WebCharge Nurse Resume Examples. Disease (COPD), Disseminated Intravascular Coagulation (DIC), Quality Improvement Cycle: Plan- WebApplication packets for Staff Nurse III or HH/H III are available from the nursing office/staffing office or the She attributed it to lack of sleep and new mother anxiety, but wanted reassurance. I felt that a hospital admission was needed. Family dynamics became uncomfortable at times but taking care of my patient included his whole family. In these occasions I am very frustrated because I know that in the end it will be a 911 call and not usually a happy ending. 5V5E*h1v5=?+a2HF&#GA`L^_ni!a:3j8 t]3\F67vx]F_J04o7@oB
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xA^'Sr7,z J%4{Cf@LcE How did your chapter decide on the goal? In no time we were able to position the patient taking into consideration that he was well supported and padded. The charge nurse role requires diligence, patience, and skill. She thanked me for my patients and kindness. The Staff Nurse III is a confident and caring professional who is dedicated to achieving positive patient outcomes. Upon my assessment, he was pale and warm to touch. X-RAY prior to the Endoctracheal Tube placement didnt show a bullet lodged anywhere in the facial region. WebThe nurse in charge received him and outlined that the boy had vomited and so I went over to talk to. normal balanced state and are perceived as a challenge, threat, or WebA) The client is very old and has multiple health problems. Creating and following a budget can be challenging. Fluids & Electrolytes Fluid and electrolyte balance refers to the bodys maintaining Community-based practice sites can be as varied should result in a positive or rewarding
Experience for the patient. How would you describe yourself and your work? AJN, 97(6). Almost intuitively, this nurse detects subtle changes in the patients condition. Are you seeking a leadership role in nursing? Anxiety Anxiety is a vague feeling of dread or apprehension, in response Charge Nurse Salary & Employment Charge nurses can expect to earn between $50,400 and $90,523 annually, with the median salary landing at $68,863 per year. I had Floseal and Surgicele on board; both were effective means of helping to control bleeding. (The diagnostic and monitoring function)
From my past nursing practice I recognized similarities with other atypical presentation of cardiac ischemia and I explained to Mrs. C. in terms she could easily understand the rationale of my interpretation. I asked the ED MD if it wouldnt be better to trach this patient to protect the airway. Write the exemplar in your own words. She could take her in but she didnt want to bring her daughter with her. I was always a step ahead helping everyone in the team. Transfers to another area of clinical specialty require application for Staff Nurse III or HH/H
Nurse III in the new area (see minimum qualifications). I questioned the surgical technician about the 2 missing sponges and I was told that the surgeon had one sponge in his hand and that the other one was resting on the drape. I was able to re-adjust my priorities so that all of my patients knew I was still caring for them despite this period of work (and emotional) overload. As a Would Care Champion, my assessment of the dressings on his feet was a priority. The attending said a low grade temp was not of concern and it was ok to send him home with this as all of his other vital signs were within normal limits and his cardiac work-up was negative. Development is a dynamic and continuous process as one I came back to her and thanked her for the patience. During this time I gained experience from people suffering at different severities of their mental illness. The narrowing of an artery caused by building up of plague and its rupture leads to clot formation also. Photocopies of CEs, CMEs, college credit certification, need to be included in the portfolio when the application is submitted. It ddescribes in detail a particular clinical situation that includes the nursess thhoughtts, feelinngs, intentions, Mrs. B. confided in me that she was having a hard time with the food; she would push it around a lot of the plate and not consume nearly enough of it. These drugs include some ATB, Propranolol, Captopril and H2 blockers. In assessing a patients readiness to receive information, this nurse incorporates knowledge gained from past experience with other patients. (see required details that follow in this packet)
Staff Nurse III or HH/H III Checklist (part of Scoring Guidelines)
Submitting these materials in the order listed above would be helpful but not required. I instructed both surgeons to look for it as well as the surgical tech. A charge nurse is responsible for the effective performance of a particular nursing shift or team. Choose a mentor from the local FSC mentor list. She just got a new job and she has insurance now with Kaiser. The team also encouraged his daughter to take a more active role in his care which she was willing to do. Current performance evaluation at the mid-point or above on average. These are the situations that nurses recall again and again. Unit/Shift _________________/___________ Facility__________________________________
Phone: WORK___________________ HOME___________________ OTHER______________
R.N. The charge nurse also evaluates patient outcomes during their shift. 0000003340 00000 n
How did you determine the appropriate action? See Guidelines for Letter of Recommendation. family health care needs. Membership will be reviewed by the Nurse Executive/DONP or designee who is charged with ensuring board-based representation over time. She wanted a quick solution but intuitively I knew she probably would need more emergent care. A key component of this nurses professionalism is the consistent choice to maintain and projects both caring and sensitively toward patients, using touch and presence. Discover potential problems that may arise if the rule is approved. influences roles and interactions with others, as well as within families I then went to the hospice team and discussed the possibility relief with the PCA function. He had such a positive attitude and I could say that he was indeed very pleasing. She had been discharged from 4W and after returning home for a brief period of time, returned with major abdominal pain. A RN peer familiar with your practice
A supervisor (a nursing supervisor familiar with your practice
Another health team member (MD, PT, Social Worker, etc.) to minimize the effects of injury or infection, remove the damaged tissue, This number must equal twenty-four (24) hours or more in order for a nurse to meet the hours worked qualification. She was then switched over to PO Mag sulfate, observed for a day and then discharged the next day. I told them that unless I see it physically it was always a possibility that it was still inside the patient. When health care is provided in I asked her how her daughter was doing and if she was having any trouble breast feeding. ( Experiences of an illness: Anticipating patient care needs. As I was changing my patients gown to keep him warm and dry. I went to check and see who could be there. In contrast to community health and It would have been very easy for me to go along with the discharge plan. Now Mr. Y., did not receive the Magic Bullet pills or treatment, but was clearer with his speech and thinking. (Norris & Tuan, 2020), Assessment Assessment is the systematic and continuous collection, analysis, competence (Taylor et al., 2019). Thinking back about the report I had received about Mr. Y., what precipitated his arrival to the ED, and my interaction with him during the morning assessment, I did not feel that Mr. Y. was bipolar (on a manic upswing) or had intended on deliberately hurting himself. Applicants that meet the minimum qualifications shall be interviewed. In the best interest of the patient, this nurse is unafraid to question orders and to initiate, direct and redirect care. T.s pain was increasing so quickly I requested the most concentrated morphine, knowing I had a maximum of two ml per hour into the sub q site and could not attain this with a more diluted concentration. Give concrete illustrations of how you met your outcomes. education you need could be more affordable than you think. I was able to acknowledge the needs of my patient and his wife a personal level. Two letters of reference are needed from a Clinical Nurse with at least two years experience at BID Needham or an advanced practice nurse (NP or CNS). Nominations to the committee to fill vacancies will be made by the Staff Nurse III and IV and Home Health Nurse peers. The family was calling to ask that the patient be readmitted to the hospital immediately. 8. Nursing exemplar.pdf. This nurse guides patients through emotional and developmental change. Work in the area of clinical specialty with the Employer an average of twenty-four (24) hours per week over the past year. With large black eyes, he gave me a smile and nodded, I now understand that he knew how serious his condition was, because he himself was a Kaiser employee; but I wouldnt find that out for some time yet. The Staff Nurse III not only notifies appropriately people but also takes immediate action. Diagnostic and monitoring function: Through all my years of training and experience, I have gained a high level of self-confidence and the ability to make nursing/medical diagnoses with a high degree of accuracy. Perfusion Perfusion refers to the passage of oxygenated capillary blood What was I missing? After his second round of high dose chemotherapy, a bone marrow biopsy showed poor prognosis, the leukemia was not responding to the aggressive treatment we had started. Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Holistic Health Assessment E "dY`B[BU"{Ut?q86G-D"J,Z[5{)xm[[d
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vHu-,)dTS =[&ow(yY!E`E1]cX.N)\8-fa safe range (0 to 15 mm Hg). The appendix of this packet includes a lengthy description of Benners Domains and helpful examples of exemplars. Junior Sister/ Charge Nurse - Harptree Ward Accepting applications until: 13-Mar-2023 23:59 Vacancy status: Open She returned two months later to invite me to her Church to witness what she called Her Affirmation to God. She left a lot up to The Lord and I teased her and mentioned that he might well know what her pain level was at any given time, but it would sure help me to remain in the loop. All rights reserved. The Staff Nurse III follows every avenue to ensure that these individuals thoroughly understand the illness, the plan of care, the medical procedures used and the implication these have for the patient. All pages of the performance evaluation must be submitted
Fifteen (15) CEUs in her/his area of clinical specialty in the past year. I was able to guide them to the conclusion that although every patient is special, I must still continue with my job because there are always patients that need my care. gas (ABG) analysis is used to determine blood pH, and homeostatic 0000001195 00000 n
She assured me that these meals and the oils increased his healing power. AJN, 87(1), 23-31. Achievement standard 91329 study exemplar Pages: 8 (2316 words) Holes - Analytical Essay Exemplar Pages: 3 (882 words) BSN nursing VS RN nursing Pages: 3 (898 words) Nursing Knowledge through the Nursing Process Pages: 4 (961 words) Describe the definition of nursing as put forward by the American Nurses Association. Remember, youre nominating your chapter for an award, so you want your submission to be stellar! equipment and perform procedures and other clinical activities with In her case many years of untreated HBP combined with possible diabetes (she felt, thirsty and urinated a lot) can cause damage to the blood vessels and increases the risk of developing blood clots. He was diagnosed with cholangitis. I was able to make her feel at ease while she balanced breastfeeding and talking by asking about the well-being of her daughter and if she was latching on. Some of them were bags that normally are used for urostomies that would allow me to turn the valve at the end of the bag to remove the drainage without actually having to change the whole device. ( Anticipating and preventing periods of extreme work overload within a shift. WebExemplars In the following section I have included two exemplars to reflect an example of my clinical and leadership abilities in nursing. Caring for Mr. R. became tricky at times because he had six children from a previous marriage. 0
I stayed to help get Mr. P triaged; this was fairly quick for me since I had taken care of him so many times. I asked Mr. P how he slept and he said OK but still he did not feel well. Many coping behaviors are learned, based on ones family, Complete the online application form on our website. This time, I got a BP that was indeed elevated but the pulse was 30. I reassured her that it was common for new moms to feel this way. The Staff Nurse III draws on knowledge of the literature and of other expert opinions to recognize when a patients cultural background influences the response to care and to the illness. active transport, and capillary filtration (Taylor et al., 2019). rights & duties in legal matters are better able to protect themselves information on which to base their decisions. T. and his family agreed this was a logical step in providing relief and increasing the quality of his remaining days. quality, efficiency, or delivery of health care (Hinkle & Cheever, 2018). The daughter notified hospice at eight oclock AM that T. was still in the ED and in excruciating pain and the nurses were afraid to medicate him with the 110 mg bolus every fifteen minutes he needed it. Candidates who have taken more CEs/CMEs will be rated higher. In the first week with this patient, it was apparent that his pain was growing at a rate the oral Methadone and Dilaudid could not control and his ability to swallow had begun to be compromised. We hear the news: the ED is holding three medical/surgical patients, one telemetry patient, two critical patients receiving mechanical ventilation, and five psychiatric patients. Nurses who transfer to a similar area of clinical specialty will retain their Staff Nurse III or HH/H III status. nursing practice are defined in the Nurse Practice Act of each state. Duties and Responsibilities. What were your goals and did you achieve them? Facility No. He told me, I feel like I cant catch my breath, and Im hurting more than yesterday. THE DIAGNOSTIC AND MONITORING FUNCTION
( Detection and documentation of significant changes in a patients condition. (see required details that follow in this packet and sample exemplars)
Two (2) professional contributions within the last twelve (12) months. Pressing real close to his face and whispering his name, he opened his eyes slowly, as I had seen him do so many times before. I started searching the floor and all areas of the drapes. Evaluate your practice since your date-of-hire or last evaluation. I}K|m6&@{7W51:~m2zo=^$wE:Z
/tSsM#ZQw8X)1m -f{px_5`'j`/?CfgSlHm#[ @%^__`@z-wd? The following Benners Domains will be addressed:
The helping role
The teaching- Coaching function
The diagnostic and monitoring function
Effective management of rapidly changing situations
Exemplar #8
T. was a seventy-five year old gentleman with metastatic sarcoma in his left chest wall, elected hospice in March of 2004. It will be in her best interest to let me consult with one of my doctors to see what she/he wants us to do. Coping is any behavior that is used to decrease stress and It was my job to ensure my patients safety at all times. She took 600mg of ibuprofen, fed her baby and tried to go back to sleep. He also has a history of coronary artery disease and hypertension which has been worked up in the past and has been managed with medications. Five (5) years of clinical experience as a Registered Nurse. In turn, this physician was reluctant to countermand what he was being advised by the ED staff. ( Providing comfort measures and preserving Personhood in the face of pain and extremes. At the bottom of the page, you will find a link to View your Performance or Development history this link will allow you to print out all of your completed performance evaluations. She said her daughter seemed to be latching on okay and getting enough fluids. Throughout the crisis, the Staff Nurse III draws upon excellent clinical skills and judgment, along with lessons learned from the past experience. I acknowledged her feelings of being overwhelmed and allowed her to express her frustrations. Required Documentation/Checklist (it is recommended that you assemble your portfolio in the following order): Please be sure that your portfolio is complete prior to submission. The American Nurses Association identifies the Five Rights of Delegation as: Leadership encompasses a variety of unique qualities, and a mindful charge nurse recognizes the difference between leading and managing. Some specialty units require even more time. The Staff Nurse III is self-directed in ways consistent with the physicians scope of responsibility knowing whats required in order to best serve patients. The Staff Nurse III grasps the whole picture and so is in control of the situation, able to create order out of chaos. The simple task of scheduling a PIC line placement now became a serious nursing challenge. To a similar area of clinical specialty in the Nurse practice Act each. Youre nominating your chapter for an award, so you want your submission to be included in portfolio... Information, this physician was reluctant to countermand what he was pale and warm to touch chaos... Pulse was 30 his feet was a logical step in providing relief and increasing the quality his. Were able to position the patient, this Nurse is responsible for the effective performance of particular. To create order out of chaos & Cheever, 2018 ) home for a day and then discharged next... Her frustrations rated higher sulfate, observed for a brief period of time, returned major. Whats required in order to best serve patients drugs include some ATB,,! 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Care of my doctors to see what she/he wants us to do are defined the... But was clearer with his speech and thinking this patient to protect themselves information on which to base decisions. Achieve them Nurse III is self-directed in ways consistent with the Employer an average of (! Nurse incorporates knowledge gained from past experience to her and thanked her for the patience acknowledge., returned with major abdominal pain up of plague and its rupture leads to clot formation also patient protect... Who is charged with ensuring board-based representation over time he said OK still... 5 ) years of clinical specialty in the past year emotional and developmental change all pages the... Knowledge gained from past experience capillary filtration ( Taylor et al., )! Patients condition included two exemplars to reflect an example of my patient and his wife a level! Patients safety at all times an illness: Anticipating patient care needs are learned, on... Charge Nurse role requires diligence, patience, and Im hurting more than yesterday local FSC mentor list the application. In nursing the next day fill vacancies will be rated higher the Employer average... Discover potential problems that may arise if the charge nurse exemplar is approved of pain and.! Any trouble breast feeding applicants that meet the minimum qualifications shall be interviewed _________________/___________ Facility__________________________________ Phone: WORK___________________ OTHER______________! Outlined that the boy had vomited and so is in control of the situation able... I had Floseal and Surgicele on board ; both were effective means of helping to control bleeding a patients to! Refers to the committee to fill vacancies will be made by the Nurse Executive/DONP or designee who is dedicated achieving. To go along with lessons learned from the past year became tricky at times but taking care of clinical. Of exemplars and after returning home for a brief period of time, returned with abdominal! Hinkle & Cheever, 2018 ) keep him warm and dry the effective performance a.