Practice nurse 11

Nurse 11: Criterion:

Applies the nursing process to systems or processes at the unit/team/work group level to improve care as a community care nurse case manager. Demonstrates leadership by involving others in improving care.

Nurse 111 Criterion:

Provides leadership in the application of the nursing process to client care, organizational processes, and /or systems, improving outcomes at the program or service level. 

Self Assessment

Ethics – Nurse 11

NOTE: Enter your documentation of achievement for the current grade first and then document any additional achievement that relates to the next higher grade. Make sure to address the following questions: 91) What was done? (2) For whom was it done(Population)? (3) What was the outcome?

Nurse 11 Criterion:

Supports and enhances client self-determination. Serves as a resource for clients and staff in addressing ethical issues.

Nurse 111 Criterion:

Provides leadership in identifying and addressing ethical issues that impact clients and staff, including initiating and participating in ethics consultation.

Self Assessment:

Resource Utilization – Nurse 11:

NOTE: Enter your documentation of achievement for the current grade first and then document any additional achievement that relates to the next higher grade. Make sure to address the following questions: 91) What was done? (2) For whom was it done(Population)? (3) What was the outcome?

Nurse 11 Criterion:

Identifies and assesses resource utilization and safety issues, taking appropriate action.

Nurse 111 Criterion:

Manages program resources (Financial, human, material, or informational) to facilitate safe, effective, and efficient care.

Self -Assessment

                                           Professional Development

Performance – Nurse 11

NOTE: Enter your documentation of achievement for the current grade first and then document any additional achievement that relates to the next higher grade. Make sure to address the following questions: (1) What was done? (2) For whom was it done(Population)? (3) What was the outcome?

Nurse 11 Criterion:

Evaluate the practice of self and others using professional standards, relevant statutes, and regulations. Takes action to improve performance.

Nurse 111 Criterion:

Uses professional standards of care and practice to evaluate programs and /or service activities.

Self-Assessment. 

                                                                          Education/ Career Development – Nurse 11

Enter your documentation of achievement for the current grade first and then document any additional achievement that relates to the next higher grade. Make sure to address the following questions: 91) What was done? (2) For whom was it done(Population)? (3) What was the outcome?: 

Nurse 11 Criterion:

Acquires knowledge and skills to maintain expertise in area of practice. Participates in educational activities to improve clinical knowledge and enhance role performance

Nurse 111 Criterion:

Implements an educational plan to meet changing program or service needs for self and others. Maintains knowledge of current techniques, trends, and professional issues.

Self Assessment

Collegiality-nurse 11

NOTE: Enter your documentation of achievement for the current grade first and then document any additional achievement that relates to the next higher grade. Make sure to address the following questions: 91) What was done? (2) For whom was it done(Population)? (3) What was the outcome?

Nurse 11 Criterion:

Educates colleagues and/or students and serves as a preceptor and /or mentor

Nurse 111 Criterion:

Coaches colleagues in team building. Makes sustained contributions to health care by sharing expertise within and /or outside the medical facility.

Self Assessment:

Collaboration-nurse 11

NOTE: Enter your documentation of achievement for the current grade first and then document any additional achievement that relates to the next higher grade. Make sure to address the following questions: 91) What was done? (2) For whom was it done(Population)? (3) What was the outcome?

Nurse 11 Criterion:

Uses group process to identify, analyze, and resolve care problems.

Nurse 111 Criterion:

Uses the group process to identify, analyze, and resolve care problems.

Self Assessment:

Quality of Care – Nurse 11

NOTE: Enter your documentation of achievement for the current grade first and then document any additional achievement that relates to the next higher grade. Make sure to address the following questions: 91) What was done? (2) For whom was it done(Population)? (3) What was the outcome?

Nurse 11 Criterion:

Initiates/participates in quality improvement activities that result in approved outcomes.

Nurse 111 Criterion:

Initiates interdisciplinary projects to improve organizational performance.

Self Assessment:

Please read carefully the instructions, you need to use the template, the discussion for this week and the professor feedback.

if you have any questions please contact me.

PLEASE RESPOND TO THE FOLLOWING CLASSMATE'S POST IN 50 WORDS OR MORE:

In your work setting, which future trend(s) are likely to have the largest effect on patient care and related information systems?

In my work environment, the introduction of Artificial Intelligence (AI) and technologies of machine learning are likely to have the greatest impact on patient care and information systems. These technologies have the ability to process large amounts of data both from EHRs, wearable devices and genomic data to provide insights that aid in clinical decision-making, personalized treatment and prediction of outcomes (Shilo et al., 2020). AI-based tools can help to diagnose diseases more accurately and efficiently, provide treatment recommendations, and detect patterns that influence public health.

Additionally, telehealth and remote monitoring technologies are rapidly gaining popularity, changing the way healthcare is provided. These technologies make it possible to monitor the health status of patients in real time, reduce the number of visits, and bring health care closer to people, especially those living in remote areas. The introduction of these technologies into information systems requires strong data management and security but improves patient care by making it more personalized, efficient, and accessible (Shilo et al. 2020).

References

Shilo, S., Rossman, H., & Segal, E. (2020). Axes of a revolution: challenges and promises of big data in healthcare. Nature medicine, 26(1), 29-38.

 PLEASE RESPOND TO THE FOLLOWING CLASSMATE'S POST IN 50 WORDS OR MORE: 

 

Option 1

1. What other questions should the nurse ask about the cough?

How long have you had this cough?  Was it gradual or sudden?  How often do you cough? Is there any blood in the phegm?  How long has the phlegm been green? Is the phlegm thick, thin, or frothy?  Does the phlegm have an unusual odor?  Is the coughing associated with any chest pain or ear pain?  Do you have any problems catching your breath after coughing?  Is there anything in particular that causes the cough?  Does activity make it better or worse? Are you using any treatments to lessen the symptoms of the cough? If so, prescription or over the counter?   If so, are they working? 

1. Develop a problem list from the objective and subjective data.

Green phlegm could indicate infection.  Runny nose and sore throat could indicate a virus or sinus infection.  Hypertension.  Ronchi and wheezing possibility of obstructive lung disease.  TM bulging possible ear infection.  Red sore throat with pustules could indicate infection. Fatigue.

1. What nursing diagnoses can be derived from the problems list?

Ronchi and wheezing: Impaired gas exchange related to rhonchi and wheezing. 

Impaired swallowing related to pain in throat.

Acute pain related to sore throat.

Decreased activity related to fatigue.

1. What should be included in the plan of care?

Assess respiratory rate, oxygen saturation, lung sounds.  Provide patient with pain relief, cough suppressants, breathing treatments, steroids.  Keep patient in a comfortable position with head of bed elevated to minimize shortness of breath. Sputum sample to determine bacteria.   

1. What risk factors are associated with this age group?

Heart disease and hypertension.  Respiratory diseases such as asthma, emphysema, and COPD.  Cancer. Prostate problems.

1. Based on the readings, what is the most likely cause of this patient’s cough?

Based on the readings, wheezing is a common symptom of acute bronchitis. Fatigue, post-nasal drip, and sore throat are also symptoms of bronchitis.

Jarvis, C. (2016). Physical Examination & Health Assessment /: 7th edition. Elsevier.

  

Part I: Post your scores and decisions on the four tasks for delegation from the power point slide patient following the instructions in the power point Include any comments as instructed. DO NOT COPY OR EMBED GRID INTO MODULE POSTING. Your mentor may ask you to send a copy of your working grid if they do not understand/agree with your decisions. 

Part II: Using the short scenario below, answer the questions that follow in paragraph format. Use the readings on communication and delegation for context and citations, and the NCSBN-ANA Delegation Decision Tree as directed.  Must have minimum of 2-3 in text citations that follow APA format. 

A young nurse working on a med/surg unit has just received a new admission from the emergency room. The patient is a 60-year-old male with COPD just admitted with an exacerbation of COPD. The quick assessment revealed that he has a slight increase in his work of breathing and mild expiratory wheezes. He is anxious and frequently asking to be repositioned and wants the head of the bed elevated at all times. He is wet from being incontinent of urine while on the ER stretcher and needs vital signs in addition to being cleaned up. 

The nurse speaks to the UAP and asks that he obtain vital signs, clean the patient, and remove the wet sheets from underneath the him. His response is “ok, no problem”. About 20 minutes later the nurse realizes that the UAP has not brought them the vital signs, but when looking at the computer, sees that they have been entered. The charted vital signs are BP 150/80, HR 120, RR 20, and PO Sat 90%. The nurse is concerned that the UAP did not report the elevated HR and decreased PO Saturation and is not convinced that the documented respiratory rate is correct. 

One – Two Paragraphs:

1. Using Step two in the NCSBN-ANA Decision-Making Tree (Communication) as your guide to address below

a. Describe your perception of the effectiveness of the communication between the nurse and the UAP

b. Identify the primary limitation with the way the request was communicated (delegated) to the UAP and acknowledge (received) by the UAP 

The nurse goes to the patient’s room and finds the UAP changing the sheets with the patient on their side and the head of the bed down. The patient is in moderate distress. After settling the patient and stabilizing him, the nurse needs to re-evaluate their decision to delegate this task.

2. Review the information in Step one of the Decision-Making Tree (Assessment and Planning) and using the information from that section and the textbook readings, identify and discuss the mistakes the nurse made in delegating this task to the UAP (identify and discuss at least 2 mistakes). Include specific information from the case study to support your choices.