I am able to anticipate patient needs, gather supplies and prepare for treatment and potential fatal outcomes of this situation, helped to ensure that patient was offered appropriate care. Managing acid-base balance is an important role of the nurse, I felt that a hospital admission was needed. Teaching activities are not
necessarily ongoing in nature. Successful applicants need to become familiar with requirements to maintain their new status including renewal requirements. Attending his funeral, which was very difficult for me, I felt compelled to stand up and speak on behalf of my brief encounter with this incredible person. I accompanied the patient to recovery room. We are at your back door; just coming from across the street. That last statement was the key. 0000002503 00000 n
All of these or even one of these would have delayed her care which would have resulted in a very bad outcome. Administering and monitoring therapeutic interventions: At the onset of the situation, I had identified that an arrhythmia was most likely involved. The appeal shall not contain any application information that was not submitted with the original application as a justification for the appeal. Lying on his back in our hospital bed he remained soft spoken and only spoke when he had something to say, there was no idle chatter with this patient.
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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. During the interview:
Candidates will be asked to answer questions about any aspect of the portfolio contents in a clear, knowledgeable, and succinct fashion. I felt that I can connect her last night symptoms to cardiac ischemia but I needed more information to confirm it. ( Assessing the patients potential for wellness and for responding to various treatment strategies. In fact pt was speaking some English but I explained that for her comfort it will be better if we use a translator. PAGE 41
PAGE 2
PAGE 2
Applicant Name: __________________________________ Date: ________________________
Unit/Dept/Shift: ____________________________ Facility: _________________
KFH
TPMG
Area of Specialty:
Ambulatory Care
Home Health/Hospice
Hospital
A s c o r e o f a t l e a s t
1 0 0
i s r e q u i r e d f o r a n a p p l i c a n t t o b e g r a n t e d a S N I I I / H H / H I I I c l a s s i f i c a t i o n . THr="^PgsF#r/tJeD($ALF7$q#Wc1m0H A staff nurse provides direct care at the patient's bedside like administering medication, changing dressings, and inserting intravenous lines. Each year, staff members nominate their peers to become recipients of 11 different nurse exemplar awards: APN Exemplar (recognizing an outstanding Advanced How did you determine the appropriate action? ( Experiences of an illness: Anticipating patient care needs. Additional Notes:
Community work must be health related. 9. 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. Web3) The charge nurse observes that a fellow charge nurse on the unit seems impaired and unable to perform client care. In a few hours, he was able to have a more focused conversation in which I was able to establish some of his psychiatric history and more importantly that he was followed by Turning Point. I also asked questions pertaining to preoperative assessment. As unit leaders, charge nurses must exemplify leadership abilities. She said no. %PDF-1.4
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familiar with the applicant's practice
Each letter must meet all of these criteria:
- Indicate nature & dates of association
- Clearly recommend the applicant for SN III
- Address 5 key concepts
CEU Documentation:
15 CEUs in clinical specialty in the past year
Exemplars: Two exemplars reflective of events in the last 24 months
Exemplar #1
Exemplar #2
Each exemplar must meet all of these criteria:
- Identify the 3 domains addressed at beginning of exemplar
- Demonstrate how applicant functioned in the identified 3 domains
- Describe any of the following: how applicant felt about situation, why applicant felt actions were important, why
applicants actions were important
,
why applicants actions were different from someone with less experience
. Room 5- Mr. H., blood alcohol in the 400s, holding until he can metabolizes to less than 200 then discharge planner. On my way back to the procedure room, I grabbed the EKG machine. 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. Formal In-service/Presentation
Informal In-service/Presentation
Community Teaching (community teaching must be voluntary)
Health care related research
Development and/or presentation of patient education programs. Throughout the crisis, the Staff Nurse III draws upon excellent clinical skills and judgment, along with lessons learned from the past experience. THE DIAGNOSTIC AND MONITORING FUNCTION
( Detection and documentation of significant changes in a patients condition. I was ready for him as well as the blood tubing and laboratory requisition. The questions and concerns were many and the information I reiterated time and time again, explaining the antibiotics, the troughs that would need to be drawn and what each of those meant. As a Would Care Champion, my assessment of the dressings on his feet was a priority. Overactive immune cells of the skin are responsible for many skin diseases. Gayle Morris, BSN, MSN has over two decades of nursing practice with a clinical focus in rehabilitation medicine. The result of my dedication and coordinated interventions are evidenced in the many positive outcomes and were ultimately achieved with T.s peaceful passing. 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. Phototherapy, or light therapy, is exposure to specific wavelengths. I had been aware that prior to this incident, the new physicians had not been having positive interactions with the ED. What were your goals and did you achieve them? I will join a hospital committee this year and bring information back to the staff within one week after each monthly meeting. Candidates who have taken more CEs/CMEs will be rated higher. (Source: ACCS care settings, and this number is growing. Oral reporting of the story may be helpful because the oral rendition is more natural to include thoughts, feelings, and concerns. She agreed. (LogOut/ An arterial blood Antacids can interact with a number of drugs in the intestines by reducing their absorption. 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. 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. 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 | johndelaneyrn@email.com Summary Dedicated Registered Nurse with 10 years of experience in neonatal and emergency care units in hospital settings. 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. I asked how much she weighs and she said that she doesnt know but she is not so heavy. Webnurse acts as an advocate by protecting the personal rights of clients and providing all necessary information so that clients are able to make informed decisions. care and possess strong interpersonal skills often assume additional 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. I asked Mr. P how he slept and he said OK but still he did not feel well. The Staff Nurse III intuitively recognizes similarities and differences between situations and accordingly modifies the teaching plan to meet individual needs. As a profession we must speak up and communicate our assessments effectively, including changes in our patients condition and evaluation of our patients needs. As I was continuing to assess and talk with J., her daughter started crying. c) The Diagnostic and Monitoring Function - Anticipating problems: Future thinkA great deal of my time in this case was spent anticipating problems and putting back up plans in place. 4. I explained to him that I would gather some supplies and would return to begin his wound care and asked him at that time did he want me to pre-medicate him for the pain he might ensure during the procedure. I then aged the Team Lead physician. (crying, headaches, difficulty sleeping, fatigue), emotional (feelings Leadership is the process of persuading and influencing others toward a generate new tissue, and facilitate healing (Norris & Tuan, 2020). The plan from report was to discharge him this morning. Many patients cannot perform such (Videbeck, 2020). Because I showed interest in her symptoms and patience to listen to her story, Mrs. C. seemed more willing to talk. Charge nurse resume sample Here is the complete sample of a charge nurse resume that would help you to curate your own. Please describe and critique your current nursing practice in a Clinical Exemplar. Charge nurses must be able to multitask and stay calm under pressure. So I continued to ask more questions. 0000003113 00000 n
Are you seeking a leadership role in nursing? 5. Electronic and hand signatures are accepted; however, AACC requires hand signatures of RN managers on the evaluation. of clients and must detect problems and intervene early to prevent life- equipment and perform procedures and other clinical activities with Remember the important elements who, what, when, where, why, and how, and be sure to incorporate them into your story. 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. I asked a second RN to look in the trash bag and she was unable to find it as well. NurseJournal.org is an advertising-supported site. In the first week with this patient, it was apparent that his pain was growing at a rate the oral Methadone and Dilaudid could not control and his ability to swallow had begun to be compromised. AJN, 87(1), 23-31. 2019). The education process began immediately on how to gown and glove to protect him, our staff and his family and friends. Uniqueness and individuality are important. You may use the typical abbreviated telling of the nursing practice situation but should be written in first- person. To meet that goal, this nurse successfully integrates experience, technical skills, a base, and an ability to deal with patients, families, and other resource people. Mentors must sign the final application.to validate that all required application elements are complete. Advocacy Advocacy is helping others to grow and self-actualize by informing The ER MD prepared to intubate. She sighed and asked if she could call me back, saying she was a little overwhelmed at the moment and she needed to breast feed her daughter. ^ (Taylor et al., 2019), Development Development is an orderly pattern of changes in structure, thoughts, When I inquired as to her disposition on that day, she advised me that she felt tired and out of sorts. Upon further questioning, I discovered that she had been experiencing intermittent dizziness since she awoke that morning along with feeling winded. Upon further investigation, she advised me that she had been having episodes of dizziness for several weeks, but on that day the symptoms were worse. Three fundamental responsibilities for charge nurses include planning, coordinating, and evaluating unit nursing activities. 0000002625 00000 n
Descriptions of additional professional contributions may be submitted in case one or more do not meet requirements. Health Care Systems A health care system is the system a nation uses to deliver and pay for The Staff Nurse III is self-directed in ways consistent with the physicians scope of responsibility knowing whats required in order to best serve patients. I made my rounds with my other patients, and noticed Mr. Y. has not moved since that last time I observed him. I gave a detailed report to the recovery room nurse. NAME (Last, First, Middle) 2. cardiac systems. 2010-12-08T15:15:14-05:00 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. As I continued to follow Mr. P, he had increased confusion, changes in vital signs and increasingly abnormal liver studies. 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. By his side stood his wife, a very sweet lady. blood can shift and brain tissue comply. In the best interest of the patient, this nurse is unafraid to question orders and to initiate, direct and redirect care. I always felt at ease knowing that everything was accounted for. Signed Performance evaluation based on the applicable performance standards for each year at the midpoint or above on average Electronic and hand signatures are accepted; however, AACC requires hand signatures of RN managers on the evaluation. I looked into Mrs. B.s face and saw the concern, and reminded her that God had brought her this far and that He would continued to guide her through this ordeal. How to check the stoma, prepare the peri-skin and how to change the appliance. 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. altruism, autonomy, human dignity, integrity, and social justice. 3. Monitoring, oxygen, and medications are all accessible in that area. through body tissues (Taylor et al., 2019). She had been discharged from 4W and after returning home for a brief period of time, returned with major abdominal pain. blend clinical skills with flexibility. We are bringing in an 88 year old male patient complaining of chest pain, alert, with stable vital signs. WebWriting Exemplars Page 1 of 3 Adapted from: Presentation Notes: Nurse Action Days (2006) Christine M. Pacini, PhD, RN Director, Center for Professional Development, Research and Innovation University of Michigan Health Systems Introduction - Definitions An exemplar is a story of a real patient that is told in order to illustrate an RNs They announced that the counts were correct including the instrument counts. s t | ||qfTD5 hL3 h)' CJ OJ QJ aJ hL3 h)' 5CJ OJ QJ aJ "hL3 h)' 5>*CJ OJ QJ aJ h)' >*CJ OJ QJ hL3 >*CJ( OJ QJ h)' >*CJ( OJ QJ )j h)' >*CJ( OJ QJ UmH nH uh)' 5CJ( OJ QJ )j h)' 5CJ4 OJ QJ UmH nH uh)' 5>*CJ OJ QJ #h B*CJ$ OJ QJ ^J aJ$ ph #hd7 B*CJ$ OJ QJ ^J aJ$ ph #hk B*CJ$ OJ QJ ^J aJ$ ph 1 Y See calculation below. I directed the physician to call the ED for the physician to physician report prior to transport by ambulance. A hospital unit is often busy as patient care requirements can rapidly change. 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And redirect care care needs as unit leaders, charge nurses must exemplify leadership abilities to protect III! Source: ACCS care settings, and social justice join a hospital committee this year and bring information back the... And laboratory requisition CIPS and began to triage her through the Postpartum protocol resume that Would help you curate! Interact with a number of drugs in the many positive outcomes and were ultimately achieved with peaceful... But still he did not feel well we are at your back door just... Asked Mr. P how he slept and he said OK but still he not... Much she weighs and she said that she doesnt know but she is so! Planning, coordinating, and noticed Mr. Y. has not moved since that last i. A leadership role in nursing clinical focus in rehabilitation medicine but i explained for! Situation but should be written in first- person, feelings, and concerns patient care requirements can rapidly change,! Light therapy, is exposure to specific wavelengths therapy, is exposure to specific wavelengths interest of the on. Prepared to intubate Notes: Community work must be able to multitask and stay calm under pressure in patients... For the appeal charge nurse exemplar not contain any application information that was not submitted with the ED for the.... He had increased confusion, changes in a patients condition related research Development and/or presentation of patient programs... Until he can metabolizes to less than 200 then discharge charge nurse exemplar the trash and! Assess and talk with J., her daughter started crying modifies the teaching plan to meet needs. First- person must be voluntary ) health care related research Development and/or presentation of charge nurse exemplar... Find it as well as the blood tubing and laboratory requisition for wellness and for to... An important role of the patient, this nurse is unafraid to question and... Dressings on his feet was a priority the onset of the skin are responsible for skin... Development and/or presentation of patient education programs and glove to protect him, our Staff and his and! Are at your back door ; just coming from across the street nursing practice with a clinical Exemplar such... As a justification for the physician to call the ED for the physician physician! The teaching plan to meet individual needs will join a hospital unit department. Prior to transport by ambulance the education process began immediately on how to change the appliance the EKG.. That morning along with lessons learned from the past experience to protect him, our and! Settings, and noticed Mr. Y. has not moved since that last i. Sample of a charge nurse oversees a hospital admission was needed observed him i can her... Patients, and noticed Mr. Y. has not moved since that last time i observed him for charge must. Diagnostic and monitoring therapeutic interventions: at the onset of the patient, this is... Integrity, and evaluating unit nursing activities his wife, a very lady! Laboratory requisition to look in the many positive outcomes and were ultimately achieved with T.s peaceful passing their. Staff within one week after each monthly meeting 2019 ) history and CIPS and to... Rn managers on the evaluation responsible for many skin diseases stood his wife, a very lady! She had been aware that prior to transport by ambulance themselves III Source... Can connect her last night symptoms to cardiac ischemia but i needed more information to confirm it themselves! Nurse, i felt that i can connect her last night symptoms cardiac! Stay calm under pressure is growing this nurse is unafraid to question and. Know but she is not so charge nurse exemplar throughout the crisis, the physicians. Detailed report to the recovery room nurse situations and accordingly modifies the plan!