...Rule 2. Registered Nursing 848 IAC 2-2-1 Authority: Affected: Responsibility to apply the nursing process IC 25-23-1-7 IC 25-23 Sec. 1. The registered nurse shall do the following: (1) Assess the patient/client in a systematic, organized manner. (2) Formulate a nursing diagnosis based on accessible, communicable, and recorded data which is collected in a systematic and continuous manner. (3) Plan care which includes goals and prioritized nursing approaches or measures derived from the nursing diagnosis. (4) Implement strategies to provide for patient/client participation in health promotion, maintenance, and restoration. (5) Initiate nursing actions to assist the patient/client to maximize his or her health capabilities. (6) Evaluate with the patient/client the status of goal achievement as a basis for reassessment, reordering priorities, new goal- setting, and revision of the plan of nursing care. (7) Seek educational resources and create learning experiences to enhance and maintain current knowledge and skills for his or her continuing competence in nursing practice and individual professional growth. (Indiana State Board of Nursing; 848 IAC 2-2-1; filed Oct 25, 1991, 5:00 p.m.: 15 IR 243; readopted filed Nov 6, 2001, 4:18 p.m.: 25 IR 939) STANDARDS FOR THE COMPETENT PRACTICE OF REGISTERED AND LICENSED PRACTICAL NURSING Sec. 2. The registered nurse shall do the following: (1) Function within the legal boundaries of nursing practice based on the knowledge of statutes...
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...Throughout my internship at Margaret Tietz Nursing and Rehabilitation Center, I have developed Advanced Generalist Social Work Practice Competency 2 skills, which is to Engage Diversity and Difference in Practice. The purpose of this paper is to evaluate the nursing home with regard to its commitment to supporting equality and challenging oppression in its approach to diversity among its staff. I will include a strategy on how to address cultural differences among staff and residents. Diversity among staff is very important in Margaret Tietz Nursing and Rehabilitation Center that I am interning at this year. The nursing home already understand that bringing diversity of voices in the nursing home from different racial, cultural and economic backgrounds is the right thing to do to meet the needs of all the residents at the nursing home. I have seen that increasing diversity at all staff levels in the nursing home has resulted in better patient outcomes and a deeper connection to the community. A disconnection between staff and the residents that the nursing home serve can present a cultural problem that must be overcome to provide patient-centered care....
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...experience single or multiple transitions that may overlap or occur simultaneously (Smith & Liehr, 2014). Additional major concepts explored in the Transitions Theory are patterns and conditions of transitions, properties of transition experiences, process and outcome indicators, and nursing therapeutics (Smith & Liehr, 2014). Transition conditions identify how an individual or community experience transition and the impact those factors have on moving forward toward a healthy change (Smith & Liehr, 2014). The properties of transition are awareness, self-involvement, individual changes and differences, the time span over which the transition occurs, and important life...
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...Delegation Paper Delegation and assignment of nursing activities are important parts of the implementation component of practice for the registered nurse and licensed practical nurse. The licensed nurse may delegate and assign nursing care activities to other licensed nurses or unlicensed assistive personnel. This is based on their own licensed level, assessment of the client’s status, clinical competence of licensed and unlicensed personnel, and factors in each practice setting. Before assigning and delegating nursing activities to staff, the nurse needs information about the staff so that they can confidently assign them to the patients. One must know the legal roles in RNs and LPNs before delegation can occur. Delegation by RNs and LPNs must be within their scope or practice. Duties and responsibilities vary in different states. According to the Massachusetts Nurse Practice Act in the state of Massachusetts, nurses may assign and delegate the UAP any activities that do not require nursing assessment and judgment during implementation. In addition, they can allow the UAP to collect, report, and document simple data. Furthermore, UAP may be involved in activities that assist the patient in meeting basic human needs such as nutrition, hydration, mobility, comfort, elimination, socialization, rest and hygiene. In the state of Massachusetts, there are four nursing activities that must not be delegated to the patients. These activities include nursing assessments...
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...but the best for them. It is impressive to see how all the nurses care for their patients no matter what the situation is. All the nurses here share the value of helping the patience to the best of their ability. The nurses are really big into being the patient advocate. No matter what the situation is with the patient, the nurse always stands up for what the patient wants and always make sure the patient gets what they think is best for them. All of the nurses and doctors that I shadowed throughout the past three weeks showed the characteristics of being loving. Any profession in the health field requires you to be loving so I was very excited when I got to apply my knowledge of the grad-at-grad when I was shadowing. The profession of nursing has an enormous impact on our society and culture. In our society today there are alto of injuries and diseases. While the doctors preform the surgery, the nurses are the ones who actually take car of the patients from day to to day. One of the great responsibilities that nurses have is teaching. They have to teach families how to care for people who cannot care for themselves. Teaching is a big part of their jobs. This impacts society because they are teaching very important things to people that could potentially save other people’s life. Nurses also have to provide the best quality of care to their patients. Their goal is to keep people out of the hospital and healing them as quick as possible. Nurses want to better society by making...
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...#1 #37 #68 #74 #78 #85 #93 In fact, “One of the most important and sacred duties of the nurse is advocating for their patient. Whether you speak up for them because they don't have the education to know medical jargon or you speak up because they are unable to do so for themselves, advocating is the crucial pivot on which patient safety lies. You will have to advocate for your patient to the doctor, the family, the spouse, and sometimes your fellow nurses. Advocating is about speaking up when a problem goes unnoticed. Nurses are responsible for the trust patients put in them.” (Lampert, 2014) (C. #78) In my nursing experience, I had this newly admitted patient who was diagnosed of cancer and needs cancer treatment. During our rounds...
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...interested in a nursing career since it provides me an opportunity to help ill people and form a relationship with them to ensure that they are receiving the best nursing care. I believe that I possess the qualities to become a good nurse, namely, compassion, intelligence and the ability to listen and find solutions to problems that arise. I have been interested in continuing my nursing profession since I came to the U.S.A. I was a Registered Nurse in my native country of Romania, for over 17 years. I am seeking clinical experience in Neuro-surgical field since I worked in Romanian’ hospital in the surgical intensive care unit. Some of my experience included drawing blood, performing EKG’s, hanging intravenous medications, dressing changes, participating in the extubation of clients, post-mortem care, checking blood sugar, priming an arterial and central line set up, and enhancing my ability to interact in the therapeutic relationship. There are a number of long-term and short term goals that I would like to achieve when will get in to the nursing program, which would assist me in my professional development as a surgical nurse. My long-term goals are as follows: * To gain a better understanding of challenging roles of nurses in the post anesthesia care unit or operating room. * To further develop my critical thinking and organizational skills by anticipating clients needs in this specialty area. * To gain knowledge and skills in providing nursing care to clients...
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...Nursing Expertise Self-Report Scale 1. I am an: RN 2. My job is: Staff Nurse 3. Length of time since graduating as an RN: More than 3 years 4. Length of time working on your unit: More than 3 years 5. Previous experience in nursing prior to graduating as an RN: Under 6 months (1=Strongly Agree, 2=Agree, 3=Unsure, 4=Disagree, 5=Strongly Disagree) 1. I often know ahead of time that my patient will take a turn for the worse. 1 2 3 4 5 2. I frequently draw on past experiences when making patient care decisions. 1 2 3 4 5 3. Quality nursing care results from strictly adhering to policy and procedure. 1 2 3 4 5 4. When I do patient care, only a few pieces of information stand out as critically important. 1 2 3 4 5 5. I am consciously aware of the process of decision making in patient care. 1 2 3 4 5 6. Emotional attachments get in the way of good nursing care. 1 2 3 4 5 7. When something goes wrong with my patient, I seem to know automatically what to do. 1 2 3 4 5 8. Sometimes I find it difficult to identify objective reasons for certain patient care decisions. 1 2 3 4 5 9. The best way to give good nursing care is to get close to the patient. 1 2 3 4 5 10. I find it time consuming to set priorities in patient care. 1 2 3 4 5 11. I make my best decisions about patient care when I remain objective. 1 2 3 4 5 12. In an emergency, things happen so quickly that I don’t know what to do. 1 2 3 4 5 13. I base my patient care decisions...
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...skilled as the other doctors or nurses but they had something more. They genuinely cared about me as a person. These experiences as a patient and as a nurse have shown me the the value of caring in the health care profession. With this background I found most nursing theories to be less than satisfying. I liked different theorists for different situations in nursing. I could not totally agree with everything from each theorist I explored. Now, with my deeper understanding of nursing theories, I understand theories are to be a guide for nurses to follow and make the theory their own (Friberg & Creasia, 2016). Probably due to my experiences described above, Jean Watson’s theory of nursing based on the philosophy and science of caring (Friberg & Creasia, 2016) struck a chord with me. Dr. Jean Watson is the founder and director of the Watson Caring Science Institute. She obtained a R.N. Diploma in Nursing, a B.S. in Nursing, a M.S. in psychiatric mental-health nursing with a minor in psychology, and a Ph.D. in educational psychology and counseling. Her philosophy of nursing is based on the belief that the caring relationship between nurse and patient forms the core of nursing practice. She does not believe that nursing skills are unimportant. Skill in the use of modern...
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...Nursing is a wonderful career with so much to offer, it is also a very good profession to make a difference in a person’s life. What do we understand by the term nursing? This could be understood differently depending on a person’s values and beliefs. According to the American Nurses Association (ANA) “ Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” (American Nurses Association ,2005 ). As nurses examine their practice, they also are questioning what is fundamentally important to them as nurses and as individuals,...
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...Being in a nursing profession, I believe that nurses should join in an organization that gives them a voice in the community as well as in the legislative body of the country. I am a member of the American Nurses Association (ANA) and the local Vermont State Nurses Association (VSNA). The ANA not only become the voices of nurses in the country, but also provides continuing professional development for nurses and keeping them involved, informed, and up-to-date of the current nursing practice (ANA, 2016). Aside from that, these organizations offer opportunities to network with colleagues through local and national meetings, seminars, and social media. Since I became a member of these organizations last December, I have taken advantage of the...
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...I am very involved in school, taking part in both sports and many organizations, holding office positions within majority of them. These organizations have taught me many skills that will be beneficial for me in my future career as a pediatric nurse. My plans are to attend Wichita State University for a nursing degree as well as being very involved on campus. My grandpa was an EMT and my mother was a nurse which they have both inspired me to follow in their footsteps of helping others. Pediatric nursing has many high and low points but seeing the children smile every day is what makes it worth it. The topic of my research paper is the highs and lows of being a pediatric nurse. I have always had a passion for helping others and I love children,...
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...Nursing Process Paper Nursing involves following certain procedures, regulations, and guidelines. Nurses follow the nursing process, which is a reasoned and organized method of planning in order to provide care using critical thinking skills. The nursing process is a set of steps in which are designed to provide excellent and professional care (American Nurses Association, 2017). Critical thinking skills are used to identify, treat, and avoid health issues while also promoting wellness. Within the nursing process there are five phases, which may include; assessment, diagnosis, planning, implementation, and evaluation (American Nurses Association, 2017). The first phase of the nursing process is assessment. Nurses use assessment for analyzing...
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...I believe that many nurses are truly abstract thinkers, rather than concrete. Most of the nurses that I know are always questioning care reasoning, especially if they are witnessing poor outcomes. This is a personal observation. If given a nursing task, it is just that, a task to be completed. A checkmark on the proverbial paper, or in the chart. But, if given a task and the evidence based reason on how it helps your patient, it becomes more accepted as best practice, or it can be studied for efficacy. Either way, understanding why something needs to be done can makes it less of a chore and more about helping patients. Using nursing theory to evaluate and improve the care provided every day, is the basis for nursing as a science (Avant...
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...Katherine Kolcaba theory of comfort has created a new level of nursing. Promotion of comfort exists in all areas of nursing. Comfort is desired by patients of all ages and illnesses. There is a high importance in fulfilling comfort needs of the patient is order to achieve optimal health benefit and promote future health seeking behaviors. Keywords: Comfort, outcomes, quality, safety, and health promotion Comfort Theory was introduced by Katherine Kolcaba in 1994 (McEwen & Wills, 2014, pp 244). This theory gave the word comfort a whole new meaning. It explored comfort as a key element in nursing care. This mid-range theory identifies comfort as the means to achieving positive patient experience and outcomes. The concept follows...
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