Some of the roles a nurse will come across are caregiving, teaching, communicating and managing. It is part of the RN’s role to educate patients about their healthcare in an equitable manner (N... ... middle of paper ... ...ily (Nursing Council of New Zealand, 2012). Nurses demonstrate this in their professional practice by being accountable for continuing professional boundaries even when the patient is doing otherwise (Arnold & Boggs, 2011). It is precise of the nurse to avoid presenting too much personal information or developing emotions and becoming fond of a patient in a non-professional way, and to also avoid receiving gifts from any patients (Nursing Council of New Zealand, 2012). A time may arise when there is a pre-existing relationship with a patient who may be a family member or a friend, in this case the nurse could feel borderline confusion therefore the nurse is still to continue caring for the patient whilst abiding by the professional boundary procedures or the nurse can ask to be excluded from the patient’s direct healthcare team (Nursing Council of New Zealand, 2012)
According to the National council of state board of nursing (2005), the task should be performed if it can be performed with a predictable outcome and does not endanger a client’s life or well-being. For example, the nurse can delegate to the nursing assistant to collect and measure urine output and report it to the RN. This is a non-invasive task and would not harm the patient. However, if the patient were requiring straight catherization to collect a urine specimen, it would be delegated to the LVN since this is an invasive procedure that requires skills and knowledge of performing this procedure. Right circumstance is the next right of delegation.
Bibliography Nursing A nurse is a health care professional who cares for ill or disabled individuals, their families and communities ensuring that they attain, maintain or recover optimum health and functioning (Crosta, 2013). There are several kinds of nurses classified depending on their education and experiences. As an example, • In the UK Nurses are classified as: o first level nurse o second level nurse o specialist nurse o manager • In the United States nurses are classified as: o licensed practical nurses (LPNs) o registered nurses (RNs) o advanced practice nurses (APNs) These nurses will work in various health care settings. All of these nurses are having a legal outline to work in. Each kind of nurses has their own scope of practice.
I am going to expand upon Astha Regmi’s comment about professional codes and guidelines in Nursing Practice. I have chosen it because in her writing she has mentioned about professional conduct, code of ethics, its purpose in the nursing career and some of the essential guidelines for applying these ethics in the field of nursing. Professional conduct is the reference point on the basis of which the acceptable manner has to be portrayed by the professional person. Regardless of their job title, position or place of work, a person needs to act and carry his responsibility in a professional way. A person should not involve in any professional conduct which involves misconduct activities like corruption, deception, duplicity (CFA, June 2014).
Any professional caregiver assigned to care for him would be informed, and would also be adequately trained in standard precautions. Consuela is neither. The nurse should go to the responsible discharge planners and ask that Consuela be removed from the list of eligible caregivers. This would allow Medicaid to revisit the case and perhaps assign an appropriate caregiver. In the absence of a home caregiver, the nurse could argue that Carlos is not, in fact eligible for discharge, and that the safest thing to do would be to allow him to recuperate in the hospital, where he can be guaranteed that he will have appropriate caregivers.
There are times when this is not the situation. In these cases, the nurse has the right to invoke Safe Harbor, because according the ANA, nurses also “have the professional right to accept, reject or object in writing to any patient assignment that puts patient or themselves at serious risk for harm” (ANA, 2009). “Peer review is the evaluation of nursing services, the qualification of a nurse, the quality of patient care rendered by nurses, the merits of a complaint concerning a nurse or nursing care, and a determination or recommendation regarding a complaint,” (Texas Board of Nursing, 2013). There are two types of nursing peer review: incident based peer review (IBPR) and Safe Harbor peer review (SHPR). The purpose of this paper is to discuss the Texas Board of Nursing’s (BON) Safe Harbor Peer Review (SHPR).
Section 5.3, which is wholeness of character, suggests that nurses must develop and take into consideration their own moral perspectives when practicing in their careers. Nurses are encouraged to express their moral viewpoint when it is helpful to the recovery of their patients, but must never express moral beliefs based on social stigmas that could negatively affect patient outcomes. Section 5.4, which is the preservation of integrity, suggests that nurses will inevitably have to deal with threats to their moral or professional integrity at some point in their careers. Nurses should do their best to maintain professional integrity when met with adversity, weather it be from uncooperative issuance companies, an unsound work environment, or from the patients themselves. When working in an unsound or unsafe work environment that violates law or the ANA code of ethics nurses must go through the proper channels to fix the problem.
Provision 4 explains the nurse’s obligation in providing optimal patient care is determined by the appropriate delegations of tasks that a practicing nurse is responsible and accountable for. The patient has a legal right to negate treatment, as often seen, but that does not make it an ethical decision for their health. The nursing indications principle is the obligation a nurse has in direct care activities, delegating, and teaching. The nurse maintains accountability and responsibility in accord with the standard of patient care, under these nursing indications. In the case of a patient complaining of severe pain the nurse who contacts the physician to obtain an order for pain relief is acting in beneficence to that patient.
People in the field are expected to be knowledgeable and independently use decision making in solving various problems that may arise. The decisions made should be within the norms and values stipulated for a profession. Professional identity is a necessary attainment that requires one to meet if he or she has to be successful in the career. Inability to be identified within a profession inhibits one to carry out his or her duties, acceptance in the profession and inability to link with the desired profession. As a registered nurse, one has to understand what it means by being a registered nurse, how to do things following all the legal requirements associated (Johnson et al., 2012).
However, key nursing functions, such as assessment and evaluation, cannot be delegated and remains withheld. The decision by the registered nurse, to assign various healthcare responsibilities to another professional, is influenced by his/her perception and understanding on the condition of the client as well as the kind of skills, training and competency of the healthcare professional assigned these responsibilities (Lipe and Beasley, 2004). The Registered Nurse, therefore, only delegates healthcare functions he or she believes will complement the level of proficiency and competency of the healthcare professional. Additionally, the registered nurse also puts into consideration the policies of the healthcare institution, regarding delegation, before delegating nursing