Nurses Accountaability Case Study

My new role as an adult/gerontology nurse practitioner (AGNP), will be part of team that provides care for Long-term acute care LTAC, Skilled Nursing Facilities (SNF), or Rehabilitation hospital. After gaining considerable experience, my focus in future will be working in home healthcare and primary care clinics. My scenario will involve an organization that provides innovative, collaborative, health care team for one hundred bed LTAC Hospital. Working as an LTAC registered nurse, I noted that, despite the variety of diagnosis, majority of patients’ presents to LTAC hospital have wounds that require complex wound care management. The wounds can range from pressure ulcers to non-healing illness/injury wounds such as diabetic foot ulcer, venous leg ulcers, and post-surgical wounds among others. For this assignment, my scenario will focus on the role of Nurse Practitioner (NP) on skin care and wound managements.

I found your post to be very interesting with, your definition of accountability. More so, I would completely agree in that, nurses are accountable to their patients, as well as, and how our actions as nurse will affect them, for example, checking the vitals before administering medication Thanks for sharing.

The civil and common laws to protect the client´s rights are calls Torts: A Tort is a civil wrong made against a person or property and this are classified as Intentional Torts when violate another´s right such as false imprisonment and assault battery; Quasi-Intentional torts that is when lacking but volitional action and direct causation occur such as invasion of privacy and deformation of character Unintentional torts with includes Negligence and Malpractice. The improper act that she performed is a Quasi-Intentional tort. In to avoid legal and ethic problems the nurse must always follow the Standard of

I was eagerly waiting for my first placement to start because I knew very well that this is going to be a life changing experience for me both personally as well as a prominent stepping stone to my career as a nurse. I had many unforgettable experiences during this placement which provided me new knowledge and opportunities for self learning. But the experience described in this reflection was the most shocking and disappointing. This reflection is written on the basis of ethical values of maintaining commitments to clients and maintaining commitments to the nursing profession. The ethical value of maintaining commitments to clients is further explained by CNO (2009) as “,Nurses, as self-regulated professionals, implicitly promise to provide safe, effective and ethical care. Because of their commitment to clients, nurses try to act in the best interest of clients according to clients ’ wishes and the standards of practice. Nurses are obliged to refrain from abandoning, abusing or neglecting clients, and to provide empathic and knowledgeable care. The commitment to client also includes a commitment to respect family members and/or significant other(s), some of whose needs may conflict with those of clients.” CNO (2009) also suggest some behavioural directives to follow the value of maintaining commitments with client , such as putting needs and wishes of clients first ,advocating for maintaining quality client care and making all reasonable efforts to ensure that client safety and well-being is maintained during any job action.

Every health professional has a legal obligation to patients. Nurses as part of the health care team share an important role in the quality and safe delivery of patient care. They have the major responsibility for the development, implementation and continuous practice of policies and procedures of an organisation. It is therefore essential that every organization offer unwavering encouragement and resources to support their staff to perform their duty of care in every patient. On the other hand, high incidences of risk in the health care settings have created great concerns for healthcare organizations. Not only they have effects on patients, but also they project threat to the socioeconomic status. For this reason, it is expected that all health care professionals will engage with all elements of risk management to ensure quality and safe patient delivery. This paper will critically discuss three (3) episodes of care from the case study Health Care Complaints Commission [HCCC] v Jarrett [2013] Nursing and Midwifery Professional Standards Committee of New South Wales [NSWNMPSC] 3 in relation to Registered Nurse’s [RN] role as a leader in the health care team, application of clinical risk management [CRM] in health care domains, accountability in relation to clinical governance [CG], quality improvement and change management practices and the importance of continuing professional development in preparation for transition to the role of RN.

The American Academy of Nurse Practitioners (AANP) recommends “When negotiating contracts, it is important to determine both the amount of income that the nurse practitioner may bring into the practice and the associated cost to the practice. While there will be variability among practices due to the specialty, the location and the outstanding debts of the practice, the following guidelines will help you determine what compensation you might be able to contract” (AANP, 2003). Starting out, I would research starting salaries in my region….Houston, Texas. Then I would narrow my search down to family practice, or any other specialty area I may

Accountability: As an endorsed enrolled nurse my responsibility is to be accountable for my actions and know the legal and ethical requirements and ramification of care for my patients. It’s my own professional practise to accept accountability and responsibility for my own actions and know my own level of competence and accept delegation from an RN or others in the health care team but also choosing whether or not I feel competent and do so these tasks by demonstrating and recognising my own level of competence and providing safe and practical care for patients

Accountability means:” being accountable for one’s own action”. The American Nursing Association (ANA) states in its code that the nurse will assume accountability for individual nursing judgments and actions. Professional nurses are accountable in several areas including accountability to the public, client, profession, employer, and self (Hood, 2010, p. 307). All professional nurses have the responsibility to work within their scope of practice to provide the best possible care to patients. Nurses’ should have a thorough knowledge about their accountability in specific areas of practice. The level of responsibility and accountability depends on professional levels. A nursing supervisor has more responsibility than a charge- nurse. A

Healthcare is a busy, fast paced environment. Nursing Managers have a difficult job of juggling staffing and patient acuity to assure safe and appropriate patient care without over or under staffing. Nurses providing direct patient care voice they are too busy to complete all the required tasks during their shift, such as documentation. However, there are tools available to help increase nurse productivity while providing safe, efficient patient care.

Nurses have a professional responsibility to ensure that safe boundaries are kept in the relationship between patient and Nurse. It is these boundaries that provide the nursing profession with integrity, and according to Baca (2010, pp.195) it is essential these boundaries be maintained because of the difference in power between the nurse and patient. However, boundary violations can occur, when a nurse crosses from the zone of helpfulness to over involved, the ANMC (2011 pp.3) believes that when a violation occurs a nurse is behaving unprofessional manner and misusing their power in the patient nurse relationship. This misuse of power can be categorized into 3 types; boundary crossing, boundary violation and the extreme form of sexual misconduct. Often by mistake a nurse could cross the boundary without thought, a

Accountability of nurses is clearly pinpointed and well within the realm of law. A nurse is accountable to all the patients he or she is expected to attend to. Such accountability as underlined by common law helps promote safety of all patients.

Nurses are subject to a plethora of legal, ethical, and professional duties which can be very challenging on a day to day basis. Some of these duties include respecting a patient 's confidentiality and autonomy, and to recognize the duty of care that is owed to all patients. As nurses our duties are always professional; however there are legal implications if these duties are breached. We also must consider when it is okay as nurses to breach these duties and therefore ethical issues arise. As nurses one of our main priorities is to advocate for our patients, without our own personal feelings on the matter taking over.

The American Nurses Association defines accountability as “to be answerable to oneself and others for one’s own actions”. Accountability is part of nursing and it is important for the nurses to recognize the importance of being accountable. (cite )

“The definition of a health professional is a person who works to protect and improve people’s health by the diagnosis and treatment of illness to bring about a complete recovery from mental, physical and social perspectives, either directly or indirectly (Kurban, 2010, pg. 760).” Nurses in the community today have acquired an increasing responsibility to intervene with medical decisions. In the past, there were clear differences between nurses and doctors. It was more common for a nurse to be supervised directly under the physician. They are not just performing Doctor’s orders anymore. The nurse role in patient care has been widely expanded. Allegations against someone can be one of the most stressful moments of their careers. Negligence

Accountability, as stated by Sullivan and Garland (2010) means accepting ownership for the results whatever they are. The NMC (2008) defines accountability as an important part of professional practice as nurses and midwives often have to make judgements in a wide variety of circumstances, using their