They have several years of experience as a nurse and are responsible for delegating duties to less-experienced nurses and staff members, including LPNs and CNAs, coordinating nursing schedules, monitoring medications and supplies, The Staff Nurse III grasps the whole picture and so is in control of the situation, able to create order out of chaos. I typed up the whole procedure in laymans terms with bullet points that were easy for them to follow, they were so appreciative. She mentioned that since the burning got worse she gets short of breath and she needs to stop and rest for few minutes. It describes in detail a particular clinical situation that includes the nurses thoughts, feeling, intentions actions, critical thinking and In these occasions I am very frustrated because I know that in the end it will be a 911 call and not usually a happy ending. One organizational nursing recognition award is the nationally recognized Daisy Award which recognizes exceptional nursing care, outstanding clinical skill, and compassion. That man stood so tall in person and in spirit. The Role of Mentors As an applicant for Staff III/IV, HH/H III, you must select a mentor to assist you in the application process. %%EOF a drug, despite the harm that it causes (Taylor et al., 2019). ( Using goals therapeutically. Oxygenation refers to the process of providing cells with oxygen He was able to come home right away and told me she would be at the ER within 1 hour. (Taylor et al., 2019). All my laboratory requisitions were ready in case anesthesia personnel needed it. I didnt want to hang up with her without knowing if her husband was able to come home in case she just decided not to come in. She had plenty to deal with already she sure didnt need diarrhea. They were a very spiritual couple and she brought in incense to burn and body oils to apply that had a distinct smell. I reassured her that it was common for new moms to feel this way. (see required details that follow in this packet) Staff Nurse III or HH/H III Checklist (part of Scoring Guidelines) Submitting these materials in the order listed above would be helpful but not required. I was able to discuss with him the process of dying, answering questions as he would process the information. Benner, P., Tanner, C., & Chesla, C. (1997). Descriptions of additional professional contributions may be submitted in case one or more do not meet requirements. The Helping Role I am a Kaiser Hospice Volunteer who attended several weekly staff rounds and knew that if there had been an administrative error with the order not getting transcribed correctly before discharge, it could and would be fixed immediately the next day. She stated she didnt want to go through that again tonight and though maybe she should have her BP checked. Huston, 2021). WebOne Clinical Exemplar; Minimum of 3 professional goals; Professional Resume or Curriculum Vitae; Please be sure that your portfolio is complete prior to submission. equipment and perform procedures and other clinical activities with - Describe a clinical situation that was positively impacted by the applicants practice - Describe how applicants actions resulted in a positive , rewarding experience for the patient - Describe how the applicant personally made a difference. Cognition Cognition is the brains ability to process, retain, and use Performance evaluations are found on the MyHR website> KP & Me> Performance Management. IADLs include those complex skills needed for independent Please be sure all information is typed or written legibly. data reflect how health functioning is enhanced by health promotion (LogOut/ It includes formal education and professional work experience beginning with your most recent experience in each area. Determination of applicability to clinical specialty will be made by the Facility Selection Committee. Due to an increased demand in EMERGENCY SERVICES, wait times are much longer than usual. I had a nice conversation with Mr. Kinney and his wife, and I found out that they would be celebrating their 50th wedding anniversary 2 weeks after the surgery date. This time, I got a BP that was indeed elevated but the pulse was 30. I was always a step ahead helping everyone in the team. I knew that before I could do anything, I needed to provide emotional and informational support to the family and then to include them in decision. (Taylor et al., 2019), Critical Thinking Clinical Decision Making Mr. R. ended up with bilateral below the knee amputations. care (Taylor et al., 2019). The Local Facility Selection Committee will maintain current listing of Mentors. Mr. R. was eventually sent to a rehab facility to learn to use his prosthetic leg. She just called to have prescription. 1. (Marquis & or compromised by illness and injury. Explore why nursing should be recognized as a STEM profession and how that recognition can happen. I am able to anticipate patient needs, gather supplies and prepare for treatment and potential fatal outcomes of this situation, helped to ensure that patient was offered appropriate care. By this time, the doctor who had been thrust into this situation, (because he hadnt left the clinic for lunch), returned to tell me that the ED physician had requested that he call the cardiologist on call who in turn requested that he make an appointment for the patient in a few days. University of Massachusetts, Boston. Ted was started on thirty mg/hr and was receiving tremendous relief. How to check the stoma, prepare the peri-skin and how to change the appliance. Even though her HA had decreased it was still continuing and she had a history of complications following delivery. An His speech is rapid and unable to give us much of a medical history. At 0700 the next morning, Mr. P was still on the dash. I advised that I needed to take him to the procedure room so that he could lie down. A resume is a useful and convenient mechanism for presenting yourself and your accomplishments. environmental disadvantage influenced by such factors as race and Browse books, pocket cards, practice tools, certification reviews, products and more. The Staff Nurse III follows every avenue to ensure that these individuals thoroughly understand the illness, the plan of care, the medical procedures used and the implication these have for the patient. She agreed. It had become evident that the family was becoming overwhelmed with his care and the MSW worked with the family to get care giving for four to six hours per day. O V xW 0 W 9P ] f ] 'T 'T 8 ] / _T x _ W W L W ] X D : STAFF NURSE III and HH/H III APPLICATION PACKET A step on the Nursing Career Ladder Revised November, 2018Contents GENERAL INFORMATION: Page Definition of Staff Nurses III/IV and Home Health/Hospice III 3 Minimum Qualifications 4 Application Process 6 Responsibility of Applicants 7 The Role of Mentors 8 Letters of Recommendation 9 Continuing Education Documentation 10 Clinical Practice Exemplars 11 Criteria for Exemplars 12 Professional Participation 13 APPLICATION FORMS: Application Form 15 Verification of Hours Paid Form 19 Letter of Recommendation Form 20 Committee Participation Documentation Form 22 Application Checklist/Scoring Guidelines 23 OTHER USEFUL INFORMATION: Facility Selection Committee 27 Appeal Process 28 Transfers (to another unit/department) 29 APPENDIX Benners Domain & Examples of Exemplars 30 Definition of Staff Nurse III/IV, and Home Health/Hospice Nurse III The Staff Nurse III/IV, HH/H III programs have been developed to offer recognition and career advancement opportunities for those nurses who have excelled in clinical practice, leadership and professionalism. Carman, 2017). Just as we were wrapping up report, the dreaded EMS radio went off. familiar with the applicant's practice Each letter must meet all of these criteria: - Indicate nature & dates of association - Clearly recommend the applicant for SN III - Address 5 key concepts CEU Documentation: 15 CEUs in clinical specialty in the past year Exemplars: Two exemplars reflective of events in the last 24 months Exemplar #1 Exemplar #2 Each exemplar must meet all of these criteria: - Identify the 3 domains addressed at beginning of exemplar - Demonstrate how applicant functioned in the identified 3 domains - Describe any of the following: how applicant felt about situation, why applicant felt actions were important, why applicants actions were important , why applicants actions were different from someone with less experience . in which they simultaneously send and receive messages both verbally geographic area, whether a small neighborhood within a large urban area hR8A{sL@ 3. Her daughter was sitting at her bedside. At this point, I felt that this patient needed an advocate. The same domains can be used in both exemplars, or different domains can be used. What were your goals and did you achieve them? When I inquired as to her disposition on that day, she advised me that she felt tired and out of sorts. Upon further questioning, I discovered that she had been experiencing intermittent dizziness since she awoke that morning along with feeling winded. Upon further investigation, she advised me that she had been having episodes of dizziness for several weeks, but on that day the symptoms were worse. C) The nurse witnessed the consent. You've got a message from ER about ad mission of patient suspected to measles within the next 30 minutes complications. Type the exemplars in a clear, professional, understandable style. E'[i;T3^umhiBC CcM! "dY`B[BU"{Ut?q86G-D"J,Z[5{)xm[[d Xy]%\dq8Id( r_OHAgsLfZ'F=FU]5RF?SN8@BFdJZdIz E=hqLF} vHu-,)dTS =[&ow(yY!E`E1]cX.N)\8-fa A hospital unit is often busy as patient care requirements can rapidly change. The Charge Nurse is an exemplar for compassion, acceptance, respect and empathy honoring nursing as a distinct discipline and supporting an environment focused on healing and wellness. I got a verbal order to place an NG tube and begin the feedings. B) The family needs to agree to surgery. Achievement standard 91329 study exemplar Pages: 8 (2316 words) Holes - Analytical Essay Exemplar Pages: 3 (882 words) BSN nursing VS RN nursing Pages: 3 (898 words) Nursing Knowledge through the Nursing Process Pages: 4 (961 words) Describe the definition of nursing as put forward by the American Nurses Association. someone learn. Upon my assessment, he was pale and warm to touch. Becoming a charge nurse is often less about education and training and more about ambition, personality, gaining nursing experience, and performance. This special knowledge base allows me to recognize subtle changes in my patients that otherwise might be missed. Using the second lumen the daughter volunteered to learn how to give IVP Phenobarbital in effort to respect her fathers wishes to remain at home. This nurse knows the scope of the Staff Nurse III level of responsibility and with this understanding, acts in the patients best interest. the range 7 to 7. Through an intuitive use of knowledge, fine discretionary judgment, experience and leadership, the Clinical Expert is able to provide the best possible patient care in a safe environment. Two letters of reference are needed from a Clinical Nurse with at least two years experience at BID Needham or an advanced practice nurse (NP or CNS). Your self-evaluation represents an opportunity for you to review and reflect on your past accomplishments, current activities, future interests, strengths, and areas for improvement. He even said that it could have been a wrong count if I didnt insist on finding the sponge. For example, if a patient's behavior suddenly changes, it's important to determine if they are reacting to something in their personal life, dealing with a fluid imbalance, having a medication interaction, or suffering from an infection. I continue doing the correct count and finally the skin count, but this time I was confident that I had done the correct count. During my assessment I observed the patient unable to stay focused and consistently looking at the corners leading me to speculate he was having hallucinations. The results of the new application and the regional appeal will be coordinated appropriately. Doing the case open made it easier for the surgeon to control bleeding which lead to stabilizing the patients condition. Additionally, a charge nurse should have interpersonal awareness, or emotional intelligence, to deal with different personalities and interact outside of their comfort zone. (The helping role) I listened to her concerns and using my knowledge and experience I tried to establish a relationship between her acute symptoms and past health problems. Use This Template Alfie Jonas Charge Nurse 458 635 9654 alfie@hiration.com San Francisco, CA www.linkedin.com/in/alfie SUMMARY I could see that this nurse was nervous about placing an NGT tube but prepared for insertion by using a 16F NGT. * Letters of recommendation written for charge nurses should address clinical skills and not Charge Nurse Duties. abilities are essential for many important tasks, including making The charge nurse role is all-encompassing. - Concept Mapping. He did deny thoughts of want to hurt himself or others. I entered her room one day to see her in rigors; her abdomen was distended and very tender to the touch. paid time): Application: I year total hours ________/week. He came to my unit for reinduction chemotherapy. A narrative summary must be included highlighting the applicants strengths in clinical practice and/or professional activities. Offer to be a sounding board, ensure the nurse is developing skills for resilience, teach them how to have compassion and empathy for their patients, but also how to have compassion and empathy for themselves and confidence in their abilities. The urgency in her voice, the last night bad dream that gave her cold sweats and shortness of breath, an achy arm since morning, all could be very well signs of cardiac ischemia. No one would have questioned my care and maybe even said good job in keeping Mr. Y. comfortable by dosing him with Ativan. Mr. R. had many surgeries on his bilateral extremities on many different admissions to facilitate blood flow and healing. Patients who require this type of therapy must come in for regular treatments two to three times each week in order to obtain improvements in their condition. cardiac systems. I came to see him one last time, the day he died. 3. Nutrition being so important in her wound healing; I recognized that she needed tube feedings. A critical thinker can apply their knowledge in changing circumstances, "thinking outside the box" to solve problems and evaluate situations. brain that operate to maintain pressure within the cranial cavity in a 2010-12-08T15:15:14-05:00 I gave her a big hug. The Staff Nurse III uses past experiences as a guide to action when diagnosing and monitoring patients. For Home Health Only: Requirements for HH/H III: ____________________________________________ I obtained my PHN: In (date) __________________________________________ I am a case manager: From (date) ___________________To (date)___________ 9. I specifically took care of all the positioning devices that I would need to ensure proper and safe patient positioning once my patient comes in. A less experienced nurse would have just sent a message since her symptoms did not warrant an emergent outcome or even an appointment. Five (5) years of applicable RN experience within the last five years. ACLS/PALS/NRP counts if it is applicable to the clinical area and NOT a job requirement. The count board showed 30 laparotomy sponges but the sponge counter showed 28 sponges. separation or by death. 9 Charge Nurse Salary & Employment Charge nurses can expect to earn between $50,400 and $90,523 annually, with the median salary landing at $68,863 per year. Signed Performance evaluation based on the applicable performance standards for each year at the midpoint or above on average Electronic and hand signatures are accepted; however, AACC requires hand signatures of RN managers on the evaluation. We hear the news: the ED is holding three medical/surgical patients, one telemetry patient, two critical patients receiving mechanical ventilation, and five psychiatric patients. Whether the patient is not responding to a particular therapy, this nurse has an inquisitive need to search continually for the reasons. 0000000656 00000 n Exemplars should be written by the chapter member, the nominator, or collaboratively by individuals who can attest to the validity of the contribution. The plan from report was to discharge him this morning. The nurse At this time, radiology had two doctors out on jury duty, the self care learning nurses were maxed out and T. was on a waiting list. agrees to be morally responsible for the consequences of his or her isolating oneself from social contact), and spiritual (questioning the As I heard the alarm in anesthesia cart. hallucinations, and grossly disordered thinking and behavior %PDF-1.4 % I asked a second RN to look in the trash bag and she was unable to find it as well. I notified HBS that maybe we should start some probiotics before c-diff came a knocking on her door. I came back to her and thanked her for the patience. Nursing Philosophy and Concept Curriculum Map, 2/16/2016). She has published and lectured throughout her career. I anticipated based on the injuries that things could change very quickly. interprofessional teams, fostering open communication, mutual The moment I met Mr. R. I had no idea of the impact I would have on his life and he mine. 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