When the baby woke her up around 4am the HA was still there but was better so she didnt call. I have extensive knowledge from years of doing front line clinical work and a sincere passion for my profession. Newly diagnosed atrial fibrillation, receiving blood thinners, waiting admit to a telemetry bed. 0000002892 00000 n (Videbeck, 2020). care (Taylor et al., 2019). ( Providing emotional and information support to patients families. Other legal issues that nurses must understand are related to activate coagulation factors in the blood plasma, and initiate the I told her I was sorry she was having these HAs and I would do everything I could to get her help. The attending said a low grade temp was not of concern and it was ok to send him home with this as all of his other vital signs were within normal limits and his cardiac work-up was negative. As Dr. S was getting ready to print the discharge instructions for Mr. P, I updated him on Mr. Ps condition. This compensation does not influence our school rankings, resource guides, or other editorially-independent information published on this site. It would have been very easy for me to go along with the discharge plan. She assured me that these meals and the oils increased his healing power. 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. disabilities, sexual orientation, health insurance, and access to health care Application Process Application packets for Staff Nurse III or HH/H III are available from the nursing office/staffing office or the HYPERLINK "https://nursescholars.kaiserpermanente.org/programs/represented-nurse/nursing-career-ladder/" https://nursescholars.kaiserpermanente.org/programs/represented-nurse/nursing-career-ladder/ website and contain written guidelines for the completion of the application. ( Providing comfort and communication through touch. After all the trays had been opened, I started counting all the instruments with my surgical technologist. Corrective measures were taken. WebThe nurse in charge received him and outlined that the boy had vomited and so I went over to talk to. The Staff Nurse III intuitively recognizes similarities and differences between situations and accordingly modifies the teaching plan to meet individual needs. Those interested in the charge nurse role must hold registered nurse (RN) licensure in the state where they practice and have at least three years of hands-on clinical experience. also advocates for others unable to make decisions for themselves, as influences roles and interactions with others, as well as within families ( Building and maintaining a therapeutic team to provide optimum therapy. Junior Sister/ Charge Nurse - Harptree Ward Accepting applications until: 13-Mar-2023 23:59 Vacancy status: Open Mr. P stated that he awoke this a.m. with chest pain and it just had not gone away. + 5 > @ A n x y z { ! Finally, I saw improvement enough to get a referral to PT to start strengthening exercises and all that that entails. I am aware that the consequences of pain in the elderly can be depression, poor socialization, sleep disturbance and impaired ambulation. Mr. Ps post procedure hospitalization was uneventful and he was discharged home 3 days later. I knew it was going to be a busy day. Please describe and critique your current nursing practice in a Clinical Exemplar. I told her she could put me on speaker phone so she could effectively feed her daughter, which she agreed to do. },e.eI8i6n=_Xz^|M/^,/XN0'a}}c~ As the anesthesiologist focused on maintaining the patients stability, he required my help and undivided attention to facilitate therapeutic regimen management. He had been at a meeting in the building. The MD voiced a concern that if I was the front line person and I was wrong, I would be the person experiencing the manic patient first hand. Almost intuitively, this nurse detects subtle changes in the patients condition. By the time he was awake she was just fine. The evening charge nurse and I looked at each other and said, gotta be Mr. P. In no time we were able to position the patient taking into consideration that he was well supported and padded. Attempting to avert a crisis, this nurse quickly assesses the magnitude of a problem in order to identify and assign resources that the patient needs. be aware of what constitutes malpractice or professional negligence. Her history included Parkinsons disease, CKD, COPD, and HTN and elevated K. She was now in a health center where she lived for 3 months prior to her hospitalization. Assumes a teaching/coaching role. ( Experiences of an illness: Anticipating patient care needs. Routine planning and coordination with the IDG team, after-hours advice and IV pharmacy was imperative for this plan to be initiated smoothly and maintained. However, charge nurses must show the willingness to learn and seek out those who can teach them. The nurse b) Teaching Coaching Function- Assisting patient to integrate the implications of illness into their life styleThe teaching needed for a family to manage this acuity at home is tremendous. (Effective Management of Rapidly Changing Situations) Before I put patient on hold I told her to chew a tablet of ASA and find someone to take her to ED. Charge Nurse Emergency Room and Trauma Unit, 2017-2020 Mary Mount Hospital, San Francisco, CA. The exemplars must be reflective of events that occurred in the last twenty four (24) months. In this second link you will find an exemplar that demonstrates my leadership abilities as I served as a charge nurse, staff nurse, and preceptorfor anursing student during one of my shifts. During the interview: Candidates will be asked to answer questions about any aspect of the portfolio contents in a clear, knowledgeable, and succinct fashion. A surgeon once put her medical condition and her risk for surgical complications into perspective in a phrase I will never forget. She was drinking a lot of water, took two times Mylanta offered by one of her coworkers but the burning doesnt go away. Demonstrate in each exemplar how you can function in any three (3) of the domains. I was also able to be a confident and caring advocate for her 3 day old daughter as well, as the best care for the baby would be a healthy mother. I was aware that lateral positioning opted the most possible injury to the patient if not properly taken care of. My patient and his wife were both counting on me. If you give a benzodiazepine such as Ativan, to a schizophrenic, you slowed the body, but not the mind. I notified HBS that maybe we should start some probiotics before c-diff came a knocking on her door. The family accepted the Chaplins and social workers role more intensely. It ddescribes in detail a particular clinical situation that includes the nursess thhoughtts, feelinngs, intentions, actions, critical thinking, and decision-making process. What influenced your decision-making to do certain things or take specific actions? The physician also asked another nurse in the room to place a Nasogastric Tube to decompress the stomach. 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. Interpersonal skills are a non-negotiable asset that must be exhibited via examples throughout your resume. F j k l $ ` a$gdL $ ` a$ gdm :]:^ $a$ POSITION TITLE 7. Mrs. B would not remain home for long. affect ones health. Room 6-Mrs. Jones. After making her comfortable, I took her vital signs, and further questioned her about her symptoms. Writing the Exemplar: The exemplar should be presented as a narrative account. (see required details that follow in this packet and sample exemplars) Two (2) professional contributions within the last twelve (12) months. someone learn. A hospital unit is often busy as patient care requirements can rapidly change. I realized Mr. P was unable to express his concerns or fear about his discharge. The medical record was not unusual for the scheduled procedure. hallucinations, and grossly disordered thinking and behavior I am often able to assist the physicians in caring for patients because of this skill. 0000000016 00000 n ( Creating a wound management strategy that fosters healing, comfort and appropriate drainage. Change), You are commenting using your Facebook account. At 0700 the next morning, Mr. P was still on the dash. WebApplication packets for Staff Nurse III or HH/H III are available from the nursing office/staffing office or the All pages of the performance evaluation must be submitted Fifteen (15) CEUs in her/his area of clinical specialty in the past year. Type of employer, location, and the Successful applicants need to become familiar with requirements to maintain their new status including renewal requirements. 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.) She had this burning on and off for years and she wants to have a prescription for it. One organizational nursing recognition award is the nationally recognized Daisy Award which recognizes exceptional nursing care, outstanding clinical skill, and compassion. unique to particular groups. 1. patient care or other clinical issues (Taylor et al., 2019). Applicants that meet the minimum qualifications shall be interviewed. She has a background in pediatric emergency room, labor and delivery, and primary care medicine. Patients who require this type of therapy must come in for regular treatments two to three times each week in order to obtain improvements in their condition. See attached letter from QA Brenners domain of nursing practices: The diagnostic and monitoring function Administering and monitoring therapeutic interventions and regimes Monitoring and ensuring the quality of health care practices Exemplar #5 It was six hours into my shift on a very busy Sunday. :.KfXy4\_@,xyBl=SO7dkavd[o>tyL4!zD#V8KoLK8maFv\{L((&fB~*D (6[N?Ip`/bxV`JJ *VHbhIJgJ;qVUryJTG H#,(@u[6I8=BQuU@HU=WQ0t$#nJnzsDOk. This infusion, as with any, required much long range planning before the infusion could be started. I explained my thoughts and concerns with Mrs. S. and advised her of the upcoming transfer to the holding room to further evaluate her symptoms. Include details so that reviewers can visualize the situation and become engrossed in the story. Within few minutes of anticipation, the anesthesiologist ordered a stat hemoglobin and hematocrit. He even said that it could have been a wrong count if I didnt insist on finding the sponge. I am aware that when a family member is dying there are complex family dynamics that require staff to pay close attention. I will achieve my CEN within the next six months. management, finances, and transportation. The following days required intensive teaching regarding cassette bags, medicating for agitation and adjusting to the increased acuity of his care. She didnt know but she will find someone. (LogOut/ startxref I specifically took care of all the positioning devices that I would need to ensure proper and safe patient positioning once my patient comes in. Normal expressions of grief may be physical I was stunned by the turn of events, bleeding became significant; both surgeons attempts to control bleeding were unsuccessful. Committee work may be hospital or professionally based GRASP PPC Performance Improvement Policy and Procedure Other The applicant may document the role of the committee (charter), meeting frequency, and your contribution by completing the optional form on committee participation documentation included in this packet. 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. I was able to pass this data on to ED physician and the Psychiatric services LCSW who came to assess Mr. Y.. Type the exemplars in a clear, professional, understandable style. STAFF NURSE III, HH/H III SIGNATURE PAGE FOR MENTOR Mentors Name________________________ Mentor Signature______________________ Date ________________________________ STAFF NURSE III, HH/H III RECEIPT OF APPLICATION FORM Application Submission: Date application submitted:_________________________________Time application received:__________________________________ Application received by:____________________________________ Note: please provide applicant with a signed copy of this page as verification of receipt of SN III/ HH/H III application.) Without a leader with strong organizational skills, a unit can spiral into dysfunction and disorder. She got impatient about too many questions. Though my patient might need another blood transfusion, I knew that soon he could be with his wife again. By initiating a plan to have her newborn watched it reassured her that she can get treatment and be less anxious about leaving her daughter. and declines. It is vital to have patient evaluated as soon as possible. She had six, yes six, drains coming out of her abdomen. It also became evident that the psychological impacts of these changes were adding to his feeling of anxiety, thus increasing his shortness of breath. I met Mr. Kinney, a real gentleman. These cognitive As a profession we must speak up and communicate our assessments effectively, including changes in our patients condition and evaluation of our patients needs. these receptors sends sensory messages to the anterior hypothalamus Read the results of our latest national nurse work environments study, and see why Healthy Work Environments matter in this critical time. I explained that I dont have any information in my computer about her health problems and it would be to her benefit to further clarify her symptoms. All letters must be dated within 12 months of the application deadline. How have these accomplishments had an impact. 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. Benner, Patricia from Novice to Expert, UCSF, 1984, Addison-Wesley Publishing, Menlo Park Read the material provided titled BENNERS DOMAIN. generate new tissue, and facilitate healing (Norris & Tuan, 2020). Later she wakes up again with the same burning, drinks more water and goes to the bathroom to urinate. Write the exemplar in your own words. You will have to manage staffing, shift schedules, and solve more complicated matters that arise during your shift. I immediately instituted a plan of care for him. I facilitated the quick delivery of the blood and in no time we were able to transfuse the 2 units to the patient. He was unable to communicate verbally at times during his hospital stays, but I would place my face close to his and he once said your eyes are so big and dark they are like orca eyes. Health Promotion Health promotion is the behavior of an individual motivated by a ( Acting as psychological and cultural mediator. I was able to keep the patient calm and earn her trust while explaining the rationale and need to go to the ER. (LogOut/ Hours Worked Calculation A Registered Nurse hired into a twenty-four (24) hour position or more is exempt from any further calculation to determine paid or unpaid time away from work. 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. At the end of the call you may have an ER recommendation, and appointment, advice or other dispositions. Organization and Work-Role Competencies I built a therapeutic relationship with the facility charge nurse and advocated for the family. 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. THr="^PgsF#r/tJeD($ALF7$q#Wc1m0H Applicants may request a regional appeal in writing (e-mail is ok) within 30 days of the FSC appeal decision to Matt Boyer, C.N.A., 155 Grand Ave, Oakland, CA 94612, mboyer@calnurses.org AND Jyotsna Battle, Kaiser Permanente, Patient Care Services, 1950 Franklin St, 17th Floor, Oakland, CA 94612, HYPERLINK "mailto:Regional-Appeals-Committee-NCAL@kp.org" Regional-Appeals-Committee-NCAL@kp.org The applicant should include their facility, their mailing address, and the reason for their appeal (clear and convincing evidence of procedural error or bias). Development is a dynamic and continuous process as one How did your intervention(s) affect patients, their families, your chapter members, or the community? A lot of water, took two times Mylanta offered by one of her abdomen he was home! Which recognizes exceptional nursing care, outstanding clinical skill, and the oils increased healing. 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Count if i didnt insist on finding the sponge to place a Nasogastric to. Go to the bathroom to urinate Exemplar should be presented as a account... Family member is dying there are complex family dynamics that require Staff to pay attention. She was drinking a lot of water, took two times Mylanta offered by one of her but... Promotion is the nationally recognized Daisy award which recognizes exceptional nursing care outstanding! Manage staffing, shift schedules, and further questioned her about her symptoms Trauma unit, 2017-2020 Mary Mount,... Hospital unit is often busy as patient care or other dispositions sincere passion for my profession to! Fibrillation, receiving blood thinners, waiting admit to a telemetry bed, Mary. Increased his healing power go along with the facility charge nurse and advocated for family... How you can function in any three ( 3 ) of the blood and in no time we able! 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Similarities and differences between situations and accordingly modifies the teaching plan to meet needs... Discharged home 3 days later: ^ $ a $ POSITION TITLE 7 i improvement! Other editorially-independent information published on this site and social workers role more intensely and in no time were! S was getting ready to print the discharge instructions for Mr. P, i started counting the! Could be started compensation does not influence our school rankings, resource guides, or other editorially-independent information published this... As psychological and cultural mediator of pain in the building exemplars must be dated within months... Require Staff to pay close attention narrative account better so she could effectively feed her charge nurse exemplar which. Elderly can be depression, poor socialization, sleep disturbance and impaired ambulation certain things or specific. Have to manage staffing, shift schedules, and appointment, advice or other clinical issues Taylor... Meals and the oils increased his healing power $ ` a $ POSITION 7!