...advanced compared to years before? I have the answer. The nurse is the person in charge of taking care of patients, and medicine is so advanced thanks to the technology we have nowadays. I chose to be a Registered Nurse (RN), but I know is not an easy job because they have to perform different job duties. Not everyone can become a nurse, in fact, to be one, you need some requisites first. Afterward, medicine has become improved because of the advances we have on technology. When people choose Registered Nursed (R.N.) as their career they have to perform various job obligations. According to a website called “Monster” registered nurses have to “provide direct patient care and report any changes in patient status to the doctor treating the patient”. The nurse also “needs to keep in contact with the patient to let the patient know he is in good hands and good care”. In addition to that, the doctor always “needs to be informed about any change in the patient’s health” so he knows what medicines give the patient to become healthy again. Additionally, the same website also addresses that “they also need to update the condition of the patient to their family members and about the trainings, medicines and precautions that the patient needs to take as per plan of care.” The patient is not going to be in the hospital under a nurse’s care forever, so the nurse needs to inform the family how to take care of the patient. The nurse needs to tell them about the medicines the have to give...
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...Merrell a Licensed Practical Nurse for 9 years and enjoys everything about the job. Mrs. Merrell work at a state prison in a 21 bed infirmary as a Licensed Practical Nurse. The infirmary is designed to house inmates with acute illnesses as well as inmates who have returned from hospitals for more serious illnesses. Licensed Practical Nurses will conduct routine checks of these inmates or a daily basis. To become a Licensed Practical Nurse one must attain a high school diploma, and have completed and passed a nursing program with a Practical Nursing Diploma. Once the diploma is obtained the student must apply to the state licensing department and pass the state test. The student must also pass a physical and criminal background check. They should also have the love and passion for this profession. The Licensed Practical Nurse must perform duties that are within her/his scope of practice. The duties include, but are not limited to management of acute illnesses and injuries; treat medical problems; perform physical assessments and perform EKGs. The Practical Nurse must review that care of the patient with the physicians. The Practical Nurse can order prescriptions for all medications and medical devices. Prior to order medications the Practical Nurse must consult with the physician and prescriptions may not exceed 30 days. The primary responsibilities for the Licensed Practical Nurse are taking a detailed medical history and completing physical exams. The Practical Nurse provides...
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...the outcome should remain the same to avoid ethical and legal issues. This paper will review the case study to help resolve the problem, the ethics involved, and the medical responsibility to refilling a prescription without provider authorization. Qualified Medical Training Understanding the definitions of a licensed practical nurse, LPN, and a medical assistant, MA is the first step to making a factual conclusion for this case study. Support staff to the provider cannot make decisions about medication refills for patients without a direct order from the provider. This action is outside the scope of practice for an LPN or MA. Licensed Practical Nurse An LPN is a role in support of the nurse or RN, a registered Nurse usually in a skilled nursing setting such as a hospital or long-term care facility. As defined by the National Federation of Licensed Practical Nurses, NFLPN, an LPN “means the performance for compensation of authorized acts of nursing which utilize specialized knowledge and skills and which meet the health needs of people in a variety of settings under the direction of qualified health professionals” (National Federation of Licensed Practical Nurses, 2003). Each individual...
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...Health Care Interview The person I chose for my interview is Marlene Jones-Wallace. She is 42 years old and she is a LPN or in other words a Licensed Practical Nurse. Marlene has been a LPN for 7 years at Montefiore Medical Center. She works within the Emergency field. I have gained information about what is takes to become a LPN, What do they do? And other information I felt that we should know. A licensed practical nurse or LPN works under the direction of registered nurses and doctors. They care for patients who are sick, injured, recovering or disabled. A licensed practical nurse is also known as a licensed vocational nurse or LVN. The job involves a variety of daily tasks ranging from dressing wounds to feeding infants. On the job, Licensed Practical and Licensed Vocational Nurses perform a variety of functions. These functions can be maintaining records of patients' histories, provide dressing or bathing assistance, update doctors and registered nurses on a patient's status, measure vital signs, assist doctors and registered nurses with tests and procedures, caring for and feeding infants, assemble and or use and clean certain medical equipment, start IV drips or give medication, and monitor medication and a patient's response. Most LPNs are trained to work in all aspects of health care, but there are some who specialize in certain areas. LPN’s or LVN’s can be found in all kinds of medical settings like hospitals, clinics, physicians' offices, nursing homes and even in...
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...RN-BSN Capstone Proposal The Attitudes and Barriers of Nurses towards Pressure Ulcers in Long Term Care Facilities that Hinders Prevention & Treatment Takoya Walker College of Costal Georgia Introduction and Background Pressure ulcers (PUs) have post a problem to healthcare for thousands of years. Since at least the 1980s, pressure ulcers have been considered a result of poor quality of care (Lyder & Ayello, 2012). In response to the Institute of Medicine’s landmark report To Err is Human: Building a Safer Health System, the National Quality Forum designated hospital-acquired Stage III or Stage IV PUs as “never events” (considered avoidable health care incidents) (Agency for Healthcare Research and Quality [AHRQ], 2012). Since 2008, the Centers for Medicare & Medicaid Services no longer reimburse providers for treatment of facility acquired Stage III or Stage IV PUs. Populations at risk for PU development include older adults, patients with dementia, and any person with conditions of immobility (Ratliff, Tomaselli, & The Guideline Task Force, 2010). Because an older adult is more likely than a younger person to have impaired mobility and co-morbid health conditions, elders are especially vulnerable for PU development. This is of particular concern given the large population of these individuals in our nursing home facilities. In 1992, the AHRQ developed early guidelines for preventing pressure ulcers. In general, prevention guidelines...
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...Running Head: ANALYSIS AND IMPLICATIONS Analysis and Implications of Practice: Quantitative Research Analysis and Implications of Practice: Quantitative Research Why are Nurses Leaving? Findings From an Initial Qualitative Study on Nursing Attrition Carol Isaac MacKusic and Ptlene Minick Introduction/Purpose As the population ages and chronic disease runs rampant, the need for bedside nurses grows. MacKusick and Minic (2010) further tackle the nursing shortage in Why are Nurses Leaving? Findings from an Initial Qualitative Study on Nurse Attrition. The purpose of this study is clearly stated, “to understand the factors influencing the decision of registered nurses (RN’s) to leave clinical nursing” (p. 335). This purpose statement clearly states and highlights its importance to the nursing practice. Interviews were conducted to find out what factors influenced the decisions of the RN’s to leave clinical nursing. The introduction of this study gave a great summation of the entire article which pulled the reader in. Review of Literature In reviewing the article, it was discovered that the authors did a thorough search of bedside RN’s leaving the nursing practice and found that very limited data was available regarding nursing attrition. Their search began with “GoogleScholar and was narrowed to include CINAHL, Medline, PsychINFO, and LexisNexis MacKusic and Minic” (2010 p.335). MacKusic and Minic (2010) found the data search for this topic ended in 2007 when the...
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...RN license provides more opportunities for promotion, an LPN/LVN license can be earned more quickly with less time needed in school. Nurses at all levels face the challenge of balancing work with school, family obligations and other external commitments, and often, these factors play a large role in determining available finances and time available for educational pursuits. For people considering a nursing career, RN programs are sometimes excluded as most classes are daylight programs. Accelerated and evening programs exist, but clinicals and preceptorships are generally offered during the day. LPN training programs, being shorter to begin with, are much more flexible and usually offer part-time, night, and weekend hours. As people evaluate the career choice that’s right for them, educators must work to match the student with the best career fit, and it’s equally important for future nurses to understand the requirements and potential benefits of careers and an LPN/LVN and RN. Licensed practical and licensed vocational nurses, known as LPNs or LVNs, depending on the state in which they work, provide basic nursing care under the supervision of a registered nurse or physician. Typically tasks such as changing dressings, checking blood pressures, helping patients bathe or dress all fall within the scope of practice of a practical/vocational nurse. LPNs/LVNs also routinely provide bedside care, perform sterile procedures, and they may or may not administer medication, start IVs or...
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...collective approval of group of people or business. I will discuss a situation that has happened in a doctor’s office and analyze what is ethical and legal for the worker to do in the situation that he is presented with. In the scenario, Jerry McCall is an office assistant for Dr. Williams. Jerry also holds the title of Medical Assistant and a Licensed Practical Nurse (LPN). Jerry is alone in the office when he receives a call from a patient saying he needs to have a prescription refilled for Valium, an antidepressant medication called in to the pharmacy right because he will be leaving for the airport in thirty minutes. He also tells Jerry that Dr. Williams is a personal friend and he always gives him a small amount of Valium when he has to fly. One of Jerry’s ethical questions or a problem at hand is whether he can call the prescription in to be refilled. The answer to this is no. Jerry is not qualified to complete the request of the patient. He is currently working as an office assistant. Though he has other titles he still cannot perform the request. As a Medical Assistant and Licensed Practical Nurse Jerry is not certified or qualified to call in a prescription to have it filled or refilled. The medication the patient is requesting to have refilled, Valium (Diazepam), is not used as an antidepressant though he makes it very clear this is why he needs the medication. Valium is used for many reasons; anxiety, muscle spasms, and seizures and to...
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...McCall University of Phoenix Ethics Case Study In health care today, there is sometimes a lax attitude regarding rules and regulations. Some allied health professionals may be tempted to inappropriately use their position because of a personal feeling of empowerment. There are always ethical and legal issues that influence outcomes and this care is just another example of the difficulties that allied health professionals face every day. Jerry is trained as a Licensed Practical Nurse (LPN) and currently working as a medical assistant. Jerry’s training allows him to provide general assessments, administer medications, and provide treatments. As an LPN, he is able to administer oral medications, as well as some injectable medications. Also, as a medical assistant, Jerry is also responsible for varying levels of clerical work, which may include the writing of scripts. This is more of a common practice today because of electronic prescription software. However, all prescriptions must be originated by a licensed physician and must undersigned by this same provider. Even though this patient is a personal friend of Dr. Williams, the same prescription standard needs to apply. Jerry would need to contact the physician to obtain a verbal order, which he needs to document appropriately before he can give the patient the script. Whether the fact that the medication is for fear of flying or if it is a critically needed medication like anti-hypertensive’s, the same policy must apply...
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...Five years ago, I began the journey of becoming an LPN (License practical nurse). Even though there where many obstacles. I was able to complete the program and become the great LPN that I am today. Unfortunately, as the years have passed, I once again have decided to continue my education and finish what I started 5 years ago and become an RN (Register Nurse). Not only do I want to become an RN because, I love taking care and providing for others, but I want to be able to be more financially stable to provide for my family. There are also better opportunities as far as work places and duties. My skills will no longer be limited and the benefits will be more gratifying. In total, becoming an RN seems to have more pros than cons. Not only do I want to become an RN because, I love taking care and providing for others, but I want to be able to be more financially stable to provide for my family. It will be fewer hours for better monetary outcome. It will endow me the time needed to spend with my family. As an RN, there will be doors that will open to provide better opportunities and flexibility. Upon completion of graduation, registered nurses are able to work on staff at hospitals, nursing homes, teaching positions at colleges, hospitals, and universities. They can also specialize in certain nursing fields, such as: neonatal nursing, patient educator, oncology, and clinical nurse manager. The need for nurses also gives you some flexibility for your schedules, various shifts...
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...be a registered nurse (RN). I have wanted to be a registered nurse since I was the age of ten. The main reason I wanted to be a registered nurse is because I want to help and serve others in my community. There are many different types of environments in which a registered nurse can work. A registered nurse, regardless of their work setting, treat patients, educate patients and the public about various medical conditions, and provide advice and emotional support to patients and family members…record patients’ medical histories and symptoms, help perform diagnostic tests and analyze results, operate medical machinery, and help with patient follow-up and rehabilitation.(www.bls/oco/ocos083.htm) Some may work to help promote general health. They may also run general screenings and immunization clinics, blood drives, and public seminars on various conditions. Some may even provide direction to licensed practical nurses (LPN) and nursing aids regarding patient care. (www.bls/oco/ocos083.htm) Their specific work various from one registered nurse to another. There are generally four ways to specialize as a registered nurse. One way to specialize is they may work in a particular setting or type of treatment. Others may specialize in specific health conditions. A third way they specialize is they may work with one or more organs or body systems. The fourth and final way they specialize is they work with a well-defined population. Registered nurses may even combine...
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...Ethics Case Study HCS/335 January 23, 2012 Melissa Green Jerry McCall is an assistant currently employed in Dr. Williams’s medical office. He is a trained medical assistant and also a Licensed Practical Nurse (LPN). Jerry has been put in charge of the phones while the receptionist is out having lunch. While he was covering for the receptionist a patient called with the urgent need to have his prescription for Valium refilled and phoned into the local pharmacy. The urgency was due to plans to fly out of town within the next hour and needed the medication for the flight. The patient on the phone insists that Dr. Williams and he are good friends and that the prescription for Valium would be fine by the doctor for Jerry to fill for him. Jerry is the only person left in the office and is faced with the dilemma of filling the prescription or informing the individual on the phone that he cannot. There are different decisions that Jerry can make but he must be sure to not only keep the patient in mind but the good of the organization and the employment with the organization. Jerry has training for medical assistant and LPN. These two jobs have many different tasks in helping the physician in the office and with patients. With all the training that he has had there he is not authorized to refill the patient’s prescription. If the physician had authorized the prescription then Jerry could pass along the prescription to the patient who is asking for it. The medication that...
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...Delegation Example in a Healthcare Setting Abiola Edwards April22, 2010 Introduction * Definition of delegation * Delegation process * Delegation issue one faces at work * Stakeholders in their different roles * Choosing the right stakeholder * How to communicate with stakeholders * Conflict resolution * Feedback/ Evaluation * Recommendations * Summary * References My name is Sadie Edwards and I have over 10 years of nursing experience Definition of Delegation Delegation: Transferring to a competent individual the authority to perform a selected nursing task in a selected situation. The nurse retains accountability for the delegation. Concepts and Decision-Making Process National Council Position Paper, 1995 Most nurses would rather do the tasks themselves, but they can not perform all of them safely. According to Hansten & Jackson, “it is our responsibility to the patients we care for to ensure that they receive the best that we can offer by delegating wisely”. Delegation Process * Define the task * Select the individual or team * Assess ability and training needs * Explain the reasons * State required results * Consider resources required * Agree to deadline * Support and communicate * Feedback and results Alan Chapman, Delegation 1995-2009 The steps to successful delegation are: 1. To define the task, ask yourself if the task is right to be delegated. Does it meet the criteria...
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...an exam, change wound dressings, drawing blood (depending on state laws) obtain wound cultures, remove sutures or staples from superficial incisions or lacerations, provide patient information and instructions; among many more duties (Buppert, 2008). There are some other duties that Jerry can perform, which are “administering medications topically, sublingually, vaginally rectally and by injection” and also providing the patient with a single dose of oral medication only when ordered by the physician, to a patient for immediate self-administration under observation. These are just some of the limitations that a Medical Assistant faces, which in this case Jerry is facing this (Balasa, JD,MBA, 2012). Although Jerry has previous Licensed Practical Nursing (LPN) training, he is still unable to prescribe medications to a patient without and authorizing physician. Any type of medication refills or new prescriptions can be called in or prepared by a...
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...License Practical Nursing Introduction (paragraph 1)--License Practical Nursing is a career field that I always had an interest in, but I just never put a title to the interest. I have been working in this career path for 8 years now as a personal care aide for a home care agency. I have had the pleasure of being on the physical, side working directly with the patient, and administrative side, maintaining the office and clerical information. Paragraph 2-- When I first started into this career path I had all kinds of emotional, squeamish, and frightening obstacles that I had to overcome. In this career path, to be awesome at what you do, there is no room for being squeamish or frighten by the things that come along with it. You must always put the best on the outside. You are there to take care of the sick and that means that the sick isn't always a tolerable sight. The skills of an LPN goes far beyond education. A nurse must be compassionate, observant, firm but fair, and most of all willing to the support for the patient. These skill are innate, they cannot be taught but developed from within. While LPNs should possess a compassionate nature, they sometimes need to be thick-skinned when it comes to occasional unkind treatment from others. ("Licensed Practical Nurses."Ferguson's Career Guidance Center) A care provider whitout a heart is a poor care provider. As an LPN you are responsible for makings sure that the patient receives the proper care that is laid out by the Physician...
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