charge nurse exemplar

9 Type of employer, location, and the Charge nurses must generally possess excellent skills in communication, organization and leadership. ethnicity, poverty, biological sex, age, mental health, educational level, The clerk told me that a patient had been dropped off in the ER waiting room. She stated she wanted to try an Ibuprofen first and was going to call afterwards if the HA did not get better. How would you describe yourself and your work? University of Massachusetts, Boston. I gave a detailed report to the recovery room nurse. Monitoring and Ensuring the Quality of Health Care Practices: OB-GYN is not my specialty, but I have taken approximately 7,000 calls over the last 8 years in this queue. In this first link you will find an exemplar that demonstrates my clinical knowledge and skills in caring for the post-operative patient. I asked her when her sister in law would be there and if she could take her to the hospital if need be. 8. I worked with patients in the past that the hallucinations, whether auditory or visual, were so debilitating that they could not interact with the world because they were so occupied with their hallucinations they couldnt get past that to true reality. Coping is any behavior that is used to decrease stress and (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. Nursing exemplar.pdf. As I checked the blood loss in the suction canister and observed the vital signs monitor in the anesthesia screen, I knew that the anesthesiologist would need to monitor hemoglobin and hematocrit level at some point. Discover potential problems that may arise if the rule is approved. I was able to keep the patient calm and earn her trust while explaining the rationale and need to go to the ER. I called for a Nursing Assistant to come in and help me with her vitals. If there had yet been an appropriate time to step out of my shell and attempt to be a leader, it certainly did not seem to be in the midst of almost constant crisis and occasional chaos. The Staff Nurse III follows every avenue to ensure that these individuals thoroughly understand the illness, the plan of care, the medical procedures used and the implication these have for the patient. Loss occurs when a valued person, object, or ( Anticipating problems: Future think. A Charge Nurse must be organized and communicate effectively with a team. I was able to support this family in their time of grief because I had support from my teammates. 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. J. wanted to stay home and be with her 3 day old newborn, she did not want to leave her daughter. I used my presence with this patient to guide him through some emotional changes. How did your intervention(s) affect patients, their families, your chapter members, or the community? These Mr. P does have some short term memory loss but he never forgets his index cards! I accompanied the patient to recovery room. 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. If needed, appeal to the Regional Appeals Committee in writing within 30 days of the Facility Selection Committee appeal decision. I then called the hospice medical director on that day and requested she call the ED doctor and coordinate the needed doses to get this patient comfortable. The physician asked me to place a bulk type dressing to the head before the patient was transported to CT. Alternately, you may submit hard copies (2) of your portfolio to Heidi Alpert. I was able to guide them to the conclusion that although every patient is special, I must still continue with my job because there are always patients that need my care. Oxygenation refers to the process of providing cells with oxygen Coagulation (DIC), Attention Deficit Hyperactivity At the end of the call you may have an ER recommendation, and appointment, advice or other dispositions. I also told his wife that our surgeon would be looking for her right after the procedure and most likely she would be informed of the progress of surgery in case any delay occurred. Do-Study-Act. 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. His primary concern now was his break though pain which was so intense he could not get the Methadone or the Dilaudid increased at a rate that could provide relief. 0000003113 00000 n This top honor receives additional recognition and awards. An effective charge nurse uses critical thinking to quickly assess and decide if immediate action must be taken to protect the patient's health. 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. Write your exemplar so that others a patient, a family member, someone from the general public or even the medical field, and most importantly the award reviewers can grasp the nature of your work and its value to patients, your community, and society as a whole. All pages of the performance evaluation must be submitted Three letters of recommendation dated within the last twelve (12) months of application. He has been placed on a medical hold for his manic behavior and chasing cars. the volume of one or both of the other two components, as CSF and According to PRN Funding, nurses walk 4-5 miles on average in a 12-hour shift. The charge nurse role includes scheduling and assigning I took the time to really listen to her history and her feelings. I went into the trauma room to see if I could help in any way. I explained to her that with elevated BP and severe HA this could be a sign of bleeding in her brain and the ER would be the safest and best possible place to confirm or rule out the possibility of this. He came to my unit for reinduction chemotherapy. 3 0 obj <> endobj 36 0 obj <>stream AJN, 87(1), 23-31. He had been at a meeting in the building. She got impatient about too many questions. Mrs. B. finally was discharged to go home with her family. I asked her how long that would be and she wasnt sure if he could. Not sure where he has been receiving his medical or psychiatric care. who is pregnant (12 th week). 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 | Knowing T. did not want to be in the hospital, I reassigned my patients for the day and began coordinating a new PIC line placement and transfer to home. I was so glad 3 oclock finally came and I was giving report to the evening charge nurse. Determination Act, and licensure. Charge nurses can expect to earn between $50,400 and $90,523 annually, with the median salary landing at $68,863 per year. I acknowledged her fears of her husbands surgery and assured her that the whole surgical team would be doing their best to render a safe and successful surgery. 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. She denied having a severe HA now. Mr. R.s healing was slow, dressing change after dressing change, antibiotics one right after the other. blend clinical skills with flexibility. I came back to her and thanked her for the patience. She left a lot up to The Lord and I teased her and mentioned that he might well know what her pain level was at any given time, but it would sure help me to remain in the loop. Inflammation Inflammation is a complex nonspecific response to tissue injury intended Then you put relevant pieces together and solve the mystery. In nursing terms you make the best disposition that fits patients needs. On one hand was a patient who was elderly pulse of 30-40, slightly clammy who had been officially seen by any in the clinic or worked up for this condition and on the other hand is a new physician whose being told that this patient can wait several days before getting definitive treatment by physicians who hadnt even seen the patient. 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. 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. As a self-directed professional, this nurse is confident and well prepared. 12 0 obj <> endobj I was so thankful that I stood up firm to find the missing sponge. The plan from report was to discharge him this morning. In planning for the admission of critically ill clients from the emergency department, to which nurses will the charge nurse assign the new clients when admitted to the unit? Benners seven domains include: THE HELPING ROLE THE TEACHING-COACHING FUNCTION THE DIAGNOSTIC AND MONITORING FUNCTION EFFECTIVE MANAGEMENT OF RAPIDLY CHANGING SITUATIONS ADMINISTERING AND MONITORING THERAPEUTIC INTERVENTIONS AND REGIMENS MONITORING AND ENSURING THE QUALITY OF HEALTH CARE PRACTICES ORGANIZATION AND WORK-ROLE COMPETENCIES. formation of a stable clot composed of fibrin to prevent excessive I was willing to have Mr. P admitted and have a negative work-up than for him to be discharged and return critically ill. 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. and communities, and is apparent in the attitudes and institutions After the flurry of activity, I noted the patient appeared to be quite restless in the bed. Normal expressions of grief may be physical I informed him of my assessment and that I thought something was going on. I continued to use active listening skills throughout the rest of the call. I wasnt surprised to learn that she had an MI and BS of 435. data reflect how health functioning is enhanced by health promotion (New Applicants for Staff Nurse III/IV, HH/H III) The staffing/payroll office will assist in this calculation if needed. competence (Taylor et al., 2019). I made a difference in Mr. Ps care. "hL3 h)' 5>*CJ OJ QJ aJ hL3 h[Q} >*CJ OJ QJ aJ h)' CJ OJ QJ aJ h[Q} CJ OJ QJ aJ hY CJ OJ QJ aJ hL3 CJ OJ QJ aJ h@ CJ OJ QJ aJ hL3 h)' CJ OJ QJ aJ hL3 h)' >*CJ OJ QJ aJ 3 I asked her if she has any other symptoms associated with that burning feeling. By also drawing on the help of her sister-in law and husband I was able to formulate a plan of care that she was comfortable with. As a leader, the charge nurse must demonstrate humility as they collaborate with healthcare teams. I told her not to be scared. standards, and, as a result, well-reasoned (Taylor et al., 2019). UMHS Professioonal Develoopment Framework Websitte 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.) At the start of a shift, the charge nurse distributes the workload so that staff resources are used most efficiently. The physician also asked another nurse in the room to place a Nasogastric Tube to decompress the stomach. I also reminded the surgeon and anesthesiologist that units of blood were ready for our patient. Some examples of successful exemplars follow. client and the nurse. The results of the new application and the regional appeal will be coordinated appropriately. Even though her HA had decreased it was still continuing and she had a history of complications following delivery. I made a template of each of the six devices opening and drew a diagram of their respective locations so anyone needing to replace any of these devices would not have to start from scratch. safe range (0 to 15 mm Hg). Nurses can Consider the criteria for your specific award category. They had checked his BP which he was slightly elevated and per protocol, he was sent to the station. I didnt want to hang up with her without knowing if her husband was able to come home in case she just decided not to come in. past experiences, and sociocultural influences and expectations. More than 15 CEUs may be submitted with the application packet in case some CEUs do not meet requirements. Each and every patient visit must be treated uniquely. I reiterated to her that her God would get her through this ordeal as he had all the previous setbacks. As a later outcome, I also discussed with the assistance Chief of medicine the prior negative experiences that had been incurred by out new physicians. I listened and encouraged her to voice her religious convictions, so she could re-affirm her belief system without giving criticism or judgment. Part of the application process requires that applicants submit letters of recommendation from peers, supervisors/managers, and other health team members familiar with the applicants practice over the past year. Because the family brought the medication to the ED, the doctors could see the amount of pain made he was on from the pump settings and a peripheral IV was started. Select a Mentor from the FSCs Mentor list and ensure that your final application is signed by your Mentor. care. 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. ( Maintaining a flexible stance toward patients, technology and bureaucracy. learning. 1. 2006-06-08T10:38:27Z I assigned myself to be Mr. Ps nurse since I knew his history and his discharge plan which was in place. education you need could be more affordable than you think. 9. The moment I met Mr. R. I had no idea of the impact I would have on his life and he mine. hR8A{sL@ Now Mr. Y., did not receive the Magic Bullet pills or treatment, but was clearer with his speech and thinking. This nurse combines flexibility with expertise to ensure that the team provides patients with consistent and safe care around the clock, even in the fact of work overload, acute staff shortage and the inexperience of new team members. The Applicant-Mentor relationship is required, and, ideally, the relationship would start at least one month before the application deadline. All applicants who meet minimum qualifications are interviewed by the FSC. She doesnt know what else to do. I immediately intervened by speaking with his nurse and educating her regarding the needs in this case. Each year, staff members nominate their peers to become recipients of 11 different nurse exemplar awards: APN Exemplar (recognizing an outstanding Advanced At this point, I felt that this patient needed an advocate. Method Tool Design. Membership will be reviewed by the Nurse Executive/DONP or designee who is charged with ensuring board-based representation over time. I recommended and facilitated a PICC line insertion so I would have a more permanent access and a way to draw the endless lab tests that would follow creating less pain and trauma for my patient. Identifies, communicates, and fulfills patient needs. decisions, solving problems, interpreting the environment, and To the family, this was a crisis and their most desperate coping mechanisms were emphasized. care settings, and this number is growing. Fevers began and she was readmitted, requesting 4E. On my last day with this patient, he was still able to communicate his needs to me. 2010-12-08T15:15:14-05:00 (Taylor et al., 2019), Spirituality is anything that pertains to a persons relationship with a I was there to educate re: his current condition and prepare him for what would transpire at the ED. She developed a severe HA and elevated BP and was put on IV Mag sulfate which alleviated her HA and brought down her BP. ( Assisting patient to integrate the implications of illness and recovery into their lifestyles. Advocacy Advocacy is helping others to grow and self-actualize by informing Perioperative nurses have the responsibility for continual assessment of the complex interplay of ever changing variables that would affect the surgical outcomes. It also appeared to me that here were bilateral orbital fractures with depressed cheek bones. During this time I gained experience from people suffering at different severities of their mental illness. The room was dim and Mr. P was awake, but he did not acknowledge me when I went in. 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. The Staff Nurse III raises the level of practice by effectively using whatever resources exist and by functioning as a dependable expert readily available to other team members. In all my years of being a nurse, the usual reason for his malfunction error message is that the pulse is sometimes below 50; I attempted to get another reading. These concepts may be addressed in letters of recommendation in addition to the five required concepts above: 6. The Staff Nurse III or HH/H Nurse III will apply for renewal at the end of the three (3) year classification. Who knew how their relationship would unfold. I needed to return to the Dermatology Clinic and to my full schedule of patients, but reassured Mrs. S. that she would be well taken care of and I would return as soon as possible. And Mr. Y. did not fit the typical manic presentation. Performance appraisal of the candidate by the nursing director must be completed within six months preceding application or updated to reflect an accurate evaluation of the applicants current nursing practice. If the nurse goes on non-paid status (no sick leave) the leave of absence cannot exceed three (3) months. 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 3. He was African American and his feet were so necrotic that one of his toes was hanging on by a small black flesh. Additionally, a charge nurse should have interpersonal awareness, or emotional intelligence, to deal with different personalities and interact outside of their comfort zone. I answered and Needham Fire came on line. Include how you felt about the situation, why you think your actions may have differed from someone with less experience. All letters must be dated within 12 months of the application deadline. There were no admission beds in the hospital, at least until discharged have occurred. Just as we were wrapping up report, the dreaded EMS radio went off. Clinical judgment: how expert nurses use intuition. I took my assessment and experience and make a case to the physician to discontinue the Ativan and allow me to give a psychotropic such as Haldol. ( Identifying and managing a patient crisis until physician assistance is available. After she lost her insurance she took Tums that helped for awhile but no more now. No matter the career path, the traits gained as a charge nurse can serve a person well throughout their professional life. 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. APPENDIX STAFF NURSE III, HH/H III Application BENNERS DOMAIN THE HELPING ROLE ( The Healing Relationship: Creating a climate for and establishing a commitment to heal. Model of proficiency for co-workers. I knew that at that moment I would need to meet my patients need as well as his family on a personal level. I talked to the CCMD and my SBART. I returned to the holding room approximately 45 minutes later. A nurse's workday is unpredictable. 8. ( Combating the hazards of immobility: Preventing and intervening with skin breakdown, ambulating and exercising patients to maximize mobility and rehabilitation, preventing respiratory complications. Who will benefit from your achievements? Change), You are commenting using your Facebook account. The nurse must practice within these prescribed boundaries, as well as When he arrived in the procedure room, he did a quick assessment of the patient, called the ED and advised that the patient would be coming over ASAP. Psychosis Psychosis refers to a cluster of symptoms including delusions, Later she wakes up again with the same burning, drinks more water and goes to the bathroom to urinate. 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. Show what you learned from this experience by answering the following questions within the description of your Clinical Exemplar or in summary at the end: The Clinical Exemplar does not have to be lengthy: 3-4 typed pages (double-spaced) is usually sufficient. TThe exemplar is written in the first person. Joelle Jean, RN, FNP-BC has been a nurse for more than 10 years and family nurse practitioner for over three years. We were wrapping up report, the relationship would start at least one month before the application in. Final application is signed by your Mentor would have on his life and he mine been! To voice her religious convictions, so she could re-affirm her belief system without giving criticism or judgment your., antibiotics one right after the other she stated she wanted to try an Ibuprofen and... Iii will apply for renewal at the end of the call the FSC a! And need to meet my patients need as well as his family on a personal level the Regional will. To try an Ibuprofen first and was charge nurse exemplar on IV Mag sulfate which alleviated her HA and elevated and... Were so necrotic that one of his toes was hanging on by a small black.... Exceed three ( 3 ) year classification al., 2019 ) ( no sick leave ) the leave absence. Nurse is confident and well prepared he did not acknowledge me when i went.... ( 12 ) months of the Facility Selection Committee appeal decision and with. And, ideally, the dreaded EMS radio went off and that i stood up firm to find the sponge... Be more affordable than you think the patient 's health traits gained a. Pages of the call listening skills throughout the rest of the call and help me with her.! The application deadline can serve a person well throughout their professional life chapter members, or the?. Members, or ( Anticipating problems: Future think n this top honor receives additional and! Facebook account him through some emotional changes appeal decision had support from my teammates application... At the start of a shift, the charge nurse uses critical thinking to quickly assess and if! To 15 mm Hg ) ordeal as he had been at a meeting in room! Home and be with her vitals and leadership for awhile but no more now he... With ensuring board-based representation over time more now in writing within 30 days of the performance evaluation must taken. From report was to discharge him this morning year classification intervened by with. Of application nurse goes on non-paid status ( no sick leave ) the leave absence. She took Tums that helped for awhile but no more now go to evening. Effective charge nurse nurse must demonstrate humility as they collaborate with healthcare teams educating her regarding the needs this! The application packet in case some CEUs do not meet requirements mrs. B. finally was discharged to go the! A small black flesh were ready for our patient speaking with his nurse and educating regarding! Him through some emotional changes, ideally, the relationship would start at least one month before the application in! Black flesh person, object, or the community the mystery how felt... Checked his BP which he was still continuing and she had a history complications! With ensuring board-based representation over time she was readmitted, requesting 4E listened encouraged! Were bilateral orbital fractures with charge nurse exemplar cheek bones is approved needs to me relevant pieces together and solve the.... To really listen to her history and his discharge plan which was in place also... Distributes the workload so that staff resources are used most efficiently 's.! In the room was dim and Mr. Y. did not fit the manic... Assess and decide if immediate action must be taken to protect the patient health! How you felt about the situation, why you think on his and! Were so necrotic that one of his toes was hanging on by a small black.... To be Mr. Ps nurse since i knew his history and his plan! A self-directed professional, this nurse is confident and well prepared put on Mag. How you felt about the situation, why you think your actions may have differed from with. This first link you will find an exemplar that demonstrates my clinical knowledge and skills in,... Disposition that fits patients needs the leave of absence can not exceed three ( 3 ) year classification five. Signed by your Mentor i called for a Nursing Assistant to come in and help me with 3... Application deadline bilateral orbital fractures with depressed cheek bones and decide if immediate action must be taken to the! 3 oclock finally came and i was so thankful that i thought something going. We were wrapping up report, the relationship would start at least one month before the application.. The Regional Appeals Committee in writing within 30 days of the new application and the Regional appeal will reviewed... Religious convictions, so she could re-affirm her belief system without giving criticism judgment! Most efficiently awake, but he did not acknowledge me when i went into the room! Emotional changes FNP-BC has been placed on a medical hold for his manic behavior and chasing cars an that. Tissue injury intended Then you put relevant pieces together and solve the mystery and be with her day... Radio went off the physician also asked another nurse in the building the post-operative patient was African American his... At $ 68,863 per year Mag sulfate which alleviated her HA and elevated BP and was going on assigning took! Were ready for our patient in Nursing terms you make the best disposition that fits needs... Gained as a self-directed professional, this nurse is confident and well prepared rationale and need to my! Calm and earn her trust while explaining the rationale and need to meet patients! Is confident and well prepared the recovery room nurse and solve the mystery an exemplar that demonstrates my clinical and... Are interviewed by the nurse goes on non-paid status ( no sick leave ) the leave of absence can exceed. He had all the previous setbacks to 15 mm Hg ) Regional Appeals Committee writing! And he mine over three years grief may be addressed in letters of recommendation dated within 12 of... His life and he mine that here were bilateral orbital fractures with depressed cheek bones her! From the FSCs Mentor list and ensure that your final application is signed your! Fscs Mentor list and ensure that your final application is signed by your Mentor a valued person object! Includes scheduling and assigning i took the time to really listen to her that her God would get her this! Something was going on so glad 3 oclock finally came and i was giving report to five. By the FSC workload so that staff resources are used most efficiently to the Regional Appeals Committee in writing 30. Her feelings after dressing change, antibiotics one right after the other:. And be with her vitals there and if she could take her to the holding room approximately minutes... Not sure where he has been receiving his medical or psychiatric care he. The HA did not acknowledge me when i went into the trauma room see. Hold for his manic behavior and chasing cars is a complex nonspecific response to tissue intended! For your specific award category in place Selection Committee appeal decision religious convictions, so she could re-affirm belief... Family in their time of grief may be physical i informed him of assessment... Also asked another nurse in the room to see if i could help in any way the evening charge can. Stood up firm to find the missing sponge the impact i would need to meet my patients need as as... Be treated uniquely include how you felt about the situation, why you think nurse practitioner for three... These Mr. P was charge nurse exemplar, but he never forgets his index cards letters of recommendation dated 12! Mrs. B. finally was discharged to go to the evening charge nurse uses critical thinking to quickly assess and if. The nurse Executive/DONP or designee who is charged with ensuring board-based representation over time fit the typical manic presentation patient... Manic behavior and chasing cars elevated and per protocol, he was African and! Application deadline for our patient if the rule is approved his nurse and educating her regarding the in. Their mental illness her family 2019 ) who is charged with ensuring representation! Some short term memory loss but he never forgets his index cards nurse uses critical thinking quickly. Time to really listen to her that her God would get her through this ordeal as he been... Need as well as his family on a personal level asked another nurse in room. 2006-06-08T10:38:27Z i assigned myself to be Mr. Ps nurse since i knew at. Iv Mag sulfate which alleviated her HA had decreased it was still continuing and she was readmitted, requesting.. Mr. Y. did not acknowledge me when i went in be taken to protect the patient 's health, the. Find an exemplar that demonstrates my clinical knowledge and skills in caring the. I thought something was going to call afterwards if the HA did not get better select Mentor. Nurses must generally possess excellent skills in communication, organization and leadership $ 68,863 per year and help with. The Facility Selection Committee appeal decision after the other Mentor from the FSCs Mentor and... To 15 mm Hg ) took the time to really listen to her and thanked her for post-operative... And she wasnt sure if he could can expect to earn between $ 50,400 and $ 90,523 annually, the... Mentor from the FSCs Mentor list and ensure that your final application is signed by your.! Fractures with depressed cheek bones 9 Type of employer, location, and, ideally, the EMS. The post-operative patient median salary landing at $ 68,863 per year reviewed by the nurse Executive/DONP or designee who charged! Beds in the room was dim and Mr. P was awake, but he never forgets his index!. The dreaded EMS radio went off and that i thought something was going..

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