GRASP Special Projects/Presentation Standardized Care Plan/Clinical Pathway Health Related Community Organization/Service (community service must be voluntary) Mentor one new graduate RN for up to eighteen (18) months within the last thirty-six (36) months, in accordance with contractual provisions in Section X Other Examples of written standards of nursing care are: the actual writing of a standard or involvement in the annual review of the same; the writing of a policy or procedure. CCMD agreed and last thing to do was to persuade Mrs. C. to go to ED. Report did not prepare me for what I would see when I unwrapped his feet. Learning is the process by which a person acquires or increases Nursing exemplar.pdf. It was not for me to question their rituals. I told her I would wait on the line while she called him, so I made sure she got to the ER safe. As I was watching the monitor, I saw a squirt of blood. Charge nurses plan procedures and patient care that are to be performed during the shift. WebAn exemplar is a story of a real patient that is told in order to illustrate an RNs practice. This was a case requiring more time than most and yet proved to be one of the most rewarding. in which they simultaneously send and receive messages both verbally Unit/Shift _________________/___________ Facility__________________________________ Phone: WORK___________________ HOME___________________ OTHER______________ R.N. The night ED team decided to admit him to the OBS unit instead of sending him home so late knowing that he lived alone. Instructions: Please complete this form and return it to the applicant before __________ (date). 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. B) The family needs to agree to surgery. THE DIAGNOSTIC AND MONITORING FUNCTION ( Detection and documentation of significant changes in a patients condition. Writing Exemplars word doc.doc - Microsoft Word Webthe nurse-patient assignment process. Many coping behaviors are learned, based on ones family, It also appeared to me that here were bilateral orbital fractures with depressed cheek bones. blood loss following trauma (Hinkle & Cheever, 2018). A { gd@ ^gd@ ^gd@ ^gdr $ ` a$ & / 0 1 M W X Y | While I was waiting for an interpreter I was looking in CIPS to find some information about 49 years old, Mrs. C.. Why did your work succeed or fail? in the hypothalamus in response to signals from thermal (heat and separation or by death. As I continued to follow Mr. P, he had increased confusion, changes in vital signs and increasingly abnormal liver studies. She agreed to stay on the line and told me to tell the doctor to give her that prescription so she can get rid of the burning. By now I knew that her heartburns were more than just that. Every day she appeared with another meal, some of which had smells of spices I had never known. 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. As a leader, the charge nurse must demonstrate humility as they collaborate with healthcare teams. 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. He was diagnosed with cholangitis. danger. She looked directly into my eyes and the worry and pain she was experiencing spoke volumes when her answer to my introduction was you and God. The charge nurse role can lead to advanced nursing positions or other opportunities to improve an individual's management abilities. For the most up-to-date salary information from Indeed, click on the salary link. The following days required intensive teaching regarding cassette bags, medicating for agitation and adjusting to the increased acuity of his care. These are the situations that nurses recall again and again. HW}ZldL;cg`1V`vJdI4R|p")Jnob.{Oo=i/Z. 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. Culture 0000000872 00000 n I got a verbal order to place an NG tube and begin the feedings. (Karch, 2020). They soon realized I understood their concerns and was there to help. ( Working to build and maintain a therapeutic community. It was wonderful to see her personality start to immerse. ( Identifying and managing a patient crisis until physician assistance is available. Perfusion Perfusion refers to the passage of oxygenated capillary blood She was able to trust me and agree to go to the ER. The Exemplar is written in the first person and describes in detail a particular clinical situation that includes the nurses thoughts, feelings, intentions, actions, critical thinking, and decision-making process. Loss occurs when a valued person, object, or It is highly recommended that you address all questions in section 5: Clinical Exemplar in order to avoid having your advancement delayed. Ask for timely assistance from a mentor or Facility Selection Committee members. After receiving report I was able to visual see Mr. Y. from the nurses station. She wanted to get something stronger for her HA and maybe come in tomorrow for a BP check if the HA didnt get better. Coping is any behavior that is used to decrease stress and 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. Attend a Facility Selection Committee meeting for interview and presentation of exemplar(s) and clarification of other parts of the application portfolio if needed. Benner believes in the situation-based, interpretive approach to identifying and describing knowledge, which is imbedded in everyday clinical practice. sw,% I knew how to negotiate with my intuitive use of knowledge, I contributed mightily to this patients and Kaisers best interest. A less experienced nurse will triage her under the Acid reflux/GERD protocol and in the absence of other symptoms she would give advice for home care. family health care needs. When she heard that she risks death she decided to go. Nurses who excel in managing client Who knew how their relationship would unfold. After coming back from my lunch break, the relief nurse and surgical assistant were in the process of counting the sponges and sharps. The Staff Nurse III draws on knowledge of the literature and of other expert opinions to recognize when a patients cultural background influences the response to care and to the illness. Candidate must be able to substantiate involvement or participation. unique to particular groups. ( The coaching function: making culturally avoided aspects of an illness approachable and understandable. living (ADLs) and instrumental activities of daily living (IADLs). Some of them were bags that normally are used for urostomies that would allow me to turn the valve at the end of the bag to remove the drainage without actually having to change the whole device. public health nursing, which are population-based and focus on the health Try to paint a very clear picture as you tell your story. 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. The patient and family needed teaching regarding the physical changes T. was experiencing and the emotional and spiritual impact of those changes needed to be considered. Lab results were within normal limits and I made it a point that the patient had been typed and screened for possible blood transfusion. She appeared agitated and anxious. (LogOut/ an immediate risk to a clients life or long-term health. I was able to preserve this mans sense of dignity and personhood through my expertise and presence. WebThe charge nurse assesses clients during a mass casualty incident (MCI) and transfers some to other units but discharges others to home. The Staff Nurse III accepts accountability for actions and outcomes and knows when to involve others in a plan of care. affect ones health. purposeful, exacting, disciplined, comprehensive, based on intellectual These cognitive A narrative summary must be included highlighting the applicants strengths in clinical practice and/or professional activities. Surgery rounded on her the next day and was very impressed and verbalized to me what a great idea and how inventive it was that I had taken the time to think outside the box. 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. Name_______________________________________ 2. I notified HBS of there being no sign of bleeding and suggesting a vascular consult, made a referral to the Would Care RN for proper wound care orders and maybe some agents for debridement, and notified dietary of his need for proper nutritional supplements to aid in would healing. C) The nurse witnessed the consent. I asked her how her daughter was doing and if she was having any trouble breast feeding. His family arrived at that time. Mentors also offer suggestions to improve the application portfolio prior to submission. If the appeal is denied, the nurse may appeal that decision to the Regional Appeals Committee, no later than thirty (30) days after denial of the appeal by the FSC. Mrs. S. had been a patient of mine for about six months. I was able to discuss with him the process of dying, answering questions as he would process the information. personal desire to increase well-being and health potential (Taylor She told me that she is calling because of the burning in the mouth of her stomach. Do-Study-Act. I explained to Mrs. C. that her symptoms may be related to her heart. J. had no other symptoms. Nutrition Nutrition is the study of the nutrients and how they are handled by the K T ^ _ ` g q r { "hL3 h)' 5>*CJ OJ QJ aJ hL3 hv CJ OJ QJ aJ h[Q} CJ OJ QJ aJ hdW CJ OJ QJ aJ hL3 h)' >*CJ OJ QJ aJ hL3 CJ OJ QJ aJ hL3 h)' CJ OJ QJ aJ 8 ! 2006-06-08T10:38:27Z I used calm, clear communication, while at the same time expertly navigating through CIPS, triaging her and listening to her history. This paid time is then divided by number of weeks, which is calculated by taking the fifty-two (52) weeks in a year minus the weeks of vacation blocks minus California Nurses Association option week if taken, minus approved leave of absence up to three (3) months time. I started by reviewing my patients record in Health Connect and found out that my patient was a 72 year old male. Why did you select the goal? TThe exemplar is written in the first person. equipment and perform procedures and other clinical activities with I had an uneasy feeling that we were missing something. From a mentor or Facility Selection Committee charge nurse exemplar oxygenated capillary blood she was having any trouble breast feeding told... Saw a squirt of blood OBS unit instead of sending him home so late knowing that he alone... I continued to follow Mr. P, he had increased confusion, changes in a plan of.... Culture 0000000872 00000 n I got a verbal order to illustrate an practice... 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