ANMC Domains of Nursing
PROFESSIONAL PRACTICE
(1.1, 1.2, 1.3, 2.1, 2.2, 2.3, 2.5, 2.6)
During my clinical placement at Fremantle hospital, I ensured that I read and understood all policies and procedures of hospital. I also got myself familiarized with infection control and risk and safety guidelines so that I could follow them properly in need. I also come to know the importance of wearing personal protective clothing (PPE) in relation to different disease conditions. I also come to know that as a nursing student I am not allowed to check or administered schedule 4 and schedule 8 drugs and not even could hold the keys for locked cupboard. During my first week, I come across a patient who was on vancomycin-resistant enterococci (VRE) control precautions with episode of stroke and left sided weakness. In this case, prior going to patient’s room, the necessary PPE required was gown, gloves with mask and goggles as extra precautions if needed. I noticed one of the occupational therapist went to
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He had his normal antipsychotic as regular medicine but soon he started hallucinating and his agitation increased. I then reported to my buddy RN and after looking at medication chart for patient, we discovered that doctor had written another PRN medication for the control of agitation which was a schedule 8 drug. These drugs are always locked and checked by two RN’s or one RN and an EN. Two enrolled nurses are not allowed to check alone. My preceptor asked me to check this PRN medication with her but I told her that I could not administer and check locked schedule 4 and 8 drugs as it is out of my scope of practice. I showed her ECU document that was signed by me before going to any placement which clearly indicated the prescribed medicine out of my scope of practice and guidelines stated that as a student I could not be a second
values for instance, nurses have to practise autonomously and responsibly also accountable for safe, compassionate, person centred, evidence based nursing that respects and maintains dignity and human rights (NMC 2014) communication and interpersonal skills, practice and decision making, leadership, management and team working. All nurses are personally accountable for their own practice for instance, work within their own limitations, decisions and actions, nurses must maintain professional knowledge and competences as well as continuing professional development. All nurses are expected to abide by the codes of conduct at all times, if a registered nurse or midwife fail to uphold these standards, the NMC can take action for instance, cautions,
1. What is the difference between a. and a. Which K, S, and A pertain to the care you provided to the patient you have chosen? Why do you need to be a member? K- Describe the limits and boundaries of therapeutic patient-centered care. S- Assess levels of physical and emotional comfort.
Obtain a copy of the nursing organization chart. What is the position of this role within the institution 's/agency 's administrative hierarchy? What is the relationship of this position with other departments/areas within the institution/agency? Director of Nursing. In the chain of command it’s a position below the administrator.
According to section 149(b) of national law, tribunal has authority to exercise any power under subdivision 6 of National Law if the practitioner admits it in writing to tribunal. Section 149C (1) (a) and (b) of national law empowers tribunal, if it is satisfied a practitioner is not competent to practice the practitioner’s profession, or a nurse is guilty of professional misconduct, to suspend or cancel the registration.
“Code Blue”, that the last thing anyone wants to here at the beginning or end of a shift, or for that matter at any time during their shift. With the development of rapids response teams (RRTs), acute care nurses and ancillary departments have a resource available to their disposal when need in uncertain situations. Many times nurses struggle to maintain a patient deteriorating in front of them all the while make a multitude of calls to the physician for orders or concerns. Having a set of “expert” eyes assisting you in these times helps alleviate stress and encourages collaboration amongst staff. (Parker, 2014)
According to CDC, hand washing is the only best to reduce cross-contamination. As usually as wash my hand and don gloves in order to reduce cross-contamination. I followed evidence based practice when provided morning care and later in the afternoon when I provided perineal care for the patient.
“We can’t turn away from a patient’s pain just because it’s difficult” (chapman, 2015, p. 88). I know the path of least resistance is taking a path of ignorance. Easy, is to ignore or neglect the true pain patients experience in times of crisis. As caregivers I believe we all want to heal others or we wouldn’t be in the field of nursing, but there are only handfuls willing to be present during the healing process because sharing one’s pain hurts. As a surgical nurse, I find being genuinely present takes hard work on my behalf, not only mentally but emotionally. On a unit where patient’s needs and conditions are changing at astonishing rates, being present requires mental strength in order slow down enough to recognize the value presence
There are many who believe that the next shortage will be worse and the demand for nurses will increase. There will be more jobs available especially with the baby boomer nurses retiring. Wood believes that when nurses retire, the next shortage could be even worse than the previous shortage. According to Wood this would lead to an “intellectual drain of institutional and professional nursing knowledge” (Wood, 2011, para 15). Staiger agrees as well that a shortage of nurses is expected again when nurses retire and since the economy will be more stable full-time nurses will go back to being part-time (Huston, 2017). Huston expects for the supply of nurses to grow minimally in the next couple of years and for a large number of nurses
I have been a registered nurse for the past six years. I started my nursing career in a long-term care facility where I worked for a year and half . I always wanted to challenge myself so l left long-term care and went to work in the intensive care unit for four years where I saw how people with diabetes are suffering when the disease in not managed well. I am currently working in post anesthesia care unit(PACU) where I recover many patients with diabetes complications post-surgery. I am committed in the innovation in order to provide an effective care for the people suffering from diabetes. For many years the disease has been killing people and introduction of the control tools will help in making the condition manageable. The innovation
Ask someone to depict a nurse, what will they tell you? Many hold the stance that the nursing profession is composed of angelic people in starched white uniforms, primarily women, whose main focus is patient care and following doctor’s orders. This image, though iconic and attractive to some, is not accurate when applied to modern nurses. In an effort to assess the attributes currently needed of nurses, I interviewed Jordan Kreklau. Ms. Kreklau is 25 years old and attained her BSN from The University of Eau Claire in May 2014. After attaining her RN license in July 2014, she was hired on for the medical/surgical unit at St. Joseph’s in Marshfield, WI, where she had worked as a graduate student. In 2015, she also began working in a progressive
(2014) shed light on two key components for infection control, which includes protecting patients from acquiring infections and protecting health care workers from becoming infected (Curchoe et al., 2014). The techniques that are used to protect patients also provide protection for nurses and other health care workers alike. In order to prevent the spread of infections, it is important for health care workers to be meticulous and attentive when providing care to already vulnerable patients (Curchoe et al., 2014). If a health care worker is aware they may contaminate the surroundings of a patient, they must properly clean, disinfect, and sterilize any contaminated objects in order to reduce or eliminate microorganisms (Curchoe et al., 2014). It is also ideal to change gloves after contact with contaminated secretions and before leaving a patient’s room (Curchoe, 2014). Research suggests that due to standard precaution, gloves must be worn as a single-use item for each invasive procedure, contact with sterile sites, and non-intact skin or mucous membranes (Curchoe et al., 2014). Hence, it is critical that health care workers change gloves during any activity that has been assessed as carrying a risk of exposure to body substances, secretions, excretions, and blood (Curchoe et al.,
A registered nurse (RN) is someone that went through a university or college and studied nursing; and then passed the national licensing exam to obtain a license to practice nursing. The degree earned by an RN at the need of the program is deemed a professional nursing degree. The RN top nursing staff and they usually works independently. On the hand, an LPN only earns a practical nursing degree after completion of the program. LPNs are mostly recognized only in USA and Canada; they are also named as License Vocational Nurse (LVN) in the state of California and Texas. LPN work under the supervisor of an RN or a physician.
Patient safety must be the first priority in the health care system, and it is widely accepta-ble that unnecessary harm to a patient must be controlled.Two million babies and mother die due to preventable medical errors annually worldwide due to pregnancy related complications and there is worldwide increase in nosocomial infections, which is almost equal to 5-10% of total admissions occurring in the hospitals. (WHO Patient Safety Research, 2009). Total 1.4 million patients are victims of hospital-acquired infection. (WHO Patient Safety Research, 2009). Unsafe infection practice leads to 1.3 million death word wide and loss of 26 millions of life while ad-verse drug events are increasing in health care and 10% of total admitted patients are facing ad-verse drug events. (WHO Patient Safety Re...
The code of professional conduct for nurses’ states in conduct statement 2, that a nurse must practice in adherence to the standards of their profession and the health board. In instances where a nurse observes any circumstance that goes against professional standards, or is unethical or unlawful practice, they must report this to the appropriate authorities. Further stated, is that if the issue is not resolved internally that the nurse may notify external authorities in order to safeguard their patients (NMBA, 2008a, statement 2). In this case the witnessing nurse should approach the Registered Nurse (RN) or preceptor for the clinical placement (Charles Darwin University, 2015). The elevation of the situation is important as the hospital needs to know of any breaches in its patient’s privacy. The NMBA code of ethics for nurses (2008b) states in the value Statement 7 that a nurse must ensure that the management of patient information is carried out in a safe and ethical manner. This means that not only are records correct, but the information in the records and any information about patients and their health is kept private and confidential to only the health professionals that require it. Without patient confidentiality there can be no patient confidence in the services rendered by that facility. For
...ene & cleaning is important, making sure to wash hands thoroughly, cover any skin abrasions, and use the correct chemical agents and disinfectants. Appropriate personal protective equipment (PPE) must be worn, including disposable gloves, a particular respirator, eye protection, overalls and rubber boots. Safe handling, transport, storage and disposal of clinical waste, sharps, contaminated clothing, pathology specimens and animal manure must be performed.