...Second Edition [pic] American Nurses Association Silver Spring, Maryland 2010 Library of Congress Cataloging-in-Publication data The American Nurses Association (ANA) is a national professional association. This ANA publication ( Nursing: Scope and Standards of Practice) reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Nursing: Scope and Standards of Practice guides nurses in the application of their professional skills and responsibilities. Published by Nursesbooks.org The Publishing Program of ANA http://www.Nursesbooks.org/ American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910-3492 1-800-274-4ANA http://www.NursingWorld.org Design: Typesetting: Printing: Editorial services: © 2010 American Nurses Association. All rights reserved. No part of this book may be reproduced or utilized in any form or any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Contents Contributors Overview of Content Foundational Documents of Professional Nursing Audience for This Publication Scope of Nursing Practice Definition of Nursing Professional Nursing’s Scope and Standards of Practice ...
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...Second Edition [pic] American Nurses Association Silver Spring, Maryland 2010 Library of Congress Cataloging-in-Publication data The American Nurses Association (ANA) is a national professional association. This ANA publication ( Nursing: Scope and Standards of Practice) reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Nursing: Scope and Standards of Practice guides nurses in the application of their professional skills and responsibilities. Published by Nursesbooks.org The Publishing Program of ANA http://www.Nursesbooks.org/ American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910-3492 1-800-274-4ANA http://www.NursingWorld.org Design: Typesetting: Printing: Editorial services: © 2010 American Nurses Association. All rights reserved. No part of this book may be reproduced or utilized in any form or any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Contents Contributors Overview of Content Foundational Documents of Professional Nursing Audience for This Publication Scope of Nursing Practice Definition of Nursing Professional Nursing’s Scope and Standards of Practice ...
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...CODE OF ETHICS FOR NURSES WHEREAS, the Board of Nursing (BON) has the power to promulgate a Code of Ethics for Registered Nurses in coordination and consultation with the accredited professional organization (Sec. 9, (g), Art III of (Republic Act) No. 9173, known as the “Philippine Nursing Act of 2002); WHEREAS, in the formulation of the Code of Ethics for Registered Nurses, the Code of Good Governance for the Professions in the Philippines was utilized as the principal basis thereof: All the principles under the said Code were adopted and integrated into the Code of Ethics as they apply to the nursing profession; WHEREAS, the promulgation of the said Code as a set of guidelines, regulations or measures shall be subject to approval by the Commission (Sec. 9, Art. II of R.A. No. 9173); and WHEREAS, the Board, after consultation on October 23, 2003 at Iloilo City with the accredited professional organization of registered nurses, the Philippine Nurses Association, Inc. (PNA), and other affiliate organizations of Registered Nurses, decided to adopt a new Code of Ethics under the afore-mentioned new law; NOW, THERFORE, the Board hereby resolved, as it now resolves, to promulgate the hereunder Code of Ethics for Registered Nurses: ARTICLE I PREAMBLE SECTION 1. Health is a fundamental right of every individual. The Filipino registered nurse, believing in the worth and dignity of each human being, recognizes the primary responsibility to preserve health at all cost. This responsibility...
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...National competency standards for the registered nurse Introduction • • returning to work after breaks in service, or • National competency standards for registered nurses were first adopted by the Australian Nursing and Midwifery Council (ANMC) in the early 1990s. The ANMC was a peak national and midwifery organisation established in 1992 to develop a national approach to nursing and midwifery regulation. The ANMC worked in conjunction with the state and territory nursing and midwifery authorities (NMRAs) to produce national standards – an integral component of the regulatory framework – to help nurses and midwives deliver safe and competent care. educated overseas seeking to work in Australia involved in professional conduct matters. The National Board may also apply the competency standards in order to communicate to consumers the standards that they can expect from nurses. Universities also use the standards when developing nursing curricula, and to assess student and new graduate performance. The ANMC officially became the Australian Nursing and Midwifery Accreditation Council (ANMAC) on 24 November 2010. The name change reflected ANMC’s appointment as the independent accrediting authority for the nursing and midwifery professions under the new National Registration and Accreditation Scheme (the National Scheme) that came into effect on 1 July 2010 (18 October 2010 in Western Australia). These are YOUR standards — developed...
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...Year 1 Registered Nurse MISSION The mission of St Vincent’s is to provide high quality and efficient health services to the people of Victoria in accordance with the philosophy of St Vincent’s Health Australia. The mission is based on the values of compassion, justice, human dignity, excellence and unity. The health service embraces the policies and principles of equal employment opportunity, occupational health and safety and quality improvement. JOB TITLE Title Division 1, Grade 2 Year 1 Registered Nurse Program Graduate Nurse Program Award Hours od Duty Nurses (Victorian Health Services) Award 2000 38 plus ADO entitlement Performance appraisal 6 weeks, At 6 weeks, 3 months, 6 months (end of probationary period), 9 months and 12 months and/or as required by the Nurse Unit Manger and/or Practice Development Nurse - Graduate Date October, 2010 BASIC JOB PURPOSE The Grade 2 Year 1 Registered Nurse, under the guidance of the Nurse Unit Manager or Associate Nurse Unit Manager, will be responsible for the delivery of high quality patient care within the healthcare team. The Grade 2 Year 1 Registered Nurse will Page 1 October 2010 Position Description Division One, Grade 2 Year 1 Registered Nurse be responsible for ensuring his / her own professional development in order to maintain clinical skills and knowledge. KEY RESPONSIBILITIES RESPONSIBILITY AREA 1: Continuum of Care The Grade 2 Year 1 Registered Nurse will ensure...
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...trained nurse working in one of major reference hospital in a capital city of Sabah. I have 14 years experience working as a trained perioperative nurse in operating theatre. Working through the years gives me ample experience in this field. Over this year, the workforce development in health care system has change the nursing profession and become more challenging. These changes had affected the nursing role and also their boundaries. Extending nursing role has happened in order to improve patient care. In Malaysia, registered nurses had given a credentialing to be able to undertake a wider range of clinical activity. The National Council of State Boards of Nursing has stated that definition of professional boundaries are the spaces between the nurses power and apply the following concepts are a spaces between nurses and a patient, nurses and doctor and also to other healthcare worker. College & Association of Registered Nurses of Alberta stated in their article “professional boundaries separate therapeutic behavior which well intentioned or not could lessen the benefit of care clients, families and communities”. Professional boundaries is a guideline for all nurses to perform their work as a professional without violent or crossing the limit of responsibility. Nurses need to practice and consistent with professional standards. Maintaining appropriate boundaries controls these power differentials and allows for a safe connection between the professional and...
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...October 2002 national competency standards for the enrolled nurse Introduction Description of Enrolled Nurse National Competency Standards Assessing Competence Glossary of Terms Introduction The Australian Nursing and Midwifery Council (ANMC) is a peak national nursing and midwifery organisation established in 1992 with the purpose of developing a national approach to nursing and midwifery regulation. The ANMC works in conjunction with the state and territory nursing and midwifery regulatory authorities (NMRAs) to produce national standards which are an integral component of the regulatory framework to assist nurses and midwives to deliver safe and competent care. The standards include the national competency standards for enrolled nurses which were first adopted by the ANMC in the early 1990s. These have been reviewed and revised regularly since then. Other standards developed by the ANMC for implementation by the NMRAs include the competency standards for registered nurses, midwives and nurse practitioners, codes of professional conduct and ethics, and a range of position statements and guidelines. The full list of standards, position papers and guidelines produced by the ANMC can be viewed on the website. The national competency standards for the enrolled nurse are scheduled for review in 2007. This review will be undertaken by a team of expert nursing consultants and will include extensive consultation with nurses around Australia. The purpose underpinning the review will...
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...HEALTH PROFESSIONALS COMPETENCY ASSURANCE ACT The Act was passed by Parliament on 11 September 2003 and received the Royal assent on 18 September 2003. The Health Practitioners Assurance Act came fully into force on 18 September 2004. Not all the Health Care professions are regulated under this Act. And the profession that is not being regulated under this act does not mean that profession lacks the professional standards. Some of the professionals are not regulated under this act because they pose a very little risk of to the public; some are not regulated because they work under the supervision of a regulated profession; some are regulated in the other ways. For example, they may be regulated through their employer or self-regulated by their profession.( Ministry of Health – Manatū Hauora, 2012) The Health Practitioners Competence Assurance Act (2003) aims to protect and promote safe practice of health practitioners. It introduced a new process whereby health professionals are required to demonstrate competence annually in their scope of practice before they are issued with an annual practicing certificateHealth Practitioners Competence Assurance Act,2005) Important key protections are in place, with provisions that will ensure that: * only the health practitioners who are registered under the new Act will be able to use the titles protected by the Act or claim to practice a profession that is regulated by the Act * registered health practitioners will...
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...education. However, a portfolio is more than just a resume. When used to its fullest potential, a portfolio serves as a repository for documents, certificates and other related artefacts, a workspace for reflecting on professional competence and evaluating learning needs, and as a showcase for presenting evidence that demonstrates current competence and future abilities across a range of criteria in a variety of contexts (Andre & Heartfield, 2007). The structure and content of a portfolio can vary and is dependent on the context, having consideration for the target audience and purpose of presenting the portfolio to them (Andre, 2010). The NRSG137 unit of study includes a requirement to develop a portfolio that I will continue add to as I progress through the Bachelor of Nursing (BN) program. In this context, I will be presenting my portfolio to university lecturers for the purpose of assessing my performance against defined learning outcomes which in turn are mapped to the university’s graduate attributes. The BN program is accredited by the Australian Nursing and Midwifery Accreditation Council, which means that the curricula and student assessment criteria comply with the Nursing and Midwifery Board of Australia (NMBA) competency standards for the registered nurse (Australian Health Practitioner Regulation Agency, 2013). My portfolio will therefore contain artefacts that demonstrate my learning progress towards competence in the provision of nursing care (Australian Nursing and...
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...HCN Registered February 2016 Registered Nurse Nurses and Midwives Agreement: RNM Level 1 Position Number: 113857 Coronary Care Unit / Service 1 Fiona Stanley Hospital / South Metropolitan Health Service Reporting Relationships Nurse Director – Cardiovascular and Respiratory Medicine Award Level: RNM SRN Level 9 Position Number: 113359 Nurse Unit Manager – Coronary Care Unit Award Level: RNM SRN Level 4 Position Number:113440 This Position Directly reporting to this position: Title • Advanced Skills Enrolled Nurse • Enrolled Nurse • Assistant in Nursing Classification ENA; EN Level 1 – 2 FTE FTE FTE Also reporting to this supervisor: • Clinical Nurse, NMA; RNM Level 2 • Registered Nurse, NMW; RNM Level 1 • Advanced Skill Enrolled Nurse, ENA; EN Level 1-2 • Enrolled Nurse, ENA; EN Level 1 - 4 • Assistant in Nursing, ENA; AIN Level 1 - 3 ENA; EN Level 1 – 4 ENA; AIN Level 1 – 3 Key Responsibilities As part of a multidisciplinary team provides comprehensive evidence based nursing care to patients. Facilitates and promotes patient safety and quality of care. The Registered Nurse practices within their scope of practice considerate of the Nursing and Midwifery Board’s Nursing Practice Decision Flowchart. Page 1 of 3 Registered Nurse | RNM Level 1 | Position Number: 113857 Brief Summary of Duties 1. Clinical 1.1. Provides comprehensive evidence based nursing care to patients including assessment, intervention...
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...to the acute ward by my mentor. She showed me the emergency cardiac arrest and rapid response phone numbers. I was shown the fire exits and was told what to do in case of fire. I followed registered nurses around and participated in caring for the patients. A patient was allocated to me to care for, my mentor and other team member supervised me to ensure that adequate care was given to the patient. I have the opportunity to learning advantages and experience in sharing with others. The knowledge gained in my placement has given me experience to improve on my skills and standard of care. In nursing, reflection try to identify the true value and meaning of our actions in order to qualify, enhance or discard them and to enable us to replicate them appropriately to their best effect in future interactions. Each situation reflected on must be treated as a unique event if the maximum learning is to be gained. Hogston and Simpson (2002). Professional practice involves abiding by regulations that have been established to avoid misconduct and unprofessional practice. This conduct states that a nurse must act in a manner that will maintain the good reputation of the profession, that a nurse is accountable for their individual actions and omissions (NMC 2002). The (NMC 2002) states that a nurse must practice in accordance with an ethical and legal framework which ensures the primacy of patient interest and well being and to respects patient's confidentiality. Throughout the placement...
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...quality of life. Nurses may be differentiated from other health care providers by their approach to patient care, training, and scope of practice. Nurses practice in a wide diversity of practice areas with a different scope of practice and level of prescriber authority in each. Many nurses provide care within the ordering scope of physicians, and this traditional role has come to shape the historic public image of nurses as care providers. However, nurses are permitted by most jurisdictions to practice independently in a variety of settings depending on training level. In the postwar period, nurse education has undergone a process of diversification towards advanced and specialized credentials, and many of the traditional regulations and provider roles are changing. Nurses develop a plan of care, working collaboratively with physicians, therapists, the patient, the patient's family and other team members, that focuses on treating illness to improve quality of life. In the U.S., advanced practice nurses, such as clinical nurse specialists and nurse practitioners, diagnose health problems and prescribe medications and other therapies, depending on individual state regulations. Nurses may help coordinate the patient care performed by other members of an interdisciplinary health care team such as therapists, medical practitioners and dietitians. Nurses provide care both interdependently, for example, with physicians, and independently as nursing professionals. History Traditional...
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...Professional Regulation and Criminal Liability Mary Calicat HCS/ 430 University of Phoenix Faye Wilson August 2, 2012 Nursing is a book in itself, and while in the health care field, it is in high demand. In the recent years this is one of the hardest working fields but with plenty of job satisfaction. In 2008-2009 brochures from the U.S. Bureau of Labor Statistics, nursing provide the largest percentage of healthcare employment, which is expected to rise considerably in the next decade. This seems to be the steps moving forward in nursing, as the need for training nurses’ jobs opens up with prospects. In health care the important purpose is to provide quality care and good medical attention to patients that is in need. Patients build a professional relationship with the staff and nurses who are assigned to physician to make sure patient have a good treatment plan. The medical profession as a registered nurse is described as detecting and treating individual reactions to real or possible health troubles. The health problems can be treated through services, such as health training, health guidance, and performing medical treatment. The treatments have to be ordered by a licensed doctor, or another health care provider authorized under this commissioner's regulations. Regulatory, statutory, and credentialing requirements are vital factors that involve registered nurses in this active healthcare atmosphere. The trial that deals with the job is to guarantee community...
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...Application of Nursing Theory Nurses have to make numerous decisions on a day to day basis. Some are simple decisions and other issues are more complex and require guidance to make decisions. Nursing theory is one way for nurses to make decisions based on problems or situations they face. As Cody (2003) states, “one learns to practice nursing by studying nursing theories” (pg. 226). This statement can be applied to problem solving and decision making. By using theory, nurses can apply concepts to solve problems, since practice is derived from theory. It is also noted by Cody (2003), that “nursing practice will be transformed to the betterment of humankind when all nursing practice is fully autonomous and guided predominantly by nursing theory” (pg. 230). This includes all aspects of nursing including nursing leadership, nursing education, nursing informatics and health policy. The middle range nursing theory of nursing intellectual capital is one that was developed to understanding how nursing knowledge within healthcare organizations influences patient and organizational outcomes (Covell, 2008). It is comprised of two mutually supporting concepts of nursing human capital and nursing structural capital. Nursing human capital is influenced in the workplace by nurse staffing and employer support for continuing professional development and is directly related to patient and organizational outcomes. The nursing structural capital is directly related to patient outcomes (Covell...
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...They are five domains described in the professional development framework, which should be considered when determining the actions of nursing practice. These five domains are clinical skills and knowledge, therapeutic relationships, professional relationships, professional development and the advancing practice through innovation and research (UMHS). As nurses it is our responsibility to know our scope of practice in our home state and any state we practice in. Also, we must continue to educate ourselves in our profession as health care continues to change and stay current with the professional development framework of nursing. As an agency nurse and working in different states it is emperative to know the scope of practice. Even though hospitals have their own policy and procedures, it is always best to refer to scope of nursing practice for that state. I have found in my travels that more times than not, I was asked or told it was okay to perform a practice outside of my scope. Employers as well are responsible for providing nursing with policy and procedures, orientating nursing adequately to ensure the nurse understands her role and responsibilities and given the resources to maintain the ability to provide safe patient care. (CRNM). It is the framework of the domains that guides nurses to keep on the path of continuum care and also up to date on technology and education. Ultimately, it is the responsibility of the nurse to determine what is within the nursing practice based...
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