The charge nurse Michelle N., at San Gabriel Valley Medical Center has been working there for approximately seven years. She graduated from Cal State Los Angeles with a Bachelor’s Degree in nursing back in 1994. From there, she started working at a small clinic specializing in cardiac. She said that working in a small clinic, she had to handle a lot of patient care and administrative work. It was very unorganized, but it allowed her to build her leadership skills. She realized that she wanted to get her masters degree and started looking into master programs shortly after. She always knew that she wanted to work towards the management side of nursing. After getting her masters of Western University of Health Sciences in Pomona, CA, she landed a job at San Gabriel Valley Medical Center. She specializes in the ICU unit and has been working there for several years before working her way up to be a charge nurse.
Being a charge nurse in the ICU at San Gabriel Valley Medical Center entails many different types of responsibilities including scheduling, leading and coordinating daily activities. They oversee a team of nurses and support staff, including CNAs and LVNs. They must be able to communicate effectively and delegate responsibilities. Being a
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A democratic leader allows open communication by gathering ideas and feedback from employees. This type of leadership is very effective because it makes the employees feel more valued. They will feel like they are part of the decision making in the management process. Another type of leadership that Michelle uses is being a transformational leader. She inspires and motivates staff to function at the best of their ability. She has the characteristics of being an excellent leader by being charismatic, motivated, and determined to lead others. By using a combination of both of these leadership styles, it motivates the employees to perform at the best of their
I participated in project red with the Charge Nurse to promote quality improvement. The patient was going to be discharged from the hospital that day and was hospitalized previously for pulmonary pneumonia. I entered the room and introduced myself after I donned on my isolation precaution gear. I proceeded and entered with her instructions and computer on wheels. As I spoked with her she seemed like she was lost then I asked if she was understanding, she said “I prefer in Spanish”. I than continued to read the instructions about how to prevent pneumonia and how to treat it to her while translating them in Spanish. After, we spoke I made sure the charge nurse provided her Spanish written instructions. I than turned on the computer and started
Examples of patients with complex acute care needs are those with multiple comorbidities who need mechanical ventilator weaning, administration of intravenous antibiotics, and those with complex wound care (Munoz-Price, 2009, p. 438). According to Landon Horton, CNO of Select Specialty Hospital in Fort Smith, Arkansas, “The services provided by LTACH facilities allow the patients to get home who would not otherwise, have a higher level of functioning at discharge, and increase their quality of life” (personal communication, March 7, 2014). The role of the Chief Nursing Officer is a complex position. Educational preparation for the CNO role ranges from a Master’s in Nursing to a degree outside of the profession such as an MBA or a degree in a related area of study (Kerfoot, 2012, p. 38-39). In L. Horton’s role as the CNO for Select Specialty Hospital, the duties required by him are multifaceted.
Let me begin by giving you a brief history. I was hired in 2008 as an operating room (OR) circulating nurse. I made very good friends with 4 other girls from the OR. One was a surgical tech, another was a circulating nurse, the charge nurse (at the time) but has gone back to just circulating and the other was and still is the OR nurse manager. For years, all of us would hang out together as well as take short weekend vacations together. In July of 2015, I was promoted to the OR Assistant Nurse Manager/Charge Nurse. This is the point where for myself, certain conflicts began. As the new Assistant Manager, I knew that there were some different aspects involved in my job. One main aspect was making sure that the everyday details of the OR ran
There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster health and prevent disease.
Clinical Nurse Leaders’ responsibility scope includes all nurse and patient management details except for administrative duties. They are important resources in United States medical intuitions. CNL candidates must have a master’s degree to fulfill this position. This knowledge gives them the needed skill set to manage the daily operation of the hospital’s entire nursing pool. They also observe and regulate the patient care setting. Ultimately, the Clinical Nurse Leaders’ role will continue to gain importance as healthcare caseloads increase in
Mrs. Denise Callaway (RN, BSN) is my charge nurse at the hospital in rural Georgia. She is a patient advocate. In her interview, she stated that she is a patient advocate first and foremost. She believes that all nurses, RN?s and LPN?s, have a responsibility to advocate for their patients. She admits that she try to put herself in the patient?s and/or family?s place. She was taught to? do unto others? and she has followed that philosophy throughout her nursing practice. Mrs. Callaway always encourages her staff to see the best in the patients. She never sets in an office. She is always out on the unit helping staff, it does not matter if it is housekeeping, and she is always there to lend a hand when needed. She always includes her patients
As a medical / surgical RN, I provided care for the elderly, the infirm, the mentally challenged, the young, and the psychologically disturbed. The wide variety of patients exposed me to the effects of life style choices, health care choices, and the resulting impacts to the patient as well as to the family of the patient. This experience has fully matured my view of the awesome responsibility that we, as health care professionals, have been charged with, and it has furthered my desire to obtain the skills necessary to provide more advanced care for my patients. In addition to exposure, maturity and experience, my career as a medical / surgical RN has also sharpened my critical thinking abilities and provided insight on observing signs and symptoms that a patient may be unware of. Furthermore, as a charge nurse I learned the importance of collaborating with other health care professionals in order to provide the highest level of care available. In summary, my career as an RN has provided valuable experience, maturity, exposure to impact and outcome, enhanced my critical thinking abilities, and improved my collaboration
Nursing has always been a key career in the health care system. Although it is not often focused on media and stories surrounding health care, nursing is a career of great importance. If any patient was asked about their experience at a hospital or a care center, many would mention the capability and care that they received from the nurses. The health care system could not function efficiently, if at all, if nurses were not present to perform their part. Nurses are more than just physicians, support staff.
Working with new graduate nurses has instilled in me the goal to share my knowledge and expertise with others and to teach others the art of nursing. My short-term goals are to complete the Master’s program by the summer of 2014. My second goal is to secure a job as a nurse educator at a hospital and work with my nurse manager to provide program like in-service to the hospital staff and students. I would like to incorporate my education from State University’s master’s program to assist hospital staff and patients in their learning process, with the use of new technology to facilitate the learning and understanding.
In today's health care structure with the nursing shortage organizations are using charge nurses as gate-keepers to manage the day-to-day operation of the organization. According to Platt & Foster (2008) the charge nurse role is pivotal to the provision of high-quality care and effective charge management. However, many nurses are promoted to the role with no formal management preparation, or leadership skills, the may be apprehensive and in some cases reluctant to manage. Sherman (2005) suggested that providing a formal and structured educational program would improve leadership skills and confidence, resulting in less frustration and greater satisfaction for staff assuming the charge nurse role. According to McCallin & Frankson (2010) organizations must provide charge nurses with formal support to facilitate management development. Without the necessary preparation and ongoing in-service training these nurses may feel over whelmed, stressed and unsupported. Studies show nurses' become a liability to the institution when placed prematurely in the charge nurse role without proper training (Sherman, 2005). Additionally, they also play a central role in risk management for the organization (Sherman, 2005). Sherman & Pross (2010) state that a healthy work environment requires strong nursing leadership at all levels of the organization, but especially at the point of care or unit level where most front line staff work and patient care is delivered. The purpose of this proposal is to recommend a charge nurse development program that will improve and enhance the leadership and management skills of the charge nurse. The paper will address the following elements: Project objectives, review of literature supporting the need for an ongoing educational program for charge nurses, project methodology, timeline, formative and summative evaluation.
Prioritizing care is one of the first things that nurses learn in their career. Prioritizing requires critical thinking whether it comes to discharging a patient, caring for a patient, or delegating a task to a LPN or CNA. As the charge nurse they must look at the whole picture and not just the tasks that need to be done. The charge nurse is the one makes the assignments for the individual nurses, so if there happens to be a float nurse from a different department they might give them the patients with the lowest acuity depending on the nurse’s experience. The charge nurse must know which patients could be discharged if there was an emergency to arise or not enough hospital beds for those patients who need to be admitted. For example, the nurse is not going to recommend someone who came in with a heart attack; they would most likely recommend someone who is two days post op and is being discharged to a rehab facility in a couple of days. It is the charge nurses duty to make that everyone providing great and safe care to the patient.
Ever since I was in middle school I dreamed of working in the medical field. I realized nursing was the profession for me when my grandfather became terribly sick with lung cancer during my freshman year of high school. It puzzled me that one of the healthiest and most physically active people I knew could be afflicted by such a damaging disease. After watching my grandfather’s suffering and the pain my entire family felt from his death, I knew I wanted to go into a field to help others that are facing the same challenges. This is when I discovered all of the opportunities that a career in nursing could offer me.
My manager shift was spent observing Kaley McClure, the charge nurse on MICU at Our Lady of the Lake Regional Medical Hospital. I observed her leadership style and how she handled the tasks of a charge nurse, helping the nurses on the unit, and making it a team effort. I observed how she communicated with the staff on the unit, doctors, and family members visiting their family members. Kaley implemented the core functions of management while leading the unit which are planning, organizing, staffing, directing, and controlling.
Warren Bennis’s leadership theories from On Becoming a Leader serve as a guide to understanding the qualities and strategies that great leaders often exemplify. Classic leaders like Hillary Clinton have vision, passion, and integrity. These three things are the basic ingredients that Bennis proposes that most great leaders have in common. These are all aspects of leadership that allow people to better understand themselves and the world around them. In Hillary’s case, it is because of her determination to take the lead on different social issues around the world as a prominent figurehead that has allowed me to take a closer look into how she uses these basic leadership ingredients in her own practices....
There are several nurses that have established themselves successfully in the work I am pursuing. The work mainly involves care management, client teaching and patient advocacy. Care management focuses on ensuring that the care that various health care providers offer is cohesive to meet the patients’ needs. Client teaching deals with enabling patient gain knowledge about the medications and health. Patient advocacy is involved with protecting and advancing patients’ rights.