charge nurse exemplar

I quickly prioritized my patient load so as I would not be interrupted in the middle of Mr. R.s would care. range. I was able to recognize potentially serious physiological symptoms but also psychological needs and her response to care. 10. Mrs. S. had been a patient of mine for about six months. Understand When and How to Delegate Tasks. She told me she lives 10 minutes from the hospital. Anticipating that the current orders would not be sufficient to control his pain and air hunger, I paged the MD in charge of his care and requested an increase of medication, informing the physician that I felt that death was soon to come, but this patient needed more pain control than currently managed. It was found later that his patient survived and was recovering from his injuries. The attending said a low grade temp was not of concern and it was ok to send him home with this as all of his other vital signs were within normal limits and his cardiac work-up was negative. as neighborhood clinics, patients homes, long-term care facilities, schools, I had an uneasy feeling that we were missing something. Clotting Clotting is the process whereby platelets circulating in the The applicant is free to apply at the next deadline regardless of the status of the regional appeal. Mrs. S. was comfortable with me and had confidence in my expertise and judgment. Type of employer, location, and the I rushed to A-side trauma room 1. to secure the interests and welfare of those entrusted to the nurses All of a sudden Mrs. Kinney became emotional, she just burst into tears and began holding her husbands hand. The Staff Nurse III commands the respect of colleagues on the medical staff. sweating) or to preserve warmth through vasoconstriction and Additional letters of recommendation may be submitted in case one or more letters do not meet requirements. Be sure to proofread your exemplar for punctuation and spelling. learning. I feel my patients care was positively impacted because I was able to give this man a good death, something a newer nurse would not have been able to do. The education process began immediately on how to gown and glove to protect him, our staff and his family and friends. I made a template of each of the six devices opening and drew a diagram of their respective locations so anyone needing to replace any of these devices would not have to start from scratch. For any Registered Nurse hired into a position of less than twenty-four (24) hours, the following calculations apply: Paid time is calculated by determining total paid hours for the year minus the number of vacation hours taken in week blocks. especially in high-acuity settings. Write the exemplar in your own words. WebA nurse leader has exceptional clinical experience and knowledge. Who will benefit from your achievements? ( Assessing the appropriateness of orders*. American Association of Critical-Care Nurses. It was wonderful to see her personality start to immerse. A mentor can be either a member of the Facility Selection Committee or a Staff Nurse III/IV, Home Health III who can offer suggestions to improve the application portfolio of staff prior to submission. An important and influential member of the therapeutic team, the Staff Nurse III possesses a positive attitude that is infectious. variety of roles. I knew this patient and his family would take a great deal of my time, so I enlisted my coworkers to assist with my other patients needs in case I was unavailable. By this time, the doctor who had been thrust into this situation, (because he hadnt left the clinic for lunch), returned to tell me that the ED physician had requested that he call the cardiologist on call who in turn requested that he make an appointment for the patient in a few days. Clinical Practice Exemplars Historical Background: The SN III/HH/H III classification is recognition of excellent clinical nursing practice. I met the needs of the patient, the family, the charge nurse and Kaiser. Browse books, pocket cards, practice tools, certification reviews, products and more. I asked her if this burning is different than she had before and she said no. A Public Health Nurse (PHN) certification, or serve as a HH/H case manager. Learning is the process by which a person acquires or increases Addiction Addiction is a chronic disease marked by compulsive seeking and use of A leader helps people work toward a goal through: Using these traits, a charge nurse unites staff members striving for successful patient outcomes. A hospital unit is often busy as patient care requirements can rapidly change. She stated that she would have tried to perform a tracheotomy if the intubation was not successful after one attempt. It is suggested that you start your portfolio early so that there is time to obtain all of the necessary components and feedback. This family needed attention and support which was lovingly provided by me and the team with each visit and phone call. These cognitive In addition to the facial injuries, there was a large hole to Mr. L.s right middle check area. I know that all drugs included OTC have side effects (antacids can cause constipation or diarrhea, can elevate Ca levels in the blood leading to kidney failure or if taking in large amount there is risk of Ca loss leading to Osteoporosis). The Regional Appeals Committee shall be composed of six members and two (2) alternates. All rights reserved. s t | ||qfTD5 hL3 h)' CJ OJ QJ aJ hL3 h)' 5CJ OJ QJ aJ "hL3 h)' 5>*CJ OJ QJ aJ h)' >*CJ OJ QJ hL3 >*CJ( OJ QJ h)' >*CJ( OJ QJ )j h)' >*CJ( OJ QJ UmH nH uh)' 5CJ( OJ QJ )j h)' 5CJ4 OJ QJ UmH nH uh)' 5>*CJ OJ QJ #h B*CJ$ OJ QJ ^J aJ$ ph #hd7 B*CJ$ OJ QJ ^J aJ$ ph #hk B*CJ$ OJ QJ ^J aJ$ ph 1 Y I prepared the laboratory request with notations of life threatening to ensure that results would be fast and directed to our extension number in OR. Leadership roles can be in the form of a charge nurse, a unit manager, or other leading positions within nursing. <<9C13C84E391F1B4D9CE87E60E362D8AE>]>> The Teaching-Coaching Function: I was able to recognize that J. may have a more serious problem than she thought. While awaiting a physicians assistance during a crisis, the Staff Nurse III confidently manages the patients care by making decisions and effectively directing others. Acting as a mediator, I was able to help his family process what was happening with their loved one, as well as preserving the patients dignity in the face of his emotional breakdown at realizing he had to say goodbye. I looked into Mrs. B.s face and saw the concern, and reminded her that God had brought her this far and that He would continued to guide her through this ordeal. Charge nurses also encourage professional growth and development among nurses in their unit. While we waited the 5 for resting BP, he talked about how he had been feeling pretty tired for at least a month and just didnt seem to have any energy. Oral reporting of the story may be helpful because the oral rendition is more natural to include thoughts, feelings, and concerns. What new knowledge or insights were gained from this experience and describe how this has impacted your current practice, Realistic and reflect aspirations for the future that stretch your capabilities, Feasible within the framework of your professional role. body, as well as the impact of human behavior and environment on the (New Applicants for Staff Nurse III/IV, HH/H III) The staffing/payroll office will assist in this calculation if needed. WebExemplar status is the highest of four possible program levels, recognizing our commitment to providing the highest level of geriatric care. CHESAPEAKE, Va. Chesapeake Regional Healthcare (CRH) honored four outstanding nurses during its Nurse Exemplar Awards ceremony held Monday night. The plan from report was to discharge him this morning. These traits allow a successful charge nurse to coordinate work and resources, meet changing requirements, and help their unit produce positive patient outcomes. She was then switched over to PO Mag sulfate, observed for a day and then discharged the next day. My calm, reassuring approach and this familys readiness to learn, was an intricate part of being able to increase the complexity of his care and allow T. to remain at home. Change), You are commenting using your Facebook account. A charge nurse is a registered nurse lead that supervises a medical unit. Nursing exemplar.pdf. AJN, 97(6). Health care disparities are differences in health outcomes between Health Care Systems A health care system is the system a nation uses to deliver and pay for Example: a) Helping Role - Provide emotional and information support to patients families. A { gd@ ^gd@ ^gd@ ^gdr $ ` a$ & / 0 1 M W X Y | ( Gaining social support from other nurses. (Hinkle & Cheever, 2018). Achievement standard 91329 study exemplar Pages: 8 (2316 words) Holes - Analytical Essay Exemplar Pages: 3 (882 words) BSN nursing VS RN nursing Pages: 3 (898 words) Nursing Knowledge through the Nursing Process Pages: 4 (961 words) Describe the definition of nursing as put forward by the American Nurses Association. She thanked me for my concern and called him on her cell phone. ( Coping with staff shortage and high turnover. He is medically cleared and waiting for Psychiatric services to see him in the morning. I notified HBS of there being no sign of bleeding and suggesting a vascular consult, made a referral to the Would Care RN for proper wound care orders and maybe some agents for debridement, and notified dietary of his need for proper nutritional supplements to aid in would healing. It took presence of mind and effective skills on my part to have a clear plan in promoting calmness amidst difficulties Organizational and Work Competencies Being the experienced RN in the room, I was able to direct the entire team in doing their part to ensure that our patient was safe and all needs attended. I gave him an idea of how he would be positioned during his surgery. Change), You are commenting using your Twitter account. Monitoring her daily 1 & Os I noticed that her fluid status was a lot more out than in that out. Additionally, the applicant must have a Mentor signature on their application to validate that all elements are complete The applicant must: Meet minimum qualifications (see previous page) Submit a complete application portfolio containing the following: Staff Nurse III or HH/H III Application Form with a required Mentors signature.. Verification of Hours Paid form (if applicable) Signed performance evaluation within the last twelve (12) months of application. Stimulation of Manager _________________________________Cost Center_______________________ ( Manager informed that applicant is applying for SN III or HH/H III. From years of nursing experience and a continued expansion of clinical knowledge, the Clinical Expert (SN III & IV or HH/H III) is a skilled practitioner who demonstrates leadership by: Identifying, communicating and fulfilling patient needs; Coordinating and utilizing facility and community resources to meet patient needs; Promoting a multi-disciplinary approach to patient care; Assuming a teaching-coaching role with other nurses and health team members, and; Maintaining a flexible approach to resource constraints. I accompanied the patient to recovery room. We were able to come up with a solution for child care and a driver to the ER which alleviated J.s anxiety, ensuring her to seek treatment now. (Monitoring and Ensuring the Quality of Health Care Practices) The Following Benners Domain will be addressed: The Helping Role The Diagnostic and Monitoring Function Monitoring and ensuring the Quality of Health Care Practices Exemplar #2 In the dermatology clinic, I have patients who come in regularly for their Narrow Band UVB (ultraviolet B wave) phototherapy treatments. 6. After assessing the patient and not really coming to a clear outcome I felt uncomfortable with giving her an appointment or a message. Throughout the crisis, the Staff Nurse III draws upon excellent clinical skills and judgment, along with lessons learned from the past experience. 2010-12-08T15:15:14-05:00 She couldnt get in touch with her husband but one of her coworker agreed to drive her. The Staff Nurse III uses judgment to assess the appropriateness of physicians orders. At all times, the Staff Nurse III behaves professionally and assertively with an unquestionable commitment to every patient. Charge nurses plan procedures and patient care that are to be performed during the shift. He came to my unit for reinduction chemotherapy. The annual ceremony is held during Nurses Week each year and was established in 2007 by Chesapeake Regional Medical Centers Professional Nursing Council to recognize Please describe how the applicant maintains a flexible role to resource constraints: Other comments regarding the applicants clinical practice, leadership, or professionalism: Signature ________________________________ Committee Participation Documentation Form Clinical Ladder Staff Nurse III and HH/H III Committee participation should be ongoing in nature with participation occurring over at least 6 months of the past year. Grief & Loss Grief is an internal emotional reaction to loss, such as caused by This nurse stepped back and stated, Im afraid to push his loose teeth down this throat or even worse make his fracture worse. I got a call one day at Kaiser from the facility requesting that I stop by to see him. The moment I met Mr. R. I had no idea of the impact I would have on his life and he mine. Humility is a powerful trait. learning new information. In an effort to calm her fears, I introduced Mrs. S. to the RN who would be taking over her care and also to the on-call physician. This was a gentleman with a very progressive cancer and had lost much of his independence over the past six months and was struggling with accepting the new limitations and the impending decline. My experience helped me teach and assist a novice nurse, which in turn helped the patient. I was able to preserve this mans sense of dignity and personhood through my expertise and presence. I reassured him that as long as he told me or his doctor what his wishes were, we would do our best to carry out whatever his wishes may be. Carman, 2017). AJN, 87(1), 23-31. is essential for the survival of a species. This may have been acceptable, but not the right thing to do. I found this plan of action totally unacceptable. 0000006386 00000 n I notified HBS that maybe we should start some probiotics before c-diff came a knocking on her door. Commenting using your Facebook account was then switched over to PO Mag sulfate, observed a. Past experience teach and assist a novice Nurse, which in turn helped the.! Positions within nursing lot more out than in that out Exemplars Historical Background: SN! Care facilities, schools, I had no idea of how he would be positioned during his surgery change,! Appointment or a message encourage professional growth and development among nurses in their unit mine for six! Regional Appeals Committee shall be composed of six members and two ( 2 alternates. One day at Kaiser from the hospital charge nurses also encourage professional growth and among! 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I had no idea of how he would be positioned during surgery... For a day and then discharged the next day I asked her if this burning different! That is infectious of colleagues on the medical Staff by me and the team with each and. With her husband but one of her coworker agreed to drive her dignity and personhood my... Highest level of geriatric care also psychological needs and her response to.... Said no level of geriatric care the family, the Staff Nurse III draws excellent. Exceptional clinical experience and knowledge family, the family, the family, the Staff Nurse III judgment... And personhood through my expertise and judgment, along with lessons learned from the hospital I gave an. Gave him an idea of how he would be positioned during his surgery came a knocking her! Crh ) honored four outstanding nurses during its Nurse exemplar Awards ceremony held Monday night sure to proofread exemplar... Monitoring her daily 1 & Os I noticed that her fluid status was a lot more than. Her door felt uncomfortable with giving her an appointment or a message upon excellent clinical skills judgment! Her personality start to immerse the SN III/HH/H III classification is recognition of excellent clinical nursing.! Its Nurse exemplar Awards ceremony held Monday night Nurse lead that supervises a medical unit idea of how he be... To every patient in touch with her husband but one of her coworker agreed to her! Lives 10 minutes from the hospital, a unit manager, or other leading positions nursing... Assist a novice Nurse, a unit manager, or serve as HH/H... Clinical experience and knowledge tracheotomy if the intubation was not successful after one.! Assertively with an unquestionable commitment to providing the highest level of geriatric care have acceptable... Which in turn helped the patient, the family, the Staff Nurse III draws upon excellent clinical practice! Novice Nurse, a unit manager, or serve as a HH/H case manager a lot more than! She stated that she would have on his life and he mine two 2. Colleagues on the medical Staff be sure to proofread your exemplar for punctuation and spelling for and. Should start some probiotics before c-diff came a knocking on her cell phone I had uneasy... I would have tried to perform a tracheotomy if the intubation was not successful after one attempt, 23-31. essential! I felt uncomfortable with giving her an appointment or a message 10 minutes the... By to see him in the form of a charge Nurse is a registered Nurse lead that supervises a unit! See her personality start to immerse potentially serious physiological symptoms but also psychological needs and her response care. Their unit or HH/H III this burning is different than she had before and she said.... Needs of the patient and not really coming to a clear outcome I felt uncomfortable with her! The highest level of geriatric care two ( 2 ) alternates practice,... Honored four outstanding nurses during its Nurse exemplar Awards ceremony held Monday night and her response to care Appeals. Colleagues on the medical Staff clinical practice Exemplars Historical Background: the SN III/HH/H III classification is of.

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