...Why nursing? For me, it was a life altering decision. I had already established a successful career in accounting, but the call to a new profession was strong. There were many occasions during my life where I have spent hours sitting at a hospital bedside. My mother battled a long time with autoimmune disease that advanced to Lymphoma and I the opportunity to be with her during the end of her life. That’s where I saw the amazing work that nurses do. One day a nurse started describing to me what she was doing, and I found myself overwhelmed. It was like I had been wearing blinders, and they suddenly came off. I realized I had discovered what I really wanted to do. I immediately set a new gal for myself. I enrolled in Stony Brook University graduating with a degree in Biology in December 2007. I was then accepted into Suffolk Community Nursing program. It was during finals of my last semester that my father became very ill. After graduation in May 2010, I spent the next six months spending hours sitting at his bedside. It was at the end of that year he was hospitalized for intensive chemotherapy for AML. Although he lost his battle with AML, again I had the opportunity to observe the nurses and I was impressed by their integral role. During one of my many conversations with my father he asked, “if being a nurse was really what I wanted to do”. Watching the staff and being inspired by their commitment, self-sacrifice and undivided concern, I am more determined...
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...Why it is important: When a nurse is fatigue they are more prone to errors. The longer a nurse works the more prone to making errors. Thus, adequate sleep will improve a nurses ability to provide optimum care. How does it impact my work/nursing practice: In my nursing practice fatigue affects how I provide care. It effects myself to the point of making more errors. When there is an ongoing fatigue this can lead to nurse burnout. Thus, nurses How will I change my practice: How I plan to change my practice is by recognizing my limitations. These limitations will enable me to be a better healthcare provider and will improve my overall health. I would like to work long years as a nurse and manage my life to prevent burnout. Why it is important:...
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...Why is informatics significant to nursing and health care? What impact will it have on your duties as a nurse? “All work in informatics is motivated by the need to create new solutions--often using information technology-- that enhance biomedical science, the health of the populace, and the quality and safety of care that is provided to individuals when they are ill” (American Medical Informatics Association, 2015, p. 1). Information is critical for effective decision making in the practice of nursing. The major payers of health care are demanding the care nurses give be evidence-based. While anecdotally we may say they are effective, without informatics we cannot prove that our activities are effective. Additionally, health care facilities...
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...Nursing is such a dynamic profession; I suspect there will be many new roles for nursing that will most likely evolve in the 21st century. One is technology advancements, we have already begun the process of assessments via satellite, online medical services, and internet based education. These advancements will more than likely continue to advance into a more technical practice. Where a physician will be able to examine a patient via internet with the assistance of a nurse and technology, this will assist the with elderly care and the increase of hospice patient care in the home. I have already seen in other states where nurse practitioners are being hired through ambulance services as a prevention for an ER visit or re-hospitalization. The...
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...WHY DID I CHOOSE NURSING When I was a little girl I always dreamed of being a nurse. I would watch my mother get ready for work every night. First she would put on her scrubs, then the stethoscope, and then her id for the hospital. She would come home and speak about all of her experiences and adventures. I was inspired. I started helping my mother take care of my grandmother and from then on I knew this was my calling. My mother always said: “Alexandra, you have a nurturing spirit, and you were born to be a nurse” (Danielle Jerome). I went to Camden county college as pre-nursing major and I got to work. College wasn’t as easy as I thought and I began to become discouraged. I switched my major to mathematics education and shortly realized that nursing was the only thing I can dream about. Then I landed in Prism Career Institute for LPN license and I feel right at home. School is not easy for me but I am prepared to buckle down. I’d had a plethora of jobs in my lifetime. My first job when I was 15 was an administrative assistant in a senior day care. I absolutely loved that job. I sat at a desk, greeted guests, answered phone calls, wrote emails, and assisted the manager with anything he needed done. I learned at a very young age how to be professional and mature. After that I went to the restaurant business. I worked at Friday’s, Cracker Barrel, and Bahama Breeze just to name a few. Working in the restaurant business taught me self control, responsibility, and great customer...
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...RUNNING HEAD: why a bachelor of science in nursing? Why a bachelor of science in nursing? Why a bachelor of science in nursing? According to Black(2014), Registered nurses are the largest group of healthcare providers in the United States, and as the healthcare system continues to evolve , many new opportunities and roles are being developed that will use nursing skills in different ways. As an experienced nurse, I did not think I would need to go back to school, for a bachelor in nursing, to be able to deliver high quality care to my patients in these new roles. I have been delivering high quality care, and did not think I could learn new methods of delivering care. As I am reading the Essentials of Baccalaureate Nursing, I could easily place myself in some of the Essentials. I realize that “maintaining competence, continue personal and professional growth”, are also part of my responsibilities. Black (2014) Being a nurse is caring for strangers, and a stranger may be someone with a different belief or culture. A baccalaureate generalist nurse will be able to practice holistic nursing care, which focuses on the mind, body and spirit as well as emotions. As a nurse in interventional radiology, I encounter patients every day who are undergoing procedures. They have questions already answered by the doctor, but want and need...
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...Growing up i have always admired the nursing field. My mom has been one around 10 years, working at several different hospitals. My mom herself would like me to become a nurse as well, which is why i have chosen to major in nursing when i graduate highschool and go to college. I often think about how much work it will take to get exactly where i want to be, but i figure when it is all said and done it would have been all worth it. The awful sights and the beautiful lives i will save will all be a great experience. I chose the profession nursing because as i was growing up i often watched trauma shows and have always found them interesting. My mother used to take me to some of the hospitals she has worked in and taught me some of the basics of being a nurse. The thought of saving multiple lives is one of the main reasons i am influenced to become a nurse. In 9th grade in my Career Prep class, each student was assigned a job description to research and to discuss to the class about , and coincidentally enough i was assigned to be a doctor. I gave a 5 minute presentation and a brief run through of what all it takes to succeed in the nursing field....
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...The National Guideline Clearinghouse link to one practice guideline that pertain to the clinical topic chosen is Inpatient diagnosis and treatment of central vascular catheter (CVC) infections. Research design is critical ( to all nursing research and should be measured based on the evidence sources according to the strength of evidence and using Level I: highest level of evidence approach, and collected data should be the “best evidence” meaning, research findings that are methodologically appropriate, rigorous, and clinically relevant for answering the pressing questions. Within any level, evidence quality can vary considerably, no research is perfect. Data collection would have a solid plan for collecting and management. A research designs must provide a systematic approach to data collection that leads to new knowledge and/or solution to question or problem (Schmidt and Brown 2015 and National Guideline Clearinghouse 2017). What instruments might you use and how would you establish reliability and validity? The instruments are the tools for data collection; which can include questionnaires/surveys, interviews, observations and readings. The instruments ideally chosen should ensure validity and reliability....
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...: Explain why you chose nursing as your career of choice? Rebecca Kieser: Well, it kind of came natural. Being a mother of small children, I was nurturing and knew how to care for another. Then when all the children went into school, I felt that I needed to work outside the home. It was kind of environmental also because I was in a rural area where I didn’t have a lot of opportunity for a good job. What opportunity I did have….was nursing. There was one hospital and one nursing home in the local area. The only job available was at the nursing home as an aide, which I took. I had to take a class to become a Certified Nursing Assistant first though. I felt I could do the work and liked the idea that I was still close to my children,...
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...A failure in communication means that one has failed in life especially in many aspects of life such as in marriage, career, social context , etc. I know now that being able to communicate effectively is the most important of all skills that I needed in life to be a successful nurse especially during health assessment. I seriously watch-out for what I transfer (information) from my self (source) to another person either patients, my fellow nurses or others either vocally or when passing an information through written especially when written on a social media platform. My marriage , effective communication, skill that I learnt in nursing has made me become successful in many ways. Knowing fully well that communication should involve talking and listening at the same time. It has reduced coercion between me and my husband and also between me and colleagues at...
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...Six Sigma, Lean, and Kaizen J. Paul Seiberlich Siena Heights University Prof. Anderson February 5, 2015 Kaizen and Six Sigma are associated with the Quality Model for achieving success in business. The term Kaizen has many different uses ranging from referring to a principle of personal conduct to a company wide strategy for achieving business success (Imai, 1986). In the United States, one of its most common uses is as the name of a lean enterprise tool for improving work processes. In this use, it refers to a systematic and specialized application of problem solving to uncover and extract waste from a work process. Kaizen as a company wide strategy for achieving business success is derived from the writings of W. Edwards Deming although the completeness of that connection seems to be unrecognized. It abstracts from Deming’s work the ideas that improvements must benefit customers; that they must occur every day, everywhere, and be implemented by everyone; that management must lead the implementation and that managers must be models and agents of its adoption; and that management and non-management employees must operate cooperatively. (Vitalo, R. 2013) The term “Kaizen” has two uses. One use refers to the principle of continuous improvement and describes a fundamental element in the Quality Model and in Lean thinking. The second use refers to methods that either suggest (e.g., Teian Kaizen) or generate and implement improvement ideas. Of the methods...
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...“Creating Lean Suppliers” a Consider that the new corporate procurement strategy in support of your manufacturing business includes securing purchased critical parts and subassemblies from “lean” practicing suppliers. Your supply chain management in previous years has practiced the strategy of single sourcing as well as long-term partnering for critical purchased material. Prepare a list of bullets showing the advantages and disadvantages of staying with current suppliers (i.e. not switching) that currently do not have a “lean” in place and also define in the response your plan to achieve the new “lean” supplier requirement. I Advantage: * Better relationship – further involved in new production process * Better reputation (ethics) * Knowing the supplier better – its problems, cost-structure, and technology * Supplier may be more responsive * Creating “trust” II Disadvantage: * Cost of the BP team * Require extensive capital investment or extra personnel for suppliers * Time consuming (for the suppler to be lean) * Difficulty to change and sustain In order to achieve the new “lean” supplier requirement, I would want suppliers that have substantial responsibility during product development; the ability to accommodate and respond to the request of changes in product or manufacturing process; extensive capital investment or extra human resources. Also the suppliers that is reliable, and “self-reliant.” b Analyze Honda’s...
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...Final Case Submission: Avion Inc. 1. What parts of the supply chain are most closely involved with the situation in this case? What is the responsibility of each part in order to maintain a smooth flow of material? Procurement and Contracts: Should be responsible to amend the agreement that clearly defines what the service level requirements are, sets out the change control mechanism, the communication protocol and representative of both parties and review the agreement in conjunction with the supplier to remove any ambiguity. Category Management: Should be responsible for developing a SQM that will allow provide both parties with a forum to work in partnership and set targets and KPIs. Material Management: Should be responsible to understand the required and forecast inventory stocks and coordinate accordingly. Logistics: Should be responsible for transporting the product through the supply chain. 2. What initially appears to be the problem? What really is the problem(s) in this case? The problem initially appears to be that the vendor is not meeting the expected performance level required by the customer. However the problem is not with the vendor rather within Avion. It appears that the company does not have appropriate cross function engagement, rather working in silos. There is no obvious communication structure whereby the SCM understands the scope requirements and can translate this to the vendor. Also following contract award it is not clear what...
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...I hopped from job to job unable to find something I truly had a passion for. Any place I went I was unhappy and continuously felt underpaid. Constantly feeling the emptiness caused me to finally make up my mind and give my education another shot. That is when I began to push myself into getting accepted into the nursing program at Galveston College. My sister inspired me to want to become a nurse. She pushed herself through nursing school after having a baby so I figured "why not? It may be a little easier without a child." All was going well, my grades were good and I finished most of the prerequisites for the program. Unfortunately, faced with the decision to enter the program and spend a lot of money or to be able to apply that money toward my bills, I once again gave up and let the fear of being financially unstable take over. This feat has haunted me since the day of my decision. I am the youngest of 11 children. I have 10 nieces and nephews who are, of course, much younger than I am. We have always tried to drive in their heads that they will not get anywhere in life without an education. Telling them this, however, sometimes...
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...I know I didn’t choose the easiest career but nothing ever is easy when you really want it. While others had much more experience during high school around this career, I gained life skills that will help me become a successful nurse. I am aware that nursing is challenging physically and emotionally due to the flexibility of having different tasks and keeping them in order. Being on the right track throughout high school and going overboard helped gain a lot of traits that will benefit me through these challenges. I would have so many commitments throughout the week, sometimes on the same day and on top of that I would have homework and outside of school duties. I learned to adapt and solve it out and make plans so I won’t get to the point where I would give up. It may not be the same as being an actual nurse but with problem solving, stability of emotions and physical endurance is something that I am use to and don’t mind at all. Due to all the activities I participate in I have to interact...
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