Task2

Task2
RTT1 Organizational Systems and Quality Leadership Task 1
WGU
ALLEN SMITH
A. Understanding Nursing Sensitive Indicators
Nursing sensitive indicators include the configuration, process and outcomes of nursing care. The configuration of nursing care concludes the nursing
staff, their nursing skills, and the level of education that each nurse holds. The process of nursing care concludes the nursing assessments, intervention
and implimentation. The outcome of nursing care either positive or negative depends on the quantity and quality of the care provided to the patients by
the nursing staff ("Nursing world," 2013)
Each nurse should hold proper information and knowledge ... Show more content on Helpwriting.net ...
How Hospital Data Could Advance Quality Care
In this scenario the hospital in order to advance the quality of care, could have shared the information about the incident with the nursing personnel.
The hospital could provide the best quality of care to the patients and achieve the patients' satisfaction, by sharing the data. Advancing the quality of
care would have positive effect on both patient satisfaction and nursing care. Knowledge of nursing care empowers the nursing staff in such cases. In
this scenario the knowledge of pressure ulcers, restraints and patient care is significant. On the other hand the nursing care in this scenario could have
been better and the family/patient could have been cared better if the nursing staff had gotten the best patient care knowledge.
Resources Available
Several resources exist in the hospital in order to address the nursing sensitive indicators. In this scenario as a nurse I could partner with dietician in
order to address the tray issue and deliver the correct tray to the correct patient. To resolve any misunderstandings I would apologize to the daughter of
the patient for the incident. I would speak to the nurse who commented inapprotely to the

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Holistic Core Values Of Holistic Nursing
Holistic Core Values Holistic nursing care involves treating the patient mind and body, as well as providing comfort through prayer. The overall ideal
goal of providing holistic care is treating the patient as a whole. There are certain standards and guideline designed by the American Holistic Nursing
Association in which establish the core values of holistic nursing (Frisch, 2001, p. 1). This paper will discuss the core value number three: holistic
communication, therapeutic environment and cultural diversity. Second, an interview was conducted with two co–workers Ms. C.D. and Ms. N.S.
and Mrs. T.R., a family member concerning the selected core value. Their opinion concerning the selected core value will be further discussed in this
paper. Third, the concept of healing and cure will be discussed, including the difference between the two terms. Fourth, a clinical experience will be
discussed in there was no cure but healing demonstrated within the patient. Finally, there will be details of the healing process identified by the patient,
family and nurse. The purpose of this paper is to discuss significance of core value number three: holistic communication, therapeutic environment and
cultural diversity as it pertains to providing holistic nursing care.
Core Value The core value number three: holistic communication, therapeutic environment and cultural diversity considers the patient currenthealth
and therapeutic interventions in order to provide holistic nursing care. The

A Nursing Process Approach to Malignant Melanoma
Nursing Process Approach to Malignant Melanoma To fully comprehend the concept of the nursing process, one must first understanding what nursing
is and the history of nursing. Nursing has evolved over the years from a basic system of care to a well–developed professional system in which special
ways of think are applied in order to efficiently maximums patient care. The base of nursing is patient care, thus the nursing process is the foundation
for nursing practice and key to ensuring the needs of the patient are met. History What is nursing? Florence Nightingale, first nursing theorist, defined
nursing as having "charge of the personal health of somebody ... and what nursing has to do ... is to put the patient in the best condition for... Show more
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It involves the use of the mind for rational thinking to formulate conclusions, making decisions, drawing inferences, and reflecting on one's thoughts.
Critical thinking in nursing is driven by the needs of the patient, family, and community while basing it on the principles of the nursing process and
the scientific method (Wilkinson, 2007). It is a skill that is obtained through specific knowledge, and experience gain over time as a nurse matures in
the field. The nursing process and critical thinking are closely related. This is because the phases within the nursing process require cognitive
processing in order to analyze and evaluate the data. Critical thinking by itself revolves around the individual knowledge and their way of thinking. In
other words, critical thinking is good problem–solving strategies an individual picks up with practice. However, the nursing process is structured,
complex and purposeful disciplined process that directs nurses in patient care. The thinking process requires specific characteristics that make it far
different from just simple problem– solving as seen with just critical thinking tactics (Chitty & Black, 2007). The nursing process is guided by
professional principles and codes of ethics where specific strategies are utilized in order to effectively solve patient problems. It is constantly being
reevaluated, self–corrected, and constantly

Critical Care Nursing : An Analysis Of A Complicated...
Critical–Care Nursing: An Analysis of a Complicated Profession Nicholas D'Amario Carroll Community College The massive field of nursing is
broken down into over one hundred specialties and subspecialties that each have a unique background and certain set of requirements and skills
specific to the job. Critical Care is an area within nursing that aims to care for the most vulnerable and ill of patients. Nurses working in critical care
units are typically highly skilled and have acquired many years of experience working in different nursing areas. As with nearly all areas of nursing,
the field of critical care has a governing organization that sets the standard for practice and maintains current evidence based research to uphold these
standards to its members. The American Association of Critical–Care Nurses, AACN, is the organization that outlines the scope of practice for critical
care nurses and provides continued educational opportunities for its members to expand their knowledge and stay current on advancements within
the field. The origin of critical care nursing stems from a time in healthcare when there was a drive to bring together the needs of ill patients and
rapidly growing medical knowledge. During the 1950s and 60s, nurses began to adapt their practice to better care for the needs of a person who is
physiologically unstable or at risk of dying. According to Fairman and Lynaugh (2000), this was the beginning of what would eventually become a field

Questions On Nursing Health Nursing
NURS 409 Community Health Nursing Weekly Clinical Journal Each clinical week a journal needs to be submitted evaluating your ability to meet the
clinical performance objectives. Examples must be provided detailing how you have achieved the objectives. 1.Plan, provide, and delegate
client–centered and coordinated care that promotes safe and high quality outcomes. –During this week I was not in the clinical setting, however I did
participate in a case studies in which I was able to plan provide, delegate client centered care and coordinated of care. I was the preceptor and I was
able to provide my client options to promote safety like moving the newspaper magazine from the floor to prevent another slip and fall. I was also
able to delegate care to my preceptee while I conversed with the wife about options for better client safety. I was able aid with the care of the client by
sitting him up so he would breath better and stop coughing. 1.1Theoretical Knowledge: Relate nursing knowledge in the community setting for safe
nursing care. –Using my acquired nursing knowledge, I was able to make clinically sound decision like referring the client to meal on wheel services,
because they would no longer adequately make food for themselves. I also use my nursing knowledge to realize that a three–year–old could not
properly take care of a baby and the proper choice how be to see if there was anyone from the church that would aid the family with some of these
burdens 1.2Clinical

Reflection On Self Development Through Reflection
Self–development through reflection is a key issue of education and learning (Kennison, 2012), where you learn through experience (Tashiro,
Shimpuku, Naruse and Matsutani, 2013), learn to self–evaluate (Duffy, 2013), identify gaps in knowledge and detect where further training or study is
required to improve practice (Olarerin, 2013). Ultimately reflection is thought to be constant learning from practice, thus refining knowledge and
experiences and putting them into practice (Naidoo, 2013).
Within my reflection examples (Appendix 1) I recognised where my knowledge and experience was lacking, through self–evaluation. For instance
when completing an electrocardiogram (ECG). I learned through my extra reading, how completing an ECG incorrectly could cause the patient to
require un–necessary treatment (Houghton, 2014). Through my extra study I was able to learn where exactly where the electrodes are positioned on
the body for an accurate EGC tracing to be produced (Crawford and Doherty, 2012; University of Nottingham, 2015). I used this knowledge throughout
my placement and I am now confident in conducting ECG's in my future practice. In achieving self–development in this example I linked my learning
directly to my practice (Ross, 2014), where I developed a fundamental skill and expanded my knowledge for my continued development in my nursing
career and practice (Aronson, 2011).
Nursing practice
Nursing practice is a key issue within reflective practice. It supports

The Concept Of Critical Care Nursing
The concept of critical care nursing has transformed intensely since its origin in the 1960's. The discipline of nursing and the specialty of critical care
nursing are expected to advance and transform, just the way health care delivery system has reformed over the last few decades (Morton & Fontaine,
2013). Never before have there been significant advancements in technology, surgeries, therapies, imaging alternatives, diverse procedures,
pharmacology and innovative research modalities being delivered to patients (World Health Organization, 2009). As a result, critical care nurses are
being challenged to explore their knowledge in order to integrate these sophisticated technologies and interventions to deliver competent,
evidence–based and holistic care to critically ill patients (Morton & Fontaine, 2013). The aim of this written assignment is to present an Intensive Care
Unit (ICU) case of Diltiazem Overdose (Deliberate self–Harm) who was admitted in a large metropolitan hospital in New Zealand (NZ). Care
provided to Mr. Jack (pseudonym) will be discussed and evaluated, with main focus on the nursing care delivered which contributed to Jack's outcome
in the Critical Care Complex (CCC). The current trends, national epidemiological data, relevant NZ government health care strategies in place to
decrease the prevalence of Deliberate Self–Harm (DSH) will also be discussed. Jack, a 21 years old Maori male presented to the Emergency
Department at 0730 hours with his aunt and

Example Of Altrruism In Nursing
Nurses have long been concerned as establishing professional values and behavior compare to other profession. Nurses are career work within medical
industry and therefore they have interaction with various different type people and medical condition. There is characteristic requirement for equality
and human dignity and this section of the desire of professionalism that nurses have. Moreover the nursing industry is broad and including different
people in various circumstances yet there are should be something that binds them as nurse. This is where the professionalism comes in nurse.
According research Griffith and Tengnah (2013) defined professionalism as knowledge, attitudes, values and behaviors required to be a district nurse.
The main ... Show more content on Helpwriting.net ...
Nurses must have certain attitudes and behaviors in the profession to carry out roles in nursing care. The major attitude includes altruism, integrity and
human dignity. It is evident that nurses highly influence on morals and responsibility to the patient .In nursing profession, nurses should provide
kindness and maintain calmness to provide fully support and security to patient. Altruism is important character in nurse –patient relationship to
securing care and enhances professionalism. If a nurse not fully committed to patient care it will cause negative outcome for patient. Moreover dignity
is demand in nursing profession as all patients are equal and need same treatment care. In addition, integrity principles such as honestly, fairly and
ethically are important while giving nursing care. While applying this value in nursing care towards their professional bodies, colleagues and patients,
professionalism will be enhanced. Nurses should promote professional behavior in profession of nurse. Example always have good intention on
patients, respect patient privacy as keeping medical information private when patient dealing with complicated diagnosis and represent profession
nursing well everywhere. Volunteer and join groups that could benefit knowledge. More over nurse should maintain a good relationship with co worker
and patients. Best communication between them reflects high

Social Networking
KAMINI MURUGAN
PERSONAL SUMMARY:
An enthusiastic, hard working and competent healthcare professional who possess the required level of nursing experience needed to deliver high
quality, customer focused, and clinically effective patient care in a modern well equipped clinical setting. Key qualities include being able to
continually assessing a patient's needs and wishes, coping with frequent interruptions in high pressure situations, and being able to respond quickly to
emergencies. Having a real passion for nursing, with a strong desire to provide the highest level of care & service to patients.
WORK EXPERIENCE
Flacq Hospital ( Year 2005–2009; General Nursing)
Moka Hospital ( Year 2009–upto now; Ophthalmic ... Show more content on Helpwriting.net ...
|
|KEY SKILLS AND COMPETENCIES: |
| |
|Exposure to lots of different areas and environments within nursing such as general wards, casualties and operating theater. |
| Comprehensive understanding of clinical governance and risk management systems. |
| Observing hygiene codes & demonstrating good infection control and hand hygiene. |
|Good written & verbal communication skills. |

Sleep In The Hospitalized Patient : The American...
First Ranking Tool The first ranking tool used to grade Sleep in the Hospitalized Patient is the American Association of Critical
–Care Nursing (AACN)
Levels of Evidence. This tool was originally developed in 1993 and later revised and updated in 2008. The AACN's goal with this ranking scale was
to assist nurses evaluating "the evidence for potential implementation into best practice" (Boswell and Cannon, 2009, p. 55). According to the
description of the levels listed in this tool, Sleep in the Hospitalized Patient is graded as a Level E. Armola et. al, (2009) describes Level E as
"theory–based evidence from expert opinion or multiple case reports" (p. 72). The purpose of this study is to explain nursing interventions responsible
for... Show more content on Helpwriting.net ...
The ONS PEP schema has 6 categories and Sleep in the Hospitalized Patient qualifies under the "Effectiveness Not Established" category. As defined
on the ONS website, this classification consists of "interventions for which insufficient or conflicting data or data of inadequate quality currently
exist, with no clear indication of harm". Although the data in this article is primarily consistent, it is in fact insufficient. The data is completely
based off of surveys based on patient and nurse perception, which is open for bias. The sample size is only 84 patients (Vincensi et al., 2016).
Although the data obtained in the surveys were insufficient, there were no indications for harm, therefore classifying this article as "Effectiveness
Not Established" as described by the ONS. Tool Analysis Analyzing and interpreting both of these tools were interesting yet challenging. The AACN
Levels of Evidence was very specific in what each classification entailed and was extremely easy to understand. The hardest part of using the tool was
determining what type of research study was performed in the article. Each category in the first tool (AACN) precisely described what the
evidence–based practice (EBP) article needed to qualify. The ONS PEP schema tool appeared to be clear and easy to understand until it came to
grading the provided article. Each ONS PEP category seemed to be very similar in

Rapid Decline of a Patient with Undetected Sepsis
Sepsis is the body's response to infection. The onset of sepsis is often undetected until the condition has become critical. Sepsis progresses into severe
sepsis, septic shock, and eventually death; typically from organ failure. The condition affects over 500,000 individuals annually, has a mortality rate of
over 25%, and presents a risk to patients in every inpatient setting regardless of acuity level (Whelchel et al., 2011). My first experience with sepsis was
enlightening because it affected a patient under my care. I was surprised at the insidious onset of the symptoms, the rapid decline in the patient's
condition, and the missed opportunities that the healthcare team had to implement the recommended care bundle protocols. In examination of the
issues that contributed to the healthcare team's failure to comply with the standardized plan, it became evident that the issue was complex. The
causative factors were interdependent, and each failure created a cascade of future failures that contributed to a more negative patient outcome.
Nursing care is the fulcrum from which all other healthcare is coordinated. In this particular situation, the initial failures were attributed to nursing care;
failing to administer antibiotics and obtaining blood cultures within the stipulated timeframe. There were also failures within numerous other
healthcare disciplines; however, standardized care plans affect nurses in particular because initiation of care plan protocols, especially for

Critique on the Nursing Article Critical care patientsвЂ™...
This assignment aims to critically analyse a chosen nursing research article "Critical care patients' experience of the helmet continuous positive airway
pressure" by Dimech (2011) and was published in the Journal of Nursing in Critical Care (JNCC). It will examine both the strengths and limitations of
the study by weighing various elements of the research undertaken and its value and implication for nursing practice. It will use a critiquing tool by
(Ryan, 2007) (see Appendix 1).
Evidence based practice (EBP) is to offer the best care possible to individual patients and use professional judgement to determine nursing care in
order to improve patient outcome and even save lives (Moule and Hek, 2011). The Nursing and Midwifery Council ... Show more content on
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This article by Dimech is published in a peer–reviewed journal (JNCC). Which means it is being reviewed by experts in the field. Palatnik (2012)
stated that Nursing in Critical Care is a peer review journal that presents the latest practical clinical and professional information in a clear, concise,
hands–on approach, which critical care nurses can use in day–to–day practice. Also, the study was undertaken within an acute NHS Foundation Trust
which means it is relevant to can be used to improve practice within NHS Trust.
The title of the article is effectively worded to ensure that readers correctly understand the nature of the research and whether it is relevant to them as
justified by (Marshall, 2005). Also, Polit et al., (2010) stated that title is an important means in ascertaining the research design used as it may feature a
research question that is to be answered, or a hypothesis to be proven. In this case, the title of this article made a clear identification of the patient lived
experience of helmet CPAP. Perhaps the title could have identified that the study was conducted only on male patients even though this was
unintentional.
The author was suitably qualified to undertake the study based on his qualification and experience in critical care. However, this is his first published
work which makes him a novice researcher. Robson (2011) stated that it can be challenging and complicated to conduct a reliable

The Reflection Of Pediatric Nursing
Pediatric Urgent Care Nursing Nursing care is studied throughout the world. The study Caring in Pediatric Emergency Nursing was performed by
Gordon Gillesipe, Melanie Hounchell, Jeanne Pettinichi, Jennifer Mattei, and Lindsey Rose in order to see what patients and their families valued
most and least when it came to nursing care(Gillesipe, Hounchell, Pettinichi, Mattei, & Rose 2012). The researchers used the quantitative approach to
study 300 participants (Gillesipe et al. 2012). Some questions the researchers focused on were how reliable and valid the instruments used during the
study were, such as the caring behavior assessment (Gillesipe et al. 2012)? Also, what nurse caring behavior do the parents of the pediatric emergency
patients value the most (Gillesipe et al. 2012)? In order for the care to not just be patient centered but family centered, the nurse needs to take into
consideration what type of care the family values and expects (Frazee 2011). Nurses need to connect and include both the patient and their family in the
whole process, no matter what age (Weman & Fagerberg 2006; Wilkin & Slevin 2004). A qualitative study done in 2004 found that parents deemed
affection, caring, watching, and protecting their children most important (Harbaugh, Tomlinson, and Kirschbaum 2004). Parents wanted the nurses to
recreate a parent–like feel for their child (Harbaugh, et al. 2004). Some other nurse caring behaviors that were deemed important by the parents were
providing

Evidence Informed Practice Is A Critical Part Of Nursing Care
Evidence–informed practice is a critical part of nursing care. To be able to have evidence–informed practice, nurses need to be able to conduct research
to find the most up–to–date and relevant information related to patient– and family centered care. When caring for patients, it is paramount to
recognize the importance of family and the role they play in care. When one comes out as transgender, it is something that is not only going to affect
the said person, but also their friends and family. Family members are key support systems so when you are caring for one person, you are in turn
caring for the family as well. This is known as patient– and family–centered care. As there has been an increase in literature pertaining to
family–centered care, the question of interest is "What is the impact on a spouse when a partner is transgendered?" To find the answer to this clinical
question, the database Medline was utilized. The keywords LGBTQ, transgender, family–centered, spouse, nurse, sexuality and health care were used
and combined with Boolean operators. Through this research, knowledge can be gained on how to properly care for the spouse of a transgendered
person. This paper will discuss the key impacts of having a transgender spouse, nursing approaches that we can integrate into our care, and resources
available for the non–transgender spouse.
In Canada, it is difficult to know the precise number of people who consider themselves part of LGBTQ. This is partially due to

Position Description Project : Critical Care Nursing
Position Description Project Critical care nursing is a roller coaster ride. It has a lot of surprises throughout the day and you never know what is
around the corner. Our Critical Care Step–Down Unit here at the Davenport Hospital has a capacity of 30 beds (6 private and 12 semi–private rooms).
2 West accommodates a variety of patients, such as adult postsurgical, trauma, seizures, renal failure, and myocardial infarction patients. This unit
provides care for patients that have been discharged from an Intensive Care unit, but they are not stable and require a high level of monitoring before
they return in a general medical surgical floor. Lately our unit has been struggled with staff shortage. It has been weeks that in the day shift there are
only 3 registered nurses and each of them provide care to 6 or 7 patients. Based on the hospital protocol policy nurse–to–patient ratio in a step–down
unit must be 1:4 or less at all times. In addition, I am designing this written proposal to seek approval of hiring a new critical care nurse in 2 west
step–down unit. The above proposed nursing position will definitely benefit both the unit staff and patient population. The nursing shortage can easily
lead to nursing burnout such as fatigue, injuries, and dissatisfaction. Also, nurses that work in such conditions are more predisposed on making
mistakes and medical errors. This proposal will definitely benefit the patient who are being treated in this unit as well. According to Huber

Communication Is A Basic Tool For Humans Essay
Communication is a basic tool for humans as it allows the relationship with the environment, with which it is inherent in the human condition because
human beings need to establish and maintain relationships that provide gratification and collect information that to identify needs for welfare. The task
of communicating has always existed. As humans we interact with our environment, continuously we emit messages (verbal or non–verbal), to the
world around us. From nursing to establish a correct support relationship with patients, we must learn to communicate. For this we need to acquire a
range of abilities and skills that will ensure the wellbeing of the patient in a holistic aspect (bio–psycho–social) such as empathy and active listening
based on respect. In short, knowing what to say, how to say and what to do in any situation in which, it is not detrimental to the physical or social
individual, but it is in psychological. Similarly we act as transmitters to broadcast a message, when we interact with our patients, in turn, act as receptors
in the process of communicating, so, we must know how to listen, be assertive, empathetic, and non–judgmental, base ourselves on respect, use the
feedback ... and ultimately, be authentic, defining authenticity. Considering the person as a holistic being (bio– psychosocial) should, as nursing
professionals, plus include in our mere technical intervention focused on improving the quality of life physically and / or social focus in the

Identify the stages of the Nursing Process and the skills...
The nursing process is a five stage systematic framework, and based on the problem solving approach; it forms the foundation for nursing practice to
facilitate focussed, individualised care planning for patients (Yildirim and Ozkahraman 2011). This assignment will serve to identify the five stages of
the nursing process: Assessment, Nursing Diagnosis, Planning, Implementation and Evaluation. The skills: Communication, Observation, Critical
Thinking and Reflection involved within the nursing process in partnership with the patient will also be highlighted. The first stage of the nursing
process is assessment. This is a continuous process from hospital admission to discharge. It is about compiling objective and subjective information...
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It is critical that it is used in a multisensory manner for it to be fully effective (Pellico 2009). For example, a sense of hearing and touch may need to
be used during observation of a wound healing, whilst simultaneously interacting with the patient. The nurse must then decide, with the help of the
patient, what was identified from the healing wound, and use critical thinking to make effective and safe clinical decisions (Kisiel and Perkins 2006).
Critical thinking not only involves thinking systematically, and questioning judgements and reasons related to decision making (Farell 2011), but it
also requires all the skills identified above, throughout the whole of nursing practice. The Nursing Diagnosis, being the second stage in the process,
involves interpretation of data, which may result in other potential problems (Junttila 2010). Clinical judgements and nursing goals are then made
based on the data collected from the assessment stage (Huckabay 2009). For instance, a patient may present with obesity, possibly resulting in high
blood pressure or depression. A goal of care may be to promote acceptance of body image and weight loss strategies with the most up to date
evidence. Unlike medical diagnoses, a nursing diagnosis is holistic were the nurse considers the health of the whole person. In doing so, the nurse will
be able to put in place individualised patient care during intervention. This should enhance and form good

Nursing Care Is Grounded By The Belief Of Providing...
Nursing care is grounded by the belief of providing holistic care to patients, with which is guided by evidence–based practice. Nursing interventions
are evidence–based measures that have tried to unify the profession of nursing. The literature serving as testimony to the care that nurses provide has
been growing increasingly, however, there are still areas of nursing care where the evidence is deficient. The lack of research, trickles over to a lack of
training and evidence–based practice performed by nurses, and ultimately the health outcomes of patients. For example, providing enhanced end–of–life
care specifically in intensive care units, tailoring care specifically for each individual based on their genetic/genomic composition, and having a better
understanding about gender–sensitive experiences with regards to certain illnesses, can debunk misconceptions, improve patient–centered care, reduce
healthcare costs, and essentially produce optimal health outcomes. According to Holms et al. (2014) there is accessible, and existing literature to
support end–of–life care (EOLC) in nursing, but when specifically pertaining to the intensive care unit (ICU), the literature is deficient. The concept
of ICUs is to provide care for those patients with potentially fatal illnesses; however, the likelihood that EOLC is needed for patients in this unit is
always a possibility. This qualitative study focused on the actual lived experiences of nurses who have provided EOLC to patients

Reflection on Nursing Handover
REFLECTION on Nursing Handover
I have decided to reflect upon the first time I did a nursing handover. In accordance with the Nursing and Midwifery Council (2004) Code of
professional conduct, confidentiality shall be maintained and the patient's name is changed to protect indentity.
Reflective writing is considered a key component of portfolio assessment because it provides evidence of skills development and increasing clinical
competence (Smith 2005).
What is reflection? Reflection is defined by Wilkinson (1996) as an active process whereby the professional gains an understanding of how historical,
social, cultural, cognitive and personal experiences have contributed to professional knowledge and practice.
Reflective practice can take ... Show more content on Helpwriting.net ...
Even though I had been caring for this lady for the duration of my shift I was unprepared to give the next shift a handover. I assumed my mentor
would do it since she had been doing it on all my previous shifts. However, on this occasion my mentor said to do it at the end of her last handover. I
listened to her giving the handover for her patients then when it was my turn, I panicked and muffled up my information. I started with basic
information about the patient such as name, date of birth , age and the reason for her admission. Unfortunately, I became flustered after that and it was
clear to both my mentor and the other nurse that I was out of my depth and needed help. My mentor then took over and continued the handover.
I therefore decided an action plan to develop my nursing knowledge in this area. I looked at various websites and nursing journals detailing how to
give effective handovers. I also used advice that I found in the nursing journals and from my mentor to plan out how I would deliver my handovers.
The nursing handover was defined in 1969 by Clair and Thrussel as the oral communication of pertinent information about patients. This was supported
by Thurgood in 1995 who adopted the view that patient centred care is central to any definition of handover and that it is its primary function.
FEELINGS
Whilst performing my handover, I was more concerned with trying to remember all the information about Mrs V that I wanted

A Conceptual Analysis Of Perioperative Care Essay
Comfort Care A conceptual Analysis of Perioperative care in Nursing Onome Oyakhire 10/07/2016 Introduction Kolcaba explained three different
views of comfort. First meaning, "as the state of having discomfort relieved", secondly as the "state of ease and peaceful contentment", third "as
relief from discomfort" (Kolcaba, & Kolcaba, 1991). These states of comfort are continuous, interdependent and can overlap (Kolcaba, 1991). A goal
of nursing practice, as contained in statements of standards for care, has been generally to help the patient be comfortable or be in a state of comfort
(Kolcaba, & Kolcaba, 1991). Patients require comfort care pre–, intra–, and post–operatively. For the surgical patient, comfort care is initiated from
admission until discharge. The purpose of this paper is to provide a concept analysis of comfort care with the goal of better understanding of its key
attributes in order to clarify its use in nursing practice, theory and research. The defining attributes will be discussed, model cases, and additional
cases will be reflected. Antecedents and consequences will also be identified. Finally, the last section of the paper will identify some of the ways that
the defining attributes can be measured. Aims The aim of this paper is to provide a concept analysis of comfort care with the goal of better
understanding of its key attributes in order to clarify its use in nursing practice, theory and research. Comfort care in the context of physical (pain and

Critical Care Nursing Is A Roller Coaster Ride
Critical care nursing is a roller coaster ride. It has a lot of surprises throughout the day and you never know what is around the corner. Our Critical
Care Step–Down Unit here at Davenport Hospital has a capacity of 30 beds (6 private and 12 semi–private rooms). 2 West accommodates a variety of
patients such as adult postsurgical, trauma, seizures, renal failure, and myocardial infraction patients. This unit provides care for patient that have
been discharged from an Intensive Care unit, but they are not stable and require a high level of monitoring before they return in a general medical
surgical floor. Lately our unit has been struggled with staff shortage. It has been weeks that in the day shift there are only 3 register nurses and each
of them provide care to 6 or 7 patients. Based on the hospital protocol policy nurse–to–patient ratio in a step–down unit must be 1:4 or fewer at all
times. In addition, I am designing this written proposal to seek approval of hiring a new critical care nurse in 2 west step–down unit. The above
proposed nursing position will definitely benefit both the unit staff and patient population. The nursing shortage can easily lead to nursing burnout such
as fatigue, injuries, and dissatisfaction. Also, nurses that work in such conditions are more predisposed on making mistakes and medical errors. This
proposal will definitely benefit the patient who are being treated on this unit as well. According to Huber (2014), "effective staffing has been

Critical Assessment And Intervention Of Critical Care Nursing
Critical care nursing is an intense area of nursing. The RNs care for patients that need close assessment and intervention. Working in a CCU requires
advanced skills. The nurses that work in the critical care unit have to be very precise. Treatment and care of critical patients is very complex.
Critical care or intensive care nursing staff must have more training than other general nursing staff. They have to be prepared to care for patients
with critical needs around the clock rather than more stable patients. Most RNs are required to have a BSN degree or certification for critical care. As
most fields do, the critical care nurse is required to compete continuing education yearly.
The nursing staff in the critical care unit are required to do multiple tasks. For example, recording vital signs, assess function of ventilators, equipment,
and monitors. The nurse also, administers medications prescribed, maintain IV patency, assess need and accomplishments of medications/ fluids. The
nurse works with other nursing staff to complete care for all CCU patients. In case of situations requires life saving measures, the nurse performs the
tasks, at the same time being aware of standards/ protocols posted by the hospital. While the patient is admitted, the nurse is required to perform
teaching, provide support, and advocate the patients. Throughout all the treatment, the nurse is assessing the patient and following/ adding to the care
plan designed for the particular patient.
In

Critical Assessment And Intervention Of Critical Care Nursing
Felicia Landrum
10/13/16
Baptist Memorial – Union City Clinical Rotation
Summary
Critical care nursing is an intense area of nursing. The RNs care for patients that need close assessment and intervention. Working in a CCU requires
advanced skills. The nurses that work in the critical care unit have to be very precise. Treatment and care of critical patients is very complex.
Critical care or intensive care nursing staff must have more training than other general nursing staff. They have to be prepared to care for patients
with critical needs around the clock rather than more stable patients. Most RNs are required to have a BSN degree or certification for critical care. As
most fields do, the critical care nurse is required to compete continuing education yearly.
The nursing staff in the critical care unit are required to do multiple tasks. For example, recording vital signs, assess function of ventilators, equipment,
and monitors. The nurse also, administers medications prescribed, maintain IV patency, assess need and accomplishments of medications/ fluids. The
nurse works with other nursing staff to complete care for all CCU patients. In case of situations requires life saving measures, the nurse performs the
tasks, at the same time being aware of standards/ protocols posted by the hospital. While the patient is admitted, the nurse is required to perform
teaching, provide support, and advocate the patients. Throughout all the treatment, the nurse is assessing the

The Stress of Caring
The Stress of Caring Learning Goals One of the most consistent changes in the structure of work over the past few decades has been a shift from a
manufacturing economy to a service economy. More workers are now engaged in jobs that include providing care and assistance, especially in
education and medicine. This work is satisfying for some people, but it can also be highly stressful. In the following scenario, consider how a
company in the nursing care industry is responding to the challenges of the new environment. Major Topic Areas * Stress * Organizational change *
Emotions * Leadership The Scenario Parkway Nursing Care is an organization facing a massive change. The company was founded in... Show more
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Parkway has always had outstanding patient care, and no substantiated claim of abuse or neglect in any of its homes has ever been made, but the
need for increased documentation will still affect the company. As the federal government tries to trim Medicare expenses, Parkway may face a
reduction in funding. The Problem As growth has continued, Parkway has remained committed to providing dignity and health to all residents in
its facilities. The board of directors wants to see renewed commitment to the firm's mission and core values, not a diffusion of its culture. Its
members are worried there might be problems to address. Interviews with employees suggest there's plenty to worry about. Shift leader Maxine
Vernon has been with Parkway for 15 years. "Now that the government keeps a closer eye on our staffing levels, I've seen management do what it
can to keep positions filled, and I don't always agree with who is hired. Some of the basic job skills can be taught, sure, but how to care for our
patients–a lot of these new kids just don't pick up on that." "The problem isn't with staff–it's with Parkway's focus on filling the beds," says nurse's aide
Bobby Reed. "When I started here, Parkway's reputation was still about the service. Now it's about numbers. No one is intentionally negligent–there
just are too many patients to see." A recent college

Importance Of Documentation In Nursing
Documentation, it is imperative in nursing. This is clear from Dion(2001)as referred to in Owen (2005), where she expresses that precise records
guarantees nature of training as well as shields the nurse by giving proof of his or her professional capacity. However in an examination directed by the
Maryland Nursing Workforce Commission (2007) that nurses discover documentation an exercise in futility. In this paper the essayist will examine the
significance of nursing documentation in the present human services setting. The significance of documentation Documentation, a vital method for
deciding the standard of care rendered to a patient to protect nursing action(nurse together,2010).This concurs with the ANMCs competency standard
1.1 where it expresses that 'Practices as per enactment influencing nursing practice and medicinal services'. Documentation is characterized as 'anything
composed or printed used to outfit proof or data that is lawful or official' (Crisp&Taylor,2001). With documentation, medical caretakers can
unmistakably portray the customer's present well being status and what meditations ought to be done and if the intercessions that were completed
profited the customer. This concurs with a reference from Owen(2005) where it says that documentation ought to give verifiable, present, far reaching
and reliable data about the appraisal and care of the patient. Documentation is vital in nursing as it is an archive by which social insurance colleagues

Patient Satisfaction And Safety Goals Essay
Discussion
In these current times of health care, patient satisfaction and safety are imperative in order for care to be provided. Hourly/Intentional rounding
amplifies the nurse–patient relationship, continuity of care, safety, and service excellence. Intentional rounding or rounding with a purpose can be a
success as long as nursing staff have a better understanding and take ownership of the practice. Leadership and nursing staff need to collectively
cognize each other's role pertaining to the delivery of care regarding this practice. The purpose of this piece is to delve into why hourly rounding is
important and grasp the positive along with barriers of the routine.
Patient Satisfaction and Safety Goals Achieved
The Institute of Medicine (IOM) distinguished eight areas of concern to help improve the quality of care provided for patients. The eight domains
identified are: exhibit an esteem for patient values, likings, and communicated necessities; organization and assimilation of care; consistent education,
information, and communication; bodily comfort; emotional care; family and friends participation; modification and continuity of care; and the right
to great care (Fabrey, 2015).
In order to help improve these areas of concern, the Agency for Healthcare Research and Quality (AHRQ) along with the Centers for Medicaid and
Medicare Services (CMS) created a regulated tool to measure patient approval of care (Fabrey, 2015). The Hospital Consumer Assessment of

Barbara Carper's Four Patterns Of Knowing In Nursing
Nursing is a learned profession. It begins as a first day nursing student who is unknowledgeable about protocols and procedures utilized to care for
another human being with individualized disease processes. Four years ago, I started in nursing school as an unknowledgeable person and blossomed
into an educated nurse that follows protocols and procedures while taking care of patients daily. Patricia E. Zander focuses on the different aspects
of nursing by involving Barbara Carper's "four patterns (ways) of knowing in nursing" (Zander, 2007, p. 8). Different types of knowing are
described as the basis for nursing care. I believe a nurse is guided through each way of knowing through different steps in their nursing career. In
the beginning, a nurse is timid and feels inadequately prepared to being a nursing career; therefore, the new nurse will rely more on empirics. The
nurse will rely more on tested practices verses using experience. For example, at my first job, I worked with a preceptor for several weeks learning
the different protocols and procedures applicable to patient care for the unit. I trusted the knowledge of my preceptor because she had been a nurse
for several years and had worked on the unit for several years as well; therefore, I used her knowledge as a way to base my nursing care in the future.
Empirical knowledge is used first because that is what is taught and already known. After gaining experience, a nurse becomes more comfortable with
applying

Critical Care Nursing Specialties Analysis
Critical Care Nursing Specialty
As of 2013, over 587,000 various critical care certifications have been issued in the field of critical care nursing specialties throughout the United States
and Canada. The largest nursing specialty organization to date, which is responsible for these certifications is the AACN, the American Association of
Critical–Care Nursing. Founded in 1969, and now over 235 chapters worldwide, the AACN established the AACN Certification Corporation in 1975
and has since developed and governed multiple programs representing competence within the critical care nursing specialties. Certification programs
such as CCRN, critical care registered nurse, along with subspecialties in cardiac medicine such as CMC and CSC, represent ... Show more content on
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The requirements for all programs offered by the AACN were expanded during this time, along with the need for specific clinical experiences. Later in
the decade, the inclusion of nursing ethics was introduced as additional skills deemed necessary for critical care certifications.
Requirements:
The current requirements for the certification of CCRN, which is considered the "blueprint" standard and baseline of any critical care nursing, is firstly
an unencumbered registered nurse license in the United States. Next, one must accumulate a required number of hours in direct bedside care of acute
and critically ill patients, which equates to approximately 2 years of fulltime employment, or 5 years at the part time level with the majority of hours in
the year preceding the

Reflective Reflective
Through exploration of critical thinking, evaluation, and management in response to a critical event, I will describe my reflective practice using the
NZNO Reflective Writing Guideline (Appendix A), and examine areas which need improvement as necessary for my growth as an
RNFSA.Description As the surgical first assistant, I assessed the patient's vital signs, the wound sites, and the overall condition after a handover to the
PACU nurse. During this transition from the intraoperative phase, I endorsed surgical incision sites, dressings and patient's postoperative condition.
Initially, the dressings were dry and intact while the patient was still asleep. After 15 minutes of transition, Miss T was gagging, straining, and acted
nauseated. I immediately inspected the wound sites and noticed a slight bloody discharge on one of the dressings. Alerting the PACU nurse was my
immediate action to alert her of a possible bleeding as I had handed over the intraoperative bleeding in that area. As I continued observing, I noted an
increase in the discharge. Hence, my inspection on the wound site which had its tape stripped off and active bleeding was noted. Slight wound
dehiscence was apparent. I did all less invasive measures such as cleaning the incision site and the application of pressure dressing initially but to no
avail. Notification of the surgeon all throughout was done and given importance. Immediately, I acted on stopping the bleeding through suturing of
wound with a deep–

Critical Analysis On Critical Care Nursing
Spirituality in Critical Care Nursing:
Cancer Patient Population Critical care nursing can be a very intense job, whether there are in–depth skills that need to be formed frequently or it is a
patient who needs lots of use of self from the nurse. In the cancer population within critical care this can be drastically increased since they need not
only your technical skills, but your time and interpersonal skills to help them through all of what they are going through. A big part of critical care in
general, and for cancer patients in critical care, can be spirituality and how that interacts with their disease. In the past spirituality was pushed to the
back burner in the process of treating the patient's disease and not the whole patient, ... Show more content on Helpwriting.net ...
Cancer patients in the critical care setting may more than likely be approaching the end of their life and need more than ever to receive spiritual care
that can ease their anxiety, grief, and unresolved feelings about their disease process and approaching death. This type of care is one of the basic parts
of giving patient–centered care so that the entire person is being treated to the fullest extent of the healthcare team's ability. As stated by Ferrell,
Otis–Green, and Economou (2013), "The need for transcendence or the existential ability to find meaning and purpose within their illness experience
is an essential part of providing care from a biopsychosocial–spiritual perspective." This viewpoint keeps the idea of spiritual care focused on the
patients and how this kind of care can truly benefit the patient as well as the nurses in finding one more way to ease these patient's minds and bodies.
In addition, death and dying are a very hard topic many nurses throughout the profession can attest to, but the care that nurses give prior, during, and
after this process can be the most beneficial care they receive at such a harsh time in their lives. Nixon, Narayanasamy, and Penny (2013) discussed
spiritual care with nurses on a neuro–oncology unit where they spoke of feeling very unprepared and uneasy in providing spiritual care in the fear that
they would make a mistake in their approach with these patients, but

Critical Care Nursing Essay
This essay sets out to discuss the importance of comprehensive and accurate assessment on a registered nurses' ability to make excellent clinical
decisions. It will examine what factors can change a nurses' capability to be aware of, and act on abnormal assessment findings. As well as
assessment being part of the nursing process that is used in every day nursing, it is also a critical part of patient safety (Higgins, 2008). Assessment
findings are used to determine what needs to be done for the patient next. Early warning scoring systems currently exist to aid in the early detection of
patient deterioration (Goldhill, 2005). The rationale for the use of these systems is that early recognition of deterioration in the vital signs of a... Show
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The issue of consistency is raised when discussing how to ensure assessments are comprehensive, complete and that the data is recorded using the
same guidelines as other nurses. To enable consistency of assessment, the same nurse should be taking the observations of a patient for the duration of
a shift (Moore, 2007). This ensure that the interpretation of results don't differ each time the vital signs are done. It also allows the nurse to detect
subtle changes in the patients state that may not have been written down. For example, in most clinical environments the respiration rate is recorded as
just a number, and the rhythm, degree of effort, quality of breathing and evidence of wheezing or other abnormal breathing sounds are not recorded.
The rate may stay the same over a period of time while other aspects of respiration may change, and this is something that a nurse is more likely to
notice if they have assessed that patient before. During handover, a nurse should tell the next nurse looking after their patients how they took
observations and detail what tools they used to ensure consistency is maintained. Nurses may not pick up on abnormal assessment findings because
they do not know what the normal ranges are, or perhaps do not know what combinations of abnormal clinical

The Critical Appraisal Of Quality Nursing Care
In this essay I will critically appraise a qualitative research article of Burhans and Alligood,
(2010). Qualitative research should understand the feelings of the patients, experience and the perception of health care professional (Franzel et.al
2013). This assignment will focus on the critical appraisal of quality nursing care in the word of nurses. This appraisal will be assed according to the
skill I have learned during this semester (Ingham and Broomfield, 2014). The evidence of this article falls under the hierarchies of evidence of research.
Critically appraisal is the systematic process where research are carefully and methodically investigate and evaluate its trustworthiness, value and
importance in particular context (Groves, Burns ,& Gray, 2013). Any health professional should have an ability to appraise the article critically so
that, they can they can easily detect its strength and weakness. As, a result health professional can utilize only the accurate practice from that
research. The purpose of this essay is to develop the skill which provide the sense of scientific evidence based on validity and result. Additionally, this
essay will explore the various aspect to appraise the qualitative research article which include, title, author, abstract, introduction, methodology and
methods, results, limitation and conclusion.
The first portion of the study that I will assess is the title: Quality nursing care. From this statement is clearly mention that the

My Personal Philosophy of Nursing Essay
This paper is a first attempt at forming and articulating my own philosophy of nursing.
Our course, Transition to Professional Nursing, is barely two weeks old and already I am being enlightened and challenged to expand my experience
of nursing. I will attempt to explain my personal journey and experience thus far including how and why I got here, my beliefs about nursing and
related values, and my visions for the future.
The Nursing Choice Nursing came in a round–about way for me. I had little direction when I graduated high school and had already disregarded the
nursing field due to an incident with a family member (who was a nurse) that had left a negative impression about the nursing field on me. I entered
college planning on ... Show more content on Helpwriting.net ...
Care enough to listen, to do a thorough job at all you do whether it be assessing, documenting or routine patient care. Care enough to see beyond the
chief complaint and think about what may be the root cause of the patients' symptoms. Care enough to be ethical at all times and to complete invasive
and potentially embarrassing procedures with as much empathy and compassion as possible. Care enough to connect to and treat your patient and their
families and visitors with respect and dignity. Do everything in your power to provide the most suitable environment and emotional tone for the patient,
and care enough to strive for the best possible outcome for the patient, both in the hospital and beyond, advocating for the patient when necessary.
Even by definition the word "care" can be applied to different aspects of nursing. According to The Oxford Pocket Dictionary of Current English
(2009), among the meanings of the word care are:
1. The provision of what is necessary for the health, welfare, maintenance, and protection of someone or something.
2.Serious attention or consideration applied to doing something correctly or to avoid damage or risk.
3.Feel concern or interest; attach importance to something. Upon reading about the different nursing philosophies and the ANA Code ofEthics, I found
that this core value, my perceived essence of nursing, is supported by both historical and ethical factors. Jean Watson's entire

Clinical Report : Staffing And Scheduling Essay
Clinical Report 5 – Staffing and Scheduling Mandating nurse–to–patient staffing ratios may not be the best idea because there is "little evidence that
specific nurse–to–patient staffing ratios improve safety or quality" (Welton, 2007, p. 4). Legislation "points to research indicating an association
between nurse workload and patient mortality and morbidity" according to a study from 2002 (Welton, 2007, p. 4). The study showed that for every
"additional patient a nurse was assigned, there was a seven percent increase in the likelihood of dying got a patient under that nurse's care" (Welton,
2007, p. 4). On the contrary, the studies that the legislation points to have "several weaknesses"; like how it was only implemented at two hospitals and
was done in the 1990s, thus, it is outdated information (Welton, 2007, p. 4). The American Organization of Nurse Executives believed that mandating
nurse–to–patient staffing ratios is causing more harm to the health industry because it is "reducing scheduling and staffing flexibility" (Welton, 2007,
p. 5). The patient load and acuity is not the same every day; consequently, there needs to be flexibly schedules to be financially appropriate and
beneficial to the patient. If you are overstaffed on nurses then the unit is losing more money, because they are paying for nurses to sit around. For
example, when a unit is low acuity patients they do not need as many nurses, thus, they may send nurses home; same goes for high acuity patient

Personal Understanding Of Advanced Practice Nursing
Personal Knowing and Its Relevance to Advanced Practice Nursing Throughout the development of theory in the discipline of nursing there are
concepts of knowledge that are fundamental. Four of these patterns of knowing were first explored by Carper (1978) which included: empirical
knowing, ethical knowing, personal knowing, and aesthetic knowing. Later, an additional facet was added by Chinn and Kramer (2008) which
introduced emancipitory knowing. While all of these forms of knowledge are critical for holistic nursing care, this paper will place an emphasis on
personal knowledge and how it contributes to the development of knowledge within nursing and the roles of advanced care practitioners.
What is Personal Knowledge? Personal knowledge is the most ambiguous of the five patterns of knowing. Much of this is due to the fact that there is
no way to neither verbalize nor teach personal knowledge, yet it is deemed, "the most essential to understanding the meaning of health in terms of
individual well–being" (Carper, 1978, p. 18). Personal knowledge describes the awareness of not only one's self but also the patient as an individual
with worth, and the meaning of the moment (Chinn & Kramer, 2008). While it cannot be articulated, personal knowledge is expressed as a "genuine
self" and can be partially conveyed through written works such as autobiographies and stories of meaningful interactions (Chinn & Kramer, 2008, p.
7). Being a form of knowledge that is incapable of being

The Five Fundamental Patterns Of Knowing In Nursing
Patterns of knowing The five fundamental patterns of knowing are empirical, aesthetical, personal, ethical and sociopolitical. The patterns or ways of
knowing help with the development and application of nursing knowledge. Empirical knowing embodies "factual and publicly verifiable descriptions,
empiricism and theoretical explanations or predictions" (Carper, 2012 p.25). In my Oncology setting the science of nursing is very relevant to practice.
I use science daily in calculating body surface area for chemotherapy drugs, chemotherapy protocols and febrile–neutropenia protocols with the
initiation of specific antibiotics are some examples. Empirical knowing provides facts from empirical research for nursing care and interventions.
Aesthetical knowing is known as the "art and act" of nursing, it highlights empathy. This pattern of knowing recognizes the nurse's perception of what
is significant in an individual patient's behaviour (Carper, 2012). I utilize the art of nursing by acknowledging the patient's feelings and being present
for them during a difficult time and the ability to establish a meaningful connection with the patient. Personal knowing refers to the "expressions of the
quality and authenticity of the interpersonal process between each nurse and each patient, it looks at the interpersonal relationships of nursing"
(Fawcett, Watson, Neuman, Walker, Fitzpatrick, 2001, p. 25). Personal knowing in Oncology setting is shown by forming therapeutic

The Elements Of Management As A Tool For Solving Problems
Elements of management should be guided by the human physical dynamism of organizational units, which seeks to attain the objective and the
satisfaction of an organization (Robbins & Judge, 2015). Management is guiding human and physical resources into dynamic organizational units
which attain their objectives to the satisfaction of those served and with a high degree of morale and sense of attainment on the part of those rendering
service. –American Management Association
The aim of this report is to act as a review, bringing to light management problems Parkway Nursing Care is facing and serve as a tool for solving
problems through recommendations. Ultimately, the objective of this report is to help categorize relevant issues and theories faced by the
management. Through this, the report will seek to improve systems of management by focusing on the needs of patients, employees and management.
Background Information
Parkway Nursing Home is an organization based in Phoenix, Arizona, which was founded in 1972. The organization was very successful, especially
in the 1980s, where it thrived on the skilled services of the nursing fraternity. However, due to its large expansion efforts over the last two decades, the
ever–expanding patient number and their growing demands has begun to put strain on employees and the service they provide. As a result, the board
has found striking increases in injuries per staff, incidents per patient, absences per staff, and turnover rate.

Statement of Purpose for Job Corp. in San Diego Essay
My new Begging to the future, Start's off here at Job Corp's. The reason why I have chosen to come to San Diego job corps is because I heard of their
amazing program, and all the opportunities they have to offer here .To further my education I have chosen the trade CNA. Job corps has much more to
offer than just education they have extracurricular activities that appeal to me and my everyday life. My studies consist that I must obtain a lot of
human Health information and learn about how to help and interact with patients. To make them feel more at home while there staying under my care.
Studying nursing assistant requires you to attend three–month courses that include practical and theoretical training. You must pass a Clinical... Show
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One of the many flaws I have encountered with myself is that I don't deal well with confrontation .Another weakness of mine is that when someone
troughs to much information at me all at once it's hard understand it all in. The last flaw I have noticed about myself is that I am too hard on myself,
but I am working to improve it. On the Other hand my strengths are that I am always on time. I take criticism well and try and improve on whatever
skill's I am lacking. Last strength of mine is that I am a hard–worker. I would be as motivated at my job, every day from the first day they hired me to
the last. I would like to think of myself as a nice and humble person. I treat everyone the same with respect. The reason why I am interested in this field
of work is because, I love helping people. I know I would excel in this field of work because it's a part of life. The reason a company should hire me is
because I will excel their expectations, I will always work to my fullest. I work well with anyone and everyone, I am a very reliable person. I'm
very neat and clean, I know where I am going, and what i want out of my life. I enjoy change, I believe everything happens for a reason. I may take
a day or two to adapt to the new environment, but I just take a step back and look at the bigger picture. It's very important to me in a job that I
succeed in expectations and that I further myself in my career for the better. To make sure I have many doors open for me, just in

Subdomain 724.7
SUBDOMAIN 724.7 – PROFESSIONAL ROLES & VALUES 1 SUBDOMAIN 724.7– PROFESSIONAL ROLES & VALUES Delegation Orchid
Quiton Chefalo Western Governors University Nursing Program 11/11/2011 Revised 11/30/2011 12/10/2011 SUBDOMAIN 724.7–
PROFESSIONAL ROLES & VALUES 2 Delegation It takes a team approach to manage patient–care. As a FNP, and a provider for this patient, she
could collaborate with other experts and delegate care of the patient. The nursing supervisor for the clinic can aid the FNP to identify her role in the
best utilization of the... Show more content on Helpwriting.net ...
The goals of appropriate delegation are "All decisions related to delegation and assignment are based on the fundamental principles of protection of
the health, safety, and welfare of the public" (ANA, NCSBN). If the FNP, in her nursing judgment, feels the care of the patient is better served at
another facility that can provide certain services that her clinic cannot provide, and then it is appropriate and lawful to transfer care. The role of the
nursing supervisor is to make sure the appropriate steps of the delegation process is within the practice guidelines; The "Five Rights of Delegation"
(NCSNB, 1995). They are "right task, right circumstances, right person, right direction and communication, and right supervision and evaluation"
(NCSBN, 1995). Therefore, nursing supervisor is still accountable for the delegation process even when the nurse may not have control of delegation:
"The RN may delegate components of care but does not delegate the nursing process itself. The practice pervasive functions of assessment, planning,
evaluation and nursing judgment cannot be

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