Include details so that reviewers can visualize the situation and become engrossed in the story. She thanked me for my patients and kindness. As the paramedics were getting ready to transport the patient, he called me over the gurney he took my hand and thanked me for being there for him and that he was so grateful that I had answered his knock on the door. I continued to use active listening skills throughout the rest of the call. Skilled use of therapeutic communication techniques helps the nurse She assured me that these meals and the oils increased his healing power. Finally I urged the surgeons to go back and search for the sponge in the patient. specific needs to promote an effective exchange of information. ( Assessing the patients potential for wellness and for responding to various treatment strategies. Select a Mentor from the FSCs Mentor list and ensure that your final application is signed by your Mentor. Iv|7:On-uBV?N[!NC UMHS Professioonal Develoopment Framework Websitte These cognitive License Number________________________________________________________
8. During my assessment I observed the patient unable to stay focused and consistently looking at the corners leading me to speculate he was having hallucinations. Writing the Exemplar: The exemplar should be presented as a narrative account. I told her I would wait on the line while she called him, so I made sure she got to the ER safe. I had an uneasy feeling that we were missing something. Candidates will be asked to clearly present either one or both exemplars. Charge nurses can't change the number of hours on the unit, but they can manage how those hours are spent. In the best interest of this patient I was able to adapt when she needed to breastfeed her daughter and put me on speaker phone. 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. This may have been acceptable, but not the right thing to do. She stated to me that she is not sure they are related because I felt fine all day yesterday. I asked her how she was feeling during the call and she said her HA was mild to moderate but she was able to function. Fifteen (15) CEUs in her/his area of clinical specialty in the past year. A leader helps people work toward a goal through: Using these traits, a charge nurse unites staff members striving for successful patient outcomes. 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. care settings, and this number is growing. Now Mr. Y., did not receive the Magic Bullet pills or treatment, but was clearer with his speech and thinking. Within few minutes of anticipation, the anesthesiologist ordered a stat hemoglobin and hematocrit. Mentors also offer suggestions to improve the application portfolio prior to submission. In this exemplar I used the following Benners domains of nursing practice:
The helping role
The teaching- Coaching function
The diagnostic and monitoring function
Effective management of rapidly changing situations
Monitoring and Ensuring the Quality Of health Care Practices
Exemplar #1
In one evening I received a call on the Spanish line. The nurse If I added the facts that she was menopausal and she stopped taking her BP medication 6 years ago I had enough facts to consult with CCMD. Names of the Facility Selection Committee Members will be posted on the Associations bulletin board in each facility. Recognizing their need for spiritual support, I made arrangements and facilitated the movement of several patients so he could have his privacy and experience his cultural/spiritual rituals without offending other patients. I was stunned by the turn of events, bleeding became significant; both surgeons attempts to control bleeding were unsuccessful. Cross). They address problems that arise in their unit while juggling administrative tasks like scheduling, staffing, and monitoring patient care. 0000000016 00000 n
Write the exemplar in your own words. The Staff Nurse III is always present for the patient, using touch and a caring, and sensitive manner. altruism, autonomy, human dignity, integrity, and social justice. Verification of Hours Paid Form
(if applicable)
Performance Evaluation
within the last 12 months at midpoint or above on average. In the following section I have included two exemplars to reflect an example of my clinical and leadership abilities in nursing. 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 nurse acts as an At this time, radiology had two doctors out on jury duty, the self care learning nurses were maxed out and T. was on a waiting list. uuid:c74c77aa-afef-4712-8f2a-3d5652543fb3 or a large area of rural residents. Removing all of the sterile gauze revealing her peri-skin already red and angry, just short of excoriation, I assessed immediately that the plan of care for her dressings would require more than simple sterile gauze. His hospital stay will require diabetic control, restoring blood flow to bilateral lower extremities, wound care to necrotic diabetic ulcers and restoring proper nutrition. I have over 20 years experience nurse including trauma nursing. What was I missing? An exemplar is a story, not a case study or a report. This allowed him to be able to participate more in his care. THE DIAGNOSTIC AND MONITORING FUNCTION
( Detection and documentation of significant changes in a patients condition. Critical thinking is an approach to thinking that is systematic, I got a verbal order to place an NG tube and begin the feedings. iii. 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.) csjessie I will achieve my CEN within the next six months. Then ask them to tell you in their own words what your exemplar is about. I typed up the whole procedure in laymans terms with bullet points that were easy for them to follow, they were so appreciative. Because of my education and experience, I am able to observe even small subtle changes in their demeanor, voice, color etc. 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. as neighborhood clinics, patients homes, long-term care facilities, schools, I did the right things and gave Mr. Y. the Haldol. The following Benners Domains will be addressed:
The helping role
The teaching- Coaching function
The diagnostic and monitoring function
Effective management of rapidly changing situations
Exemplar #8
T. was a seventy-five year old gentleman with metastatic sarcoma in his left chest wall, elected hospice in March of 2004. Effective management of rapidly changing situation
I was able to anticipate every need that was required to run the operating room when the case experienced instability. Selection committee vacancies are to be publicized by Nursing Administration and the PPC. The Facility Selection Committee is comprised of:
Nurse Executive, Director of Nursing Practice (DONP) or designee
2 RN managers (appointed by the Nurse Executive/DONP or designee)
1 Staff Nurse III (minimum)
1 Staff Nurse actively involved in a professional committee
2 Staff Nurse IVs or HH II or III
Alternates: a substitute in the same category to be used as needed. Three members, plus one (1) alternate, shall be selected by the California Nurses Association from among Staff Nurse IIIs, Staff Nurse IVs or HH/H IIIs of different existing Facility Selection Committees (FSCs) who are currently serving on a FSC or who have had past experience as a Staff Nurse III, Staff Nurse IV or HH/H III on a FSC. ( Providing emotional and information support to patients families. Together with other members of the health care team, the patient and the family, the Staff Nurse III initiates the plan of care. Charge nurses must be able to multitask and stay calm under pressure. How did your chapter decide on the goal? 5. I also reminded the surgeon and anesthesiologist that units of blood were ready for our patient. isolating oneself from social contact), and spiritual (questioning the THr="^PgsF#r/tJeD($ALF7$q#Wc1m0H 3. Coping behaviors may be positive or negative in terms of how they a/M}\eLQ}fW/i0#\0&-L3k&J" Yjb?)0lT)y,
aaQCx$Zh`4A:$/qu~!G.G(qwEek9JcXX;5J]n^vP- ~+Z[\]]o)WUcTv8c7 -4,sR!s{4cM~h@?&|Jd7MZFzd8pB%y7G%siz[OYM. After receiving report I was able to visual see Mr. Y. from the nurses station. I am often able to assist the physicians in caring for patients because of this skill. 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. The results of the new application and the regional appeal will be coordinated appropriately. My teammates became an invaluable source of support for me as I processed my patients death and proceeded to care for the next patient. 9. 2006-06-08T10:38:27Z Mrs. S. was an elderly frail woman. Visit our online job search to find a Registered Nurse job near you. ( Coping with staff shortage and high turnover. anxiety. Charge nurses can expect to earn between $50,400 and $90,523 annually, with the median salary landing at $68,863 per year. 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 problems and intervene early to prevent life-threatening Nursing staff, patients, and management are more likely to engage with and take advice from a respectful charge nurse. E'[i;T3^umhiBC CcM! I asked her if she had been drinking fluids and eating, she said she was drinking a lot and urinating normally and she just had eaten a sandwich prior to calling. I was delighted for making the right decision and happy for Mrs. C. that she got there just on time. agrees to be morally responsible for the consequences of his or her I alerted the only physician left on the station; who was eating his lunch he also happened to be a brand new MD as well as new to Kaiser. Each day, across thousands of medical-surgical inpatient nursing units, charge nurses make decisions about which nurse will care for each patient. This was a case requiring more time than most and yet proved to be one of the most rewarding. the volume of one or both of the other two components, as CSF and It was clear that a new route of infusion was inevitable and by end of July we were coordinating a PIC line placement and reaching a whole new level of care. Colleague to physicians. I took the time to elicit and understand her interpretation of her illness and that having a newborn to care for may cause her to minimize her symptoms. Some specialty units require even more time. On August 6th T. climbed out of his bed during the night and pulled out his line. Huston, 2021). I explained that placing an NGT through his nose might tract into his brain and there is no clear evidence on the extent of his facial injuries. 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