Change), You are commenting using your Twitter account. 3. Nutrition being so important in her wound healing; I recognized that she needed tube feedings. He was able to come home right away and told me she would be at the ER within 1 hour. During Hospital Week the nurse exemplars are additionally recognized at the annual service awards banquet. (Teaching-coaching function) Once I identify that her symptoms are life threatening I took action consulting with CCMD and making the recommendation to have patient evaluated in Emergency Room. I coordinated with the radiology nurses and the patient was able to go from the ED to radiology for his new PIC line and then home with the transportation the MSW had helped to arrange. I asked him about his pain and he still had some but was unable to give a 1 to 10 scale number; he pointed to his chest. standards, and, as a result, well-reasoned (Taylor et al., 2019). She got impatient about too many questions. Three members and one (1) alternate shall be selected by the employer from nurse manager representatives from different existing FSCs who are currently serving on a FSC or have previously served on a FSC. Please contact a member of the Facility Selection Committee to determine how to access these example exemplars. 148 Chestnut Street ( Experiences of an illness: Anticipating patient care needs. See calculation below. ( Identifying and managing a patient crisis until physician assistance is available. ( Using goals therapeutically. I place my hands over the patients nares. Skilled use of therapeutic communication techniques helps the nurse We are at your back door; just coming from across the street. That last statement was the key. These There was a lot of activity noted in the room. personal desire to increase well-being and health potential (Taylor The team also encouraged his daughter to take a more active role in his care which she was willing to do. 5. The intubation began was successful without compromising the airway. I was able to preserve this mans sense of dignity and personhood through my expertise and presence. (Taylor Communication Communication is the process that people use to exchange information, 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. This was a gentleman with a very progressive cancer and had lost much of his independence over the past six months and was struggling with accepting the new limitations and the impending decline. I wasnt convinced at all, I told both surgeons not to close the cavity yet until I had a visual of the 2 missing sponges. The room was dim and Mr. P was awake, but he did not acknowledge me when I went in. $JI=SM0V;$E)@z;;_zX6Juq(hx\n5. Name_______________________________________ 2. These concepts may be addressed in letters of recommendation in addition to the five required concepts above: 6. WebStart with a charge nurse position. The Staff Nurse III/IV and HH/H III functions in the clinical setting as an exemplary care giver to patients, a model of proficiency for co-workers, and a colleague to physicians. Name of Committee: _______________ Date Joined: _______________ Committee Charter/Purpose: Committee meeting schedule: Monthly Every other month Quarterly Other Individuals contribution to the committee: (Please list how/what you contribute to the committee or how you share the information with your staff.) Mr. R.s healing was slow, dressing change after dressing change, antibiotics one right after the other. 1984 0 obj <>stream Knowing the treatment protocols, I was able to place an appropriate sized IV line, perform the EKG, and monitor the patients condition until his transfer to a higher level of care. The patient was awake, alert, oriented with warm and dry skin. Find the right nursing program for you. Please be sure all information is typed or written legibly. I was correct; Mrs. B. was discharged with the tube feedings. When she had insurance she had one and it worked for her. development of the fetus within the uterus, and birth. To meet that goal, this nurse successfully integrates experience, technical skills, a base, and an ability to deal with patients, families, and other resource people. A mentor is an advisor and teacher who can guide an aspiring or new charge nurse. Current performance evaluation at the mid-point or above on average. public health nursing, which are population-based and focus on the health This nurse stood back and said Whats wrong? I explained to the nurse that because of the patients facila injury it would be safer to place the NGT orally. 0000022826 00000 n She is not able to rest because of the burning and going to the bathroom. Accountability Accountability is internalized responsibility, whereby an individual Nurses can We were able to come up with a solution for child care and a driver to the ER which alleviated J.s anxiety, ensuring her to seek treatment now. 0000001561 00000 n University of Massachusetts, Boston. He had been admitted to our OBS unit over night. The nursing staff feels that they have the information, support, and resources to perform their tasks efficiently and effectively, and they also have opportunities for advancement, continued education, and input into nursing policies. The Staff Nurse III or HH/H Nurse III will apply for renewal at the end of the three (3) year classification. ( Getting appropriate and timely responses from physician. While the following seven traits are important to many leadership positions, they are essential for nurses who care for and protect vulnerable patients. A brief narrative describing your role in the projects/programs, or sample, time involved, class objectives (if appropriate), audience and results should accompany your portfolio. Coagulation (DIC), Attention Deficit Hyperactivity especially in high-acuity settings. Nursing exemplar.pdf. geographic area, whether a small neighborhood within a large urban area I was not going to let this go. She mentioned that since the burning got worse she gets short of breath and she needs to stop and rest for few minutes. I opened the protocol Urinary Tract/Flank Pain Female. Attend a Facility Selection Committee meeting for interview, presentation of exemplars, and clarification of portfolio if needed. The purpose of the exemplar is to communicate the chapters contributions and accomplishments that exemplify AACNs mission, vision, values and ethics of care based on the criteria for each category of Chapter awards. Her daughter was sitting at her bedside. Even though her HA had decreased it was still continuing and she had a history of complications following delivery. Nurses become proficient Dr. S said Mr. P did not voice any complaints to him and he looked ok. I asked her how her daughter was doing and if she was having any trouble breast feeding. 5V5E*h1v5=?+a2HF&#GA`L^_ni!a:3j8 t]3\F67vx]F_J04o7@oB w`N$ xA^'Sr7,z J%4{Cf@LcE Please be candid with yourself in describing areas for improvement. I introduced myself and asked a few simple questions to help establish his state of mind before I started my full psychiatric questions. Fifteen (15) CEUs in area of clinical specialty in the past year. Charge nurse resume sample Here is the complete sample of a charge nurse resume that would help you to curate your own. (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. Courses that are approved by the BRN or the Continuing Medical Education (CME) shall be applicable. is the condition that exists when the persons universal spiritual It is highly recommended that you address all questions in section 5: Clinical Exemplar in order to avoid having your advancement delayed. The Staff Nurse III and IV, HH/H III roles are designed to enable the clinically expert Staff Nurse to find continuing recognition and rewards in the provision of direct care in his/her area of clinical specialty. I asked her if she had support, and she told me her sister in law was coming over soon. Because of my education and experience, I am able to observe even small subtle changes in their demeanor, voice, color etc. 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 . WebOne Clinical Exemplar; Minimum of 3 professional goals; Professional Resume or Curriculum Vitae; Please be sure that your portfolio is complete prior to submission. This guide covers the most important traits for charge nurses to be effective leaders and improve patient outcomes. I felt this was the best course of treatment for Mr. Y. and the right thing to do. Applicants who are denied the applicable clinical ladder classification will receive, in writing, the rationale for the decision, highlighting the areas of deficiency. Home Health/Hospice III only A current license to practice as a Registered Nurse in California. I then aged the Team Lead physician. ( Eliciting and understanding the patients interpretation of his or her illness. He was uncomfortable with the proposed plan, but he felt he needed to do as he was advised. I questioned the surgical technician about the 2 missing sponges and I was told that the surgeon had one sponge in his hand and that the other one was resting on the drape. I got a verbal order to place an NG tube and begin the feedings. I determined that it was and scheduled an urgent appointment for her with the on-call physician in the Medicine Department. UMHS Professioonal Develoopment Framework Websitte R.N. She denied having a severe HA now. I was concerned that something else other than just a HA due to stress could be going on and that I wanted to consult my call center doctor. ABOUT THE FACILITY SELECTION COMMITTEE The Committee shall be co-chaired by Nurse Executive/DONP or designee and a Staff Nurse III/IV or HH III. The following Benners Domains will be addressed: The Helping Role Monitoring and Ensuring the Quality of Health Care Practices Organization and Work-Play Competencies Exemplar #7 My patient was discharged from the hospital at 7 pm, forty minutes before I got the call from her family. abilities are essential for many important tasks, including making A regional appeal may not be completed before the next application deadline. Assist the Facility Selection Committee in making the best decision possible. When providing comfort measures, this nurse preserves the patients dignity in the face of pain and emotional or physical breakdown. The next two weeks of T.s life were full of much loving intervention by our whole team and was able to pass peacefully on August 19th. I was glad that I didnt get off on time for lunch that day. the experience. A less experienced nurse would have let her call back when she went to breastfeed. A clot big enough to block the blood flow through a coronary artery can damage or destroy a part of the heath muscle. 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. Demonstrate excellence in your exemplar, i.e. The following days required intensive teaching regarding cassette bags, medicating for agitation and adjusting to the increased acuity of his care. 4. 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 | johndelaneyrn@email.com Summary Dedicated Registered Nurse with 10 years of experience in neonatal and emergency care units in hospital settings. In this particular situation: Helping role: I felt that I guided and gave emotional support to this patient through this much unexpected even in his life. expectations that provides social structure for daily living. This family needed attention and support which was lovingly provided by me and the team with each visit and phone call. Once again teas flowed, we both cried. Si@9240wvr~FV In turn, this physician was reluctant to countermand what he was being advised by the ED staff. A professional resume describes what you have achieved and how you have prepared yourself for the role you are seeking. As I didnt have any information in CIPS I asked her if she is taking any medication prescribed by a doctor. (Hinkle & Cheever, 2018). 3. I stayed just long enough to get him tucked in and off I went as I was done for the day. Her wounds healed, her drains were removed, her colostomy was taken down and she sated daily that her prayers had been answered. I was stunned by the turn of events, bleeding became significant; both surgeons attempts to control bleeding were unsuccessful. They may be significant one-time events. J. wanted to stay home and be with her 3 day old newborn, she did not want to leave her daughter. 0000000016 00000 n Five (5) years of clinical experience as a Registered Nurse. WebThis Charge Nurse Self-Assessment Tool is introduced to guide novice charge nurses to identify their learning and developmental needs and set SMART goals and objectives to enhance/strengthen their knowledge, skills, and attitudes in the role of charge nurse within the department of Nursing Affairs. Being a witness to the comfort this brought her, I offered her the services of our hospital chaplain, and she was very joyful at the thought of a visit from him. a drug, despite the harm that it causes (Taylor et al., 2019). She told me that after she had breakfast the burning started again. The only outcome the family could come up with was to move the patient back to the hospital. Newly diagnosed atrial fibrillation, receiving blood thinners, waiting admit to a telemetry bed. 0 Accordingly, I began to assist in the intubation process and manual stabilization of the jaw. I realized Mr. P was unable to express his concerns or fear about his discharge. 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. License Number________________________________________________________ 8. Acting as a mediator, I was able to help his family process what was happening with their loved one, as well as preserving the patients dignity in the face of his emotional breakdown at realizing he had to say goodbye. A staff nurse provides direct care at the patient's bedside like administering medication, changing dressings, and inserting intravenous lines. Please describe and critique your current nursing practice in a Clinical Exemplar. 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