As registered nurses we all of the same goal of helping others, however, there are standards that we are required to follow. The purpose of this posting is to discuss the nursing scope and standards of nursing, as well as, how I have used this in my experience and practice as a registered nurse. According to the American Nurses Association (2010) “the nursing scope of practice is the who, what, where, when, why, and how of the nursing practice that concentrates on registered nurses and there common practices and competency” (pg. 67). In Ohio the nursing scope of practice is defined as; providing care to all using set skills, knowledge, and judgment originating from all areas and aspects of nursing (The Ohio Board of Nursing, 2015). As an RN …show more content…
I had an elderly patient that was admitted with broken heart syndrome, due to her husband of sixty years passing the recent month. The family of this patient wanted to fly her to a different state to be close to family; with her husband passing she no longer had family here to help her. This patient’s health started to decline during her admission to the hospital and she was found to have possible gall stones and cholecystitis. On the last evening that I had her she was in a great amount of pain and was getting agitated and restless; due to this the family requested that I give her Ativan, with her NPO status I had to give the Ativan through IM injection. Through the night she declined progressively and went unresponsive, I made multiple phone calls to the physicians and to our rapid response nurses in hopes that I could help her in some way; they all kept telling me that she was unresponsive due to the Ativan and to give it time to wear off. After morning labs were drawn I was called with a critical WBC count of 38 that was up from 11 the day before, I followed protocol and called the physician on call and was told she was already on antibiotics and there was nothing else we could do. At the end of my shift I gave report to the oncoming nurse and left and thought about this patient all day. I found out later that this patient was sent to the ICU that day and later passed away that week. For me this was a very difficult situation, I assessed and reassessed, I advocated, and gave care to the best of my abilities but no one wanted to listen to me that this patient was deteriorating quickly and in the end she died from it. Now I try to look at this as her getting to go be with her husband, but this could have gone a completely different way. Although we follow our scope of practice as a nurse we may not always get the end results that we hope for,
Association, A. N. (2010). Nursing Scope and Standards of Practice. (2nd ed.) Maryland: American Nurses Association. Retrieved January 20, 2014 from http://media.wix.com/ugd/8c99f2_4fde86431966e34f2e03bbb137edfee3.pdf
I cared for a 76-year-old end-staged chronic obstructive pulmonary disorder patient who was admitted for respiratory distress. The doctor requested that my nurse and I get the family together for a family meeting. During the meeting, the doctor communicated to the patient and his family members that the patient will be palliative and no longer be in the ICU. The family members were concerned about the transfer of care to the medicine unit, what to expect from palliative care and other options for care. This scenario did not go well because the patient and family would have benefited from a palliative nurse with expertise, respiratory therapist to discuss other options, pharmacist about medication change if needed, social worker to help guide the family through end of life care for their father. In addition, there was no collaboration with interprofessionals prior to the family
This discussion board is about the nurse’s scope of practice. The purpose of this posting is to discuss the definition and standards of the nurse’s scope of practice as defined by the American Nurses Association (ANA) and by the Ohio Board of Nursing with an example of how to use the standards of practice. Per the ANA, when determining the nurse’s scope of practice there is no one specific explanation that can be provided due to the fact that registered nurses can have a general practice or a practice that is very specialized. The limits that are placed on a RN’s scope of practice will depend on a registered nurse’s education, type of nursing, years as a nurse, and the patients receiving care. At the basic level, every nurse’s practice
As a nurse it is our primary job to protect and promote the well being of patients throughout the health care industry. Each nurse has the responsibility to practice faithfully and to uphold all ethical values. These values are outlined and regulated by two very important entities, The Nursing Practice Acts and the Texas Board of Nursing. Nursing Practice Acts, are specific laws in each state that define a nurse’s scope of practice. These acts were first established in 1909 with the purpose of protecting public health, safety, and welfare. Their purpose is to provide rules and regulations that will protect society from unsafe and unqualified nurses. Nursing professionalism is rooted in the ethics and ...
Nurse Practitioners scope of practice is governed by the state in which they practice, differing significantly between the states.
American Nurses Association (2010). Nursing: Scope and standards of practice (2nd ed.). Silver Spring, Md: American Nurses Association.
Tameisha Lambert05/15/2018Certification, Licensure and Scope of PracticeScope of PracticePTCB's certification process assists State Boards of Pharmacy in their mission to develop, implement, and enforce high quality standards to protect public safety. Potential applicants should first ensure that they are eligible to become PTCB certified. Although there is no age minimum and pharmacy experience is not necessary, applicants are required to have a high school diploma or an equivalent educational degree, such as a GED.To prepare for this exam, applicants should consider enrolling in a technician training course, especially one accredited by an organization such as the American Society of Health-System Pharmacists. Applicants who feel that they
Nursing today has implemented many standards, policies, and procedures that must be followed to ensure quality care for patients. In the healthcare field, The American Nurses Association (ANA) Standards of Professional Performance is a set of standards that ensures patients receive the highest-quality care available to them. The ANA Standards of Professional Practice requires all health care professionals to understand their specific roles and responsibilities. Understanding the specific roles and responsibilities is important for the student nurse to know so that he or she is aware of what they are being held accountable for prior to beginning their professional occupation in healthcare. Nursing students must be prepared to use and understand
I need further development in knowing what the scope of practice of an RPN is because at clinical I am unsure of the difference in roles of the RPN’s that are working on the units compared to the Registered Nurses (RN’s). I feel that knowing and understanding the scope of practice of an RPN is crucial, in order to ensure the safety of the patients, but also to protect your license as a nurse. Also, it is important to understand your role as a nurse to ensure the patients’ needs are being met, and to ensure you stay within your scope of practice while providing care. The CNO’s scope of practice statement is, “The practice of nursing is the promotion of health and the assessment of, the provision of, care for, and the treatment of, health conditions by supportive, preventive, therapeutic, palliative and rehabilitative means in order to attain or maintain optimal function” (College of Nurses of Ontario, 2015). The goal I set for myself is, I will learn and understand the scope of practice of an RPN in order to be accountable for all my actions as a future
There are legal requirements and policy to govern specific areas of health care practise. It differentiates nurse responsibilities, help establish boundaries of independent nursing action and assists in maintaining a standard to ma...
The scope of practice for the nurses and how to perform the duties within the scope of practice are discussed here. Scope of practice for nurses. Scope of practice refers to the actions, procedures or processes that are permitted to be done by a professional in his or her profession by the law (Anderson, 2013). The scope of practice that is permitted by law is based on the educational qualifications and the experience in the particular field. All the health care professionals have this scope of practice, including nurses, which is governed by a governing body of the particular profession.... ...
These recommendations promote the function to the broadest scope of nursing as a profession in practice. This is in response to the fact that nursing has a larger role, and more demanding role in healthcare.
INTRODUCTION There are many things that affect a student’s enrolment as a nurse the student must be competent in the many registration standards that the Nursing Midwifery Board of Australia have set. The stigmas attached to students with Impairments and or Criminal histories and the ineligibility to register. Nursing is defined by the International Council of Nursing (2014) as collaborative care of individual’s any age health or ill of all communities, groups, in all situations. Health promotion, illness prevention and the care of unwell, disabled and dying people are included in the nursing practice. Encouraging a safe environment, research, contributing to shape health policies and health systems management, and education are also key nursing
In this essay we are going to explore the connection between professional nursing practice and professional caring. I will outline the terms of professional nursing practice and what makes nursing a profession? I will describe the term of professional caring and the connection to the nursing practice and discuss the dilemma of care and cure. And also determine the importance of both in professional nursing practice.
The American Nurses Association created guidelines for the profession including, a set clear rules to be followed by individuals within the profession, Code of Ethics for Nurses. Written in 1893, by Lystra Gretter, and adopted by the ANA in 1926, The Code of Ethics for Nurses details the role metaethics, normative ethics, and applied ethics have within the field (ANA, 2015). Moral obligation for an individual differs within professions than it does within an individual’s personal life, so the code of ethics was written to establish rules within the profession. The moral obligation to provide quality care include the fundamental principles of respect for persons, integrity, autonomy, advocacy, accountability, beneficence, and non-maleficence. The document itself contains nine provisions with subtext, all of which cannot be addressed within this paper however, core principals related to the ethical responsibilities nurses have will be