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,
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,
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.
The major career I’m interested is a Neonatal Nurse Practitioner. They are professional registered nurse with clinical experience in neonatal nursing and also received formal education with supervised clinical experience. This type of nurse involve in the management of sick new-borns and their families. NNP’s concern is to those new-borns that requires special cared due to low birth weight, respiratory distress, congenital heart defects or various other abnormalities and disorders.
My preceptor is an administrative nursing supervisor named Katie Smith, RN, BSN. An administrative supervisor must assure that the hospital operates in accordance with institution established guidelines as well as contractual requirements. It is imperative that in this role, she is adequately utilizing the principles of supervision, insightful practice, and performance
Professionalism in the nursing profession provides a sense of individuality on how individuals treat, act, and respect each other on and off the job. Professionalism starts with respect towards others and upholding a sense of integrity for the nursing profession and the patients being cared for. Since nurses are a representation of the organization and are providing the care to patients, it is important for nurses to uphold a high standard of professional behavior at all times. Through a concept map of professionalism, this author describes how to enhance professionalism within the nursing profession. The explanation entails how each aspect pertains to the nursing profession and how each aspect has been used within the clinical
We are not only responsible for patient care, but we are also included in many other roles. Before nursing school, I thought that the main responsibility of the nurse is to take care of patient. During nursing school, I learned that patient care was not the nurses known just for. We took many general courses and nursing course work to prepare ourselves to be an educated member. For example, it was required to us to take microbiology, anatomy, leadership, professionalisms, etc to help us to become a better nurse and have a foundation base of education. We give patient care in the hospital, but we are also provider of care. We use the nursing process to help and make decision for our patient. Our decisions are based on critical thinking, clinical reasoning, and accountability. We are hold accountable for everything we do and based on our judgment to provide care to the best of patient’s benefit. We are also known for our role as a manager, designer, and coordinator of patient care. I plan and coordinate patient’s care based on their health care needs. In clinical, my patient has a Foley catheter, I will know to plan and implement Foley care to help with personal hygiene and preventing infections. It is important to make decisions based on priorities, time, and resources. As nurses, we need to know how to delegate and ask for assistance when needed. For example, I needed help to ambulate my patient who has a total knee replacement, I then ask
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.
Essay 1: How will you contribute to the mission of the Nurse Corps scholarship program in providing care to underserved communities?
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
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.
Age groups who can receive treatment from NPs are from neonate to elderly Adult. They can manage either acute or chronic illnesses. Additional job description of NP is their ability to provide comprehensive assessment, establish differential diagnosis, treat, order and interpret laboratories and diagnostic tests or even prescribed medication. They can also make referrals to other specialty areas (oncology, psychiatric etc.) if furthers assessment needs to be done regarding patient health status. An NP can be involved in health promotion and disease prevention by providing education to patients and their family about disease processes (Advance practice, “n.d.”). In contrast, CNS practice is more focus in education, consultation to other disciplines, research conduction, improving quality of care, and administrative role. CNS also provides direct patient role but NPs spend twice as much time providing direct care. CNS is more likely to teach, conduct support groups and provides psychotherapy in daily basis to health care staff (Lincoln,
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.
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)
Saying that you are a registered nurse is a broad statement. Registered nursing is a job that has many aspects. Registered nurses work in many different settings and they carry out many different routines. As a registered nurse you could be exposed to many different opportunities. My goal is to be a registered nurse but, I need to learn a lot. Becoming a being a registered nurse requires a lot of hard work and effort but, if I focus on my goal I will be able to achieve it.