The Realm Of Certified Nursing

One conversation that I have had with my co-workers and boss which was certainly a debatable topic was the pay of a CNA. Certified Nursing Assistants duties and responsibilities are basically care for the elderly as they are not able to do it themselves. This includes many things that most individuals would never do. I believe that CNA’s should be paid just as much as a nurse or LVN, and not minimum pay as it is such a hard job. Its not the same as working at the mall as a sales associate or a fast food place, and most times these jobs tend to get paid more. My boss who is an RN, certainly disagreed with me as she paid so much for her education, and I honestly understand that because I am working towards my BSN, its beyond expensive. She made

To meet competency standard two, registered nurses need to consciously and actively engage in therapeutic and professional relationships (Nursing and Midwifery Board of Australia [NMBA], 2016); Doherty & Thompson, 2014). Therapeutic nurse-patient relationships are built on trust, where the patient feels safe to be open and honest; enabling a productive relationship with positive patient-centred outcomes (Doherty & Thompson, 2014). A vital principal in delivering patient-centred care is to foster effective communication along with establishing personal and professional relationship boundaries (NMBA, 2016). This fundamental approach to care, ensures

Credentialing from advanced practice registered nurses (APRNs) perspective is defined as “furnishing the documentation necessary to be authorized by a regulatory body or institution to engage in certain activities and use a certain title” (Hanson, 2014). Credentialing is also define from a local institutional process that consider specific documentations for APRN before they assume the practice role as APRN within their facility. In health care system, credentialing ensures individuals meet required standards of practice and is prepared to perform those duties implied by the credentials. National certification and education are considered as part of credentialing for APRN to acquire basic level of competence to practice. (Hanson, 2014)

Human flourishing, one of the National League of Nursing competencies, refers to the overall state of well-being of an individual within multiple contexts. This competency celebrates diversity, freedom, happiness, and holistic well-being of individuals within their families, communities, and society (Nursing Framework and Program Outcomes, n.d.). The concept of human flourishing embodies the elements of contrast and conflict in life, connection with the surrounding world, loving kindness, and harmony and stillness (McCormack, B., & Titchen, 2014). It is within both the challenges that arise in life and the joyous moments that the individual grows physically, psychologically, socially, and spiritually. Human flourishing requires one to embrace the unknown, the uncomfortable, and the contrasts that occur in life and find a sense of inner peace that enables one to show kindness and love to others (McCormack, B., & Titchen, 2014).

Heart failure affects nearly 6 million Americans. It is the leading cause of hospitalization in people older than 65. Roughly 550,000 people are diagnosed with heart failure each year (Emory Healthcare, 2014). Heart failure is a pathologic state where the heart cannot pump enough blood to meet the demand of the body’s metabolic needs or when the ventricle’s ability to fill is impaired. It is not a disease, but rather a complex clinical syndrome. The symptoms of heart failure come from pulmonary vascular congestion and inadequate perfusion of the systemic circulation. Individuals experience orthopnea,

The Certified Nursing Assistant program started this year with a new instructor, Karla Garrison RN BSN. Karla was previously one of the state board of nursing examiners and tested our students last year. After being impressed with our students and our program as well as the opportunity to make a difference Karla joined our team. Under her leadership we have transferred to a new curriculum and new text books that are more focused on meeting the Arizona state board exam requirements.

Three issues or trends I see that are important with regard to credentialing are reimbursement, malpractice and education. Within each issue are opportunities for the advance practice nurse (APN) to grow in knowledge and participate in change. It is important to understand why each one effects credentialing for the APN.

Teenagers have enough stress as it is right? Adolescence is an awkward time of transition from childhood to adulthood which can be more than scary for most. Between spending time with family, making friends, doing homework, participating in sports or other recreational activities, and growing up in general, who has time to get a job? Although it can add to the stress of teenage life, getting a job has more pros than cons. My experience working as a Certified Nursing Assistant (CNA) at Morgantown Care and Rehabilitation Center has been a learning experience about responsibility, patience, and compassion.

My trade I decided to pick and further my career in is CAN. My trade at St. Louis Job Corps is located on Lindell Site downtown St. Louis. The trade is Certified Nursing Assistant and it deals with working with elderly people. Working and choosing this trade deals with all variations of people but mostly elderly people. Most CNA’s work at nursing homes, hospitals, or you can either do Home Health Care. All CNA’s are mainly supposed to wear scrubs, closed in athletic shoes for the time you are there and from the time you clock out. Some jobs allow the coworkers to wear capris and depending on the working place it doesn’t matter what color the scrubs are and on some Fridays some working environments have days you wear can Jeans on Fridays. It would be much more professional and comfortable for you to wear

Uncle Jake and Aunt Leah were playing golf last week. On the sixth hole, Jake told Leah that he was having unusual pain in his left arm and chest. All of a sudden he felt weak and complained that his shirt was much too tight. A dentist playing one hole behind them examined Jake and found he was short of breath, pale, and sweating. He called 911 on his cell phone and told Jake to lie down and wait for the ambulance. The paramedics rushed Jake to the hospital where he was evaluated by a cardiologist. The tests showed that he had four clogged arteries. He was scheduled for surgery the next day.

My chosen career is a registered nurse with a specialty in neonatal medicine. I am very passionate about helping others and learning how the human body all works together as a coordinated system. Currently I work as a Certified Nursing Assistant (CNA) where I assist elderly residents with tasks that vary from getting dressed to making sure they are as comfortable as possible. While I thoroughly enjoy working with all of the residents at the nursing home, I am ready for a new challenge. I would like to gain more knowledge in order to help even more people with a wide variety of issues. I am interested to see what it takes to move up the career ladder in the nursing field. As well as what to expect as far as education requirements, salary, and the outlook of nursing jobs. In order to learn more about registered nursing I have scheduled an interview with Stacy Helmuth, a registered nurse at Shawnee Mission Medical Center.

My job as a certified nursing aide or CNA is to give direct care both medical and non-medical to patients. CNA’s can work at various healthcare facilities including hospitals, outpatient departments, long term facilities, clinics, and private home. CNA’s speed a huge time in taking and recording patient vitals, collecting specimens, and providing care for patient’s needs and wants. I myself work in a hospital. Some of the main equipment used to help me perform my job is gloves, masks, protective clothing (such as throw away gowns, hair nets, shoe covers), and face shields. These items are very important as a CNA and help protect you and the patient you are caring for. The largest piece of machinery or equipment I use is a lift, called a Hoyer

Transformation of healthcare is happening now. Higher expectations, reduce cost, improve quality will drive the future of healthcare. Broken systems will need to be fixed. Consumers want a benchmark in which to measure care. According to the Institute of Medicine (IOM) research finds lack of teamwork and communication the leading cause of adverse outcomes. Many healthcare organizations seek an infrastructure in which a culture of excellence, innovation, and high quality professionals can help patients and families navigate through a complex constellation of healthcare. Nurses are the major workforces in a healthcare organization; they drive patient care and the bottom line. The American Nurse Credentialing Center (ANCC) the world largest nursing organization created the Magnet Recognition program, a credentialing process for which an environment of excellence is recognized. The ANCC Recognition focuses on three goals; a quality setting that supports professional practice, identifying excellence in delivery of care to patients/families, and disseminating “best practices”. The Magnet Recognition places emphasis on leadership, personal growth, transformation innovations, outcomes, structure of the organization. Magnet provides a framework for nurses to collaborate with all disciplines through shared governance and have autonomy over their practice. In the American Association Respiratory Care paper ‘Transitioning the Respiratory Therapy Workforce for 2015 and Beyond” Barnes and

In the early 1980s it came to light that while the supply of nurses had reached a record high, only 80% of hospitals nationwide had adequate nurse staffing levels (American Nurse Credentialing Center, 2011, p. 8). To address this issue a taskforce was formed within the American Academy of Nursing (AAN). Through an initial study of 165 hospitals, the AAN determined the characteristics of healthcare organizations that were magnetically attracting and retaining nurses as employees (American Nurse Credentialing Center, p. 9). In this study the AAN found “Forces of Magnetism” that contributed to the high level of job satisfaction amongst nurses, superior quality of care, low job turnover, and high level of nurse involvement in leadership, decision-making, and research. In the early 1990s, catapulted by the findings of this initial study, the American Nurses Credentialing Center (ANCC) developed the Magnet Recognition Program. The intention of the ANCC’s Magnet Recognition Program was threefold: To reward hospitals that demonstrated “excellence in the delivery of nursing services to patients;” to encourage quality in the nursing work environment to support practicing professional nurses; and to guide navigation for the dissemination of evidenced-based clinical nursing practice (American Nurse Credentialing Center, 2011, p. 14).

The nursing accreditation process is a type of quality assurance process under which services and operations of educational nursing programs are evaluated by an external body to determine if applicable standards are met. If standards are met, accredited status is granted. One way to judge the quality of a school is by its accreditation. The Commission on Collegiate Nursing Education (CCNE) goes through a rigorous peer-review process with each school before granting accreditation to nursing programs. The review ensures a program's quality and integrity up to five years. After five years the school will be re-evaluated and held to the highest standards in order to maintain