professional organizations and by individual and group lobbying of 0000002503 00000 n She attributed it to lack of sleep and new mother anxiety, but wanted reassurance. Admission, discharges, and intensity of patient care can create chaos within minutes. AJN, 97(6). Choose a suitable charge nurse resume format. In fact pt was speaking some English but I explained that for her comfort it will be better if we use a translator. According to the Bureau of Labor Statistics, the median annual wage for registered nurses in the United States which includes charge nurses was $73,300 in 2019. Advocacy Advocacy is helping others to grow and self-actualize by informing Use This Template Alfie Jonas Charge Nurse 458 635 9654 alfie@hiration.com San Francisco, CA www.linkedin.com/in/alfie SUMMARY He ordered Ativan 1 mg oral or sublingual every 4 hours as needed for shortness of breath. 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. Though there wasnt an emergent outcome based on her symptoms I felt I needed to consult with the CCMD. Letters of Recommendation Guidelines Letters should be legible, be brief, indicate the nature and dates of your association, state I recommend (candidates name) for Staff Nurse III, HH/H III, and address the applicants demonstration of the qualities described in the Staff Nurse III, HH/H III definition (reproduced below). cardiac systems. Colleague to physicians. This nurse assists the patient, family and significant others in addressing their particular concerns. I asked how much she weighs and she said that she doesnt know but she is not so heavy. A less experienced nurse will triage her under the Acid reflux/GERD protocol and in the absence of other symptoms she would give advice for home care. The questions and concerns were many and the information I reiterated time and time again, explaining the antibiotics, the troughs that would need to be drawn and what each of those meant. Benner, P. (1987). The applicant may contact a member of the Facility Selection Committee to verify completeness of the application prior to submission. I facilitated the quick delivery of the blood and in no time we were able to transfuse the 2 units to the patient. I was so thankful that I stood up firm to find the missing sponge. He had been at a meeting in the building. affect ones health. The context of the incident (e.g., shift, time of day, staff resources), What you were thinking about as it was taking place, What you were feeling during and after the incident. The Local Facility Selection Committee will maintain current listing of Mentors. She stated that she would have tried to perform a tracheotomy if the intubation was not successful after one attempt. bloodstream collect at the site of vascular injury, form a plug, WebLeadership Exemplar March 2013 (10 months into nursing school): For my second Med/Surg clinical, I worked in the Emergency Department, an assignment I requested. It is a testament to my practice and professionalism that Dr. S quickly responded to my concerns regarding Mr. P. Without hesitation Dr. S went and re-assessed Mr. P. Upon his reassessment Dr. S. also noticed that Mr. P. grimaced when he palpated his abdomen and Mr. P verbalized that his stomach hurt. Every new charge nurse has moments of self-doubt, but they must have the confidence to step out and learn new skills. llx7QLbS disabilities, sexual orientation, health insurance, and access to health care Mr. P. was not Mr. P. There seemed to me to be a slight change in his mental awareness. who is pregnant (12 th week). Through my therapeutic communication techniques I was able to connect into the deepest fear that my patient and his wife had within them. Once again, she returned to surgery, resulting in a colostomy. interprofessional teams, fostering open communication, mutual Newly diagnosed atrial fibrillation, receiving blood thinners, waiting admit to a telemetry bed. By August, 6th T. required 230mg.hr to maintain comfort. > u kJ bjbjUU o ?g?g5 2 ~ ~ / / / 0 0 0 8 >0 "2 t 0 W 4 ( 4 : 4 4 5 k V V V V V V V $ nZ $] W Q / i k W ~ ~ 4 5 [ bW _ _ _ ~ R 4 / 5 V _ V _ _ r J * " 'T 5 # Mrs. B. confided in me that she was having a hard time with the food; she would push it around a lot of the plate and not consume nearly enough of it. I explained that I dont have any information in my computer about her health problems and it would be to her benefit to further clarify her symptoms. I emphasized the need to find a rehab center close by so his wife could continue her daily visits and rituals, something he had grown to look forward to. Identify the 3 domains being addressed at the beginning of each exemplar. My assignment was a general float RN (someone who assists in helping the whole department). I was so glad 3 oclock finally came and I was giving report to the evening charge nurse. The Staff Nurse III or HH/H Nurse III will apply for renewal at the end of the three (3) year classification. Attending his funeral, which was very difficult for me, I felt compelled to stand up and speak on behalf of my brief encounter with this incredible person. I knew I was taking a risk that I could have been wrong but it was well worth the risk when I had such a strong conviction we were missing something. I asked her I she wanted to say a prayer out loud and she at once started to verbalize her convictions to God. All the above should be done in a restrict time dictated by the Call Center policies. In contrast to community health and Room 5- Mr. H., blood alcohol in the 400s, holding until he can metabolizes to less than 200 then discharge planner. I was assigned to the Trauma Bay and was notified by the charge nurse that we had an incoming cardiac arrest. (Marquis & THr="^PgsF#r/tJeD($ALF7$q#Wc1m0H Demonstrate in each exemplar how you can function in any three (3) of the domains. It involves conception (the The one thing all these admissions had in common was his request for me to be his nurse. Determination Act, and licensure. 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. cognitive, and physical symptoms (Videbeck, 2020). I did the right things and gave Mr. Y. the Haldol. The following day I checked in CIPS to see if she went to ED and what was the outcome (at that time we were allowed to do so). How did you determine the appropriate action? As unit leaders, charge nurses must exemplify leadership abilities. and Diseases, Multiple Organ Dysfunction Syndrome (MODS), Acute Respiratory Distress Syndrome (ARDS), Chronic Obstructive Pulmonary It ddescribes in detail a particular clinical situation that includes the nursess thhoughtts, feelinngs, intentions, actions, critical thinking, and decision-making process. Exemplars include information about any of the following: how you felt about the situation why you felt that your actions were important; why the actions were important; why the actions may have been different from someone with less experience Describe in the exemplar, a clinical situation that was positively impacted by your practice. T.s pain was increasing so quickly I requested the most concentrated morphine, knowing I had a maximum of two ml per hour into the sub q site and could not attain this with a more diluted concentration. IADLs include those complex skills needed for independent From years of nursing experience and a continued expansion of clinical knowledge, the Clinical Expert (SN III & IV or HH/H III) is a skilled practitioner who demonstrates leadership by: Identifying, communicating and fulfilling patient needs; Coordinating and utilizing facility and community resources to meet patient needs; Promoting a multi-disciplinary approach to patient care; Assuming a teaching-coaching role with other nurses and health team members, and; Maintaining a flexible approach to resource constraints. Senior Nurse Writer 3. This nurse guides patients through emotional and developmental change. Mrs. Kinney told me she was entrusting her husband to me. I am a confident and caring professional dedicated to obtain safe patient outcomes. I knew it was going to be a busy day. or part of an organization through the deployment and manipulation of Nurses who excel in managing client I went further and asked other questions and her answers allowed me to anticipate problems. - Concept Mapping. This top honor receives additional recognition and awards. If you give a benzodiazepine such as Ativan, to a schizophrenic, you slowed the body, but not the mind. First, to ask if I may enter out of common courtesy and build trust, and second to do that doorway assessment in which I as a nurse, look for condition of the room- is it a mess from him or compulsively neat, the patients physical appearance of being clean, disheveled, clothing on incorrectly, etc, the physical appearance of skin diaphoretic, dry, redness, lacerations, bandages, etc, the patients breathing, fast, slow, rhythmic, deep, shallow, tripoding, etc, eye contact, good, poor, focused on one item, etc, and a variety of other clues to help with the overall assessment. Browse books, pocket cards, practice tools, certification reviews, products and more. In planning for the admission of My experience with Mr. P reinforced my core belief that I always need to be my patients advocate. The exemplars must be reflective of events that occurred in the last twenty four (24) months. 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. We use cookies and other tools to enhance your experience on our website and to analyze our web traffic. I am often able to assist the physicians in caring for patients because of this skill. I notified HBS that maybe we should start some probiotics before c-diff came a knocking on her door. the nurse and the client during which the nurse focuses on the clients It took presence of mind and effective skills on my part to have a clear plan in promoting calmness amidst difficulties Organizational and Work Competencies Being the experienced RN in the room, I was able to direct the entire team in doing their part to ensure that our patient was safe and all needs attended. Charge nurses undergo additional training to gain deeper Without a leader with strong organizational skills, a unit can spiral into dysfunction and disorder. I realized Mr. P was unable to express his concerns or fear about his discharge. This nurse takes responsibility for the team itself by building and nurturing it. Find examples in your individual practice which: Demonstrate your ability to function in any three of the domains Write, in your own words, two (2) narratives each containing three domains. I looked up at her eyes and saw that what she needed right now was not more instructions she needed emotional support. (New Applicants for Staff Nurse III/IV, HH/H III) The staffing/payroll office will assist in this calculation if needed. After the flurry of activity, I noted the patient appeared to be quite restless in the bed. (see letter attached) The Helping Role: I am a confident and caring professional who is dedicated to achieving positive patient outcomes. 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