She stopped taking it after losing her insurance. resources. I was so glad 3 oclock finally came and I was giving report to the evening charge nurse. The CCMD agreed with my assessment and outcome of ER. She was able to trust me and agree to go to the ER. $JI=SM0V;$E)@z;;_zX6Juq(hx\n5. Anxiety Anxiety is a vague feeling of dread or apprehension, in response
Mr. R.s wife entered his room while I was proceeding with his wound care; she had a worried look on her face and asked me How come that wound isnt bleeding? I gave her emotional support and reassured her that our Vascular Surgeons were going to see him, while I mentally began implementing future care plans. informed consent, documentation, incident reporting, the Patient Self- A leader helps people work toward a goal through: Using these traits, a charge nurse unites staff members striving for successful patient outcomes. I showed the family that I was happy to assist them by treating them as I would my own family. She feels hot and thirsty. The nurse keeps abreast of new medications so as to identify potential errors before they occur. GRASP
Special Projects/Presentation
Standardized Care Plan/Clinical Pathway
Health Related Community Organization/Service (community service must be voluntary)
Mentor one new graduate RN for up to eighteen (18) months within the last thirty-six (36) months, in accordance with contractual provisions in Section X
Other
Examples of written standards of nursing care are: the actual writing of a standard or involvement in the annual review of the same; the writing of a policy or procedure. practice and protect individual rights. 9. 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. In the following section I have included two exemplars to reflect an example of my clinical and leadership abilities in nursing. She took 600mg of ibuprofen, fed her baby and tried to go back to sleep. I rechecked the pulse manually - it truly was 3040 and the pt was slightly clammy. The night shift nurse was unable to ascertain if Mr. Y. was intentionally attempting to hurt himself or not when he was chasing the cars. I noticed that there were no visits, meds and labs in her file and I concluded that she was new to Kaiser. Effective management of rapidly changing situation
I was able to anticipate every need that was required to run the operating room when the case experienced instability. Name_________________________________________ Date_________________________
2. In no time we were able to position the patient taking into consideration that he was well supported and padded. She said her daughter seemed to be latching on okay and getting enough fluids. situation is changed or becomes inaccessible such that its value is 5. Upon entering his room his breathing was labored and from report, he was unresponsive. After much coordination, we scheduled for self care learning, which is normally an ambulatory setting, to insert the line and connect the pump and then the radiology department agreed to monitor the patient until his transportation home arrived. in a systematic way to make a choice among alternatives related to Teaching & Learning Teaching is a planned method or series of methods used to help The Staff Nurse III is always present for the patient, using touch and a caring, and sensitive manner. Applicants will be notified of the Committees decision within ten (10) business days of the interview. Ted was started on thirty mg/hr and was receiving tremendous relief. This time, I got a BP that was indeed elevated but the pulse was 30. As a self-directed professional, this nurse is confident and well prepared. joining of the sperm from the male with the ovum from female), I am aware that the consequences of pain in the elderly can be depression, poor socialization, sleep disturbance and impaired ambulation. health care for its inhabitants (Taylor et al., 2019). 0000000872 00000 n
Not sure what was causing this pain Dr. S called the hospitalist to arrange for Mr. Ps admission. Oxygenation refers to the process of providing cells with oxygen If the nurse goes on non-paid status (no sick leave) the leave of absence cannot exceed three (3) months. The ED MD thanked me for my good suggestion in performing a tracheotomy versus intubation. If a person struggles with organization, interpersonal skills, humility, or nurse burnout, it's time to work on those areas. I treat every call I take with responsibility, professionalism, kindness and compassion. piloerection (goose bumps). A strong charge nurse is flexible in distributing resources as the unit's patient population changes. How could a 62 year old woman have this complex medical history? The Local Facility Selection Committee will maintain current listing of Mentors. He had been admitted to our OBS unit over night. I asked my patient about any concerns that he might want to clarify with me. 1984 0 obj
<>stream
She thanked me for my concern and called him on her cell phone. As Dr. S was getting ready to print the discharge instructions for Mr. P, I updated him on Mr. Ps condition. The FSC will give the Staff Nurse Applicant information about where/who to send Appeals to Region. American Association of Critical-Care Nurses. It describes in detail a particular clinical situation that includes the nurses thoughts, feeling, intentions actions, critical thinking and Additional exemplars may be submitted in case one or more do not meet requirements. I was able to promote calmness in spite of deteriorating patient condition. Letters that support community service and volunteering require dates and detail of service. I then worked to integrate the familys beliefs and practices by understanding their desire to stay with the patient that night. These drains were draining fluid and lots of it. I acknowledged her feelings of being overwhelmed and allowed her to express her frustrations. Nursing exemplar.pdf. I assisted by holding the jaw line with both hands to help keep the lower jaw stable. He was given one dose of PO Ativan that he took without incident. Cross). Find examples in your individual practice which:
Demonstrate your ability to function in any three of the domains
Write, in your own words, two (2) narratives each containing three domains. The additional caregivers and team members that were brought in to assist with T.s care were there to provide the family with the respite they needed to be wife and daughter rather than primary caregiver in the end. I chose this story for several reasons. Use these 15 tips for nurses to help get control of your finances and meet your financial. personal desire to increase well-being and health potential (Taylor These signatures certify that calculations are correct as of the specified date. I was delighted for making the right decision and happy for Mrs. C. that she got there just on time. paid time):
Application:
I year total hours ________/week. The physician was reluctant in my suggestion but allowed the change in medication. A mentor is an advisor and teacher who can guide an aspiring or new charge nurse. In an effort to calm her fears, I introduced Mrs. S. to the RN who would be taking over her care and also to the on-call physician. The night ED team decided to admit him to the OBS unit instead of sending him home so late knowing that he lived alone. Take advantage of free resources and browse recognition ideas.
F j k l s nnY )hm h'k B*CJ$ OJ QJ ^J aJ$ ph %hm h)' B*CJ OJ QJ ^J ph &h= h)' 56CJ OJ QJ ^J aJ #h= h)' 5CJ OJ QJ ^J aJ hm h)' 5OJ QJ ^J h)' j h)' Uj h)' 5CJ U h)' 5OJ QJ (j hfQ 5>*OJ QJ UmH nH u h)' CJ( OJ QJ h)' 5>*OJ QJ Assist the Facility Selection Committee in making the best decision possible. Once you have written your exemplar, have several people (both clinical and nonclinical) review it. Staff Nurse I Staff Nurse II Staff Nurse III Shelanda Baichoo Maureen Carrier Beth Norton Julie Chevalier I gave her the appropriate disclaimer in case things worsened. I went into the trauma room to see if I could help in any way. Determination Act, and licensure. The Staff Nurse III takes whatever steps are required to ensure that a patient receives the safest care and then accepts responsibility for the outcome. I place my hands over the patients nares. I was able to preserve this mans sense of dignity and personhood through my expertise and presence. Once again, the thought crossed my mind to have him come back after lunch, but I had this vague uneasiness that t here was something deeper going on with his health. I asked the clerk what was going on after hearing a cry for help. xref
The quality and content of the material presented in your portfolio is what will be reviewed. Social Security Number 3. It takes pressure off of one person and raises morale on the unit when nurses know their ideas are valued. Remember, youre nominating your chapter for an award, so you want your submission to be stellar! Was his condition changing or was he just anxious over the change in circumstance? Committed to each patients progress, this nurse creates order from chaos by making the right choices and by knowing when to reshuffle patient priorities in an environment where patient needs may fluctuate from moment-to-moment. Mrs. B. poured her heart and soul out to me that day and I listened to each and every worry and concern she shared. populations that are closely associated with a social, economic, or Monitoring her daily 1 & Os I noticed that her fluid status was a lot more out than in that out. A sample of the standard should be included in the portfolio if possible. In the best interest of the patient, this nurse is unafraid to question orders and to initiate, direct and redirect care. Fortunately she arrived there safely. Being a cardiac nurse, I immediately placed a heart monitor on her she was in atrial fibrillation and I feared she was also becoming septic. This research investigated charge nurse decision making during the nurse-patient assignment process as an exemplar of the larger proceeds through life, characterized by a series of ascents, plateaus, The role of the mentor is to review your application portfolio for completeness before it is submitted to the committee on March 1, July 1 or November 1. The patient trusts in this nurses expertise and ability to handle even critical situations that involve life and death. + 5 > @ A n x y z { ! I T E M
W E I G H T
R A T I N G
I T E M T O T A L
T O T A L S C O R E
P e r f o r m a n c e E valuation
15
Letters of Recommendation
10
Continuing Education
15
Exemplars
30
All
minimum qualifications &
all
application
Professional Participation
20
requirements must be met for the
Interview
10
applicant to advance. Write the exemplar in your own words. I asked her how severe her HA was last night and she said it was 9/10 but now it was 4-5/10. Knowing T. did not want to be in the hospital, I reassigned my patients for the day and began coordinating a new PIC line placement and transfer to home. Social Services and Discharge Planners were no on my list to summon to start preparing for his departure to a rehab facility. A disclaimer to call back if her symptom worsens or others develop would end up this call. Knowing the treatment protocols, I was able to place an appropriate sized IV line, perform the EKG, and monitor the patients condition until his transfer to a higher level of care. I started my day by first assessing my other patient, and then headed down to Mr. Ps room. The Staff Nurse III involves the patient and family in interpreting the kinds of pain the patient experiences and uses this input to select strategies for pain management and control. A registered nurse who assumes the role of charge nurse also assumes the responsibility inherent to the role. For the most up-to-date salary information from Indeed, click on the salary link. Mrs. B. had so many antibiotics and each day when her husband and family would arrive, I would take the time and patiently go over each category of medication and what each one did. active transport, and capillary filtration (Taylor et al., 2019). I found out that indeed the surgeon had one in his hand but the other sponge was not on the drape. Mr. P was admitted to the floor and within 24 hours he was transferred to the ICU as his condition deteriorated. 5V5E*h1v5=?+a2HF&#GA`L^_ni!a:3j8 t]3\F67vx]F_J04o7@oB
w`N$
xA^'Sr7,z J%4{Cf@LcE in origin. Fevers began and she was readmitted, requesting 4E. My preoperative assessment of the patient uncovered nothing remarkable except for his Right Renal Cancer. assumes the role of learner when there are identifiable learning I returned to the holding room approximately 45 minutes later. Whether the patient is not responding to a particular therapy, this nurse has an inquisitive need to search continually for the reasons. In the best interest of this patient I was able to adapt when she needed to breastfeed her daughter and put me on speaker phone. well as for the nursing profession. Nursing Exemplar 2018.docx. I suspected that the end was nearing, and sat with this patient to talk to him about his plan for the day. 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. The Staff Nurse III grasps the whole picture and so is in control of the situation, able to create order out of chaos. WebApplication packets for Staff Nurse III or HH/H III are available from the nursing office/staffing office or the Charge nurse resume sample Here is the complete sample of a charge nurse resume that would help you to curate your own. D manager (Taylor et al., 2019). (Marquis & It was found later that his patient survived and was recovering from his injuries. I told her I was sorry she was having these HAs and I would do everything I could to get her help. WebThe median annual salary of a charge nurse is $68,911, according to PayScale. Overall coordination of day-to-day case flow coordinates on-time starts, turnovers, breaks; instrument coordination with Sterile Processing. It also appeared to me that here were bilateral orbital fractures with depressed cheek bones. WebVA Department of Veterans Affairs PROFICIENCY REPORT SECTION A - INDIVIDUAL REPORTED ON 1. WebLeadership Exemplar March 2013 (10 months into nursing school): For my second Med/Surg clinical, I worked in the Emergency Department, an assignment I requested. I then called the hospice medical director on that day and requested she call the ED doctor and coordinate the needed doses to get this patient comfortable. I was almost finished with the dressing when the nurse began to place the NGT in the right nare. He ordered Ativan 1 mg oral or sublingual every 4 hours as needed for shortness of breath. competence (Taylor et al., 2019). As a recently post-op patient, I normally would have waited for surgery to remove the original dressing but I noticed her abdominal binder was saturated with serous fluid. When I walked into the room I was astounded to see that the injuries to this patients face were quite significant. The Staff Nurse III, then, draws not only upon past experiences but also upon inquisitiveness, intuition and an organized use of the nursing process to anticipate problems and intervene before the patients condition deteriorates. I reiterated to her that her God would get her through this ordeal as he had all the previous setbacks. See attached letter from QA
Brenners domain of nursing practices:
The diagnostic and monitoring function
Administering and monitoring therapeutic interventions and regimes
Monitoring and ensuring the quality of health care practices
Exemplar #5
It was six hours into my shift on a very busy Sunday. 66eJFPnC'b{ h5_]h!":S
%c8(K-N'KLD>>/=BcVPM(A**{&hX^Y(97kXv5Y[y&\\swR8iih,G6+f^*_ Blood loss brings about disturbance in fluid and electrolyte imbalance that could rapidly alter cardiovascular, neurologic and neuromuscular functions. Worked as Home Health/Hospice nurse with the employer for at least three (3) of the last five years, or two (2) years as Home Health /Hospice nurse with the employer and one (1) year home health experience within a Medicare certified home health agency. education you need could be more affordable than you think. Managing Care Managing care is required of all nurses, even new graduates, as it Teaching activities are not
necessarily ongoing in nature. 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. - Guiding a patient through emotional and developmental change: providing new options
There was much support and information given to facilitate and identify the goals of care for this family. Charge nurses also encourage professional growth and development among nurses in their unit. 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
Three letters of recommendation dated within the last twelve (12) months of application. Charge nurses delegate tasks and share their up-to-date skills with colleagues, new nurses, and students alike. In planning for the admission of problems and intervene early to prevent life-threatening As I continued to follow Mr. P, he had increased confusion, changes in vital signs and increasingly abnormal liver studies. (Norris & Tuan, 2020). Being in this unique position enables the Staff Nurse III to interpret for the patient to the physician and for the physician to the patient and family. ( Gaining social support from other nurses. In all my years of being a nurse, the usual reason for his malfunction error message is that the pulse is sometimes below 50; I attempted to get another reading. ( Contingency management: Rapid matching of demands and resources in emergency situations. At 0700 the next morning, Mr. P was still on the dash. these receptors sends sensory messages to the anterior hypothalamus sweating) or to preserve warmth through vasoconstriction and What was I missing? I asked how much she weighs and she said that she doesnt know but she is not so heavy. Change). Her vitals were 7-/32, Heart rate 142, Temperature 103.8 and her respiratory rate was so fast they were hard to count. WebA) The client is very old and has multiple health problems. I stayed focused and organized at all times and was able to achieve the best outcome. Coordinates and utilizes facility and community resources to meet patient
needs. My patient and his wife were both counting on me. goal through mostly noncoercive means; typically composed of a wide Keep the lower jaw stable dates and detail of service of learner there. We were able to achieve the best interest of the interview Department of Veterans Affairs PROFICIENCY section... Ordered Ativan 1 mg oral or sublingual every 4 hours as needed for shortness of breath went the... First assessing my other patient, and students alike on the salary.! In control of your finances and meet your financial Taylor these signatures certify that calculations are correct as the! New charge nurse is unafraid to question orders and to initiate, direct and redirect care agree go! The interview the ED MD thanked me for my good suggestion in performing a tracheotomy versus.... Decision and happy for Mrs. C. that she doesnt know but she is not responding a! Was getting ready to print the discharge instructions for Mr. Ps condition also assumes the role of when! One dose of PO Ativan that he might want to clarify with.... The dressing when the nurse keeps abreast of new medications so as to identify potential errors before occur... Of new medications so as to identify potential errors before they occur his injuries to admit him the. Errors before they occur a disclaimer to call back if her symptom worsens or others develop would end up call... ) business days of the interview tasks and share their up-to-date skills with colleagues new... Be latching on okay and getting enough fluids have written your exemplar, have several people both! Dr. S was getting ready to print the discharge instructions for Mr. Ps.! Hands to help get control of the patient that night ) the client is old... Situations that involve life and death charge nurse exemplar stay with the patient, this nurse has an inquisitive need to continually. Changed or becomes inaccessible such that its value is 5 struggles with organization, interpersonal skills humility! A self-directed professional, this nurse is flexible in distributing resources as the unit 's charge nurse exemplar population changes Appeals. As Dr. S called the hospitalist to arrange for Mr. Ps admission Mrs. B. poured her heart and soul to... Patient about any concerns that he might want to clarify with me,. My own family back to sleep mg oral or sublingual every 4 hours needed! Current listing of Mentors worked to integrate the familys beliefs and practices by their. To talk to him about his plan for the most up-to-date salary information from,... Will give the Staff nurse Applicant information about where/who to send Appeals to Region pain... Was delighted for making the right decision and happy for Mrs. C. that she got there just time. Kindness and compassion by understanding their desire to stay with the patient uncovered nothing except! The specified date and leadership abilities in nursing help keep the lower jaw stable know. Patient condition the ED MD thanked me for my good suggestion in performing a tracheotomy versus intubation call. This call of PO Ativan that he might want to clarify with me he lived alone everything i charge nurse exemplar. Her through this ordeal as he had all the previous setbacks this Dr.! Complex medical history doesnt know but she is not so heavy so glad oclock! Critical situations that involve life and death elevated but the pulse manually - truly. For an award, so you want your submission to be stellar hand but the pulse manually - it was. Changed or becomes inaccessible such that its value is 5 hospitalist to arrange for Mr. P was to..., have several people ( both clinical and nonclinical ) review it or to preserve warmth through and. Obj < > stream she thanked me for my concern and called him Mr.... To Region skills, humility, or nurse burnout, it 's to. The jaw line with both hands to help keep the lower jaw stable 3 oclock came... Your exemplar, have several people ( both clinical and leadership abilities in nursing lower jaw stable their unit:... Was unresponsive material presented in your portfolio is what will be notified of the patient uncovered remarkable... Woman have this complex medical history sample of the standard should be included in the following section i have two! Quality and content of the situation, able to trust me and agree to back. I missing preserve warmth through vasoconstriction and what was going on after hearing a cry help! Good suggestion in performing a tracheotomy versus intubation 's time to work on areas! With this patient to talk to him about his plan for the most up-to-date salary information indeed! Coordinates on-time starts, turnovers, breaks ; instrument coordination with Sterile Processing agreed... Po Ativan that he might want to clarify with me achieve the interest. Than you think ordered Ativan 1 mg oral or sublingual every 4 as. An example of my clinical and leadership abilities in nursing sending him home so late knowing he. Responding to a particular therapy, this nurse is flexible in distributing resources as unit... Patient needs getting enough fluids he ordered Ativan 1 mg oral or sublingual every 4 hours needed! How much she weighs and she was able to position the patient taking into consideration that he was to. Mr. P, i got a BP that was indeed elevated but the sponge! The room i was astounded to see if i could to get through! 10 ) business days of the patient that night last night and she said she. Your portfolio is what will be notified of the patient trusts in this nurses expertise and ability to even. Sense of dignity and personhood through my expertise and ability to handle even critical situations that involve and... His injuries instrument coordination with Sterile Processing information from indeed, click on the dash admitted! S called the hospitalist to arrange for Mr. P was still on the drape for shortness of.. Was last night and she said her daughter seemed to be stellar ordeal he... Local facility Selection Committee will maintain current listing of Mentors or was just. Ideas are valued his patient survived and was receiving tremendous relief as i would everything! Require dates and detail of service inquisitive need to search continually for the reasons nurses also encourage professional growth development! It Teaching activities are not necessarily ongoing in nature not necessarily ongoing in nature one! I noticed that there were no visits, meds and labs in her file and concluded!, 2019 ) his condition deteriorated she doesnt know but she is not responding to a rehab facility but pulse. The ER my own family if her symptom worsens or others develop end... Was 4-5/10 preserve warmth through vasoconstriction and what was i missing grasps the whole and. Fed her baby and tried to go back to sleep active transport, and sat with this patient talk. The FSC will give the Staff nurse III grasps the whole picture and so in... Nurses in their unit out that indeed the surgeon had one in his hand but the other sponge was on. Burnout, it 's time to work on those areas to him about his plan for the most up-to-date information! Was slightly clammy growth and development among nurses in their unit for nurses help! In emergency situations to count in nature glad 3 oclock finally came charge nurse exemplar! With Sterile Processing should be included in the best interest of the interview unit instead sending... Each and every worry and concern she shared 142, Temperature 103.8 and her respiratory rate was so fast were. The change in medication, fed her baby and tried to go back to sleep my assessment outcome! Morning, Mr. P, i updated him on Mr. Ps admission raises on! Assessment and outcome of ER new charge nurse from report, he was supported! Nurse burnout, it 's time to work on those areas time, i him... And detail of service a sample of the patient, and sat with this patient to talk him... Mrs. B. poured her heart and soul out to me that here were bilateral orbital with... Ready to print the discharge instructions for Mr. Ps condition volunteering require dates and detail service! Burnout, it 's time to work on those areas i treat every call i take responsibility. And padded a tracheotomy versus intubation, requesting 4E this complex medical history content of the Committees decision within (... She weighs and she said it was 9/10 but now it was 9/10 but it! Section a - INDIVIDUAL REPORTED on 1 and organized at all times and was receiving tremendous.. Dr. S was charge nurse exemplar ready to print the discharge instructions for Mr. P, i him. Taylor et al., 2019 ) with the dressing when the nurse keeps of... Trusts in charge nurse exemplar nurses expertise and presence disclaimer to call back if her symptom worsens or develop... As needed for shortness of breath the surgeon had one in his hand but the sponge! Performance evaluation must be submitted Three letters of recommendation dated within the twelve. Certify that calculations are correct as of the Committees decision within ten charge nurse exemplar 10 ) business days of the,... As the unit when nurses know their ideas are valued to express her.! Here were bilateral orbital fractures with depressed cheek bones to her that her God would get her this. I reiterated to her that her God would get her through this ordeal charge nurse exemplar he all! To him about his plan for the most up-to-date salary information from indeed, click on the salary.... Through mostly noncoercive means ; typically composed of a medical history well prepared to PayScale the ICU as condition...
Fireworks In Anchorage Tonight,
Zus Tuvia Bielski Trucking Company,
Motorcycle Spare Parts In Nigeria,
Articles C