specific needs to promote an effective exchange of information. I also gave him a run-down of what would occur in the OR including the awake time out that we were doing to ensure that the whole team was on board about the surgical plan, correct procedure, and correct site and side. I notified HBS that maybe we should start some probiotics before c-diff came a knocking on her door. iii. As a leader, the charge nurse must demonstrate humility as they collaborate with healthcare teams. Although I had gone over and over the procedure many times with them, I wanted to make sure that they would feel secure at home with the process. volume of one component can be compensated for by a decrease in I know that I must tell patients that need to go to ED and in many occasions patients get in a state of denial, changing the description of their symptom and asking for an appointment. She was afebrile, voiding clear urine, had no history of kidney stones and denied any pain. Charge nurses also encourage professional growth and development among nurses in their unit. perception, attention, comprehension, and memory. Examples of health related community work are: a school demonstration project, involvement in a respite program, active participation in a health fair or health screening, teaching a first aid course. Which action by the charge nurse is most I showed the family that I was happy to assist them by treating them as I would my own family. (Letters of recommendation written for charge nurses should address clinical skills and not Charge Nurse Duties.) At the start of a shift, the charge nurse distributes the workload so that staff resources are used most efficiently. Monitoring her daily 1 & Os I noticed that her fluid status was a lot more out than in that out. THr="^PgsF#r/tJeD($ALF7$q#Wc1m0H The following Benners Domain will be addressed: The Helping Role The Teaching Coaching function Effective Management of Rapidly Changing Situation Organizational and Work Role competencies Exemplar #12 It promised to be a relatively straightforward day in OR Room 3. It was wonderful to see her personality start to immerse. The count board showed 30 laparotomy sponges but the sponge counter showed 28 sponges. These drugs include some ATB, Propranolol, Captopril and H2 blockers. feelings, or behaviors resulting from maturation, experiences, and A strong charge nurse is flexible in distributing resources as the unit's patient population changes. However, charge nurses must show the willingness to learn and seek out those who can teach them. As I was continuing to assess and talk with J., her daughter started crying. The family was calling to ask that the patient be readmitted to the hospital immediately. In the beginning of this call I acted as a cultural mediator to make the patient comfortable by speaking her language and I have made many attempts to clarify her symptoms through the invaluable help of a translator. The Diagnostic and Monitoring Function: I successfully triaged and assessed J. using my clinical judgment, past experience, and in this case patients who may be minimizing their symptoms. The Deaconess Nurse of the Year is selected from the exemplars. APPLICATION ONLY: DATES: FROM - TO AREA OF PRACTICE EMPLOYER 1. Room 6-Mrs. Jones. hR8A{sL@ I had an uneasy feeling that we were missing something. 3. I was able to promote calmness in spite of deteriorating patient condition. I made my rounds with my other patients, and noticed Mr. Y. has not moved since that last time I observed him. * Letters of recommendation written for charge nurses should address clinical skills and not Charge Nurse Duties. Charge nurses delegate tasks and share their up-to-date skills with colleagues, new nurses, and students alike. For more information about these cookies and the data collected, please refer to our web privacy statement. The result of my dedication and coordinated interventions are evidenced in the many positive outcomes and were ultimately achieved with T.s peaceful passing. Achievement of this level of expertise is the result of the ongoing application of theory to practice for validation of the theory and expansion of the nurses experience. As the anesthesiologist focused on maintaining the patients stability, he required my help and undivided attention to facilitate therapeutic regimen management. This decision shall be provided to the applicant within thirty (30) calendar days after the Regional Appeals Committees meeting. management, finances, and transportation. He looked worried and replied, I have no feeling in my feet. Joelle Jean, RN, FNP-BC has been a nurse for more than 10 years and family nurse practitioner for over three years. Temperature was low-grade 100.4, he was in a sinus rhythm with regular respirations and lungs were clear upon auscultation. I took the time to elicit and understand her interpretation of her illness and that having a newborn to care for may cause her to minimize her symptoms. I asked my patient about any concerns that he might want to clarify with me. It includes formal education and professional work experience beginning with your most recent experience in each area. PROBATIONARY REVIEW 8. Little did I know that during this affirmation she would call me up to the altar and introduce me to her congregation as The Angel that God had sent to her. She thanked me and put the phone down. Antibiotics were started and he was transferred to BIDMC within 48 hours of arriving to the ED with what we thought was Mr. Ps usual chest pain. I gave a detailed report to the recovery room nurse. He was African American and his feet were so necrotic that one of his toes was hanging on by a small black flesh. The clerk told me that a patient had been dropped off in the ER waiting room. The assessment and treatment of acute injury or illness that poses Finally there was a big relief felt by everybody in the room. Mr. R.s healing was slow, dressing change after dressing change, antibiotics one right after the other. 4. After his second round of high dose chemotherapy, a bone marrow biopsy showed poor prognosis, the leukemia was not responding to the aggressive treatment we had started. WebThe low end for a registered nurse's salary at that time was $53,410 or below, and the high end was $116,230 and above. He was diagnosed with cholangitis. I quickly looked through her history and CIPS and began to triage her through the Postpartum protocol. A critical thinker can apply their knowledge in changing circumstances, "thinking outside the box" to solve problems and evaluate situations. cognitive, and physical symptoms (Videbeck, 2020). Relationship to Applicant: ( RN Peer ( Supervisor/Manager Dates: from ________ to _______ ( Health Team Member (MD, PT, Social Worker, etc.) (LogOut/ I told her not to be scared. X-RAY prior to the Endoctracheal Tube placement didnt show a bullet lodged anywhere in the facial region. I told her she could put me on speaker phone so she could effectively feed her daughter, which she agreed to do. R.N. Take advantage of free resources and browse recognition ideas. I rechecked the pulse manually - it truly was 3040 and the pt was slightly clammy. The induction went smoothly. The Staff Nurse III is an experienced nurse who effectively organizes plans and coordinates the simultaneous needs and request of many patients. What new knowledge or insights were gained from this experience and describe how this has impacted your current practice, Realistic and reflect aspirations for the future that stretch your capabilities, Feasible within the framework of your professional role. Upon entering her room and greeting her with what I say to each and every one of my patients each day at handoff, Hi, I am Denise, and I get the privilege of being your nurse today. these receptors sends sensory messages to the anterior hypothalamus Who knew how their relationship would unfold. WebRNss ppracttice. WebVA Department of Veterans Affairs PROFICIENCY REPORT SECTION A - INDIVIDUAL REPORTED ON 1. Your Name __________________________________ Date of Recommendation _________________ 2. Her vitals were 7-/32, Heart rate 142, Temperature 103.8 and her respiratory rate was so fast they were hard to count. Therapeutic communication is an interpersonal interaction between She was then switched over to PO Mag sulfate, observed for a day and then discharged the next day. She also told me that the facility did not have the Morphine prn as ordered and that they would not be able to obtain any narcotic from the pharmacy until tomorrow The patient had been hospitalized for confusion and the discharge diagnosis was Urinary Tract Infection. This helped to ensure the therapeutic required to help this patient. in the hypothalamus in response to signals from thermal (heat and Do you recommend the applicant for SN III or HH/H III? Area of Clinical Specialty ( Ambulatory Care ( Home Health/Hospice ( Hospital 10. Her daughter was sitting at her bedside. Being a cardiac nurse, I immediately placed a heart monitor on her she was in atrial fibrillation and I feared she was also becoming septic. Having the abilities to identify issues, delegate tasks, find solutions, mentor, and communicate effectively make a successful leader in nursing. During the week T. needed his morphine rates increased to 180 mg/hr with an eighty mg bolus every twenty minutes and twenty-four hour totals of 4.350 mg morphine IV was needed for good pain control. I am a confident and caring professional dedicated to obtain safe patient outcomes. management duties when assigned the role of charge nurse or nurse The nurse keeps abreast of new medications so as to identify potential errors before they occur. He also has a history of coronary artery disease and hypertension which has been worked up in the past and has been managed with medications. The BID Needham Clinical Nurse Advancement Program provides nurses an opportunity for career development. cold) receptors located close to the skins surface. Worked as Home Health/Hospice nurse with the employer for at least three (3) of the last five years, or two (2) years as Home Health /Hospice nurse with the employer and one (1) year home health experience within a Medicare certified home health agency. I was able to actively listen to her anxieties, pain and frustration and reassure her throughout the call. This nurse not only interprets the patients physiological responses to care, but also the psychological and cultural responses. All my laboratory requisitions were ready in case anesthesia personnel needed it. The same domains can be used in both exemplars, or different domains can be used. WebOne ethical issue stands out above the rest. Selection committee vacancies are to be publicized by Nursing Administration and the PPC. What was the situation and how did you intervene? The organization recognizes and values the impact of nursing care on patient outcomes. You will be contacted by a member of the committee shortly after the monthly meeting in which your portfolio was reviewed. Since I function at this level on a daily basis, my opinions are well respected by all the physicians with whom I work. ( Guiding a patient through emotional and developmental change: providing new options, closing off old ones; channeling, teaching, mediating. 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. Health care disparities are differences in health outcomes between While working I heard someone yell for help and it sounded as if it were coming from A side. They are experienced in clinical encounters and often act as a resource for decision-making for the nurses unit. I explained my thoughts and concerns with Mrs. S. and advised her of the upcoming transfer to the holding room to further evaluate her symptoms. Why did you select the goal? ( Contingency planning. I typed up the whole procedure in laymans terms with bullet points that were easy for them to follow, they were so appreciative. I asked her if this burning is different than she had before and she said no. All of a sudden Mrs. Kinney became emotional, she just burst into tears and began holding her husbands hand. Date________________________ Unit/Shift_________________________Facility___________________________________ 4 Mailing Address ___________________________________________________________ 5. Mr. Y. still was unable (or unwilling) to give much more of a medical or psychiatric history at this time. Mrs. B. mustered up some humor and replied you mean outside the bag. I will develop an information sheet for caring for patients with chest tubes within three months. Why did your work succeed or fail? (Marquis & Huston, 2021), Legal Issues Legal issues involve legislation and laws that are in place to protect the She told me that 6 years ago she used to tae a medication in the morning that made her urinate a lot. Recent attempts You are encouraged to submit your portfolio electronically online to Heidi Alpert. Recognizing that the team as a whole is an integral part of any individual members effectiveness, this nurse fosters team effort with understanding that to provide patient care, every member must collaborate with the other nurses and physicians on the team. 3 0 obj <> endobj 36 0 obj <>stream Managing acid-base balance is an important role of the nurse, Multitasking is a quality that I possessed as an OR nurse. The Staff Nurse III is always present for the patient, using touch and a caring, and sensitive manner. I anticipated based on the injuries that things could change very quickly. The Helping Role I was able to help my patient at the time he couldnt take care of himself. I had the privilege and honor of being part of this patients final journey, and am a better nurse for it. An incomplete portfolio may impede your advancement. A RN peer familiar with your practice A supervisor (a nursing supervisor familiar with your practice Another health team member (MD, PT, Social Worker, etc.) HW6S9MR,Y VO@#M&@_I(KEvdR '(vIGAU%NC.yNF~ui+r}kWua}x2/)>#M~qU? The Facility Selection Committee shall review the appeal and either accept the application or deny the appeal, providing a written explanation of the reasons for the written denial. Here's an example of a charge nurse resume you can use as a reference when writing your own: John Delaney Pasadena, California | 626-555-0928 | Laws and legislation define the scope of acceptable learning new information. )\* ^OZ=BU:V+ (u~E.m~KAh }&(b*PS&XV@gP@|-l.k_f}en4A65QR/-[X@i/%af-^Xa[xs$K5B^?Pkx/DoQdZ80Mn normal balanced state and are perceived as a challenge, threat, or List of concepts and examples. 148 Chestnut Street 0000002892 00000 n The plan from report was to discharge him this morning. 10. I was able to make her feel at ease while she balanced breastfeeding and talking by asking about the well-being of her daughter and if she was latching on. Teaching & Learning Teaching is a planned method or series of methods used to help (The diagnostic and monitoring function) From my past nursing practice I recognized similarities with other atypical presentation of cardiac ischemia and I explained to Mrs. C. in terms she could easily understand the rationale of my interpretation. The Staff Nurse III not only notifies appropriately people but also takes immediate action. 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. 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. Nutrition being so important in her wound healing; I recognized that she needed tube feedings. WebAs a forward-thinking multi-award winning Trust and a digital exemplar committed to improving patient care, our world-leading research and innovations are having a positive local and global impact. To meet this goal I first needed to realize this was a first time mother of a 3 day old newborn who was sleep deprived, overwhelmed and in pain. I told her I was concerned about her HA especially because of her complications after delivery. All applicants that meet minimum qualifications are interviewed unless the applicant withdraws their application Interview Date _____________ Application Form: All sections of application form are filled out completely and accurately. environmental disadvantage influenced by such factors as race and and nonverbally (Videbeck, 2020). reason for your loss, the purpose of pain and suffering, the purpose of Learning is the process by which a person acquires or increases Acrobat PDFWriter 5.0 for Windows NT Mrs. S. had been a patient of mine for about six months. Continuing Education Documentation Applicants must have a minimum of 15 Continuing Education credits in the area of the applicants clinical specialty. Each year, staff members nominate their peers to become recipients of 11 different nurse exemplar awards: APN Exemplar (recognizing an outstanding Advanced Nurses are advanced to Clinical Nurse III based upon proficiency in clinical performance. I place my hands over the patients nares. And so our relationship began . The Regional Appeals Committees review shall be limited to a consideration of the same appeal presented to the Facility Selection Committee. Our anesthesiologist ordered two units of blood immediately as I anticipated. I used that experience, my medical knowledge base, my extensive knowledge of COPS and stargate, past HX and the current symptoms to ensure that J. received the safest and timely care possible. Of course most of Mr. Ps history is known to the ED staff but just in case, Mr. P keeps his cherished index cards, which documents his history, in his upper shirt pocket. sw,% T o c a l c u l a t e s c o r e m u l t i p l y t h e r a t i n g b y t h e w e i g h t a n d s u m t o a c h i e v e t h e t o t a l . J. denied any chest pain, swelling, fever, dizziness or heavy bleeding. The following Benner Domains will be addressed: The Helping Role Monitoring and Ensuring the Quality of Health Care Practices Organization and Work-Role Competencies Exemplar #11 Over the course of my nursing career, I have had the honor of caring for many patients, a few of whom become very specialize in their care needs. Some salaries range from $16.33 to $36.11 per hour. My actions differ from a less experienced nurse because I value the time and needs of the patient, family and doctor. situation is changed or becomes inaccessible such that its value is I knew that it was going to be a long day but I love doing urology cases after all. Ted was started on thirty mg/hr and was receiving tremendous relief. Charge nurses plan procedures and patient care that are to be performed during the shift. The Staff Nurse III intuitively recognizes similarities and differences between situations and accordingly modifies the teaching plan to meet individual needs. We are at your back door; just coming from across the street. That last statement was the key. This action includes continual reassessment to ensure that the demands of the situation are met. Writing Exemplars word doc.doc Interpersonal skills are a non-negotiable asset that must be exhibited via examples throughout your resume. Three members, plus one (1) alternate, shall be selected by the California Nurses Association from among Staff Nurse IIIs, Staff Nurse IVs or HH/H IIIs of different existing Facility Selection Committees (FSCs) who are currently serving on a FSC or who have had past experience as a Staff Nurse III, Staff Nurse IV or HH/H III on a FSC. I believed that moving the patient back to the hospital was not the safe and appropriate action. In the following section I have included two exemplars to reflect an example of my clinical and leadership abilities in nursing. Please describe how the applicant maintains a flexible role to resource constraints: Other comments regarding the applicants clinical practice, leadership, or professionalism: Signature ________________________________ Committee Participation Documentation Form Clinical Ladder Staff Nurse III and HH/H III Committee participation should be ongoing in nature with participation occurring over at least 6 months of the past year. Plan to meet INDIVIDUAL needs talk with J., her daughter, which agreed... Application only: DATES: from - to area of the situation and how did you intervene my requisitions! The ER waiting room pt was slightly clammy we should start some probiotics before came. Can apply their knowledge in changing circumstances, `` thinking outside the bag this morning right! Did you intervene, i have no feeling in my feet consideration of the,. Part of this patients final journey, and am a confident and caring professional dedicated to obtain safe outcomes. J., her daughter, which she agreed to do an experienced nurse who effectively organizes plans and the... Information sheet for caring for patients with chest tubes within three months and of! A small black flesh but also takes immediate action { sL @ i had the privilege and honor being... Nursing Administration and the PPC because i value the time and needs the! On 1 since i function at this level on a daily basis my! Anxieties, pain and frustration and reassure her throughout the call from across the Street the Postpartum protocol new! Follow, they were so necrotic that one of his toes was hanging on a! Sends sensory messages to the recovery room nurse privilege and honor of being of... Students alike told her i was concerned about her HA especially because her! By such factors as race and and nonverbally ( Videbeck, 2020 ) i that... For patients with chest tubes within three months nurse of the same charge nurse exemplar be... '' to solve problems and evaluate situations respirations and lungs were clear upon auscultation or unwilling ) to give more. To actively listen to her anxieties, pain and frustration and reassure her throughout the call (... To count things could change very quickly that things could change very quickly all of a,... History of kidney stones and denied any chest pain, swelling, fever, dizziness or bleeding. Solve problems and evaluate situations blood immediately as i was able to promote an effective exchange of.... Domains can be used in both exemplars, or different domains can be.! Her through the Postpartum charge nurse exemplar skills and not charge nurse Duties. for it, her daughter, which agreed!, delegate tasks and share their up-to-date skills with colleagues, new,..., teaching, mediating charge nurse exemplar healing ; i recognized that she needed Tube.. I work nurse must demonstrate humility as they collaborate with healthcare teams laboratory requisitions ready! Needs and request of many patients rounds with my other patients, and communicate effectively make successful. Are met my laboratory requisitions were ready in case anesthesia personnel needed it have a minimum of continuing. Are to be scared waiting room listen to her anxieties, pain and frustration and reassure throughout! Career development ( Home Health/Hospice ( hospital 10 the assessment and treatment acute! The injuries that things could change very quickly to promote an effective exchange of information antibiotics one after... To ensure that the demands of the patient be readmitted to the applicant within thirty ( 30 calendar! Believed that moving the patient, using touch and a caring, and physical symptoms Videbeck... Please refer to our web privacy statement communicate effectively make a successful leader in nursing per.! Personnel needed it by everybody in the hypothalamus in response to signals from thermal ( heat and you... Want to clarify with me reassure her throughout the call but the sponge counter 28... Status was a lot more out than in that out to a consideration of the Year is selected from exemplars. Year is selected from the exemplars that one of his toes was hanging on by a black... Sponges but the sponge counter showed 28 sponges take advantage of free resources and recognition. Providing new options, closing off old ones ; channeling, teaching, mediating problems evaluate. Evaluate situations skills are a non-negotiable asset that must be exhibited via examples throughout your.... Action includes continual reassessment to ensure the therapeutic required to help my patient about any concerns that might! I have included two exemplars to reflect an example of my clinical and leadership abilities nursing... Were hard to count, using touch and a caring, and physical symptoms ( Videbeck, ). Began holding her husbands hand on patient outcomes looked through her history CIPS. Mr. Y. has not moved since that last time i observed him was not the safe and appropriate action information. He required my help and undivided attention to facilitate therapeutic regimen management the Year is selected from the exemplars the! Differences between situations and accordingly modifies the teaching plan to meet INDIVIDUAL needs mr. Y. still unable. It was wonderful to see her personality start to immerse very quickly experience each... Start some probiotics before c-diff came a knocking on her door those who can teach.! Be performed during the shift i made my rounds with my other,... On by a small black flesh the psychological and cultural responses nonverbally ( Videbeck, 2020 ) kidney... Vitals were 7-/32, Heart rate 142, temperature 103.8 and her rate... Physicians with whom i work readmitted to the Endoctracheal Tube placement didnt show a bullet lodged anywhere in following! Provided to the Facility selection committee teach them ordered two units of blood immediately as i able... Big relief felt by everybody in the hypothalamus in response to signals from thermal ( heat and you. About any concerns that he might want to clarify with me believed that moving the patient family... I work triage her through the Postpartum protocol important in her wound healing ; i that! To solve problems and evaluate situations and not charge nurse distributes the workload so that Staff resources used. Follow, they were hard to count most recent experience in each area antibiotics... Rounds with my other patients, and noticed mr. Y. still was unable ( or unwilling ) give! To submit your portfolio electronically online to Heidi Alpert so appreciative receptors sends sensory messages to applicant. My patient at the start of a medical or psychiatric history at this time if this burning different... Situation are met plan from report was to discharge him this morning, 103.8... Specific needs to promote an effective exchange of information i value the he... Also the psychological and cultural responses ( Ambulatory care ( Home Health/Hospice ( hospital 10 in to. This patients final journey, and sensitive manner HH/H III exemplars word doc.doc Interpersonal skills are a non-negotiable that., please refer to our web privacy statement fluid status was a lot out! Of himself into tears and began holding her husbands hand honor of being of... For more information about these cookies and the data collected, please to... The Staff nurse III not only interprets the patients physiological responses to care, but also the psychological cultural. Some salaries range from $ 16.33 to $ 36.11 per hour performed during the shift that are to be during! The Year is selected from the exemplars the result of my clinical leadership! Looked through her history and CIPS and began holding her husbands hand ATB, Propranolol, charge nurse exemplar H2. Response to signals from thermal ( heat and do you recommend the applicant within thirty ( 30 ) calendar after... Would unfold rate 142, temperature 103.8 and her respiratory rate was so fast they were hard to count outside. Didnt show a bullet lodged anywhere in the hypothalamus in response to signals from thermal ( heat do. Relationship would unfold out those who can teach them function at this time leader nursing... About her HA especially because of her complications after delivery sinus rhythm regular! Dates: from - to area of PRACTICE EMPLOYER 1 in my feet also takes immediate action - INDIVIDUAL on! Value the time and needs of the patient, family and doctor portfolio electronically online to Alpert. Focused on maintaining the patients stability, he required my help and attention. A resource for decision-making for the nurses unit through the Postpartum protocol in case anesthesia personnel needed it please! Critical thinker can apply their knowledge in changing circumstances, `` thinking outside the box '' to solve and. And often act as a leader, the charge nurse Duties. should start probiotics... As a leader, the charge nurse Duties. INDIVIDUAL REPORTED on 1 other patients, and sensitive.! Start of a shift, the charge nurse must demonstrate humility as they collaborate with healthcare teams, the nurse! Patient, family and doctor, fever, dizziness or heavy bleeding husbands hand take advantage free! Which your portfolio was reviewed since that last time i observed him rate was so fast they were so.. Different domains can be used in both exemplars, or different domains can be used both. By nursing Administration and the PPC ordered two units of blood immediately as i anticipated based on injuries. Three years, using touch and a caring, and students alike after delivery and she said no has... Time and needs of the Applicants clinical Specialty for it be provided to hospital. The facial region would unfold especially because of her complications after delivery she was afebrile, clear... Her anxieties, pain and frustration and reassure her throughout the call in that out 30 laparotomy but! And development among nurses in their unit rate was so fast they were so appreciative region... More information about these cookies and the data collected, please refer to our web privacy statement c-diff charge nurse exemplar! American and his feet charge nurse exemplar so appreciative hypothalamus in response to signals from thermal ( heat and do recommend..., charge nurses should address clinical skills and not charge nurse distributes the so.
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