Scope And Standards Practice Essay

It is no secret that communication is key when providing direct patient care in a skilled nursing facility. However, there is a noticeable lapse in the communication between the care team when providing care to the individual or groups of individuals. Two main parts of any care team are the registered nurse and the certified nursing assistant, as these are the two people whom have the most direct and impactful roles with residents in a skilled facility. The Registered Nurse and the Certified Nursing Assistant play similar roles in providing patient care, but have different roles in its entirety. The role of the Registered Nurse (RN) is defined as having the competency and skill to provide direct and indirect health care to individuals, their families, and communities around them. Services are also provided designed to give out medications, to promote comfort or healing, promote healing, and to also provide the dignity of their patients and patient’s families (American College of Rheumatology, 2015).

To effectively manage the discharge of individuals and transfer of care between settings, the social service team at UPMC-MDU start early to anticipate problems and discuss barriers and reoccurring traumatic events, but most importantly, patients and multidisciplinary team, via daily meeting, are involved at all stages of the discharge planning and medical treatment process. Considering this process and significance to employ a person-in-environment approach, I have become more aware of the need for skillful care coordination to achieve the most successful clinical and

Today nurses in all roles participate in ethical decision making arising from mortality, relationships, and conduct issues surrounding patient care and families. This is particularly the situation with ethical issues involving pediatrics and those unable to take their own decisions. While the patients’ interests should come first, there are many other factors that come into play when providing pediatric patient care: parents’ knowledge, cultural and religious practices, and the pediatric patient’s knowledge of their disease. Therefore, it is essential for nurses to follow the American Nurses Association (ANA) code of ethics to carry out nursing responsibilities in a manner consistent with quality in nursing care and the ethical obligations of the profession. In this paper I will discuss the ethical issues that deal with a fourteen year old boy with Cystic Fibrosis (C.F.). He has been faced with the proposition from his pulmonologist that he will not survive another acute respiratory distress attack and will have to intubated if his status deteriorated. However, he and his parents are not agreeing on whether or not he should be intubated if his status deteriorated with his next attack. This poses a huge ethical dilemma because as a nurse we are the patient’s advocate and need to do everything we can to make our patient comfortable as well as having the parents understand and accept the patient wants and desires.

Provision 8.1 of the American Nurses Association Code of Ethics denotes that health is a universal right. The provision states, “the nurse collaborates with other health professionals and the public to protect human rights, promote health diplomacy, and reduce health disparities” (Lachman, Swanson, & Windland-Brown, 2015, p. 365). From chapter 1, the ethical theory that best fits provision 8.1 is utilitarianism. The ethical theory of utilitarianism theorizes “one should act so as to do the greatest good for the greatest number” (Baillie, McGeehan, Garrett, & Garrett, 2013, p. 4). This theory promotes a universal method because it signifies that even if a decision is made and does not benefit every single person; however, benefits most

The problem in this scenario is the challenges faced with trying to implement a new clinical pathway. This particular clinical pathway trying to be implemented is concerning ventilator-dependent patients who are discharged to home with home health care needs. These patients tend to have multiple health care needs beyond the ventilator and the new clinical pathway will establish a smooth transition from hospital to home, allowing for all the patient’s needs to be met. The challenges arise when trying to get all areas of the health care team to get involved. This especially includes the physicians that seem reluctant to follow a nurse’s guidelines. Not only are the physicians reluctant, the home health care representative will not be available to attend team meetings for a while. The new clinical pathway is due to be started in one month, so there is little time to get all parties on board.

This week I have fully grasp the work that goes into being an RN, case manager and what it entails to fully review a patients’ stay at the hospital in order to discharge them in the most effective and efficient way. I understand the need for these professionals in the healthcare field, not only in the hospital setting, but in skilled nursing facilities as well, one reason being is that I believe someone has to advocate and review the patients’ needs before they are sent home. Just like last week I was able to sit in on rounds and observe a great deal of the doctor and case manager dynamic and how important it is for both to know the patient as much possible. Sitting in rounds every morning makes me realize how hard it is to make decisions for another

So it is extremely important that the RN and other team member have a two-way open dialog to ensure that the necessary information is obtained. When team members come together in such a collaborative way, it promotes an atmosphere that allows discussions that can solve complex client health care problems, prevent errors, and allows the RN to act as an advocate for the client. In the plan of care when the RN is continuously reviewing the chart and client status, this collaboration is critical. It allows the RN to ensure that all disciplines involved in the clients care are up to date and doing their part to contribute to the expected goals. In most situations it is the responsibility of the RN to organize these collaborations when they believe a client could benefit from

The Indiana State Board of Nursing is a body of nine selected members, comprised of a mixture of RNs and LPNs. This board listens to cases regarding university nursing programs, certified RNs fighting for their license, and individuals who are trying to obtain a nursing license. It is up to their discretion whether certain actions of a nurse are permissible or not. They also make adjustments to the curriculums or higher education schools to ensure that they are producing good quality nurses.

In the United States alone there are well over three million registered nurses as of 2015, with just over two hundred thousand of that total practicing within the state of Florida (Total Number of Professionally Active Nurses, 2015, n.p.). With that being said, there are many different nursing organizations available within the United States to represent not only the registered nurse, but also to represent the student nurse as well. Several nursing organizations are geared towards specialties, ethnicity, location, education level or gender (Matthews, J., 2012, n.p.). Nursing organizations also lobby federally for the profession as a whole as well as for the public (Schroeder, R., 2013, August, pg.99). For the purpose of this paper I will

American Nurses Association (ANA) Standards of Professional Performance explains how all registered nurses do their work and activities consistently according to their professions that promote the wellbeing of their patients and communities (ANA, 2010a). The standards provide a mechanism to patients that they are been taken good care of and that the nurses know exactly what to do so as to provide high-quality care and the measures are in place to determine whether nursing care meets the standards. These activities are related to performance like ethics, quality of practice, education, communication, resources, leadership, environmental health, professional practice evaluation, and evidence-based practice and research. Registered nurses are responsible for their professional actions to themselves, their patients, their peers, and the community at large.

Nursing standard of practice is important for safety of others because patients are relying on educated nurses who can protect them from other illness. Safety of medication is important for patients. Sometimes doctors can make a mistake! I remember one of my friend told me who is a nurse at Regions Hospital told me that one of the doctor prescribed “hydralazine” which is vasodilator to prevent a high blood pressure but the patient had an anxiety problem and was looking to get “hydroxyzine” which helps treat anxiety problem. The nurse know that so he mention and the doctor made some correction. Also, it is important to keep the nurses up to date with new technology and isolation protocol to help them understand what to do when someone have

A discussion regarding the health care reform or even health care in general can be somewhat controversial. The definition of health is drastically different depending on whom you speak to. Many would define health as " a person's absence of disease, others would describe good health based on the status of mind, body & social well-being" (GCU Lecture, module 2, 2012). According to The American Heritage® Dictionary of the English Language, health is defined as "The overall condition of an organism at a given time". An individual's overall health affects the nation, this is where stakeholders come into value. According to Keele, Buckner & Bushnell a stakeholder is either an individual or an organization that either invest time and

The American Nurses Association (ANA) is a full-service professional organization that symbolizes the interests of registered nurses through its constituent and state nurses associations. The ANA implements the nursing profession by raising high standards of nursing practice, honoring the rights of nurses in the work field, promoting a positive and realistic view of nursing, and by pushing the Congress and regulatory agencies on health care issues affecting nurses and the public. Their mission statement is, “Nurses advancing our profession to improve health for all.” Some of ANA’s main focuses are reformation of the health care system so that it delivers primary health care in the communities, growing roles for

Numerous professional organizations are available for nurses and nurses-to-be. These include the well-known American Nurse Association, National League for Nursing and National Student Nurse Association, among others. In the state of Florida, the Florida Nurses Association also represents the craft of nursing and its nurses. For its new graduates, the FNA offers monthly payments of $13.13, while the ANA offers valuable services for nursing students for $10 dollars, which ensure that student nurses receive important nursing publications and manuals. (ANA Benefits for Student Subscribers, n.d.) Professional journals for those in the nursing field include the American Journal of Nursing (http://journals.lww.com), which is available at no cost for readers, as well as the Nurse Journal: Social Community for Nurses Worldwide (nursejournal.org), which allow for nurse and student nurses alike to submit their own articles, as well as access to manuscripts and unfinished publications by seasoned nurses and other health care professionals. (Get Published on NurseJournal.org, n.d.)

The American Nurses Association (ANA) established The Standards of Professional Nursing Practice (2010). The Standards of Professional Nursing Practice consists of Standards of Practice and Standards of Professional Performance. The standards serve as guidelines to define the profession of nursing and define the scope of practice for professional nurses. All standards presented in the The Standards of Professional Nursing Practice (2010) are essential for the nursing professional to function, legally, ethically and professionally in the healthcare organization.