Explain The Five Side Of Control In Nursing

I believe nursing is controlled from various sides. On the first side is the government and regulatory agencies whose job it is to make sure nurses work under the legality of the law. This would include licensing, local, state and federal laws governing our practice. The second side of control comes from The Joint Commission who sets standards of practice to maintain quality care for patients in healthcare organizations. Side number three is controlled by our healthcare organizations that have policy and procedures in place to guide nurses and their practice within the workplace. The fourth side of control comes from nursing theory that has been created, handed down, borrowed, reformulated and living as a structure and defining body whose purpose is to give care to those that are ill. The last side is our peers that direct the course of our practice through example (good or bad), reinforcement and social influence. These five side do not enclose the nurse complete but are at the

No matter what kind of shift I have, I walk away with a feeling of satisfaction regarding my vocation in nursing. Last Saturday, I was reviewing the chart on a patient that I has just assumed care of. I was told by the relieving nurse that all orders had been completed. I noticed that there was an order for 1 amp of D50- IVP stat. The doctor was coming off a grueling 13 hour shift and I recognized the error since, the relieving nurse informed me that she had just given this medication to the patient next door. I deleted the order immediately and informed the oncoming doctor. I felt such control in “knowing how” to identify this error and how to rectify it. This is a very simple exemplar yet it goes to prove something that I tell nonmedical people all the time, “I control the life and death of every patient I care for. They are sometimes just 1 medication away death if I don’t practice nursing