As a charge nurse or chief nursing officer, you are in charge of managing the nurses under you. You are responsible for leading them and assisting them in making decisions should the need arise. According to Brent (2015), “When you undertake a charge position, you have responsibilities to provide care to any patients you directly care for in a non-negligent manner.
You also have responsibilities to ensure those nurses you manage are also providing non-negligent care to their patients. If professional negligence is alleged against you in the latter role, your overall standard of care would be compared with other nurse managers/charge nurses”.
As a floor nurse, if I am unsure how to complete a task, I will always discuss it with my charge nurse first. She is usually my go-to reference along with our Policy website for procedural guidelines. Many times, if there is something that she is not sure of, we, will review the policy together and then go see the patient together to complete the task. This is a learning opportunity for me as a new nurse and ensures that there is another set of hands and eyes to assist if there is something I am not sure of once I get in the room. However, if I were to just try and complete a task without the proper knowledge or training to do so, this could result in harm to my patient. According to Ausmed (2017), “Negligence can be defined as a failure to take reasonable care or steps to prevent loss or injury to another person. Nursing negligence is
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
“Be the one who nurtures and builds. Be the one who has an understanding and forgiving heart one who looks for the best in people. Leave people better than you found them.” Nursing is more than just doing assessments and giving medications; it is going beyond that to know what is right or wrong, what can and cannot be done, and what is considered harming the patients rather than doing them good. In nursing, there is a fine line between what is considered to be negligence and beneficence. According to Marquis (2017), “Ethics is the systemic study of what a person’s conduct and actions should be with regard to self, others human beings, and the environment (pg. 83), on the other hand, it does not necessarily mean that their
On one of my clinical days at San Ramon Regional Medical Center, my classmates and I all had the opportunity to be a student charge on the Med-Surg unit. As I have observed from my work place as well as at our clinical sites, charge nurses are the ones in charge of dividing bed assignments, solving conflicting issues among the staff, helping or coordinating with admissions, and keeping nursing care adequately delivered to patients. Charge nurses also do a lot more including signing doctor’s orders, resource or advisor for others, answering phones and call lights, rounding with doctors, and dealing with family members. I always viewed the role of charge nurse to help other nurses and make their loads easier. As I continue to be exposed to what their role truly is, my views changes through time and experience.
The National Council of State Boards in Nursing defines delegation as “transferring to a competent individual the authority to perform a selected nursing task in a selected situation” (National Council of State Boards of Nursing, Resources section, 4). When delegating, the registered nurse (RN) assigns nursing tasks to unlicensed assistive personnel (UAP) while still remaining accountable for the patient and the task that was assigned. Delegating is a management strategy that is used to provide more efficient care to patients. Authorizing other individuals to take on nursing responsibilities allows the nurse to complete other tasks that need tended to. However, delegation is done at the nurses’
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 charge nurse is a person who has the duty of a specific department in a healthcare institution for their assigned shift. It should be noted that a charge nurse is a vital job because the person holding this job has to interact not only with the patient and his families, but also has to interact with doctors, nurses, and other staff members in order to update them about the patients that the charge nurse is looking after. The qualification of a charge nurse is to have a master’s degree from a recognized school that is accepted by most of the hospitals. Furthermore, the charge nurse is supposed to have specialization in a specific area so that she is looking after a particular department in the best way possible (Urden, Stacy, & Lough, 2013). The training of a charge nurse usually involves with diverse ways of dealing with the
In her charge nurse role, Ms. Cetiner evaluates the daily activities of the unit and delegates care appropriately while promoting autonomy of others. She has the skill to make independent and interdependent decisions regarding patient care, staffing and unit issues. She communicates and collaborates with the interdisciplinary care team for seamless, patient-driven
Nurses play many roles in the healthcare field, can have many duties to fulfill under their licensure. It is important for a nurse of any degree, or licenses to know all of the duties that can be performed under their scope of practice. Olin (2012) states, “Scopes of practice are the same for every nurse at a basic level and very different by specialty.” Therefore, it is important to understand the scope of practice, that the nurse is licensed for. A nurse has many roles under the scope of practice that the nurse is licensed under. There are times when a nurse is asked to perform a task that isn’t under the nurse’s scope of practice and guidelines, and it is very important not to fulfill the task at hand if it
A nurse is given an opportunity to help patients, either if its by helping them through a very serious sickness or just helping a patient get to the bathroom on time, or a time when happiness is overfilling the room and a child is being born. Registered nurses provide a wide variety of patient care services (Mitchell, p.12). A Nurse must always know where to begin and where to stop, as any other career in the health field there is always something that cannot be done by everyone but only the certified person, a nurse must always remain inside her scope of practice to prevent any misunderstandings. A nurse must also follow a code of ethics , the code of ethics of the American Association of Medical Assistants states that a nurse should at all times render service with full respect and dignity of humanity, respect confidential information obtained by a patients file, uphold the honor and high principles the profession and accept its discipline, and last but not least always want to improve her services to better serve the health and well being of the community. (Mitchell, p.65).
This is the legal liability the practitioner owes to the patient. By accepting the responsibility to perform a task the practitioner must ensure the task is performed competently at least to the standard of the ordinarily competent practitioner in that type of task. If a practitioner such as a registered nurse should delegate a task, then that practitioner must be sure that the delegation is appropriate. This means that the task must be necessary; and the person performing the delegated task, for example a HCA, must understand the task and how it is performed, have the skills and abilities to perform the task competently and accept responsibility for carrying it out
A good nurse is aware and knowledgeable of ethics in the field of medicine and strives to provide quality care to avoid negligence. Experienced nurses always remain well informed of changing trends and laws relating to health and safety and regulations of the Board and customs through continued education. Nurses should be prepared to defend themselves. If they know how to avoid mistakes and avoid litigation, they are almost home free. “It is believed that health
A professional nurse is one who puts the needs and importance of patient care above all others. While striving for professionalism, nurses need compassion, patience, empathy, strong moral and ethics, accountability and the commitment to always act in the best interest of their patients. Nurses are held accountable for providing quality, safe, and effective nursing care (Hood, 2014). A professional nurse has the responsibility to continually improve and implement nursing standards while maintaining integrity by involving themselves in various tasks. Regular involvement in reading professional literature and sharing of evidence- based research with other healthcare personal helps increase knowledge and skills. This nursing ability can be used to encourage the actions of others in the healthcare team resulting in improved patient care. Nurses should encourage each other to become involved in hospital committees, provide an environment to encourage the discussions of ethical dilemmas, promote professional growth of nurses to voice their concerns and share viewpoints to address issues. “A professional nurse should expect to commit to a life of continuous learning growth and development”. (Hood, 2014, pp. 29). Nurses choose this profession to help others. As professional nurses we must maintain our ethics, values, characteristics, and commitment to drive our profession forward (CCN, 2015). Nurses must be autonomous, accountable, and be able to delegate to unlicensed assistive personnel. Being autonomous as a nurse means having control over their practice (Hood, 2014). It allows a nurse to take risks while being held accountable for ones’ actions (Hood, 2014).
Nurses should be aware that their negligence causes very bad effects on patients and should be anxious about medical malpractice because nurses are held answerable for their own negligence and could find themselves being charged for malpractice. (Elis, 2012).
Negligence can be defined as failing to provide care in the manner another prudent healthcare professional would in a similar circumstance. Among the five areas of negligence listed some are associated to the physician, provider, or both. Abandonment is typically a nursing area of negligence. Nurses can be charged with abandonment when they leave a patient or group of patients before another nurse of equal level is there to provide care. The abandonment rule is included into every state board of nursing laws on health and safety of the patient (mn.gov, 2012).
In this report is a fully reasoned quantification of, our client, Mr. Steven Pearson’s personal injury claim against Mr. Fred Prendergast.