...approaching and some persuasion from my parents I decided to major in nursing. I didn’t find nursing - nursing found me and much to my surprise, I loved each and every moment of nursing school: the research papers, the bed baths, the NCLEX review questions, and I even got giddy when it was my turn during clinical to administer IV medications. Fast forward a few years and I’m working in a neonatal intensive care unit (NICU) and still get that heart stopping thrill moments before a 24 week delivery. I drive to work every day with excitement of the unknown. I can’t wait to find out what is awaiting me behind those locked doors. I rejoice in the happy moments with parents as well as mourn with them when their baby has passed away. These tiny miracles have taught me more over the last couple years than I could have ever imagined, they are unpredictable, strong, resilient, courageous, determined, and inspiring. Their undeniable strength has taught me to be proud of my own strength and accomplishments. They inspire me to be the best I can be. Their inspiration puts life into perspective - whenever I sweat the small stuff all I have to do is look at the journey of a NICU baby and it shows me that the small things in life do not matter....
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...Creating High Performance Organizations Overview of Organization The Organization that will be the topic of discussion in my final project is Children’s Memorial Hospital. Children's Memorial has been named one of the top 30 best children’s hospitals in the United States in nine pediatric specialties. The hospital ranked among the top 10 in five pediatric specialties, and ranked fifth in urology. The rankings for each of the 10 pediatric specialties were based on reputation among physicians and data-driven factors such as outcomes and care-related indicators including patient volumes, infection control, advanced clinical services, nurse staffing ratios and availability of key technologies. The largest pediatric hospital in Illinois and the pediatric educational facility for Northwestern University Feinberg School of Medicine, Children's Memorial provides specialists in every known pediatric specialty. These physicians served more than 180,000 children last year. The American Nurses Association has recognized the hospital as the first hospital in the state – and the first pediatric hospital in the nation – to receive its prestigious Nursing Excellence Magnet Award. Preliminary Problem Statement Children’s Memorial Hospital was founded in 1882 in an 8-bed cottage the hospital has grown in size and capacity over the past 125 years, yet we still have to turn patients away, because of overcrowding. In 2004 talks of a building a new hospital to accommodate the flow of patients...
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...Roles and Values The face of nursing has evolved and changed since it’s inception. Today’s nurse is faced with cultural, ethical and technological issues that didn’t exist even twenty years ago. As such, nurses have had to continuously evolve to continue to provide the quality, selfless care that patients have always relied on them for, and expected, since the very beginning of nursing. From pediatrics to gerontology, nurses are serving a culturally, religiously and financially diverse population with challenging needs. In the face of this, nursing itself is becoming ever more diverse in it’s culture and skill set, which is helping the profession stay in the race, and continue to advance the practice of nursing. Although I’ve been a nurse for only seven years, and spent the bulk of my working career for fortune 100 companies in the aviation field, I feel i bring a wealth of business, people-skills and management expertise to the field. I was drawn to the field of nursing for many years, and when I finally had an opportunity to turn to school, I did, and pursued my nursing degree. Helping people was always a goal of mine, and I have been able to fulfill that goal and set new ones in that realm within the world of nursing. My past business experience has provided me with the knowledge to not only provide safe, quality care for my patients, but to relate to families and hospital staff in a clear and effective manner that improves outcomes for my patients. I have also participated...
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... Nursing Trends: That I foresee in the year 2020 In the last thirty five years, nursing care has branched out from strictly clinical, hospital and nursing home setting to other areas. Due to strict health insurance payment guidelines, patients today are being sent home from the hospitals faster and sicker. This in turn increases the demand for more nursing care in the home. A lot of today's nurses are filling this need between the patient’s home and the hospital health care team. This trend continues to grow. Due to shorter hospital stay of patients, multiple skilled nurses and advanced technology, many changes will be impacted in Nursing in the year 2020. Some of these changes that will be made in the year 2020 are the following: 1. A shift from hospital to specialty care nursIng. 2. A shift to facing increasingly complex ethical dilemmas 3. A shift from working as a part of a hospital staff to "Dejobbing". Hospital opportunities will continue to rise in specialty areas. Due to advanced technology, critical care nurses will stay in demand to treat patients for conditions that previously would have been fata1. Other specialty areas would continue to be in demand such as preoperative, neurological, emergency and cardiovascular areas. Maternal/child health is another good choice for future nursing. The - .. , the sub specialties of Neonatal Intensive care and Pediatric Oncology continue...
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...Selection Tools Shannon Lawson HRM/240 December 04, 2011 Tony Risner Selection Tools Selection of candidates for employment in an organization is a critical practice for the Human Resource Management. If they make a poor decision, they might end up with underperforming employees, which is the reason proper and effective tools should be applied when selecting candidates for any job in any organization. When hiring employees for a job in the supermarket, the three selection tools the Human Resource Management should use are: 1. An application request 2. Carrying out an interview 3. Giving references These three tools are vital and important for the selection of an employee for a supermarket because they give important and pertinent information about the person applying for the position. Working in a supermarket does not require professional skills and the Human Resource Management needs to know that the candidate applying for the position poses essential skills and can easily adjust to the supermarket setting. Application from the candidate will give the Human Resource Management the chance to review if the candidate has the required skills. Carrying out an interview will allow the Human Resource Management to meet the candidate and see if they can handle the work expected of them in the supermarket. Having references gives Human Resource Management the chance to check behavior and character of the prospective employee. BEST SELECTION...
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...final project, I was seeking to research a topic that I am extraordinarily passionate about. As I am pursuing a career as a profession of occupational therapy, my project will be centered around terms related to the field. This will not only allow me to discover more about the background of the profession, but will enable me to discover some of the specific terminology used by professionals in the field. After telling others that I want to be in the field of occupational therapy, I have found that many are familiar with the term, but are unclear of the exact definition. Looking at the different components of the word, it means OCCUPAT- a particular action, ION- the act of, AL- pertianing to, THERAP- treat medically,...
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...valuable information that can be of great use to someone who has questions. Let’s look at a major hospital in the town that I live in. The University of Texas Health and Science Center-Tyler (UTHSCT) has a web site that has a wealth of information on it! Immediately on the home page you can see what types of delivery services that they offer. The Emergency Department has a physician on staff around the clock available to all ages. All types of emergent, urgent and non-urgent patient care is available. They also have a Medical/Surgical & Telemetry floor. Pediatric to older adults are provided Telemetry, Oncology, Medical and Surgical care ("Uthsct", 2011). Something that this hospital offers that is rare is Hospice care. Hospice patients receive pain and symptom management, and may include IV pain medications. In addition, the patient’s family receives attention as they go through the grieving process, which can require nursing intervention. The amount of services offered at this hospital are too numerous to mention, but some of the other services include; Allergy & Immunology, Infectious Disease, Orthopedics, Urology and Women’s health just to name a few. This...
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...How to Use a 5-level Triage System Western Governors University Topic: The importance and application of a 5-level triage system. INTRODUCTION Attention Getter: I am currently a Charge Nurse in the busiest emergency room in Nevada. We see an average of 300 patients a day with wait time in the lobby upwards of 12-14 hours. Purpose: The purpose of my presentation is to inform. I want my audience to understand why a 5-level triage system is best practice and I want my audience members to have a basic understanding of a 5-level triage system and to be able to begin training in an ER triage setting. Audience: The ideal audience for my presentation are nurses that are newly graduated or new to the ER setting. My topic is specific for my intended audience and is beneficial for them. This presentation can be easily altered to address nurses that will be working in a pediatric ER. Significance: The ability to correctly triage a patient in an ER is crucial to patient safety and patient care. In a busy ER patients generally have to wait to be taken out of the waiting area. A triage nurse needs to be able to sort through the patients and decide who the priorities are. The intended audience will become the nurses making these decisions. Thesis Statement: Research shows that a 5-level triage system is best practice because ESI and CTAS provide dependability and reliability and because the implementation of a standardized ER triage process improves patient care. ...
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... Abstract Advance practice nursing in the United States has evolved in to four main types of advanced practitioners: clinical nurse specialist, nurse practitioner, nurse- mid –wife, and nurse- anesthetist. As healthcare delivery systems continue to change and develop, other roles may emerge to meet future needs. Each advanced role has a distinguishable scope of practice, but knowledge and skills overlap (Blais and Hayes, p. 447). The possibilities of advancing your education in the nursing profession have countless opportunities. If given the opportunity to advance my education in the nursing profession my choice would be to become a Nursing Practitioner....
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...Desmond Mueller California State University, Fullerton School of Nursing Concepts of Professional Nursing Practice BSN 306, Section 05 Anne Johnston-Silverberg, MS, FNPc September 14, 2012 The Affordable Care Act: The Role of the Nurse Practitioner The recent implementation of the Affordable Care Act (ACA) has had a significant impact on the American health care delivery systems. The passage of this bill mandates that all Americans must have health care coverage and that insurance companies cannot disqualify applicants due to preexisting conditions (National Council of State Boards of Nursing, 2014). These changes will undoubtedly lead to an increase in the number of people seeking medical care, particularly those with chronic diseases. It is estimated that this influx in the number of patients will result in a primary care provider shortage of 20% by the year 2025 (Poghosyan, Boyd & Knutson, 2014). With many new physicians choosing to pursue specialties due to the promise of a larger salary, hospitals and clinics will need to start looking to other health care providers, such as nurse practitioners, to fill this role. The purpose of this paper is to discuss the role nurse practitioners play with regards to the Affordable Care Act by examining the history and qualifications of nurse practitioners, the current practice of nurse practitioners, the basics of the Affordable Care Act legislation, and potential nursing challenges. History of Nurse Practitioners The role of...
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...NVT2 Task 2 Daniel Kramer Student ID: 000257902 Western Governors University NVT2 September 24, 2012 First Interview Western Governors University Nursing Program Interview Form This interview is to be conducted in person or over the phone. Persons being interviewed are not expected to respond in writing. Candidate name: Daniel S Kramer Candidate ID number: Student ID: 000257902 Name and title of the interviewee: Kimberly J Stults RN, MSN Describe the specialty area of the interviewee: Director of Education and Health Information Technology The interviewee belongs to the following category: Educator Educator Administrator Clinical Specialist Staff Nurse Nurse Researcher Date of interview: September 13, 2012 In person: X Via phone: 1. How would you describe your role in your current position and your educational preparation for this role? I am responsible for the initial creation, continuous education, and competency for whole house. I have my MSN in Nursing Education. This has prepared me and shown me the need for education services and the need to maintain competency for the staff. Provides the necessary tools to deliver current and competent care to our patients. My education has shown not only the need for education, but has provided insight into how to provide the educational programs/training to the staff. 2. How would you explain...
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...Qualitative Critique Paper Neetaka Dickens University of Phoenix Analysis of Research Reports NUR/518 July 28, 2014 Veta Massey Qualitative Critique The purpose of the paper is analyze and critique the qualitative nursing research study related to a current nursing issue. A review of the strengths and weaknesses of this study and appropriateness of the studies for the clinical issue is included. While there is an impact of death on family members, there has been little research documenting the reactions and responses of our nurses. A Curtain of Protection Grief is defined as “keen mental suffering or distress over affliction or loss; sharp sorrow; or painful regret“(Merriam-Webster,2014). Every person in the world has suffered from grief at one point or another in their life, whether it was caused by the loss of a loved one or another reason it has been felt by them. Different people express grief in different ways; it can often bring people together as well as divide them. This is the same for our nurses. One of the nursing functions of an Intensive Care Unit (ICU) nurse is providing care for terminally-ill patients and assists them towards a peaceful death. However, in helping those patients to approach a peaceful death in an intensive care unit, nurses deal with many difficulties such as communicating bad news, counseling the persons’ families, and facilitating a peaceful death when time is limited. ICU nurses frequently face patients’...
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...The other reason is that this guideline is current and created by well renowned guideline researchers from “American Academy of Allergy, Asthma and Immunology, Medical Specialty Society American College of Allergy, Asthma and Immunology - Medical Specialty Society, Joint Council of Allergy, Asthma and Immunology - Medical Specialty Society”. This guideline addresses my PICOT question effectively as it is based on the management of exercise induced bronchoconstriction/ asthma and include all categories of diagnosis evaluation, management, prevention and treatment. It is completely relevant to my specialty as I work in pediatric as a RN and encounter a lot of asthmatic cases that include the children with exercise induced asthma. The methods of guideline validation are external peer review and internal peer review. The major recommendations are presented in the form of summary statements that show the strength of the recommendations. The potential benefits are in terms of appropriate evaluation and management of the individuals affected with suspected exercise-induced bronchoconstriction (in accordance with my PICOT question). Although the use of albuterol (short acting) decreases the signs and symptoms of exercise induced asthma but according to guidelines daily use of long-acting β2-agonists (LABAs) and short-acting β2-agonists (SABAs) may actually increase the severity of exercise-induced...
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...agency, such as a board of nursing (BON), and a professional nursing organization (PNO) as it pertains to your professional nursing practice. A regulatory agency – in this case, a board of nursing (BON) – is a governmental agency. A board of nursing exists on the state level. The primary purpose of a BON is to protect the public’s health and welfare by providing oversight over and ensuring the safe practice of nursing; it achieves this by issuing nursing licenses and monitoring licensees’ compliance to state laws. Additionally, these regulatory agencies outline the standards for safe nursing care within the borders of that state (National Council of State Boards of Nursing, 2014). Regulatory agencies such as boards of nursing report to one of the following: 1) the state’s governor, 2) both the governor and a state agency (i.e., such as the Department of Health, in Washington state), 3) a state agency, or 4) another state official or organization. Just who oversees a regulatory agency is defined in that agency’s bylaws. These bylaws also summarize the duties and powers of that particular agency. In the case of a BON, these consist of: 1) enforcing the state’s Nurse Practice Act and nursing licensure; 2) accrediting or approving nursing education programs in schools and universities; and 3) developing practice standard, policies, administrative rules and regulations for the practice of nursing within the state (National Council of State Boards of Nursing, 2014). Essentially,...
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...Both careers help for the betterment of their patients- a factor that would be considered one of my most important prospects. They have set work schedules and have high interaction levels. For my future, I hope to have a set work schedule to help balance my prefered lifestyle. Also, working close with others will help myself stay socially active and keep a lively beat to my work life. Physical therapists and nurse practitioners require at least some extent of physical activity. I would not want to just sit at a desk all day and repeat my daily activities over and over. Also with these jobs, you need to be able to demonstrate various actions and transport items from place to place within the work premises. These careers also have variating tasks on a regular basis which will help myself from having boredom and help veer away from slacking. Wages are also on the higher end of both jobs which would be a nice factor in my...
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