...Courtney Palazzolo 30 Dixie lane East Islip, NY 11730 (631)806-5423 cpalazzolo1@lions.molloy.edu ______________________________________________________________________________ Education Molloy College- Rockville Centre, New York January 2012-Present Registered Nurse Program/ Bachelor of Science in Nursing Current GPA: 3.84 Farmingdale State College January 2012-December 2012 Pre-Nursing/ Liberal Arts and Sciences Clinical Experiences St. Francis Hospital, Orthopedic/Telemetry- Fall 2014 Humanistic Nursing Care of Adults II. Completed 117 hours of clinical experience working with floor nurses providing nursing care to patients with cardiovascular disease, orthopedic and other challenges. Provided direct patient care to pre and post-operative orthopedic patients....
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...SB 89(BR-1094) According to Kentucky law (KRS 314.011), Advanced Practice Registered Nurses (APRNs) have been authorized to prescribe non-scheduled legend drugs and controlled substances to their patients after acquiring a written collaborative agreement with a physician licensed in Kentucky (KBN, 2018). The author of this paper resides in the state of Kentucky. The proposed Senate bill addressed in this paper amends the current practice of prescriptive authorities for APRNs in that state. The Bill proposes an expansion of the APRNs role in prescribing medication. Proposed Benefit SB 89(BR-1094) was introduced in the Senate on Wednesday, January 17, 2018. The Bill was sponsored by Senator Paul Hornback, from Senate district 20. The Bill...
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...affect nursing care of patients. Research by L. Aiken, et al. and A. Tourangeau, support the need for higher education of registered nurses. Their research proves that patient outcomes are improved when registered nurses carry a bachelor’s degree in nursing. Research conducted by J. Needleman, et al., concluded that reducing the nurse-patient ratio resulted in the patient being at less risk for developing hospital-acquired illnesses as well as a reduced risk of inpatient mortality. The reader will also be informed about the Joint Commission’s protocol for reducing the occurrence of wrong-patient, wrong-site, and wrong-procedure during surgical procedures. Politics, Legislation, and Implications to Patient Care As the American population ages, healthcare and its resources are in greater demand. As the demand for healthcare increases, the topic of patient safety has become increasingly important. Laws and legislation regarding patient care are changing almost constantly to maintain patient safety while still providing comprehensive patient care. This report will focus on informing the reader of recent and upcoming legislation regarding patient care, what has brought those changes about, and the effects it can have on the healthcare industry and patient care. It is important to stay informed of these changes because it may affect the registered nurses education requirements and scope of practice in the future. The Joint Commission has maintained reports of sentinel events...
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...paper will analyze the difference in competency of education between nurses prepared with an Associate degree or a Baccalaureate degree in Nursing. A comparison in scholastic preparation of both degrees. Will discuss the recent increase of demand of Baccalaureate degree graduates over the Associate degree as a new hire in the medical setting. We will also focus on magnet status hospitals and those trying to achieve magnet status and how they have promoted a change in hiring of this two degrees. The American Nursing Association view of Baccalaureate Degree in comparison to Associate degree. We will also address research that has recently be published that displayed baccalaureate patient outcomes and patient safety in writing and statistical data. Patient care situation will be analyze decision making approach relating Associate degree versus Baccalaureate degree in nursing. First we must address the similarities they both are able to be called and hold the title of Nurse, they both are able to seat to take the National Council Licensure Examination for Registered Nurses. They both work in similar settings ambulatory and inpatient medical facilities to name the most prevalent. The main difference in competency and preparation lies in education and training the Associate Degree Nurse in most cases is a two year technical nurse who graduates from a community college or nursing school. The baccalaureate degree nurse per the American Nursing Association has claim encompasses all of...
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...a Bachelor Degree Nurse Grand Canyon University Professional Dynamics NRS 430V Monica Kidder February 10, 2013 There are three ways; one can get the title of a Registered Nurse (RN) to practice in the United States. One is the Diploma Nurse; it is a hospital based school. It was popular until the mid 1970. This program teaches minimal competencies and let them sit for the NCLEX-RN boards. I have found on the internet that there are some schools that continue to teach it. It takes about 18 to 32 months. Then there is the 2 year Associate Degree Nurse, they get their degree from a community college. The training they receive focuses on the technical skills, it is cheap and fast. The Bachelor Degree is a 4 year academic degree from a university. Since the 1991, the American Nurse Association (ANA) House of Delegates “supported the baccalaureate degree as certification examination by 1998” ("ANA, 2000). Other Association also has a strong support for the “registered nurse to be educated in the baccalaureate program in an effort to adequately prepare clinicians for challenging and complex roles” (Rosseter, 2012) Nursing association believes that there should be a set entry level degree to become a Registered Nurse. Many feel if there was a required degree, then they would be taken serious as a professional career instead of a job. Doctor, Lawyer, CPA and other professional are required to have a certain degree and training to enter the field. Case Study 1 The question...
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... The Differences Between Baccalaureates Versus Associate Degree The American Association of Colleges of Nursing (AACN), the national voice for baccalaureate and graduate nursing programs, believes that education has a significant impact on the knowledge and competencies of the nurse clinician, as it does for all health care providers. Nurses with Bachelor of Science in Nursing (BSN) degrees are well-prepared to meet the demands placed on today's nurse. BSN nurses are prized for their skills in critical thinking, leadership, case management, and health promotion, and for their ability to practice across a variety of inpatient and outpatient settings. Nurse executives, federal agencies, the military, leading nursing organizations, health care foundations, magnet hospitals, and minority nurse advocacy groups all recognize the unique value that baccalaureate-prepared nurses bring to the practice setting. AACN encourages employers to foster practice environments that embrace lifelong learning and offer incentives for registered nurses (RNs) seeking to advance their education to the baccalaureate and higher degree levels. We also encourage BSN graduates to seek out employers who value their level of education and distinct competencies. Different Approaches to Nursing...
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...The Competent Nurse: The Movement Towards Baccalaureate Degree Nursing There is an ongoing debate on how to properly educate registered nurses. It has been proposed that the entry degree for practice should be the Baccalaureate of Science and Nursing (BSN). In 1951, due to a nursing shortage, the Associate Degree of Nursing was established (Friberg, Creasia, 2011). It is suggested that having two separate entry levels into registered nursing creates inconsistent competencies (American Association of Colleges of Nursing, American Organization of Nurse Executives, and National Association of Associate Degree Nursing, 1995). This paper is a review of findings that support baccalaureate registered nurses having advanced competencies. Included is an example of a patient care situation connecting the outcome to the registered nurse’s education at the entry level of practice. Most medical treatment team members have educational requirements that are at, if not above, the baccalaureate degree. For registered nurses to have collegial acknowledgement their educational pathway should be at least equivalent. The National Advisory Council on Nurse Education and Practice (NACNEP) has reported that a baccalaureate registered nurse is best skilled in the ability to effectively communicate patient care within the medical treatment team (Education and Practice. First report, 2001). Additionally the report provides declaration that registered nurses holding a baccalaureate degree are...
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...between an Associate Degree Registered Nurse and Baccalaureate Degree Registered Nurse. Many advantages are apparent for not only the Registered Nurse, but the patient as well if the nurse obtains a higher level of education. Patients will have better outcomes, quicker recovery times, decreased death rates, and decreased hospital readmissions. Nurses will have increased job opportunities, improved skills, higher pay, management opportunities, and will have achieved another step towards a Master of Science in Nursing or a higher degree path. Patient Care Registered Nurses with Baccalaureate degrees have proven to achieve better patient outcomes and fewer patient deaths. The nurse’s response time, sharpened assessment skills, and preparedness to handle patient emergency situations is enhanced. Patients may also have a shorter length of hospital stay, quicker recovery times, decreased death rates, and lower hospital readmissions. With the additional training provided to Baccalaureate Degree Registered Nurses, patients may feel as if their care is better and have more trust in the Baccalaureate Degree Registered Nurse. Advancement of Career After working many years as a nurse who performs direct patient care in a setting such as the emergency room, operating room or as a hospital floor nurse, many nurses want to make an advancement in their career or change to a different nursing role . At this point in time, only certain positions require that a nurse hold a Baccalaureate Degree...
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...admissions, little is known about the care environment and related adverse events. The purpose of this study was to determine the occurrence of adverse events and examine the extent to which organizing factors of inpatient psychiatric care environments were associated with the occurrence of these events. The events examined were wrong medication, patient falls with injuries, complaints from patients and families, work-related staff injuries, and verbal abuse directed toward nurses. Methods: This cross-sectional study used data from a 1999 nurse survey linked with hospital data. Nurse surveys from 353 psychiatric registered nurses working in 67 Pennsylvania general hospitals provided information on nurse characteristics, organizational factors, and the occurrence of adverse events. Linear regression models and robust clustering methods at the hospital level were used to study the relationship of organizational factors of psychiatric care environments and adverse event outcomes. Results: Verbal abuse toward registered nurses (79%), complaints (61%), patient falls with injuries (44%), and work-related injuries (39%) were frequent occurrences. Better management skill was associated with fewer patient falls and fewer work-related injuries to staff. In addition, fewer occurrences of staff injuries were associated with better nurse-physician relationship and lower patient-to-nurse staffing ratios. Conclusions: Adverse events are frequent for inpatient psychiatric care in general...
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...Management in Public schools | Grand Canyon University | | `` | 10/13/2013 | | The following is a summary regarding a research study on the non-medical personnel assigned to care for Type I diabetic students in the state of Virginia public school system in the absence of a registered nurse following a legislative bill passed in the Senate in 1999. The research conducted in 2005 and released in 2007 (Hellems & Clarke 2007) was implemented with questions regarding care of non-medical staff and whether that care provided was sufficient. The research study was approved by the Virginia Intuitional review board with names of the children, the grade, and date of birth as the indicator for data collection purposes. There was no reference as to how this information was protected once collected. The qualitative data collected consisted of interviews with the parents on who was the actual caregiver of their child while in school, as well as whether their child participated in their own care. The quantitative data collected included the above data on the children as well as the following; 185 participants attending 153 schools in Virginia utilizing cross referenced methods. The data included schools that contained a registered nurse, no nurse and non-medical staff assigned to diabetic management. Further review of the study noted the children’s grades ranging from kindergarten to high school data reflecting overall equal amounts from each grade class; elementary 58...
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...The Differences Between an Associate Degree Nurse and a Baccalaureate Degree Nurse Grand Canyon University Although the Associate degree in Nursing and the Bachelors degree in nursing ultimately lead to a nursing profession in the health care industry, there are many differences between them. The fast growing complexity of health care and broadening clinical knowledge have forced nurses to have the educational preparation to meet its complex demand. Unlike the Associate degree program (ADN), the Baccalaureate program (BSN), prepares professional nurses whose practice is based upon science in order to restore and maintain health. Both the ADN and the BSN degrees lead to a profession as a registered nurse upon successfully passing the NCLEX board of licensure exam. However there are major differences that set both degrees apart in the Health care industry There are major differences between the ADN and BSN degrees. One of the differences is the length of time required to complete both programs. The Associate degree requires two years of course work to complete whereas the Bachelors degree normally requires four years of course work. In some instances it but could be less especially in cases where the prospective student already has a bachelors degree in another field or an associate degree in nursing from a community college. In comparing the competencies of both the ADN and BSN degrees both programs produce competent graduates...
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...outcomes have long been a source of examination. Many studies exist relating patient outcomes and patient safety to registered nurse staffing, but there are few studies that directly compare those outcomes to the level of nursing education. In 2003 the education levels or nurses became more specified during a study in the Journal of American Medicine; prior to that all registered nurses, regardless of associates degree or bachelor’s degree were often placed into the “RN” category and LPN/LVN was the other category specifying nurses with a certificate. (Ridley, 2008) The result of this study was found that hospitals in the Unites States that employed at least ten percent more bachelor degree nurses decreased patient mortality rates by five percent.(Aiken, Clarke, Cheung, & Sliber, 2003). This study began a long controversy which exists today between associates degree nurses (ADN) and bachelors degree nurses (BSN) educated nurses with many ADN nursing programs arguing that their graduates pass the NCLEX at or above the rate of many BSN programs. In 2012 the Nevada State Board of Nursing reported that the associate’s degree school with the largest graduating class had a pass rate of 93.24% of their 74 students, whereas the largest graduating bachelor’s school graduated 96.97% of their 33 students. ("NSBN," 2012) It should be noted that the NCLEX represents the minimum competency necessary to function as a registered nurse, but a minimum competency is not enough for favorable...
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...Application of Theory Neukenya Jokines Chamberlain College of Nursing Application of Theory The future of nursing is dependent upon nursing leadership that adheres to the professional standards in regards to education, research and practice. On a daily basis decisions are made by nurses that directly affect the lives of others. Nursing theory is a guide that has been set in place in order for nurses to look upon when it comes to daily healthcare decisions. It was stated by Cody (2003), that “one learns to practice nursing by studying nursing theories” (pg. 226). This statement can be applied to the problems of nursing leadership, problem solving and decision making. Cody (2003), also states 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). For many years nursing practice has found its foundations from nursing theories. Understanding how nursing knowledge within healthcare organizations influence patient and organizational outcomes are discussed in the middle range theory of nursing intellectual capital (Covell, 2008). Intellectual capital is defined as the combination of collective knowledge of individuals and structures in an organization or society. The theory consists of two concepts of nursing which includes human capital and nursing structural capital. According to (Covell & Sidani, 2013) “Intellectual capital theory defines human capital...
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...administered in a typical NHS hospital (Audit commission 2002). Drug administration forms a major part of the clinical nurses role. Medicines are prescribed by the doctor and dispensed by the pharmacist but responsibility for correct administration rests with the registered nurse (O'Shea 1999). Each registered nurse is accountable for his/her practice. This practice includes preparing, checking and administering medications, updating knowledge of medications, monitoring the effectiveness of treatment, reporting adverse drug reactions and teaching patients about the drugs that they receive (O'Shea 1999). The patient is expected to receive the correct medication at each drug round but several studies have shown that this is not always the case (Raju et al 1988, Ferner 1995). Medication errors do occur and are a persistent problem associated with nursing practice (O'Shea 1999). The aim of this paper is to answer the question: Why are nurses still continuing to make drug errors? In order to answer this question this paper shall examine the guidelines that nurses must adhere to when administering drugs, shall provide a definition of a drug errors, look at reasons why drug errors occur and approaches that are aimed at reducing drug errors on the ward. There are a number of pieces of legislation that relate to prescribing, supply, storage and administration. It is essential that nurses comply with them (NMC 2003). The 1968 Medicines Act was the first comprehensive legislation on medicines in...
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...harassment is usually between a male and female. In many cases, the male is usually the superior to the female. Sexual harassment of female nurses is an on-going issue in the world. The goal of my video is to inform people about this issue by discussing statistics and information from scholarly sources, news articles and short videos from You-tube. A big question of my presentation was, “who are nurses being harassed by?” According to some of the scholarly articles that I have read and two bar graph of statistics, registered and student nurses were being harassed by physicians, patients, male nurses and other staff members at their work place. Of all other abuses, Physical abuse was rated the highest in percentage. Patients were more likely to be...
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