Clinical log 1
The purpose of this paper is to examine a clinical situation that required the writer to expand knowledge base about different roles of a clinical nurse specialist. Description of the situation is followed by its examination and analysis, and concluded with the writer’s reflection and insight for future practice.
Description of a Clinical Situation
My preceptor received a referral for a patient who had a surgery for a construction of an ileal conduit over seven days ago. Although stuff nurses were fully capable of nursing care, teaching, and preparation for discharge, they waited until the patient’s discharge day and relied on my preceptor to do all of them. Being unable to find out the detailed referral reason except the message
…show more content…
It turns out, many of my co-workers were the same. The most of them did not know that my preceptor was a CNS, and even if they knew, they did not know the roles of CNSs. Without having the knowledge of a CNS, I, as a stuff nurse, have involved as many resources as possible for my clients in the past, and my preceptor, the wound care nurse was no exception.
Canadian Nurses Association (CNA, 2014) defines a CNS as “a registered nurse who holds a graduate degree in nursing and has a high level of expertise in a clinical specialty” (p.1) and describes its five scopes as a clinician, a consultant, an educator, a researcher, and a leader (CNA, 2009; Virani & Associates for Canadian Nurses Association [CNA], 2012). Thus, CNSs are expected to work with and to influence multi levels within the practice setting that includes community, organizations, and politics (CNA, 2009, 2014). Focused on enterostomal nursing, a registered nurse who graduated from Enterostomal Therapy Nursing Education Program (ETNEP) provided by Canadian Association for Enterostomal Therap (CAET) may use the unprotected title of enterostomal therapy (ET) nurse, and an ET nurse who successfully wrote CNA Certification exam is allowed to use a protected title of Certified Enterostomal Therapy Nurse Canada (CAET,
I plan to pursue a career in nursing as a Family Nurse Practitioner. This career take many steps to complete. But it is different routes you can take and different programs you can enroll in for this profession. Family Nurse Practitioners can prescribe medication and diagnose patients and give treatment. They can work either in hospitals and or clinics as a primary healthcare provider. They can also order specific x-rays and test that need to be done for a patient. The nurse practitioners interact with less patients in a clinic than in a hospital. Np’s have privileges to prescribe medications in every state.
Nurse practitioners (NPs), one type of advanced practice nurses, are licensed by the states where they practice and certified by private boards. Nurse practitioners hold advanced degrees in clinical practice and function in a wide variety of settings and across the life span. They provide a broad array of healthcare services ranging from managing treatment plans, to prescribing medications, to implementing health promotion services. As of 2014, 205,000 NPs were licensed in the United States with 86% of those prepared to deliver care to patients in primary care settings (NP Facts, 2015). The progression of the Nurse Practitioner movement that occurred in the 1960 and 1970s emerged as a creative and
o Type of healthcare worker: Nurse practitioner o When this type of work entered the market: The medical profession of nurse practitioner was developed in the mid 1960s. The job of nurse practitioners grew from implementing work from primary care physicians into that of traditional nurses. o Reasons for creation and growth: In the late 1950s and early 1960s, increased specialization amongst physicians was taking place, which led to many doctors exploring other avenues of medicine, resulting in a large shortage of physicians practicing primary care. This left many rural and inner city areas with very limited access to medical care.
According to the American Nurses Association, nursing is defined as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations” (American Nurses Association, 2016). Nurses have many jobs and responsibilities and wear many different hats. Nurses can perform at many different levels depending on their scope of practice which is defined by the board of nursing in one’s state of residence. It is important as nurses to understand and follow
Essay 1: How will you contribute to the mission of the Nurse Corps scholarship program in providing care to underserved communities?
As a Clinical Nurse Specialist (CNS) it is a part of my duty to develop my knowledge and provide advanced clinical and diagnostic skills during patient treatment thus enhancing the holistic patient outcome.
The medical secretary, registered nurses, licensed practical nurses, and physicians communicated consistently and appropriately so that all staff could effectively complete the actions required of their respective roles. I noted the strong relationship between the nurses and the physicians. The nurses held a heavy influence on the physician’s decisions regarding a situation, because the nurses were the ones conveying pertinent information related to the patient’s status. Based on the information provided, the physician would make recommendations and provide guidance to the nurses. The physician’s directions were then carried out by the nurse, influencing the nurse’s plan of care for his/her
Once upon a time, my best friend, Bryan Martinez, often heard his mother’s medical conversations with friends. One day at school, our teacher confronted Mrs. Martinez and told her that she was able tell that Bryan was a son from a nurse. Apparently there was an incident at school where a little boy was acting out and Bryan told our teacher that the little boy was agitated, and to give him some medication to calm him down. As demonstrated by Bryan, nursing is ongoing profession that promotes the health and well-being of individuals.
Licensed practical nurses (LPN 's) fill an important role in modern health care practices. Their primary job duty is to provide routine care, observe patients’ health, assist doctors and registered nurses, and communicate instructions to patients regarding medication, home-based care, and preventative lifestyle changes (Hill). A Licensed Practical Nurse has various of roles that they have to manage on a day to day basis, such as being an advocate for their patients, an educator, being a counselor, a consultant, researcher, collaborator, and even a manager depending on what kind of work exactly that you do and where. It is the nursing process and critical thinking that separate the LPN from the unlicensed assistive personnel. Judgments are based
When I am older I would love to be a Nurse Practitioner, I enjoy helping people when they are sick and taking care of them. Another reason I want to be a Nurse Practitioner is because my sister is also a Nurse Practitioner.
When people think of a pediatric nurse practitioner, they normally think of a person who performs examinations, takes blood samples, and measures vital signs of children who are sick. What they don’t see are the countless hours spent getting to know the patient, showing sympathy and understanding, and having to explain the diagnosis and treatment plans to the parents and sometimes to the child. According to my career cruising inventory, any job in the medical field would be right for me. However, after reading the descriptions, I concluded that a pediatric nurse practitioner was the best path. I will be attending nursing school to receive my nurse practitioner license, while specializing in pediatrics. The skills, educational requirements,
Pediatric Nurse 1. A pediatric RN assists pediatricians by assessing a patient's needs and providing initial patient care. They help families deal with a child's illness or injury. They often offer information on nutrition, diet, and good health habits. The work of a Pediatric Nurse can range from assisting a Physician with the exam of a child to drawing blood.
A leader is described as a person who guides others and has authority and influence over others. They work to influence others into meeting certain goals. There is no right or wrong definition of a leader and there is no recipe that ensures effective leadership. Successful leaders have a good balance of vision, influence, and power. Leaders gain their authority from their ability to influence others to get the work done; because of this, anyone has the potential to be a leader. (Finkelman. 2012, p15)
“A few gaps were identified between CNS core competencies and CNS role expectations in current practice.” (Baldwin, Clark, Fulton, & Mayo, 2009, p. 193). Core competencies from the NACNS are well founded from the view of practicing CNS’s as stipulated by Baldwin et al. These core competencies serve as the framework for CNS’s. “The competencies are specific enough to facilitate an understanding of the role by nursing leaders who are not CNSs yet who are responsible for evaluating CNS practice within an organization.” (Baldwin, Clark, Fulton, & Mayo, 2009, p. 200). Findings from evaluation of the CNS job are being used by the American Nurses Credentialing Center (ANCC) as for a new core CNS test that is in
I want to be a nurse, specifically a nurse practitioner. I have always been fascinated with the medical field and see a bright future in it for me. I have the opportunity of meeting new people every day with a variety of personalities. There is always something new to discover in this field. A nurse practitioner's job is to be able to diagnose and treat illnesses. They also prescribe medicine and run physical exams. I am highly interested in pursuing the career of a nurse practitioner because the healthcare field is always in need for medical professionals, it pays well, and I am helping people at the same time.