Why The Registered Nurse ( Rn ) Arrives And After Receiving The Report

This assignment will critically discuss the nurse’s role in assessment and care planning for a patient in a case study. Confidentiality which is required by the NMC (Nursing Midwifery Council, 2008) and the Data protection Act (1998) will not be broken through out the assignment because the case study used is a scenario not a fictional character. The care plan will focus on Jean’s incontinence needs using The Roper, Logan and Tierney model (2000).

There are many roles and tasks that can be performed under the LPNs scope of practice. The LPN can give medications prescribed by the doctor, give immunizations approved by the healthcare provider, preform daily wound care and vital signs, take medical histories and enter provided information into the computer documents, (Licensed Practical Nurse, 2017). The Licensed Practical Nurse can watch over the UAP, monitor intake and output, and help with patient transferring as well. The LPN has a lot responsibly and works as the eyes and ears of a doctor or a registered nurse.

Next we help patients into bed. After gaining consent, we help them wash and get into their night clothes. If they need toiletting, the patient’s preferred way of doing so is used. The Dignity Policy is maintained at all times. If it is documented that a patient needs more than one member of staff to transfer them safely then we help each other to do so., thus sticking to Health and Safety and Manual Handling Policies. Usually at this time the trained nurses are available and are easily approachable and willing to help. After the patient is safely and comfortably in bed, we fill in the repositioning and personal hygiene charts as per Policy.

It is up to the nurse/delegator to determine the delegatee’s knowledge, skills, abilities, and any training that will ensure that the task will be handled appropriately and safely. If it is necessary the nurse/delegator must provide instruction and direction to the delegatee. The nurse/delegator or another qualified nurse must be available to supervise the delegate and delegated task. The level of supervision needed will be determined by the training, capability, and willingness of the delegate to perform the task. A delegate may not delegate to another person or expand the delegated task without the permission of the nurse/delegator. Once the delegated task is completed the nurse must evaluate the delegated task, patient’s health status, determination if the goals are being met and if the delegation of the task may be continued (UT Admin Code R156-31b. Nurse Practice Act Rule, 2013). In section R156-31b-704 the rules for the recognized scope of practice of an RN are outlined. It states that the RN, RN managers, and RN administrators should practice

The literature provided speaks of the nurse’s responsibility in creating a safe environment for the patient and a healthy work environment for individuals of the organization. Part of providing safe and competent care to patients is for the RN to ensure that she is clinically capable of providing care at the skill level necessary for an assignment, especially when she floats to other units. Otherwise, she must decline the duty to care for that patient, make it known to the charge nurse that the assignment is beyond her competency level, and ask for an alternative assignment that matches her skill set (California Board of Registered Nursing, 1998). In addition to knowing the nurse’s

Under the scope of practice of an RN from the New York State Education Department, an RN can diagnose and treat human responses to actual or potential health problems. To be able to perform those tasks a care plan must be made for each client. An RN manages the health care services such as observing and assessing the health status of clients and implementing/assessing nursing care. This all falls under the initial assessment of a client, which is within the scope of an RN. An RN uses information gathered as part of client assessment, they then have the capacity to assign client care to other members of the nursing team, RNs and LPNs, and assign tasks to other care providers such as nurse’s assistant. Even though there are parts of the nursing process that may be delegated to qualified personnel, the initial assessment is the RNs responsibility. The initial assessment is the basis for safe and appropriate client care, which makes it so vital and why not just anyone can perform it. RNs hold the overall responsibility in the nursing

The third person that is a stakeholder in the current process is the admitting doctor. Their role may change a little based on what is found by the two nurses during bedside report. Based on the two nurses’ assessment, they may call the admitting doctor and recommend a higher level of care. If this were to happen the admitting doctor would have to make a decision as to accept the recommendation or continue to keep the patient on the inpatient medical floor. If a change is warranted, new orders would have to be written and transfer would happen. The fourth stakeholder in the current process is the case management team, they would continue to look over the chart and determine if the patient meets inpatient criteria or if they only meet observation criteria. They can also determine that the patient meets no admission criteria and should go home, with outside resources if needed.  The fifth stakeholder is the primary nurse that was caring for the patient in the ED. This nurse would have a role change in that they would no longer call report to the accepting nurse, they would simply call up to the floor to advise the accepting nurse that the patient was on the way up. Then the primary nurse would transport to the floor. The handoff report would take place at the bedside instead of on the phone. The sixth stakeholder is the patient care techs that had the task of transporting the patient to the

Registered nurses are a special breed of individuals that oversee the care of patients in multiple health care settings and are an important asset to have within a health care team. Society generally compares the roles of a registered nursing and the roles of a licensed practical nurses similar as far as care and responsibility which is true to a certain degree however, the opportunities for expansion into other settings along with more invasive care and treatment is greater for registered nurses compared to licensed practical nurses. LPN’s are generally seen in the long-term care setting due to the opportunities to move up in rank and become nursing supervisors and unit managers. LPN’s in the hospital settings are limited

Ensures safe nursing care for the perioperative patient, including implementation and documentation of safe patient position, adapts care for special needs patients, performs routine nursing procedures including starting an IV and Foley catheterization, and assesses patient condition throughout the perioperative period.

The nurse is responsible for positioning the patient and should assess the patient throughout to see how well he is tolerating it. If the patient is on a heart monitor, the nurse should monitor vital signs and heart rate as the catheter is being put in for any fluctuations. Afterword’s, the nurse should assess for complications or adverse reactions like pneumothorax. Make the patient comfortable and listen to bilateral breath sounds. Obtain a stat XRAY to verify correct placement.

A. Starting of my day as a PMH nurse I first get a report of my clients for the day. This report normally lists the names the ages and why that individual is at the facility. Upon report my fellow coworkers start assessing each client’s present status. I would first do a medical assessment checking vital signs, and hearing any voiced physical/ mental complaints. Medication rounds are the most important part of my job, I handle both inpatient and outpatient psychiatric care. While many of our medications on the psychiatric ward provided similar effects dosage much be watched closely, especially in my case I work the adolescent unit full time.

Dietary employees that bring the patients food tray should also make sure that everything is within reach. While they are in the room they should also ask if the patient needs to go to the bathroom, if they are in pain, and do they need to change their position before leaving the room. At that point if the patient is needing anything that they cannot perform for them they should inform primary nurse. Housekeeping while in the room cleaning should do the same as dietary, with both housekeeping and dietary make sure that the patient are ask about the 4P’s there should be a decrease in the call lights.

In the professional setting, knowing the patient through his or her diagnosis, name, history of present illness, laboratory results or reason for staying in the hospital only contributes to the manner of physical care of the patient. However, recognizing the patient 's spiritual needs such as emotional support, mental positivity, and intellectual understanding of his or her situation gives a better assessment, as well as a trusting relationship between the nurse and the patient, as per personal experience. In the ward, it is evident that most of the staff nurses spend their time doing documentations, preparing medications, following-up laboratory requests, as well as reading through the patients ' charts to affirm the physician 's order. Throughout the duration of our shifts as student nurses, I see that the most that the staff nurses get to be conversant with the patient is when certain procedures (such as feeding through nasogastric tube, taking

When a patient is admitted to the hospital, the nurse needs to be aware of the frequent hospital acquired problems such as the development of pressure injuries and moisture acquired dermatitis which could cause poorer patient outcomes and an increase to expenses for the hospital. There are a wide variety of assessment tools nurses can use to group patients based on their risks for skin breakdown or the development of pressure injuries such as the Braden Scale, which includes but is not limited to how frequent the patient is wet which would potentiate skin breakdown. What that scale does not take into account is the number of layers of linens on the average hospital bed. Many nurses may never have considered that folding a regular top sheet

Urgency of acute care varies depending on the situation but can range to anything from emergency surgeries, to injuries, chronic illnesses, and also for the recovery of those procedures. Majority of the patients in acute care settings are critically ill. Nursing responsibilities in acute care settings are vital to patient’s recovery due to the front line position nurses play as well as the wide variety of tasks carried out. Assessments are made during every encounter the nurse has with the patient along with monitoring the patient’s progress. Nurses are responsible for recognizing symptoms the patient may be experiencing due to illness or injury and whether they fall in the spectrum of normal reactions. Vital signs are measured routinely and can be indicators of the patient’s current status. When vitals are questioned diagnostic tests can be arranged to further assess possible comorbidities the patient may have. Care plans are made to plan interventions the health care team can take to help patients through challenges they face, both physical and mental. Nurses administer medications as well as first aid as needed. They are responsible for maintaining special equipment patients may require including monitors and ventilators are well.