...patients the RN made the following assignments. See appendix for a full description of each patient: Assignments | | Macy LPN #1 | Pod 1 | | Mr. Black (UTI) | | Ms. Johnson (Crohn’s) | | Mr. Raynor (diabetic foot ulcer) | | Mrs. Tolento (CHF) Mr. Smith (pneumonia) | | Ms. Swanson (S/P hysterectomy day 2, in pod 2) | Ana RN | Pod 2 | | Mr. Smith (GI Bleed) | | Mr. Moretz (Night sweats, neg pressure room) | | Mrs. Flanco (S/P Colectomy day 2)Mr. Reddington (GSW) | Mike LPN #2 | Pod 3 | | Mr. Smith (Atrial Fib) | | Ms. Harper (s/p breast mastectomy) | | Ms. Levin (s/p attempted suicide) | | Mrs. Walnut (aspiration pneumonia)Mrs. Stewart (Diabetic Ketoacidosis) | | | Gilda CNA | Pods 1-3 | | | Explanation The following is a detailed explanation of the assignments made for this shift: Macy LPN: Macy was given her patients based of her skill and scope. She always volunteers to take on the Spanish speaking patients since she is more comfortable speaking in Spanish. The RN, after moving patients to different pods, she gave Macy one possible discharge today and what would be consider by some a difficult patient that can be abusive and refuses to be take care of be the other LPN on shift today. Macy also had to take on a total of 6 patients instead of six, the RN will cosign her notes at of shift. The patients given to Macy also had the least amount of IV medications to be given and this would be beneficial to the RN, since Macy...
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...the search key. In the refine search click English language, limit publish date between 2010-1014, in the geographic subset click USA, in special interest click evidence based practice and critical care, in the source types click academic journal, and under limits check full text and blind peer review. Last, click search and 16 options appear. The first option is Do Earplugs and Eye Masks Affect Sleep and Delirium Outcomes in the Critically Ill. Clicking on the title will bring up details about the article. On the left side of the screen the option to open up the full text is available. | Authors and Credentials: State authors’ complete names with complete credentials as listed on article. | By Ann Alway, RN, MSN, CNRNMargo A. Halm, RN, PhD, ACNS-BCMisti Shilhanek, RN, BSNLeanne St....
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...PROVIDING QUALITY CARE Nurse staffing, quality of nursing care and nurse job outcomes in intensive care units Sung-Hyun Cho, Kyung Ja June, Yun Mi Kim, Yong Ae Cho, Cheong Suk Yoo, Sung-Cheol Yun and Young Hee Sung Aim. To examine the relationship between nurse staffing and nurse-rated quality of nursing care and job outcomes. Background. Nurse staffing has been reported to influence patient and nurse outcomes. Design. A cross-sectional study with a survey conducted August–October 2007. Methods. The survey included 1365 nurses from 65 intensive care units in 22 hospitals in Korea. Staffing was measured using two indicators: the number of patients per nurse measured at the unit level and perception of staffing adequacy at the nurse level. Quality of care and job dissatisfaction were measured with a four-point scale and burnout measured by the Maslach Burnout Inventory. Multilevel logistic regression models were used to determine the relationships between staffing and quality of care and job outcomes. Results. The average patient-to-nurse ratio was 2Æ8 patients per nurse. A fifth of nurses perceived that there were enough nurses to provide quality care, one third were dissatisfied, half were highly burnt out and a quarter planned to leave in the next year. Nurses were more likely to rate quality of care as high when they cared for two or fewer patients (odds ratio, 3Æ26; 95% confidence interval, 1Æ14–9Æ31) or 2Æ0–2Æ5 patients (odds ratio, 2Æ44; 95% confidence interval, 1Æ32–4Æ52), compared...
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...Discuss the current compliance status of the healthcare facility. Nightingale Community Hospital is compliant with The Joint Commission standards except the following areas: Accreditation function of environment of care and life safety, it was documented that more than 3 smoke wall penetrations were found on the 1st floor and one on the 4th floor. The hospital is to minimize the potential for harm from fire, and smoke (TJC, 2013). A review of documentation showed appropriate ILSM was not initiated during 3 construction projects this put employees and patients at risk. Education of fire safety equipment should have been completed before the project. The gift shop did not have the required 18 inch clearance from the sprinklers. All sprinklers must have at least 18 inches below and around of clearance for The Joint Commission standards. Review of department documentation shows that the master alarm panel for medical gasses was not tested annually per policy. This is a policy written by the hospital that is not being met. They are to follow the policies that they set for themselves. The Fire Drill History Report showed that the fire drill process is not adequate and does not meet standards. Quarterly fire drills are to be conducted as regulated by the Life Safety Code (TJC, 2013). Clutter was found in the hallways of 3E, 4E, OR and telemetry this could restrict people from leaving the floor safely in case of fire or smoke. Accreditations function of Nursing Leadership it was...
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...System Admin Max Points: 15.0 What do you look forward to, as you begin this educational experience and your personal search for purpose? What is your greatest fear? How can you overcome it? Write about one specific educational experience from your past where you addressed a fear and overcame it and how you succeeded in this process. I certainly look forward to completing the RN to BSN program on schedule. As an experienced and competent RN of 12 years, my management has given me an opportunity to serve as an intermittent Charge Nurse and a Preceptor on a 24-bed surgical unit. I serve as a Charge RN to my colleagues as well as a preceptor to new hires with BSN degree. I have a good rapport and a good working relationships with my colleagues. Assuming roles a leader with ADN, gave the drive and the motivation to advance my education by obtaining my BSN degree. My employment has offered a scholarship program to any diploma and ADN who have ambitions to advance their education through the NNEI (National Nursing Education Initiatives). I took the opportunity and applied for the program which is now being processed. My biggest fear would be a failure to complete the BSN program on schedule. I want to be a good role model and an inspiration to my 12-year old who is a 7th grader. I want to prove and set examples not just to my daughter, but to my employment, colleague and friends that failure is never an option. I’m also under a contract agreement from the NNEI who will be funding...
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...Differences regarding competencies of an associate degree nurse and a baccalaureate degree nurse have long been discussed and argued. It has been argued that the associate degree nurse is less competent than the baccalaureate degree nurse. The difference among these competencies has also led to the discussion and concern regarding negative outcomes when it comes to quality patient care. “Quality patient care hinges on having a well educated work force” (Rosseter, 2011) With further research I have found that there are many differences in the competencies and educational preparation between these nurses. I was not aware of these differences until I further researched this topic. In the Journal of Nursing Education June 2006 issue it states “ developments in medical technology, the growing number of older adults and patients with chronic illnesses, and the demand for high quality nursing care have led to various, increasing complex , professional, legal, and educational issues within the nursing work place.” (Shin K , 2006) In the paragraphs to follow I will share my research findings. The Associate degree level of nursing was developed due to the shortage following World War II. It was developed as a temporary solution to a nursing shortage. It was created to replace the professional level of nursing education. This level of nursing education became popular and now is a chosen shortened and less expensive route to becoming a nurse. Associate degree programs focus on nursing...
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...Prospective Randomized Trial of 3 Antiseptic Solutions for Prevention of Catheter Colonization in an Intensive Care Unit for Adult Patients Author(s): By J. Vallés , MD; I. Fernández , RN; D. Alcaraz , RN; E. Chacón , RN; A. Cazorla , RN; M. Canals , RN; D. Mariscal , MD; D. Fontanals , PharmD; A. Morón , PharmD Source: Infection Control and Hospital Epidemiology, Vol. 29, No. 9 (September 2008), pp. 847853 Published by: The University of Chicago Press on behalf of The Society for Healthcare Epidemiology of America Stable URL: http://www.jstor.org/stable/10.1086/590259 . Accessed: 30/09/2013 10:14 Your use of the JSTOR archive indicates your acceptance of the Terms & Conditions of Use, available at . http://www.jstor.org/page/info/about/policies/terms.jsp . JSTOR is a not-for-profit service that helps scholars, researchers, and students discover, use, and build upon a wide range of content in a trusted digital archive. We use information technology and tools to increase productivity and facilitate new forms of scholarship. For more information about JSTOR, please contact support@jstor.org. . The University of Chicago Press and The Society for Healthcare Epidemiology of America are collaborating with JSTOR to digitize, preserve and extend access to Infection Control and Hospital Epidemiology. http://www.jstor.org This content downloaded from 115.165.210.196 on Mon, 30 Sep 2013 10:14:09 AM All use subject to JSTOR Terms and Conditions infection control and hospital...
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...Differences in Competencies of Associate degree and Baccalaureate degree level nursing Nicole M. Doherty Grand Canyon University Professional Dynamics Tara B. Harris, RN, MSN July 7, 2013 Differences in Competencies of Associate degree and Baccalaureate degree level nursing An associate degree educations main forum is a community college, where the program is 2 years and more focused on clinical skills. Most community colleges are in close proximity to student’s homes and cost less than a university education. An associate degree lacks theory and science behind nursing as a profession. A baccalaureate degree educations main forum is a university where the program is 4 years. It encompasses the essentials of the associate degree and expands the focus on physical and social sciences, research, theory, public and community health, management and humanities. A BSN education provides more for students and can create the nurses needed in today’s expanding health care system. (Lane and Kohlenberg, 2010) Research is linking nursing education to patient outcomes. Many surveys and researches have verified that higher levels of education impact the quality of care that patients receive to their outcome and whether their nurse possessed an associate or baccalaureate degree. In the October 2012 issue of Medical care, researchers from the University of Pennsylvania found that surgical patients in Magnet hospitals had 14% lower odds of inpatient death within 30 days and 12% lower...
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...degree in nursing obtained at Miami Dade College. Nursing Experience Registered nurse working for the past 12 years as a staff and charge RN at University of Miami, Sylvester in the oncology unit, Inpatient department with growing experience in stem cell, bone marrow transplant as well as past medical/ surgical, telemetry and step-down background. High standard of nursing care for diverse population of patients. Dedicated, skilled RN with a broad range of healthcare experience. Responsibilities Assessment, admission, chemotherapy/medication administration with computer documentation, assistance with stem cell transplant, lumbar puncture, bone marrow biopsy, central line placement, intravenous therapy, phlebotomy, daily administration of blood products, coordination of care with doctors, patients/family and care plan administration. Delegation of duties and charge RN tasks when working as a charge nurse in fast paced environment area. Additional Skills and Accomplishments Excellent computer and communication skills with fluency in English, French, Creole, Spanish. Appreciated by coworkers and patients for being a team player. Nominated nurse of the year in 2012. Engaged in community services with church and organizations such as “His House Children Home” Certification and Proficiency Experienced and patient-focused staff RN at UM Sylvester in the oncology department for over 12 years. Serve as charge nurse caring for patients in specialized treatment and with...
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...------------------------------------------------- BROCHURE ON CALIFORNIA STATE MANDATED NURSE PATIENT RATIO. Does mandating Nurse-Patient ratio improve care? Information for nurses and patients. BY SHINY EDWARD RN UNIVERSITY OF PHOENIX JULY 8, 2012. ------------------------------------------------- BROCHURE ON CALIFORNIA STATE MANDATED NURSE PATIENT RATIO. Does mandating Nurse-Patient ratio improve care? Information for nurses and patients. BY SHINY EDWARD RN UNIVERSITY OF PHOENIX JULY 8, 2012. Explanation of the facts, history, legislative regulations, controversial aspects and opinions Explanation of the facts, history, legislative regulations, controversial aspects and opinions MANDATED NURSE PATIENT RATIO How does it affect you and your loved ones? Nurse patient ratio for safe care means when the staffing between the nurses and the patients are safe to provide the care patients need to get well in the hospital or nursing homes. Why is this important? Several studies have shown that patients get well faster and safer when they receive more nursing care. Even more importantly according to Linda Aiken study (2003), mortality rates and staffing ratios are closely tied. Each additional patient per RN after four patients, chances of dying in the hospital is increased by 7%.Patient on a surgical unit with patient –RN ratio of 8:1 were 31% more likely to die within 30days than those on surgical units with ratios of 4:1.Studies have shown that more infections like UTI, pneumonia, shock...
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...The Benefits of Technology in Nursing and Healthcare Abstract This paper explores nursing informatics and technology in the emergency department of a local level 1 trauma center. The references cited provide discussion and statistics on several types of nursing informatics utilized today by this facility, including benefits and shortcomings. Personal experience from the author are also incorporated as he witnessed first hand the nursing informatics and technology “explosion” and how this facility incorporated this technology into their daily nursing care over the past 15 years. In 1995 I acquired a job as a nurse’s aid at the hospital I am currently employed. At the time, they were just introducing computers at the nurse’s stations. It was used primarily for their first generation of Computer-Assisted Physician Order Entry (CAPOE). With exception to limited order entry, all the documentation was still placed on paper charting. Difficulties I encountered first hand included tracking down the chart while other staff members had possession of it. It made charting in a timely fashion almost impossible, and I often found myself charting late entries. Today I am a Certified Emergency Nurse in the Emergency Department of LVHN. In the grand scheme of things, 15 years is relatively a short time, yet the advances in technology I have been witness to are sometimes overwhelming. “Informatics is a field that’s evolving every day, and there’s much to learn” (Abbott...
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...this, she spent many weeks in the intensive care unit with a diagnosis of septic shock. During her time in the ICU, she was mechanically ventilated for several weeks. In addition, she had evidence of kidney injury and subsequent hyperkalemia that resulted in cardiac irregularities. Her experience as a patient and my experience as the family point person in communicating with the healthcare team and observing the nursing staff played an important role that led to my decision to focus my future nursing career on critical care nursing. I was inspired by the overall knowledge, commitment, and diligence of the night shift nurse who cared for my mother consistently. He was very compassionate with us, extremely knowledgeable in responding to all of our questions about the pathophysiology of her condition, and explaining the rationale of the treatment approach made a positive difference in her outcome. “Critical care nursing is that specialty within nursing that deals specifically with human responses to life-threatening problems. A critical care nurse is a licensed professional nurse who is responsible for ensuring that acutely and critically ill patients and their families receive optimal care.” (aacn.org) Requirements for a critical care nurse involve both certification and skills. Certification: The minimal requirement to be a critical care nurse is an RN degree. A BSN is preferred over an ASN degree, but not typically required. Certification is not mandatory for...
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...Grand Canyon University: Professional Dynamics June 6, 2013 EDUCATION PREPARATION To imagine the historical events that took place during World War II, known to be the bloodiest and deadliest wars in history, sends shivers down my spine. During 1939-1945 World War II, affected all of humanity worldwide, making this war one of the largest blood sheds in all of history. Imagine exceedingly beyond 60 million people slaughtered, losing their lives, this was approximately 2.5% of human beings living on Earth. (1) “Americans who lost their lives in battle, that showed heroism, during World War II, November 20, 1943, during the Battle of Tarawa” During World War II, nurses were constantly knocking on death doors, while nursing injured soldiers at the front line, constantly putting themselves in firearm way. These nurses where stationed everywhere such as, “field hospitals and evacuation hospitals, on hospital trains, hospital ships, and as flight nurses on medical transport planes.” (3) Just like soldiers, sadly many nurse’s lives were sacrificed and lost their life as well. By all means, the women that made nursing history went way beyond the call of duty. These women were amazing, saving mankind, these nurses were astonishing. In 1923, there was a lady by the name of Josephine Clara Goldmark, who was a supporter of the work force and helped with regulating reform, in the United States. She spent over four years, researching and going across country...
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...ADN versus BSN: What are the differences? Leanne Vaughan Grand Canyon University Professional Dynamics NRS-430V-O500 Chris Bartholomew January 25, 2015 ADN versus BSN: What are the differences? First, I would like to provide an overview on the background of three types of RN nursing degrees available to nursing students. The first baccalaureate nursing program was established in 1909 at the University of Minnesota and until the mid-1950’s was a five year program. The first diploma program in the United States was established in 1873, at Massachusetts General Hospital and was a 4-month hospital-based program. It was intended to emulate Florence Nightingale’s model that she established in London in 1860. Designed by Mildred Montag in 1952, the first associate degree in nursing was another program option for those desiring to become RNs. This program was initially created to respond to the nursing shortage after World War II. It was an alternative to the hospital based program and four year university degree. (Creasia & Friberg, 2011) There has been a topic of debate since 1965 about the desirability of the BSN prepared nurse versus the ADN/Diploma prepared nurse, when the American Nurses Association published an opinion paper, advocating that the baccalaureate degree should be the minimum standard for entry-level nurse. The major focus of the associate degree program is to prepare the ADN nurse with technical nursing skills and considerable clinical experience to be...
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...by doctors and nurses, they brought her fragile life back into the world. Now we are together again. My mother’s story about the treatment that magically healed her at hospital inspired me to be a nurse. I also understood that I could help the people who need treatment and be of assistance even though I do not know them personally. So, I went to the nursing school. Now, I am working as a RN at Sibley Hospital in the Medical/Surgical unit. But, it is my wish to be a unit manager in the future; just an Associate Degree RN did not satisfy me. I have to work my way up. So, I made it my goal to get a higher education and make plans accordingly to improve my personal and professional qualities. Without a professional goal we cannot improve our performance at work. “It is important to identify a number of professional development opportunities and select the ones that match interests and needs” (Besnoy, 2007, p. 47). My professional goal is to become a Unit Manager. I have to start at the bottom though and work my way higher and higher. I make plan to shift my job from Medical/Surgical unit to ICU. That will help me to learn how to deal and treat for more critical patients. Staying at the bedside of patients and assessing them provides information about patient’s condition. This gives us a guide for what treatment(s) to give them. If they get their treatment(s) on time then they can progress faster. It can prevent from becoming...
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