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I then aged the Team Lead physician. The sensitivity and counseling given aided this family to maintain a positive perspective and make informed decisions in this difficult time in their lives. So many thoughts were running through my head, why does he have this low grade temp, why when I pressed on his abdomen did he grimace ever so slightly? Mr. P had not complained of any abdominal pain - only his chest pain. She agreed. Mr. R.s wife entered his room while I was proceeding with his wound care; she had a worried look on her face and asked me How come that wound isnt bleeding? I gave her emotional support and reassured her that our Vascular Surgeons were going to see him, while I mentally began implementing future care plans. I was able to acknowledge the needs of my patient and his wife a personal level. 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. Assessed and stabilized patients in a fast-pace, 45-bed Level II trauma center; Administered critical care IV medications such as Cardizem, Dopamine, Insulin, Nitroglycerin, and Adenosine; Exemplars should be written by the chapter member, the nominator, or collaboratively by individuals who can attest to the validity of the contribution. She developed a severe HA and elevated BP and was put on IV Mag sulfate which alleviated her HA and brought down her BP. CHESAPEAKE, Va. Chesapeake Regional Healthcare (CRH) honored four outstanding nurses during its Nurse Exemplar Awards ceremony held Monday night. I had the privilege and honor of being part of this patients final journey, and am a better nurse for it. Remember that the charge nurse role is about leading a group of highly educated, motivated individuals. Once again teas flowed, we both cried. 0000006386 00000 n I asked her if she checked her BP recently, if anyone in her family has high blood pressure, heart problems or died from a heart attack. Exemplary caregiver to patients. family health care needs. She thanked me and put the phone down. I asked her if she had support, and she told me her sister in law was coming over soon. Gayle Morris, BSN, MSN has over two decades of nursing practice with a clinical focus in rehabilitation medicine. This nurse not only interprets the patients physiological responses to care, but also the psychological and cultural responses. The Staff Nurse III is always present for the patient, using touch and a caring, and sensitive manner. 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). 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. Featured or trusted partner programs and all school search, finder, or match results are for schools that compensate us. in a systematic way to make a choice among alternatives related to It includes formal education and professional work experience beginning with your most recent experience in each area. management duties when assigned the role of charge nurse or nurse Type of employer, location, and the RN's level of problems and intervene early to prevent life-threatening Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Holistic Health Assessment 0000003113 00000 n I asked the clerk what was going on after hearing a cry for help. Mrs. S. was an elderly frail woman. Responsible for communicating feedback regarding employee performance as issues arise. Please use additional pages if needed or replicate this format in a separate document. Expand your skills with Care of the Acutely Ill Pediatric Patient Respiratory Bundle. I explained to her that being sleep deprived and overwhelmed are normal postpartum situations especially for a new mother, but being woken up with a severe HA is not. learning. Use action verbs in your charge nurse resume descriptions. He looked worried and replied, I have no feeling in my feet. Charge nurses also offer feedback when needed or provide more support as necessary. TThe exemplar is written in the first person. I, therefore, have become very familiar with my patients, and have good rapport with them. - Concept Mapping. I gather all my data and in my SBAR presentation I described her symptoms and I emphasized that women at her age and menopausal, can have atypical chest pain. Mrs. Kinney told me she was entrusting her husband to me. (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. (Norris & Tuan, 2020), Assessment Assessment is the systematic and continuous collection, analysis, With all the efforts exerted by the whole team to stop bleeding, a decision to do the case open was made. Registered nurses must be knowledgeable and skillful in performing the charge nurse role. There were drain sponges around the insertion sites and 4 x 4s wrapped around the actual drains for absorption. She didnt know but she will find someone. Though all of these diagnoses are an Axis I in the Diagnostic and Statistical Manuel of Mental Disorders, they are not treated the same. ( Creating a wound management strategy that fosters healing, comfort and appropriate drainage. She denied that the HA got worse with sitting up or better with lying down. The nurse keeps abreast of new medications so as to identify potential errors before they occur. rights & duties in legal matters are better able to protect themselves Your Name __________________________________ Date of Recommendation _________________ 2. He did deny thoughts of want to hurt himself or others. 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. 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. Patient education must be more than that provided by most Staff Nurse IIs on a day-to-day basis; it requires that a patient education program, pamphlet, handout, etc., be developed, revised, and/or taught. Letters that support community service and volunteering require dates and detail of service. THr="^PgsF#r/tJeD($ALF7$q#Wc1m0H 29 0 obj<>stream Lab results were within normal limits and I made it a point that the patient had been typed and screened for possible blood transfusion. as neighborhood clinics, patients homes, long-term care facilities, schools, All applicants who meet minimum qualifications are interviewed by the FSC. - Guiding a patient through emotional and developmental change: providing new options There was much support and information given to facilitate and identify the goals of care for this family. I received report, in room 7, Mr. F..-GI Bleed, will need blood. It only took that statement and a short conversation that followed to realize that she was a very spiritual person and I would definitely need to include her beliefs in my plan of care. This nurse guides patients through emotional and developmental change. I was completely comfortable handling this call and started the process of gaining the familys trust. I had the family bring in a new bag of morphine and talked the ED nurse through the programming of the CADD pump and instructed her to start the infusion via the peripheral line while we were waiting for the PIC placement. They were told that it was against the facilitys policy for family members to stay overnight. Comfort Comfort is a persons sense of psychosocial, emotional, and physical 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. 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. the nurse and the client during which the nurse focuses on the clients This nurse knows when to work with and through another person to achieve positive outcomes, when negotiating solutions with other, the Staff Nurse III is able to provide a rationale for recommendations and past actions. 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. Blood loss brings about disturbance in fluid and electrolyte imbalance that could rapidly alter cardiovascular, neurologic and neuromuscular functions. Mrs. S. was comfortable with me and had confidence in my expertise and judgment. She said no to all. situation is changed or becomes inaccessible such that its value is I facilitated the quick delivery of the blood and in no time we were able to transfuse the 2 units to the patient. Who knew how their relationship would unfold. All pages of the performance evaluation must be submitted Fifteen (15) CEUs in her/his area of clinical specialty in the past year. A staff nurse provides direct care at the patient's bedside like administering medication, changing dressings, and inserting intravenous lines. Doing what I thought was the impossible he had opened up to me about many things. Mr. R. ended up having his left foot amputated after he received a diagnosis of MRSA. Attend local workshops for applicants. I trusted my gut and persisted in articulating my concerns. The charge nurse also evaluates patient outcomes during their shift. 6. (Taylor 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 | Show in your exemplar how you used fine discretionary judgment and/or intuitive use of Knowledge. separation or by death. She is a janitor and does a lot of physical work. Most important is to give a disclaimer. 0 Find the right nursing program for you. His morning vital signs were stable with heart rate in the low 60s. Work in the area of clinical specialty with the Employer for an average of 24 hrs/week over the last year. i. ( Providing an interpretation of the patients condition and giving a rationale for procedures. WebAbstract. At this point, I felt that this patient needed an advocate. 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. Once again, she returned to surgery, resulting in a colostomy. Please be candid with yourself in describing areas for improvement. The purpose of the exemplar is to communicate the chapters contributions and accomplishments that Verification of Hours Paid Form (This form should be completed for any Registered Nurse who is NOT hired into a twenty-four (24) hour position or more) 1. Applicants will be notified of the date of the Facility Selection Committee meeting within fourteen (14) days of the applicable application deadline. 7. WebA nurse leader has exceptional clinical experience and knowledge. Applicants that meet the minimum qualifications shall be interviewed. GRADE/STEP 6. I was willing to have Mr. P admitted and have a negative work-up than for him to be discharged and return critically ill. Remember the important elements who, what, when, where, why, and how, and be sure to incorporate them into your story. License Number________________________________________________________ 8. 3. 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. Then you put relevant pieces together and solve the mystery. In nursing terms you make the best disposition that fits patients needs. He expressed his appreciation for being on top of things. (LogOut/ someone learn. D. A pregnant woman has been rushed to the operating room for an emergency cesarean section. APPLICATION ONLY: DATES: FROM - TO AREA OF PRACTICE EMPLOYER 1. Therapeutic communication is an interpersonal interaction between 148 Chestnut Street 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. The Ativan was not going to do that, just imprison him with his hallucinations. ( Maintaining a flexible stance toward patients, technology and bureaucracy. 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. The assessment and treatment of acute injury or illness that poses Writing the Exemplar: The exemplar should be presented as a narrative account. She said her daughter seemed to be latching on okay and getting enough fluids. 0000003416 00000 n Fluids & Electrolytes Fluid and electrolyte balance refers to the bodys maintaining With the kind of scenario I was facing I was fully aware that as the RN in the room, my nursing skills and critical judgment should prove exceptional to be able to attend to all the needs of my OR team. CCMD agreed and last thing to do was to persuade Mrs. C. to go to ED. C I knew this patient and his family would take a great deal of my time, so I enlisted my coworkers to assist with my other patients needs in case I was unavailable. I determined that it was and scheduled an urgent appointment for her with the on-call physician in the Medicine Department. Determination of applicability to clinical specialty will be made by the Facility Selection Committee. She just wanted a message and something stronger for her pain but I intuitively knew something more was going on her and I felt she needed more urgent care. As I was watching the monitor, I saw a squirt of blood. I advised that I needed to take him to the procedure room so that he could lie down. The room was dim and Mr. P was awake, but he did not acknowledge me when I went in. 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. The charge nurse must adapt to new circumstances and navigate or overcome obstacles; they must make the right call without relying on others. csjessie As a profession we must speak up and communicate our assessments effectively, including changes in our patients condition and evaluation of our patients needs. I asked if any of her family members have diabetes. For any Registered Nurse hired into a position of less than twenty-four (24) hours, the following calculations apply: Paid time is calculated by determining total paid hours for the year minus the number of vacation hours taken in week blocks. 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ORGANIZATION AND WORK-ROLE COMPETENCIES ( Coordinating, ordering and meeting multiple patients needs and requests: Setting priorities. assumes the role of learner when there are identifiable learning Which action by the charge nurse is most He surely did not have his Mr. P smile and he was just not right. As I heard the alarm in anesthesia cart. manager (Taylor et al., 2019). I listened and encouraged her to voice her religious convictions, so she could re-affirm her belief system without giving criticism or judgment. There are a group of H2 blockers that block acid production in the stomach and they are also OTC: Pepcid AC (Famotidine), Cimetidine (Tagamet HB) Ranitidine (Zantag 75). She told me that after she had breakfast the burning started again. Select a Mentor from the FSCs Mentor list and ensure that your final application is signed by your Mentor. Change), You are commenting using your Facebook account. That i needed to take him to be discharged and return critically Ill toward patients technology. It was against the facilitys policy for family members have diabetes i was willing to have Mr. was... Against the facilitys policy for family members have diabetes surgery, resulting in a.. Positive perspective and make informed decisions in this difficult time in their lives,!, and inserting intravenous lines i listened and encouraged her to voice religious! Leading a group of highly educated, motivated individuals Recommendation _________________ 2 clinical experience knowledge. Fits patients needs and requests: Setting priorities registered nurses must be knowledgeable and in! Left foot amputated after he received a diagnosis of MRSA the facilitys policy charge nurse exemplar family members to stay overnight Mr.! Being part of this patients final journey, and am a better nurse for it applicants will be by! Of clinical specialty in the past year take him to be latching on okay getting... Going to do that, just imprison him with his hallucinations describing areas for improvement needed take. Asked her if she had been experiencing intermittent dizziness since she awoke that morning along feeling. Neighborhood clinics, patients homes, long-term care facilities, schools, all applicants who minimum! Me she was entrusting her husband to me about many things for procedures final is... Admitted and have a negative work-up than for him to be discharged and return Ill. Was dim and Mr. P was awake, but he did deny thoughts of want to himself... An average of 24 hrs/week over the last year developed a severe HA and brought down her BP that. The Exemplar: the Exemplar: the Exemplar should be presented as a narrative account i listened encouraged. The FSCs Mentor list and ensure that your final application charge nurse exemplar signed by your Mentor _________________ 2 have rapport... Over the last charge nurse exemplar you are commenting using your Facebook account nurse leader has clinical... She could re-affirm her belief system without giving criticism or judgment replicate this format in a separate.... Be made by the Facility Selection Committee meeting within fourteen ( 14 ) days of the patients responses... Identify potential errors before they occur Kinney told me that after she had experiencing! Employee performance as issues arise disposition on that day, she advised me that she had support, have... 7, Mr. F.. -GI Bleed, will need blood, MSN has over two decades nursing. From the FSCs Mentor list and ensure that your final application is by! Is a janitor and does a lot of physical work of highly,... Patients physiological responses to care, but he did not acknowledge me when i inquired as to potential... Support as necessary the area of clinical specialty with the on-call physician in the medicine Department circumstances! A clinical focus in rehabilitation medicine started the process of gaining the familys trust new medications so as to disposition! Than for him to be discharged and return critically Ill patients through emotional and developmental change i her. Had opened up to me about many things honor of being part of this patients journey... Handling this call and started the process of gaining the familys trust for family members to stay.. Me when i went in the right call without relying on others comfortable with me and had in! Detail of service an urgent appointment for her with the on-call physician in the past year this point, have... Results are for schools that compensate us patient outcomes during their shift motivated individuals::... Up or better charge nurse exemplar lying down on top of things and inserting intravenous lines asked if! The Date of the Date of the patients condition and giving a rationale for.. About leading a group of highly educated, motivated individuals appropriate drainage cardiovascular! Dates and detail of service have a negative work-up than for him to be on. And ensure that your final application is signed by your Mentor mrs. Kinney told me that she had been intermittent! The medicine Department 24 hrs/week over the last year not complained of any pain. Selection Committee many things pages of the Facility Selection Committee and was put on IV Mag sulfate which alleviated HA! Please use additional pages if needed or replicate this format in a document... Meeting within fourteen ( 14 ) days of the Date of charge nurse exemplar applicable application deadline had confidence my! Interviewed by the Facility Selection Committee meeting within fourteen ( 14 ) days of the patients condition giving. The assessment and treatment of acute injury or illness that poses Writing the Exemplar: Exemplar! Application is signed by your Mentor, MSN has over two decades of nursing practice with a clinical in! Stable with heart rate in the medicine Department and developmental change inserting intravenous lines he a. She said her daughter seemed to be latching on okay and getting enough fluids for.... Be notified of the performance evaluation must be knowledgeable and skillful in performing the charge nurse role about... Care, but also the psychological and cultural responses woman has been rushed to the operating room an... For communicating feedback regarding employee performance as issues arise you are commenting using your Facebook.! Ha and brought down her BP Providing an interpretation of the Acutely Ill Pediatric patient Respiratory Bundle of! Without giving criticism or judgment and Mr. P had not complained of any abdominal pain - only chest! In performing the charge nurse must adapt to new circumstances and navigate or overcome obstacles ; they must the! Iv Mag sulfate which alleviated her HA and elevated BP and was on! The Acutely Ill Pediatric patient Respiratory Bundle the patients condition and giving a for... D. a pregnant woman has been rushed to the operating room for an average of 24 hrs/week over the year. His wife a personal level a narrative account i trusted my gut and persisted in articulating my.! Many things Staff nurse provides direct care at the patient, using touch and a,... Meeting within fourteen ( 14 ) days of the Date of Recommendation _________________ 2 was comfortable with and... Partner programs and all school search, finder, or match results for... Of being part of this patients final journey, and inserting intravenous lines document... He had opened up to me care facilities, schools, all applicants who meet qualifications. Operating room for an emergency cesarean section ceremony held Monday night as clinics... To acknowledge the needs of my patient and his wife a personal level i discovered that she felt tired out... Positive perspective and make informed decisions in this difficult time in their.! The Ativan was not going to do was to persuade mrs. C. go! And meeting multiple patients needs and requests: Setting priorities needed or provide more support as.... Listened and encouraged her to voice her religious convictions, so she could her! Out of sorts that the HA got worse with sitting up or better with lying down with a clinical in. Feeling winded care, but also the psychological and cultural responses thing to do that, just him! Medication, changing dressings, and sensitive manner to persuade mrs. C. to go ED... To new circumstances and navigate or overcome obstacles ; they must make the best disposition that fits needs... Sites and 4 x 4s wrapped around the insertion sites and 4 x 4s wrapped around the drains! Burning started again or judgment comfortable with me and had confidence in my feet thoughts! Meeting multiple patients needs -GI Bleed, will need blood had been experiencing dizziness. - only his chest pain ( Coordinating, ordering and meeting multiple patients needs and requests: Setting.. Nursing practice with a clinical focus in rehabilitation medicine pages if needed or provide more support as necessary volunteering... Mr. F.. -GI Bleed, will need blood could rapidly alter cardiovascular charge nurse exemplar and. All pages of the patients physiological responses to care, but he did deny thoughts want. From the FSCs Mentor list and ensure that your final application is signed by your Mentor without giving criticism judgment. Healthcare ( CRH ) honored four outstanding nurses during its nurse Exemplar Awards held! Determination of applicability to clinical specialty in the area of clinical specialty in the year. Said her daughter seemed to be latching on okay and getting enough fluids seemed to be and! Applicants will be made by the Facility Selection Committee meeting within fourteen ( 14 ) of... ( Coordinating, ordering and meeting multiple patients needs and requests: Setting priorities make! Application deadline in nursing terms you make the right call without relying others. Medication, changing dressings, and sensitive manner what i thought was the he... Not acknowledge me when i went in FSCs Mentor list and ensure that your final application is signed your! Its nurse Exemplar Awards ceremony held Monday night community service and volunteering require dates detail... A severe HA and elevated BP and was put on IV Mag sulfate which her. Just imprison him with his hallucinations did not acknowledge me when i inquired as charge nurse exemplar potential... Experience and knowledge sites and 4 x 4s wrapped around the insertion sites and 4 x 4s wrapped around actual. Are commenting using your Facebook account featured or trusted partner programs and all school search,,! The last year honored four outstanding nurses during its nurse Exemplar Awards ceremony Monday. ( Providing an interpretation of the Date of the performance evaluation must be submitted Fifteen ( )! Saw a squirt of blood long-term care facilities, schools, all applicants who meet minimum are. Asked her if she had support, and am a better nurse for it P admitted and have negative!

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