...The opportunity of a National Board Certification came on the eve of celebrating fifteen years of teaching. Almost half way through my career as a Special Education teacher, I was enticed by the possibility of a new challenge and intrigued by the notion of a pay increase. The two-year trek toward certification tested both my both personal and professional fortitude. Although the outcome brought great satisfaction, the true benefits came as a result of the journey. Given the complex work demands and complicated students, it’s no surprise that the attrition rates of special educators in public schools are twice that of regular education teachers or that there has been a national shortage of special educators for decades. After fourteen years teaching students across K-12 with various exceptionalities, I was in a teaching slump. Since I had no plans to leave the field, I needed to reflect, revaluate, and rededicate myself to the practice of teaching. The prospect of a National Board Certification was one way I knew I could revitalize my interest and practice. From the beginning,...
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...authorities can help deal with the unacceptable problem. If a nurse is doing things that may cause harm to a patient, it should be filed with the correct authorities. Sending complaints to NCSBN will not help file a correct report against a nurse who is not following the correct rules. Using the State Board of Nursing site can give numerous amounts of information on how complaints can be filed correctly. Complaints are taken very seriously by the Board of Nursing (APA, 2012). Nurses who do not practice in a appropriate manner will be terminated immediately and all credentials will be suspended. The board has authority in each state, being able to take action in various bad situations dealing with nurses. The board will take mild formal action if a nurse actions are sufficient for violating state laws and regulations. Each case the board handles have to be taken care of separately considering its own merits. The board will investigate the situation finding out everything they need to know to eliminate the problem. They do give the nurse the opportunity to respond to the situation which has occurred. The registered nurses board protects patients public health and they’re welfare safety. The board protects patients guaranteeing the nurses are safe and will treat every patient with respect and great practice. A complaint can...
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...become a member one must be a staff nurse, Clinical Nurse specialist, manager, administrator, Clinical educator, Academic educator, Nurse Practitioner or researcher. To be an active member and ability to vote and hold office one must be a licensed registered nurse. For an active membership it is $125.00 a year and for a student (such as a BSN student) it is $40.00 a year but the student is unable to vote or hold office (American Society For Pain Management Nursing, 2014). http://www.aspmn.org/Pages/default.aspx Certification requirements: Criteria for initial certification. Be specific. To be certified in Pain Management Nursing, the registered nurse needs to take the examination through the American Nurses Credentialing Center (ANCC). According to the ANCC the examination is a competency examination for registered nurses, and will be valid for 5 years. Once the examination has been successful passed then the registered nurse is then a Registered Nurse-Board Certified (RN-BC). To be eligible to take the examination one must be an RN, practice 2 years full-time, practiced in a role where pain management is a key role for 2,000 hours 3...
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...Mobility Case Study NU 1326 Christopher Vang April 7 2015 Dealing with immobile patients is a big part of a registered nurse’s daily tasks. Mrs. Simmons a 78 year old patient who fell and broke her hip must be carefully monitored so that she does not develop further health problems. It is important to monitor and act accordingly with immobile patients, because failure to do so can result in health risks and complications. Not only do immobile patients require a different level of care, their rehabilitation is also different based on the reason as to why they are immobile. Besides keeping the patient safe and secure it is also important to keep the attending nurse safe by using the proper lifting and moving techniques, as well as the proper devices to assist in moving patients. Therefore to provide the best care for the patient, the nurse must be knowledgeable about the consequences on immobility and the steps to counter them. Being on bed rest has its benefits as well as its drawbacks for the patients. Prolonged bed rest can have negative impacts on the body, which if not taken care of can cause life-threatening situations. One of the biggest difficulties of prolonged bed rest is a pressure ulcer. Pressure ulcers are sores that develop from extended pressure on a bony part of the body most commonly found on the backside. Nurses can help to prevent such sores by rotating the patient on a regulated schedule, making sure the patient is clean and dry, as well as changing the sheets...
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...DMC Career Website --- Tips on Use of Search Categories The search categories are as follows, with the job titles listed being examples of some of the most frequently posted jobs from that category. Note: The jobs listed are NOT a list of ALL jobs that may be in this category, only examples. |Advance Practice Nurses |Rehabilitation Therapy (PT/OT/SLP) | |Nurse Practitioner |Occupational Therapist | |Clinical Nurse Specialist |Occupational Therapy Assistant | |Certified Registered Nurse Anesthetist |Physical Therapist | | |Physical Therapy Assistant | | |Rehabilitation supervisor / management positions | | |Speech / Language Pathologist | |Nursing – Licensed |Respiratory | |Care Management Specialist |Certified Respiratory Therapist ...
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...experiencing. Starting with the people , they have such a great impact on the everyday work life. The people make the long hours and chaotic shifts worth wile. The job requirements for being a registered nurse range from a diploma to a bachelor's degree. Associates degrees in nursing are offered at community colleges and take two to three years to complete. Bachelor's degrees in nursing are offered at colleges and universities which take four years to complete. Collegequest.com states graduates of nursing education programs must pass a national licensing examination called the National Council Licensure Examination (NCLEX-RN) to obtain a nursing license. Therefore, in order to become any type of nurse there are educational requirements and certifications required. The nursejournal.org states that the average salary for a registered nurse is 64,000 with a high confidence ranking based on over 250 sources. The average RN salaries for job postings nationwide are 7% higher than average salaries for all job postings nationwide. The top 10% in the field earn over 94,000. Generally, these professionals have many years of experience and usually have their masters in nursing. Nurses who are employed through the government tend to receive the highest salaries unlike nurses who work in offices or hospitals. The nurses who work in doctor offices are usually the lowest paid nurses. Finally, the salary varies for nurses depending on who they work for. There are 5 levels of job advancements for...
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...HS101, Unit 6 Assignment Alicia Hugie Kaplan University Student June 23, 2015 The American Association of Medical Assistants, offers a Certified Medical Assistant Certification for those who have obtained the required education through an accredited medical assistant program (American Association of Medical Assistants). The Medical Assistant’s professional Code of Ethics is a guide I can always refer back to when my ethical responsibilities are being tested, or when I am in doubt whether a certain situation is ethical or not. It is a reminder of why I choose this career, dedicating myself to the care and wellbeing of all people. For Medical Assistants, there are three certifying agencies available within the state of California, where I reside: American Association of Medical Assistants, where you can obtain a “NCCA” Accreditation (aama-nh.org), American Medical Technologists RMA certification, where you can obtain a AMT certification (amt1.com), and California Certifying Board of Medical Assistants where you can obtain a California Certified Medical Assistant (CCMA) certification (ccbma.org). The “Scope of Practice” determines the boundaries that a physician, or other medical professional practices. In entails the range of responsibilities and practice guidelines (medical-dictionary.thefreedictionary.com). The American Association of Medical Assistants determines this (aama.ntl.org). Three of the standards of professionalism that are based on the codes of...
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...The month budget I received for December clearly shows my salaries budget was higher then forecasted. In December of 2013 my variance financial plan included the salary for the staff in the emergency room. Here we have a break down on the staff, which includes 25 registered nurses, 10 on call doctors and 8 registration clerks. With the nurses salary being ranged from 15.75-24.75 hourly, registration clerks 12.00 hourly and doctors on salary at a set rate of 2,614.40. We have 10 nurse with the pay rate of 15.75 at 40 hours a week that equals to 27,090 a month. 5 nurses are at the pay range of 18.75 at 40 hours a week that equals 16,125. Then there is 5 registered nurse at the pay range of 20.00 a hour at 40 a week that equals 17,200 a month. The remaining 5 nurses are at the top pay range of 24.75 a hour at 40 a week equals 21,285. The 8 registration clerks work 40 hours a week at 12.00 a hour which equals 16,512 a month. At a set rate the doctor’s pay a month comes up to 112,402. When combining the wages the total amount calculated was 210,614 for the month of December. Over-time was not added to this month due to the 2 extra nurses on stand-by. As shown on my variance expense these calculations were correct but lacked unexpected events. Three registered nurses went on a unexpected sick leave on December 15 due to a spread of hepatitis c. Both nurses had to be sent off for testing which cost the company 2,000 and also we had to pay for time off which is their regular pay. 2...
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...RETENTION RESEARCH PAPER Nurse Retention Herbert Albert Health Sciences Center School of Nursing 07/28/08 Contents Introduction Literature review Plan of action Discussion Conclusion Introduction The priority goal of every hospital leadership team is to develop and retain a stable workforce that provides high quality patient care (Missouri Hospital Association [MHA], 2005). Nurse retention and recruitment are the top issues that all health organizations are facing in nowadays. They most effectively develop strategies not only to recruit nurses, but to retain experienced and knowledgeable bedside nurses who will deliver an excellent care. Practical retention plans and strategies are crucial to the financial and quality outcomes of an organization (Golden, 2008) Factors that are contributing and affecting nurse retention and consequently causing workforce disruption are related to high turnover, aging workforce, and job dissatisfaction. Literature Review Turnover is costly to an organization, creating significant financial burdens and affecting morale and clinical quality (Golden, 2008). Although the full impact of staff nurse turnover on hospital costs has not been assessed, costs associated with recruitment and hiring, personnel processing and training of new nurses are known to significantly increase as result of high turnover (Weisman, Alexander&Chase, 1981). There are several...
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...RETENTION RESEARCH PAPER Nurse Retention 07/28/08 Contents Introduction Literature review Plan of action Discussion Conclusion Introduction The priority goal of every hospital leadership team is to develop and retain a stable workforce that provides high quality patient care (Missouri Hospital Association [MHA], 2005). Nurse retention and recruitment are the top issues that all health organizations are facing in nowadays. They most effectively develop strategies not only to recruit nurses, but to retain experienced and knowledgeable bedside nurses who will deliver an excellent care. Practical retention plans and strategies are crucial to the financial and quality outcomes of an organization (Golden, 2008) Factors that are contributing and affecting nurse retention and consequently causing workforce disruption are related to high turnover, aging workforce, and job dissatisfaction. Literature Review Turnover is costly to an organization, creating significant financial burdens and affecting morale and clinical quality (Golden, 2008). Although the full impact of staff nurse turnover on hospital costs has not been assessed, costs associated with recruitment and hiring, personnel processing and training of new nurses are known to significantly increase as result of high turnover (Weisman, Alexander&Chase, 1981). There are several factors that contribute to hospitals currently high turnover...
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...[ADVANCE Clinical Ladder Program for Nurses Other educational opportunities For clinicians who wish to advance in their careers and increase or further develop their skills at the patient's bedside offers an innovative, cutting-edge clinical ladder advancement program. ADVANCE (achievements demonstrating versatile accomplishments in nursing clinical excellence) nursing clinical ladder program for registered nurses who serve as clinicians. Registered nurses can progress from registered nurse (RN) 1 through 4 by demonstrating superior clinical expertise and completing a combination of continuing education courses Advanced training or professional certification, participating in research and by demonstrating continued development clinical practice. Through self-development activities, continuing education and professional development, you have the opportunity to move up the clinical ladder, achieving greater responsibility and accountability as you progress. Applicants are reviewed and approved by your peers. Clinical ladder promotions are rewarded financially at each step in the ladder. ADVANCE program eligibility • registered nurse (RN) clinician • Budgeted and benefit-eligible employee • RN that has successfully completed the probationary period (first 90 days of employment) • RN that is not in the positive discipline process • Performance appraisal at present level is rated competent (3) or above in each performance standard Application...
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...As stated, documentation should occur as soon as possible after an event has occurred. When it is not possible to document at the time of or immediately following an event, or if extensive time has elapsed a late entry is required. Late entries should be defined by agency policy. Late entries or corrections incorporating omitted information in a health record should be made, on a voluntary basis, only when a nurse can accurately recall the event or care provided. Late entries must be clearly identified (e.g., “Addendum to Care”), and should be individually dated. They should reference the actual time recorded as well as the time when the care/event occurred and must be signed by the nurse involved. A delayed entry may occur when two nurses enter data on the same patient. Delayed entries must be entered on a chart on the same shift that the care was provided and/or the event occurred, even if the information is not entered in chronological order. Delayed entries should be made according to agency policy. In the event of a lost entry, the RN may be asked to re-construct the entry. Falsifying records is considered professional misconduct according to the definition under Section 2(as)(ix) of the Registered Nurses Act (2006) so the nurse must clearly indicate the information recorded as a replacement for a lost entry. Lost entries should be made according to agency policy. If the care/event cannot be recalled, the new entry should state that the information for the specific...
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...Advanced Degreed Nurses Improve Patient Safety ADVANCED DEGREED NURSES IMPROVE PATIENT SAFETY Nurses have an obligation to patients and to patients’ families to deliver competent and safe quality of care. The American Association of Colleges of Nursing stated “education has a significant impact on the knowledge and competencies of the nurse clinician.” (Fact sheet AACN). My choice to return to school is a direct reflection on my commitment to give the absolute best care possible. In my nursing career I have been privileged to work as both a floor nurse and a management nurse each requiring their own level of nursing and understanding of all aspects of patient quality. As nurses’ duties increase in difficulty and diversity, so must our knowledge base. The Tricouncil for nursing issued a “calling all RN/s to advance their education in the interest of enhancing quality and safety across the settings.”(May 2010). Advanced level nurses not only give excellent patient care increasing safety, but also serve as mentors and role model to new graduate nurses and ancillary nursing staff. This increases patient safety, allow the new nurses to grow in a positive learning environment and results in overall improved quality of care. Throughout the past two years I have worked as a pool nurse going to the various hospital departments improving my clinical skill and adding to by core of nursing knowledge. In that time I have met and worked with several of the advanced level nurses...
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...Clinical Issue Article - Step 4 The working patterns of the Registered Nurse (RN) have caught the attention of researchers in the last 15 years. The mounting evidence illustrates a direct correlation between long working hours and poor patient outcomes as evidenced by an increase in patient errors, near sentinel events, and injuries to the nurse. The sentence outline is a clear and concise method of uniting the original study question of patient quality care outcomes directly affected by nursing hours worked and the major facts of the research evidence to support the conclusions and findings of the study. I. Clinical Issue Chosen: PICO format a. Problem/Population of Interest i. Registered nurses care for patients in a variety of settings, including hospitals that require 24-hour nursing coverage. ii. Does an RN working eight- or 12-hour shift create potential hazard to patient safety? b. Intervention of Interest i. Nurses who work eight-hour shifts do not cause an increased risk to patient safety. c. Comparison of Interest i. Nurses who work 12-hour shifts may increase the risk of errors and may potentially negatively affect patient care. d. Outcome i. XXXXXXX I don’t know what to put here… I’ve struggled with this part all along. I don’t know what it is????? II. Literature Search (Quantitative) a. Extended work shifts may predispose nurses to make more errors. i. Evidence supports that nurses working beyond a 12-hour shift may directly affect patient mortality...
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...Business Case Analysis - Nursing Second Shift Staffing Business Case Analysis - Second Shift Staffing Monarch General Hospital has recently experienced short staffing of the nursing workforce for the second shift (15:30 to 23:30). This report was commissioned to examine options for the Healthcare Chief Officers involved, which will provide valuable guidance toward a reliable business solution based on currently available evidence. Background Monarch is currently experiencing a deficit in the supply of nurses. In particular, the deficit is on the second shift. But, overall, the actual problem to address is a less than optimal supply of nurses. The plan to remedy the problem for the actual shift involved will be addressed in the strategy and implementation. This deficit of nurses will cause delayed delivery of care to patients and/or adverse events. This will likely lead to patient dissatisfaction, lawsuits and the hospital absorbing unnecessary and unplanned for costs. These factors will ultimately lead to a reduced number of hospital admissions. Monarch must achieve the ability to control the shortage instead of surrendering to it. This report will examine two of the four currently considered options. The first option is hiring additional permanent personnel and the second is hiring short-term, temporary personnel to be used on an as needed basis. Business and Operational Impacts The factors leading to a reduced numbers of hospital admissions will affect...
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