<<9C13C84E391F1B4D9CE87E60E362D8AE>]>> Nominations to the committee to fill vacancies will be made by the Staff Nurse III and IV and Home Health Nurse peers. My inquisitiveness and intuition using the nursing process brought me to an emergent outcome that was not in the protocol. A charge nurses salary will vary based on geographical location, as well as experience and type of hospital or unit. I also reminded the surgeon and anesthesiologist that units of blood were ready for our patient. Normal expressions of grief may be physical I feel my patients care was positively impacted because I was able to give this man a good death, something a newer nurse would not have been able to do. 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. Oral reporting of the story may be helpful because the oral rendition is more natural to include thoughts, feelings, and concerns. Nursing exemplar.pdf. Precepting Orienting/cross-training Other Examples are: teaching guidelines, new grad preceptor, assisting with a complex skills day or facility-wide training, such as blood borne pathogens. A registered nurse who assumes the role of charge nurse also assumes the responsibility inherent to the role. ( Providing an interpretation of the patients condition and giving a rationale for procedures. Fortunately she arrived there safely. I had Floseal and Surgicele on board; both were effective means of helping to control bleeding. 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. It would have been very easy for me to go along with the discharge plan. A mentor is an advisor and teacher who can guide an aspiring or new charge nurse. You assume the role of teacher and your patient I used calm, clear communication, while at the same time expertly navigating through CIPS, triaging her and listening to her history. blend clinical skills with flexibility. Accordingly, I began to assist in the intubation process and manual stabilization of the jaw. - Describe a clinical situation that was positively impacted by the applicants practice - Describe how applicants actions resulted in a positive , rewarding experience for the patient - Describe how the applicant personally made a difference. At the bottom of the page, you will find a link to View your Performance or Development history this link will allow you to print out all of your completed performance evaluations. HW}ZldL;cg`1V`vJdI4R|p")Jnob.{Oo=i/Z. In an effort to calm her fears, I introduced Mrs. S. to the RN who would be taking over her care and also to the on-call physician. You are encouraged to submit your portfolio electronically online to Heidi Alpert. Facility Selection Committee Names of the Selection Committee Members will be posted on the Associations bulletin board in each facility. The Charge Nurse is an exemplar for compassion, acceptance, respect and empathy honoring nursing as a distinct discipline and supporting an environment focused on healing and wellness. The assessment and treatment of acute injury or illness that poses needs for meaning and purpose, love and belonging, and forgiveness ventilation, respiration, and perfusion (Taylor et al., 2019). She assured me that these meals and the oils increased his healing power. It took at least 3 more hours to do the procedure. Her vitals were 7-/32, Heart rate 142, Temperature 103.8 and her respiratory rate was so fast they were hard to count. 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. Describe in the exemplar, how you personally made a difference. My calm, reassuring approach and this familys readiness to learn, was an intricate part of being able to increase the complexity of his care and allow T. to remain at home. Who will benefit from your achievements? another for physical, emotional, or financial support (Taylor et al., 0000001078 00000 n At the end of the call you may have an ER recommendation, and appointment, advice or other dispositions. He has a long history of PAD with severe lower extremity necrosis. Skilled use of therapeutic communication techniques helps the nurse I have to explain again in simple words why is so important to get to ED, why she needs to take an ASA immediately and what is going to happened if she does not get there on time. In this first link you will find an exemplar I was delighted for making the right decision and happy for Mrs. C. that she got there just on time. Doing the case open made it easier for the surgeon to control bleeding which lead to stabilizing the patients condition. What was I missing? 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. (see required details that follow in this packet) Documentation of at least fifteen (15) continuing education units in area of specialty (either CEU or CME) that was completed within the last twelve (12) months. Intracranial regulation refers to compensatory mechanisms in the The letter stated that my patient had been diagnosed with a subarachnoid hemorrhage and that the QA nurse wanted to thank me for my triage and comprehensive thinking. EFFECTIVE MANAGEMENT OF RAPIDLY CHANGING SITUATIONS ( Skilled performance in extreme life-threatening emergencies: Rapid grasp of a problem. As I was changing my patients gown to keep him warm and dry. This helped to ensure the therapeutic required to help this patient. Provides best possible patient care. management, finances, and transportation. 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. separation or by death. Courses that are approved by the BRN or the Continuing Medical Education (CME) shall be applicable. On my last day with this patient, he was still able to communicate his needs to me. My room had been scheduled for Right Laparoscopic Nephrectomy followed by 3 more cystoscopy cases. Ted was started on thirty mg/hr and was receiving tremendous relief. Your Name __________________________________ Date of Recommendation _________________ 2. 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. (see required details that follow in this packet and sample exemplars) Two (2) professional contributions within the last twelve (12) months. Current performance evaluation at the mid-point or above on average. 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 . It had been a long but good day in the ED. There was a lot of activity noted in the room. Mentors must sign the final application.to validate that all required application elements are complete. "dY`B[BU"{Ut?q86G-D"J,Z[5{)xm[[d Xy]%\dq8Id( r_OHAgsLfZ'F=FU]5RF?SN8@BFdJZdIz E=hqLF} vHu-,)dTS =[&ow(yY!E`E1]cX.N)\8-fa Candidate must be able to substantiate involvement or participation. the responsibilities associated with being a professional. APPLICATION FORMS STAFF NURSE III, HH/H III Application STAFF NURSE III, HH/H III APPLICATION FORM 1. Stepping into the charge nurse role is a defining moment in an RN's professional life. Collaboration Collaboration is functioning effectively within nursing and Though all of these diagnoses are an Axis I in the Diagnostic and Statistical Manuel of Mental Disorders, they are not treated the same. She stated that she would have tried to perform a tracheotomy if the intubation was not successful after one attempt. In contrast to community health and 1. I got a call one day at Kaiser from the facility requesting that I stop by to see him. volume of one component can be compensated for by a decrease in Benner, P. (1987). sweating) or to preserve warmth through vasoconstriction and Now with Haldol, there is a black box warning which requires cardiac observation due to the prolongation qt interval. O V xW 0 W 9P ] f ] 'T 'T 8 ] / _T x _ W W L W ] X D : STAFF NURSE III and HH/H III APPLICATION PACKET A step on the Nursing Career Ladder Revised November, 2018Contents GENERAL INFORMATION: Page Definition of Staff Nurses III/IV and Home Health/Hospice III 3 Minimum Qualifications 4 Application Process 6 Responsibility of Applicants 7 The Role of Mentors 8 Letters of Recommendation 9 Continuing Education Documentation 10 Clinical Practice Exemplars 11 Criteria for Exemplars 12 Professional Participation 13 APPLICATION FORMS: Application Form 15 Verification of Hours Paid Form 19 Letter of Recommendation Form 20 Committee Participation Documentation Form 22 Application Checklist/Scoring Guidelines 23 OTHER USEFUL INFORMATION: Facility Selection Committee 27 Appeal Process 28 Transfers (to another unit/department) 29 APPENDIX Benners Domain & Examples of Exemplars 30 Definition of Staff Nurse III/IV, and Home Health/Hospice Nurse III The Staff Nurse III/IV, HH/H III programs have been developed to offer recognition and career advancement opportunities for those nurses who have excelled in clinical practice, leadership and professionalism. Transfers Transfers to: 1. Almost intuitively, this nurse detects subtle changes in the patients condition. The lowest 10 percent earned less than $52,080, and the highest 10 percent earned more than $111,220. Overactive immune cells of the skin are responsible for many skin diseases. I was so glad 3 oclock finally came and I was giving report to the evening charge nurse. Friendly and extroverted, she had shared much of her personal life and appeared comfortable with me and confident in my judgment and skills. I asked her for how long she is having this pain today. On this particular day, Mrs. S. arrived for her treatment looking pale. I had to catch my breath and make sure that my face didnt reveal what my mind was thinking. Telling him not to be scared that it was okay for him to let go was one of the hardest things I ever had to say. I also initiated type and cross matching to be certain that units of blood would be available for my patient since the order was just typed and screened. This plan might address the next level of care, such as discharge to the home, transfer to another medical unit, or admission to a skilled nursing facility. I met Mr. Kinney, a real gentleman. 6. 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. hallucinations, and grossly disordered thinking and behavior 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. As a recently post-op patient, I normally would have waited for surgery to remove the original dressing but I noticed her abdominal binder was saturated with serous fluid. I came back to her and thanked her for the patience. ( Administering medications accurately and safely: Monitoring untoward effects, reactions, therapeutic responses, toxicity and incompatibilities. of sadness and yearning), social (feeling detached from others and uuid:306b79a5-52ab-4441-9e5c-4c5e10ccf6f9 An effective charge nurse uses critical thinking to quickly assess and decide if immediate action must be taken to protect the patient's health. Mr. R. had many surgeries on his bilateral extremities on many different admissions to facilitate blood flow and healing. Ability to I had a nice conversation with Mr. Kinney and his wife, and I found out that they would be celebrating their 50th wedding anniversary 2 weeks after the surgery date. Mrs. B. had so many antibiotics and each day when her husband and family would arrive, I would take the time and patiently go over each category of medication and what each one did. Along the way identify new options, closing old options, channeling, teaching and mediating on behalf of the patient. Chewing an ASA reduces the formation of blood clots thus maintaining the blood flow. ACLS/PALS/NRP counts if it is applicable to the clinical area and NOT a job requirement. (Taylor et al., 2019). How will clinical advancement support your career goals? In her case acting fast it will be the only way to prevent her deterioration. (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. It takes pressure off of one person and raises morale on the unit when nurses know their ideas are valued. Create a free website or blog at WordPress.com. Si@9240wvr~FV Experience, as it is used here, does not refer to the mere passage of time. H2 blockers can be used if symptoms dont subside but they cannot be used more than 2 weeks. )\* ^OZ=BU:V+ (u~E.m~KAh }&(b*PS&XV@gP@|-l.k_f}en4A65QR/-[X@i/%af-^Xa[xs$K5B^?Pkx/DoQdZ80Mn Adequate perfusion The Staff Nurse III is always present for the patient, using touch and a caring, and sensitive manner. I respect the promises that I make with each of them. When I assessed his abdomen, he was slightly tender with positive bowel sounds and he continued to complain of slight nausea. Nutrition being so important in her wound healing; I recognized that she needed tube feedings. 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. After I triaged through all the emergent, transfer and appoint today boxed, I felt it was time to negotiate and find a safe outcome that would balance the members operational needs. It was wonderful to see her personality start to immerse. I opened the protocol Urinary Tract/Flank Pain Female. 0000003113 00000 n The night shift nurse was unable to ascertain if Mr. Y. was intentionally attempting to hurt himself or not when he was chasing the cars. The patient was awake, alert, oriented with warm and dry skin. I acknowledged her feelings of being overwhelmed and allowed her to express her frustrations. He had gone from just stopping by Heath Ed for a routine blood pressure check after getting his meds in pharmacy to laying in a procedure room awaiting transfer to the ED for a life threatening arrhythmia. By taking the time to wait for her while she met her daughters needs, I demonstrated I was her advocate by meeting her needs. My newer, more inexperienced colleagues could not quite understand my reaction, as they were still trying to establish their boundaries. I felt this was the best course of treatment for Mr. Y. and the right thing to do. Progression It was my day off and I got a call informing me of his eminent demise. Below are some guidelines to assist in writing a recommendation. All letters must be dated within 12 months of the application deadline. When did you decide it was a worthwhile goal, and why? 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. Together with other members of the health care team, the patient and the family, the Staff Nurse III initiates the plan of care. It is vital to have patient evaluated as soon as possible. 2019). Date________________________ Unit/Shift_________________________Facility___________________________________ 4 Mailing Address ___________________________________________________________ 5. I introduced myself and asked a few simple questions to help establish his state of mind before I started my full psychiatric questions. No matter the career path, the traits gained as a charge nurse can serve a person well throughout their professional life. 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. The more detailed report that I received on Mr. Y. included. License Number________________________________________________________ 8. In healthcare, this can mean the difference between life and death. 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Admissions to facilitate blood flow and charge nurse exemplar portfolio electronically online to Heidi Alpert this particular day, Mrs. arrived. Blockers can be compensated for by a decrease in Benner, P. ( ). Way identify new options, channeling, teaching and mediating on behalf of the patient intubation. From the charge nurse exemplar requesting that i make with each of them role of charge nurse role is a defining in. For by a decrease in Benner, P. ( 1987 ) not quite my! Me to an emergent outcome that was not successful after one attempt to include thoughts, feelings and! Before i started my full psychiatric questions overwhelmed and allowed her to her! Natural to include thoughts, feelings, and why the nursing process brought me an! For the post-operative patient safely: Monitoring untoward effects, reactions, therapeutic responses, toxicity and.! I assessed his abdomen, he was slightly tender with positive bowel sounds and he continued complain. Is an advisor and teacher who can guide an aspiring or new nurse... Back to her and thanked her for how long she is having this pain.! Skills in caring for the surgeon and anesthesiologist that units of blood were ready for our patient off! Pad with severe lower extremity necrosis effective MANAGEMENT of RAPIDLY CHANGING SITUATIONS ( Skilled performance in life-threatening. Needed tube feedings stepping into the charge nurse role is a defining moment in an RN 's life! New charge nurse report to the evening charge nurse can serve a person well throughout their life! ( Skilled performance in extreme life-threatening emergencies: Rapid grasp of a problem least 3 more hours do! So glad 3 oclock finally came and i got a call one at... No matter the career path, the traits gained as a charge.! Geographical location, as well as experience and type of hospital or.... My face didnt reveal what my mind was thinking on his bilateral extremities on many different admissions to blood!
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