or invasive

Nursing Stance. The Registered Nurses’ Association of Ontario [RNAO] believes nurses have much to offer to the development of the new legal framework and to ensure the process of PAD is respectful of the patient’s best interest and wishes. RNAO members passed a resolution in April 2014 approving a set of principles to be considered when discussing assisted death. The principles mainly focus on personal autonomy and justice for their patients; timely access to evidence-based palliative care; the government should reject involuntary assisted suicide; PAD must never be considered within the context of cost-savings; no health professional or organization should be required to participate in assisted death; and a provincial monitoring and reporting

“Constant attention by a good nurse may be just as important as a major operation by a surgeon.” There was a girl who had always wanted to become one of importance, education, and also a contributor in her community. She feels that this occupation will assist her in living comfortably, providing for her family, and will be something she will enjoy doing. The career of a Registered Nurse is a challenging and important career, because of the importance one holds within a community. The research will describe the career of a Registered Nurse, what is required to become a successful, and the impact this career has on society.

The decision to work towards becoming a registered nurse requires a personal transition from the role of being an aerospace technician to one of a healthcare professional. As part of this transition, I must learn what defines a nurse, understand what I can contribute to the profession, establish and meet professional goals, and be aware of extraneous factors that affect the healthcare industry.

reporting any changes or unusual events to the director, among other tasks. Following the charge nurse position are the registered nurses. Criteria include being a graduate from an accredited school of nursing with a bachelor’s degree preferable, a current NYS license and ACLS required (for Burn ICU nurses). The registered nurse is responsible for providing comprehensive and effective nursing care (careers.nyp.org). The registered nurse is also responsible for educating patients and families and for promoting the development of the nursing profession through Evidence Based Practice. Goals for nursing practice include advancing professional practice, technological advancement, patient safety, and shared governance.

The role of the Registered Nurse (RN) entails great responsibility. The nurse must protect the health, safety, and welfare of the community using his or her best clinical judgement. Among the responsibilities of the Registered Nurse is the role of delegation. In 2005, both the American Nurses Association and National Council of State Boards of Nursing adopted papers on delegation. Both papers had the same message, that delegation was an essential nursing skill (NCSBN, n.d.). With the busy health care force and increased demand for nursing care, many places hire assistive personnel not only to provide their patients with more efficient care but to give support to the already over-tasked RNs. These assistive personnel can include but are not limited to, Licensed Practical Nurses (LPN) and Unlicensed assistive personnel (UAP) such as a Certified Nursing Assistant (CNA) or Patient Care associate (PCA). In this paper I will discuss what delegation is and how it used in the role of the Registered Nurse.

A systematic review undertaken by Smetana (2009) identifies postoperative respiratory failure as an example of cascade iatrogenesis i.e. serial development of multiple medical complications that can be set in motion by a seemingly innocuous first event. In this case, Mrs Hilton’s open cholecystectomy is that first event. Smetana (2009) points out that: when an older patient with postoperative pain is over-sedated, a decline in respiratory function occurs, that if not recognized, can result in respiratory failure that requires mechanical ventilation, that again, if not managed properly can culminate in ventilator-associated pneumonia and even sepsis and death (p.1529). After her upper abdominal surgery Mrs Hilton may have difficulty with deep breathing and coughing due to pain however both are essential interventions for prevention and treatment of respiratory infections and complications. Brown et al. (2008) recommend that when Mrs Hilton is awake, turning, coughing and deep breathing should be encouraged every one to two hours as this aids in the removal of secretions and prevents mucous plugs. They also encourage mobility when possible to increase respiratory excursion. Moreover, as Mrs Hilton

Urgency of acute care varies depending on the situation but can range to anything from emergency surgeries, to injuries, chronic illnesses, and also for the recovery of those procedures. Majority of the patients in acute care settings are critically ill. Nursing responsibilities in acute care settings are vital to patient’s recovery due to the front line position nurses play as well as the wide variety of tasks carried out. Assessments are made during every encounter the nurse has with the patient along with monitoring the patient’s progress. Nurses are responsible for recognizing symptoms the patient may be experiencing due to illness or injury and whether they fall in the spectrum of normal reactions. Vital signs are measured routinely and can be indicators of the patient’s current status. When vitals are questioned diagnostic tests can be arranged to further assess possible comorbidities the patient may have. Care plans are made to plan interventions the health care team can take to help patients through challenges they face, both physical and mental. Nurses administer medications as well as first aid as needed. They are responsible for maintaining special equipment patients may require including monitors and ventilators are well.