...privy to confidential information in the course of the clinic. The dilemma can arise when confidential information is requested by family members or friends of the patient. The Critical care nurses must be aware of the regulations regarding confidentiality, as well as situations where the use and disclosure of protected health information are permitted. (Critical Care Nurse.2012;32[5]:61-65) This is where the critical care nurses must take the Health Insurance Portability Accountability Act (HIPAA) laws on how important they are in the health care field, and to make sure that use the line between what is right with the confidentiality for their patients. When it comes to the health care field there are privacy and confidentiality that needs to be enforced to the areas where it comes patient privacy and confidentiality. However, in this paper the legal and ethical issues that arise from both sides, when each party is bound by separate laws, as well as what happens when these laws overlap the issues and impact to the facility and the patient let alone the families and friends. The main issue is that the critical care nurses need to look into the best welfare of what their patients need and what they actually do for their patients. When talking to a family about a patient, the nurse to make sure that the patient wants you to disclose the information...
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...C304 Professional 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...
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...Leadership Prof. Monstade February 04, 2012 Leadership Cumulative Essay Introduction This essay will give insight into the author’s point of view on several facets of nursing today. The information provided will speak to lessons learned in the Everest College Nursing program. Topics covered shall consist of a reflection of the personal nursing philosophy, impact and concepts of the Nursing Code of Ethics and how it applies to Nursing as a profession, the concept of patient centered care, use of technology in documentation, and the leadership aspects that are considered as a new graduate. Leadership aspects entail team leading, delegation, and role transition from graduate to RN. This is the point of view of the author and information given here will be both objective and subjective. Nursing Philosophy In a previous paper written, the reflection of this student’s own nursing philosophy seemed to coincide with that of Florence Nightingale as well as Dorothy Orem. Orem’s school of thought leans toward the nurse having a large hand in aiding a patient to achieve total self-sustainability. Dorothy Orem’s theory is actually three separate theories that work synergistically. These theories are the theory of self-care, theory of self-care deficit, and the theory of Nursing systems. This works well for a patient, when achieved, due to the self-care aspect. Someone whom is actively involved in their own progress...
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...patients for toileting and personal hygienic care. Robin, one of the staff RNs in their psychiatric care group home, raised her voice as she firmly stated, “You are only an aide. That is in the RN role. We don’t expect you to think, just to do what we tell you to when we tell you.” Rashad sat quietly without responding because he needed to keep his job but began his plan on how he’d make Robin pay for her statement. Maybe he wouldn’t do anything without being told.” (Hansten & Jackeson, 2009). Answer In question number one the two types of communication used, were aggressive and passive. Aggressive was used when the Registered Nurse (RN) undermined the aide by belittling him with a raised tone, and comments such as,” you are only the aide”, “ we don’t expect you to think, just to do what we tell you to do.” (Hansten & Jackeson, 2009). This type of communication often carries a tone of superiority, messages of blame, and labeling often times causing the other person to feel humiliated and hurt. Rashad may perhaps have feelings of anger and revenge. Rashad may perhaps try to think up ways to get back at the nurse instead of help her or him complete her or his tasks. This type of communication suppresses the ideas and feedback from others. It evokes passive aggressive relationships which is the situation in question number one (Hansten & Jackeson, 2009). Rashad demonstrates passive communication by sitting quietly and not responding to the nurse. Passive behavior is often...
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...Program for Myself as a Person and Professional A Moral Program for Myself as a Person and Professional Education is the key pillar of the modern world. Through education, we achieve a personal sensation of achievement and sole satisfaction. However, what lessons do we draw from the classes and lessons that we attend? In addition, are there ways in which we can apply the knowledge and the information we learn from the class and use it to shape our personal and professional lives? Throughout the eight weeks that I have enrolled in philosophy 415, I have pondered how I will use the information I learn and the knowledge I gain to better myself. In this regard, I need to better myself in both my personal and professional capacities. Nevertheless, in order to attain this betterment, I need to come up with a moral program for my personal and professional lives. Whether it is applying the ethical principles of Aristotle, Kant and Mill, or combating moral illiteracy within my department, I plan to use my newfound information to its greatest potential. Therefore, this article first elucidates on the moral program that I would implement in my professional life as a nurse. Consequently, the second part is on a program fitted for my personal life as a single mother to a four-year-old child. Out of all the philosophers that we studied during the course, Aristotle's virtue ethics is the most suitable theory for my profession. According to Solomon (1992), Aristotle...
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...want the option to visit their family member in the PACU, only 47% of staff believe that families should have the option to visit in their own PACU. The perceived barriers reported by staff were staffing issues, the possibility of exposure to infection, privacy issues, staff anxiety, the possibility of visitors witnessing resuscitation, and lack of education of families. The survey results show that more existing education is needed. Consequently, the current policy is posted in all waiting areas for families, and a mandatory in-service was created and presented to staff on how to communicate effectively with family members. Keywords: family visitation, staff attitudes, perceived barriers, PACU. Ó 2009 by American Society of PeriAnesthesia Nurses ALTHOUGH MANY EMERGENCY DEPARTMENTS around the country are allowing family members at the bedside during resuscitations, there is resistance to family visitation in the postanesthesia care unit (PACU). Family visitation benefits both families and patients,1 and at a time when competition for surgical patients exists, hospitals must continue to improve patient and family satisfaction. The PACU where this project was conducted had no formal visitation policy. Reasons for having no formal policy, according to staff, were lack of privacy, lack of space, fear of families witnessing resuscitative efforts, and staff anxiety. As empirical evidence...
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...Communication Style Case Study First Scenario The first scenario is describing an aggressive behavior from a staff RN (Robin) towards an assistive personal (Rashad) who was just expressing his opinion during a team meeting. Robin intimidated Rashad with her aggressive comment to the point that made Rashad feel frustration, but Rashad did not respond her back; he stayed quietly. Instead, his response was passive-aggressive when he began to plan how to take revenge in future working situations. If I could improve this communication, I would do the following changes: Perhaps, she had a bad day that she explodes against Rashad, but she should not let her personal feelings to interfere with her interactions with others. Definitely, she needs to be more respectful. She needs to learn to calm down and relax before expressing her opinions. She should not raise her voice, neither to interrupt or made offensive comments about others responsibilities; she should not sub-estimate the role of others. In sum, she needs to understand the concept of effective communication within teamwork. In the other hand, Rashad was apparently passive, but very frustrated because he was afraid to respond to that comment. He should understand that he is an important part of the team, and his role is equally important than hers. He should tell her with normal tone of voice that this is not the appropriate way to talk to him; we all deserve respect, and state the purpose for being together in the meeting...
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...workplace satisfaction (Hansten & Jackson, 2009). There are three case studies, which will be analyzed by identifying passive, assertive, aggressive, and passive-aggressive communication styles. A personal senerio will be included and discussed. It was apparent in the first case study Robin, the RN was showing aggression towards Rashad the nurse’s aide. The RN and the aide had attended a meeting discussing their role clarification on the unit. Rashad spoke up and clarified his role as anticipating the needs of patients needing assist to the bathroom and help with personal hygiene. Robin then abruptly stated, “You are only and aide.” “It is the RN role to anticipate the needs of the patient. “You need to do what we tell you” (Hanston & Jackson, 2009). This communication of aggression by the RN demonstrated no respect to Rashad. Rashad felt put down, but in the back of his mind he was feeling revengeful. The communication style he was demonstrating was passive communication. He was not assertive in communicating back to Robin about how he really felt. So he was left feeling revengeful and she really solved nothing by her statement. Robin will probably not get full teamwork from him when they work together. A personal scenario is one which I have witnessed. A nurse I work asked a nurse’s aide to feed her patient. The aide responded back I had this patient yesterday and he had some...
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...Personal practice related to ANA scope of practice As a nurse, one must follow a scope of practice, what is expected of them within their role of the nursing profession. These guidelines shape the responsibility of the professional nursing organization and serve to protect the public. According to, Nursing’s Social Policy Statement: The Essence of the Profession (American Nurses Association, 2010, p. 3) defines contemporary nursing: “Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations.” I believe my role, as a nurse is consistent with the scope of practice outlined by ANA and the contemporary definition cited. As a nurse, I strive to be clinically competent and aware of the constant challenges that one faces on a daily basis. Being well informed promotes health and prevents further illness and injuries. One goal I try to set aside every week is to attend a weekly ground rounds meeting, where additional education is provided on a specific case study. This opportunity allows me to stay current and up to date on new medications available, research findings and team collaboration feedback from staff on effective treatment options for optimal patient outcome. In addition, completing required competencies and being a member of Oncology Nursing Society also...
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...sort between the parties to a contractual arrangement is crucial for the agreement to be legally enforceable. Each of the parties to a legal agreement must give and receive something of value in order for the written arrangement to be legally enforceable. The 'something of value' may be either something that the person actually hands over (that they would not otherwise be indebted to hand over) or some right that they give up (that they would otherwise have been entitled to exercise). Is the Hospital Negligent or are the nurses negligent? The question of which entity to bring the lawsuit against, the hospital or the care givers, typically depends on the working arrangement or relationship of the physician to the hospital. If the staff member, including support staff, was directly employed by the hospital then the hospital itself would be considered liable. In most situations the staff included as hospital employees would encompass lab and hospital technicians, emergency room staff, paramedics and nursing staff. Doctors and other medical specialists, including surgeons, are typically subcontracted under the hospital and therefore may be held liable rather than the hospital. In some situations the hospital is considered liable for the actions of the doctor or specialists even if they were not direct employees of the hospital. This includes cases when the doctor failed to follow standard treatment procedures or in cases of a misdiagnosis where the hospital failed to address...
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...outlook on the history, population served, services provided, staff, and clients as well as a look at the budget and where funding comes from to keeps the Camp for Courageous Kids running from year to year. History The Center for Courageous Kids (CCK) (personal communication, 2011) was founded October 2004 and was called at this time Project C.A.M.P (Children Are Magnificent People). CCK is a not-for –profit organization (Camp for Courageous Kids, personal communications, 2011). The camp was first created to assist children in the states of Tennessee and Kentucky with chronic diseases as well as surrounding states with children in need. CCK is considered a world class medical camping resource that delivers at no cost and unforgettable camping experiences for many children with life threatening diseases and disabilities. Population Served The Center for Courageous Kids welcomes children with more than 60 rare and unique conditions. The summer session serve children from the age of seven to fifteen with illness such as severe asthma, HIV positive, kidney disease, arthritis, heart disease, spina bifida, hemophilia, juvenile cancer, sickle cell, and many others are determined upon application (Camp for Courageous Kids, personal communications, 2011). There is a family session in the summer offered called Summer Illness Groups PLUS, and this is offered to children and their families. The illness include children on ventilators, craniofacial abnormalities, IBD, muscular dystrophy...
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...Nursing defines as a profession that provides caring and nurse people that cannot function daily activities i.e. for the sick and poor in health of all ages, races and gender. Women cared for the sick in their family and this is where the first form of nursing started. Florence Nightingale is well known for the work she has done during the Crimean War in 1853 to 1856 which she and other women where able to save life of wounded soldiers because of her experience she knew the importance of trained nurses which marked the foundation of today’s nursing along with her and many other nurses theories that help create a better nursing profession (Creasia, 2011, p. 3). As the years went by nursing is no longer a poor women’s job but all gender and race with high paying, benefit job that still in demand. And as years went by education of nurses went up higher and each higher level a nurse is required to provide that is equivalent to their education level. Associate-Degree Nursing According to nursingdegreeguide.org, after the war there was a huge nurses shortage, and nurses weren’t well trained to handle important things like hygiene. Most of the nurses were educated in hospitals using trial and error method under the supervision of their senior nurses but because of this and lack of formal training and education there were high mortality rate. Because of these, in United States nursing schools were started to educate nurses better in early 1900s. This movement in nursing...
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...Professor Vanda Crossley Date April, 17, 2014 Dwight David Eisenhower Army Medical Center, (DDEAMC), originally located on Camp Gordon in 1941. The original building was then consolidated with the new building in 1975. The vision of DDEAMC is to maintain a trained and ready healthcare force that seeks, thrives on, and embraces change while accomplishing the health care mission, utilizing outcomes to drive medical decisions. We will excel at providing the best medical care anywhere to the best our Nation has to offer; her Warriors and families. Their mission is “To provide World Class comprehensive and compassionate care to our Nation’s Warriors, their families, retirees and all other directed beneficiaries, while maintaining unit and personal readiness to meet the demands of our Nation. (US Army Medical Center, 2012). Location Dwight David Eisenhower Army Medical Center is located in Fort Gordon, Georgia. This facility is near Augusta, Georgia. There are four outlying clinics that are served by DDEAMC. The outlying clinics can be found in Miami, Florida, Puerto Rico, Atlanta, Georgia and Mississippi. Each of these locations are also on Army bases. Size of facility Dwight David Eisenhower Army Medical Center main campus measures 622,661 square feet. The outlying building occupies another 314,011 square feet on Fort Gordon. The main campus consists of Primary Care, Optometry, Behavioral Health, Patient Care Services, Medicine and Surgery units. DDEAMC is a 125...
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...running an exceptional sports program at one of our organizations premier facilities in a very affluent community. However, I was feeling as though I had hit a plateau in my career and professional development due to not having my degree. The next areas of professional growth for me in my field involve becoming an Executive Director or an Association Youth Sports Director, but both of these positions require me to possess a degree. Not having my degree completely removed these career options from my reach and left me trapped in a dead position without much room for future upward growth or mobility. I felt that finding time to continue my education and secure my degree was not an option. Continuing my education was very important for my personal growth and development. Experiencing the rewards of learning both as a student and as certified CPR and Lifeguard instructor of several years I feel strongly about the role that learning plays in an individual’s development. Learning new things helps to keep individuals connected and engaged in the world around us and adds understanding and value to our lives. Learning impacts every part of who we are as human beings and increases the potential for who we can become by challenging and expanding what we know or thought we knew about the world around us. Prior to attending the University of Phoenix I was a college student at Southern University, in Baton Rouge, LA. My college education and life experiences provided me with...
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...1220.0 ANZSCO - Australian and New Zealand Standard Classification of Occupations First Edition, Revision 1 ANZSCO - Australian and New Zealand Standard Classification of Occupations First Edition, Revision 1 Bria n Pink Aus t r a l i a n Sta t i s t i c i a n Aus t r a l i a n Bur e a u of Sta t i s t i c s Geof f Basc a n d Gove r n m e n t Stat i s t i c i a n Sta t i s t i c s New Zea l a n d AUST R A L I A N BURE A U OF STAT I S T I C S / STATI S T I C S NEW ZEALA N D EMBA R G O : 11.30 A M (CANB E R R A TIME) THU RS 25 JUN 2009 ABS Catalogue No. 1220.0 © Commonwealth of Australia 2009 This work is copyright. Apart from any use as permitte d under the Copyright Act 1968 , no part may be reproduce d by any proce ss without prior written permission from the Comm onwea lth. Requests and inquirie s conce rning reproduction and rights in this publica tion should be addresse d to The Manager, Interme dia ry Manage me nt, Austr a lia n Burea u of Statistic s, Locke d Bag 10, Belconne n ACT 2616, by telephone (02) 6252 6998, fax (02) 6252 7102, or email: . In all cases the ABS must be acknowle dge d as the source when reproducing or quoting any part of an ABS publica tion or other product. © Crown Copyright New Zeala nd 2009 Statistics New Zeala nd gives no warra nty that the inform ation or data supplie d conta ins no errors. Howeve r, all care and dilige nce has been used in processing, analysing and extra tcing the informa tion. Statistics...
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