The Importance Of A Nurse Practice Act

The first consideration a registered nurse should determine is if “The Right Task (Cherry 355-356)” is being delegated to the right staff member. Delegation to the right staff member must be in their scope of practice and have proven to competent to complete. An individuals’ scope of practice will be set forth by the facility in which they work. In addition to individual facility polices the nurse must adhere to the scope of delegation set forth in the Nurse Practice Act of Maryland. Per the Nurse Practice Act of Maryland the task to be delegated must be “within the area of responsibility of the nurse delegating the act (Code of Maryland Regulations 10.27.11.03).” An example of incorrect delegating would be having an unlicensed individual, CNA or LPN to

Nursing is a profession that requires specialized training, knowledge, skills, and judgment to foster an independent decision making. Practicing nursing is a right granted by the state to safeguard those in need of care and efficient nursing practice is substantiated by the state Nurse Practice Act (NPA). The NPA is ratified by each state based on set guidelines and passed by the state legislature (Russell, 2012). The NPA serves as a corner stone in regulating the duties and responsibilities of the professional nurse. The NPA is founded on set guidelines, however, the states’ board of nursing (BON) has the authority to modify the laws and regulations to fit the desired practice expectations set forth (Russell, 2012). The state of Virginia (VA), where this writer currently practices, has laws and regulations that govern the nursing practice of the Registered Nurse (RN) and the Clinical Nurse Specialist (CNS). The purpose of this paper is to discuss the similarities and differences between the role of the RN and the advanced practice nurse as well as to identify if the Virginia NPA identifies the role of an infection prevention nurse specialist.

This article discusses about the process of nursing delegation. For the process of nursing delegation, it must have strong communication, empowered staff, and organizational support. The guidelines identify 5 rights of delegation, which include right task, right circumstances, right person, right direction & communication, and right supervision & evaluation. When a delegator, such as a nurse, delegates, they will remain responsible for the tasks that were delegated. Delegation of an action/task is done based on the patient’s safety and their quality of care. Following the process enables a nurse to appropriately delegate to benefit the care of the patient.

Vandzura’s ideas. Many programs do not prepare their students for the clinical rotations properly, I understand that. But to have them contact the hospital and ask for names and people in charge, may not be the best advise. In my program, I would attend the first day of rotation with each student to actually ease them into the atmosphere. I would not stay the whole shift but this action seemed to help ease in the student as well as take the initial responsibility off the nursing staff to show the student around and get them acquainted with the inner workings of the department. This also helps the student gain the confidence to initiate conversations with patients, and not become a “wall flower” standing against the wall and not participating in the rotation

According to Yoder-Wise (2015), delegation involves two individuals who engage in open communication to achieve a goal. Effectively used delegation can lead to improved patient care outcomes. This author was delegated the task of being a trach care educator to patients and family members by a charge nurse. The case load had become too much for the charge nurse to conduct trach education alone for the whole floor. The delegated task was clear and effective. Once assigned the task, a education class was provided by the hospital to become a certified trach educator. At the class, education was given on how to properly and legally teach the family members in trach care, routine trach changes, emergency trach changes, and suctioning. Once the education was complete, a binder was given with notes. The binder was a personal tool to guide and teach the family members. With the increased education, the author was very comfortable with educating patients and families. The delegation decision was logical. The charge nurse was aware that the author was very familiar and comfortable with trachs. With her increased work load, she needed help. She knew that the author would be a great candidate for being a trach educator.

Part A The purpose of the Nurse Practice Act for Florida is to make sure that every practicing nurse has the minimum requirements to legally work in Florida. It is a protection law so that anyone without minimum competency cannot practice nursing in Florida.

The state Nurse Practice Act purpose is to protect the Nurse, patient and the facility. The state board of nursing decides what is included in the Act. These rules are important to determine and define what skills a Nurse can do under their license. Nurses have a legal obligation to hold themselves to these standards and the scope of practice which vary by the state you live in.

Of the analyzed schools, the University of Saint Joseph requires the lowest number of practicum hour requirements to fulfill the course objectives, that being 60 practicum hours. The MSN handbook describes the course as guided by an examination of each of the eight NLN core competencies. Within the 2016 MSN handbook, it is stated that the course provides students with “the opportunity to examine role and function of the advanced practice nurse in the educator role is examined through the “delivery of educational pedagogy in academic and health care settings.” The course is a blend of classroom and online classes, including the teaching practicum, which is graded as pass/fail. The blended classroom experience utilizes a face-to-face, “Go-to-meeting” format and self-paced online activities involving group activities using Blackboard; chats, blogs, emails, journaling, and web posting are also incorporated. Throughout the semester, weekly practicum experiences are recorded in a log which is reviewed at mid semester and at course completion. Each journal entry is expected to be a short summary of the week’s experience and include one-two references related to the educational concept of that particular week; the journal entries account for 35% of the class grade. In addition, when classes do not physically meet, online discussions of learning experiences, based on course objectives and evidencing literature reviews related to the learning experiences, are shared; this

It is interesting that each state writes separate Nurse Practice Acts for their nurses. Federal legislation would seemingly be more uniform and standardized. Is this done by design, or have the laws not caught up with the times? Considering that, insurance companies and other payers are often located in states other than where the care is being provided, a more universal set of standards for health care would be appropriate. My only argument in this case would be that a single federal organization would be less effective at monitoring or “policing” individual nurses, like the State Boards are able to do.

The OR unit is unlike all the other hospital settings. It is another world within the OR unit. First of all, everyone has to change to the surgical scrub in order to be in the OR unit. Then there is a preop unit, operation unit, and the postop unit. After I pick the patient I wanted to follow throughout the day, I went to introduce myself to the patient and the preop nurse that is taking care of the patient prior to the surgery. I observed the preop nurse, MD, operation room nurse, anesthetist, and surgeon came in one after another to ask questions regarding patient’s past and present medical history. The preop nurse monitors the patient’s vital signs and tells the patient to do the lung expansion activity. Then the nurse started an IV line and draws two tube of blood out for the lab. The nurse then asks the patient to sign the consent form and explained to the patient that he is performing tasks to

Nurses have many responsibilities to their: patients, families, and co-workers. Nurses are to protect their patients

Involvement in clinical duty or Related Learning Experience (RLE) is critical in the success of clinical teaching of a clinical facilitator to nurse learners. In every clinical duty of a nurse learner, there is always a clinical facilitator. For clinical RLE to occur, according to Commission on Higher Education CHED MEMORANDUM ORDER (CMO) No. 5, Series of 2008, Article VII, Section 15 states that Related Learning Experiences (RLE) in the clinical areas like classroom instruction is a continuous process and a documented RLE rotation plan showing distribution of students, and faculty supervision in each clinical area in base hospitals or affiliation agencies must be made possible.

There is no better teacher than experience itself. This statement holds true with regards to acquiring knowledge and necessary skills in the nursing profession. Clinical rotation is when theories are actually put in to practice and competencies acquired. Indeed, during this clinical rotation I felt like I gained a whole lot of understanding about the nursing process, the legal and ethical matters surrounding the practice, and the public health nursing as a profession.

I have reached a point in my nursing career where I am ready to advance further in the field of nursing. The excitement and potential to learn a new a new field in anesthesia and embrace the challenges in that field truly drives me. I have been preparing for a future as a Nurse Anesthetist since I got my first job. I have been blessed to have started my nursing career in two large Magnet teaching hospitals; all of which I’ve been working in the Intensive Care Unit. My experience in a Cardio/Thoracic ICU as well as Surgical ICU that includes a Cardiovascular/Thoracic ICU has helped mold me into the type of nurse that is prepared for the challenges in Anesthesia, as well as a CRNA program. My exposures to these two types of units have included multiple types of surgical procedures, high acuity patients, conscious sedation, rapid sequence intubations, and emergent situations. Working alongside

A nursing assignment is one of the most essential decisions a charge nurse or nurse managers have to make on a daily basis. It allows nursing managers to assign patients to a nurse based on education and level of experience. Assignments are most often mistaken as a delegation. However, they are not the same. Nursing assignment is basically made with regard to patient medical need, and acuity level. Delegation, on the other hand, is when simple nursing tasks such as feeding, bathing, etc. are assigned to other nursing personnel to complete. According to Catalano, “Delegation is recognized as designating ancillary personnel for the responsibility of carrying out a specific group of nursing tasks in the care of certain clients. Whereas “assignment is designating tasks for ancillary personnel that falls under their own level of practice according to facility policies, position descriptions, and, if applicable, state practice act (Catalano 2014). Nursing assignments involve critical thinking skills because accuracy is important to optimize care. It is important for charge nurses to ensure proper and appropriate assignment because lapse can lead to poor quality of care, disappointing outcomes of care, jeopardized patient safety, and could even cause legal consequences. Thus, as a charge nurse, it is important to incorporate critical thinking, clinical reasoning and judgment when assigning patient care.