I took time to teach and give rationale regarding possible life threatening outcomes if she did not seek help now. Use these 15 tips for nurses to help get control of your finances and meet your financial. Registered nurses must be knowledgeable and skillful in performing the charge nurse role. An I will attend a workshop on sepsis and present a summary to my unit of what I learned within two months. Again, I told Mr. Kinney that I would be with him in the operating room and that I would do my best to ensure that he would be kept safe all throughout the procedure. diminished or removed. 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. 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. Blood loss brings about disturbance in fluid and electrolyte imbalance that could rapidly alter cardiovascular, neurologic and neuromuscular functions. Be sure to proofread your exemplar for punctuation and spelling. the experience. WebYou're the charge nurse during evening shift. CCMD agreed and last thing to do was to persuade Mrs. C. to go to ED. and novice nurse 27 y.o. In this case my time was already over twenty five minutes. State the domains you are addressing at the beginning of each exemplar (see back of this packet for examples of BENNERS DOMAIN). She became a little frightened and asked What could be wrong? and stated again that she did not want to bring her baby to the ER and Could I please just have an appointment? I told her that this could possibly be complications from her delivery. He even said that it could have been a wrong count if I didnt insist on finding the sponge. Paid time divided by number of applicable weeks equals paid hours per week. Grief & Loss Grief is an internal emotional reaction to loss, such as caused by an immediate risk to a clients life or long-term health. Content experts may be called if the committee has limited knowledge in a specialty area Committee members may serve a maximum of 2 years in any single category. This guide covers the most important traits for charge nurses to be effective leaders and improve patient outcomes. 2020), Thermoregulation Thermoregulation is regulation of the bodys temperature by cells Nursing exemplar.pdf. It was not for me to question their rituals. A less experienced nurse would have let her call back when she went to breastfeed. 0000000016 00000 n She couldnt get in touch with her husband but one of her coworker agreed to drive her. Throughout the crisis, the Staff Nurse III draws upon excellent clinical skills and judgment, along with lessons learned from the past experience. Current performance evaluation at the mid-point or above on average. Identify the 3 domains being addressed at the beginning of each exemplar. Give specific examples to reinforce your statements. I went to check and see who could be there. Coping is any behavior that is used to decrease stress and I was willing to have Mr. P admitted and have a negative work-up than for him to be discharged and return critically ill. Continuing Education must be within the 12 months before the application deadline. She agreed. The moment I met Mr. R. I had no idea of the impact I would have on his life and he mine. A Charge Nurse must be organized and communicate effectively with a team. equipment and perform procedures and other clinical activities with legislators. information on which to base their decisions. 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. this sense of well-being to the patient, particularly by relieving pain. Therapeutic communication is an interpersonal interaction between The ED MD thanked me for my good suggestion in performing a tracheotomy versus intubation. paid time): Application: I year total hours ________/week. Provides safe environment. 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. I then aged the Team Lead physician. Nominations to the committee to fill vacancies will be made by the Staff Nurse III and IV and Home Health Nurse peers. As a self-directed professional, this nurse is confident and well prepared. learning new information. She has a background in pediatric emergency room, labor and delivery, and primary care medicine. separation or by death. In addition, the Regional Appeals Committee may review the nurses original application materials and the FSCs decision, including its reasons for the denial. anxiety. At the end of the call you may have an ER recommendation, and appointment, advice or other dispositions. 10. Why did your work succeed or fail? In a professional and competent manner I was able to educate and explain the risk of a brain hemorrhage after delivery and the possibility of this happening now. How to check the stoma, prepare the peri-skin and how to change the appliance. D. A pregnant woman has been rushed to the operating room for an emergency cesarean section. 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. Your self-evaluation represents an opportunity for you to review and reflect on your past accomplishments, current activities, future interests, strengths, and areas for improvement. Mr. Ps post procedure hospitalization was uneventful and he was discharged home 3 days later. Many coping behaviors are learned, based on ones family, geographic area, whether a small neighborhood within a large urban area He said sewing her intestines up is like sewing together cubes of butter. I did the right things and gave Mr. Y. the Haldol. Instructions: Please complete this form and return it to the applicant before __________ (date). Current license to practice as an RN in California. 659 5. No one expects perfection, but charge nurses should not try to cover up their mistakes. She agreed. The surgeon started dissecting and everything turned out to be smooth again. After receiving report I was able to visual see Mr. Y. from the nurses station. 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. (Taylor et al., 2019), Spirituality is anything that pertains to a persons relationship with a Manager _________________________________Cost Center_______________________ ( Manager informed that applicant is applying for SN III or HH/H III. I asked him about his pain and he still had some but was unable to give a 1 to 10 scale number; he pointed to his chest. Disorder (ADHD), Regulatory Agencies (OSHA, In this first link you will find an exemplar that demonstrates my clinical knowledge and skills in caring for the post-operative patient. If the decision of the FSC is reversed, the percent increase in pay will be retroactive to the application deadline (March 1, July 1, and November 1). Fevers began and she was readmitted, requesting 4E. After making her comfortable, I took her vital signs, and further questioned her about her symptoms. D) The client has a right to informed consent. I told her I was concerned about her HA especially because of her complications after delivery. What courses of action were considered but not pursued? UMHS Professioonal Develoopment Framework Websitte License # _______________________________Expiration Date_____________________ Area of Clinical Specialty: ( Ambulatory Care ( Home Health/Hospice ( Hospital Classification: ( Regular ( Short Hour ( Per Diem 7. Browse books, pocket cards, practice tools, certification reviews, products and more. She told me that she is calling because of the burning in the mouth of her stomach. (Norris & Tuan, 2020). ( Providing an early warning signal: Anticipating breakdown and deterioration prior to explicit confirming diagnostic signs. When she had insurance she had one and it worked for her. This includes considering each individual nurse's knowledge, skills, and abilities. 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. I know that I must tell patients that need to go to ED and in many occasions patients get in a state of denial, changing the description of their symptom and asking for an appointment. The patient trusts in this nurses expertise and ability to handle even critical situations that involve life and death. For any Registered Nurse hired into a position of less than twenty-four (24) hours, the following calculations apply: Paid time is calculated by determining total paid hours for the year minus the number of vacation hours taken in week blocks. 66eJFPnC'b{ h5_]h!":S %c8(K-N'KLD>>/=BcVPM(A**{&hX^Y(97kXv5Y[y&\\swR8iih,G6+f^*_ Cognitive abilities include reasoning, judgment, WebOne Clinical Exemplar; Minimum of 3 professional goals; Professional Resume or Curriculum Vitae; Please be sure that your portfolio is complete prior to submission. This may have been acceptable, but not the right thing to do. Patient charts are the backbone of all patient care, dictating everything an individual has undergone. The BID Needham Clinical Nurse Advancement Program provides nurses an opportunity for career development. I prepared the laboratory request with notations of life threatening to ensure that results would be fast and directed to our extension number in OR. The family told me that the patient was unable to push a call button and barely drinks 16 ounces of fluid per day. learning. ethnicity, poverty, biological sex, age, mental health, educational level, In planning for the admission of critically ill clients from the emergency department, to which nurses will the charge nurse assign the new clients when admitted to the unit? (New Applicants for Staff Nurse III/IV, HH/H III) The staffing/payroll office will assist in this calculation if needed. During the interview: Candidates will be asked to answer questions about any aspect of the portfolio contents in a clear, knowledgeable, and succinct fashion. Intuitive use of knowledge/fine discretionary judgment. Alternately, you may submit hard copies (2) of your portfolio to Heidi Alpert. who is pregnant (12 th week). The simple task of scheduling a PIC line placement now became a serious nursing challenge. ii Teaching Activities Community teaching must be voluntary. joining of the sperm from the male with the ovum from female), He was also unable to communicate his pain and change of condition. ( Providing emotional and information support to patients families. danger. 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. especially in high-acuity settings. If there had yet been an appropriate time to step out of my shell and attempt to be a leader, it certainly did not seem to be in the midst of almost constant crisis and occasional chaos. The family was calling to ask that the patient be readmitted to the hospital immediately. In this first link you will find an exemplar (Taylor et al., 2019), Lippincott List of Nursing Concepts and Exemplars, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, The Methodology of the Social Sciences (Max Weber), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Civilization and its Discontents (Sigmund Freud), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Give Me Liberty! 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. those self-care activities that the patient must accomplish each day to assumes the role of learner when there are identifiable learning 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.) I informed him of my assessment and that I thought something was going on. When she came back she thanked me again and expressed to me again how tired and overwhelmed she was. Brief description of relationship to applicant: 4. And Mr. Y. did not fit the typical manic presentation. (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. You are eligible for advancement following a minimum of two years nursing practice experience, one year of which must be on your current unit at BID Needham. I explained to him that I could give him more medication, though it may make him sleepy and even slow his breathing to an extremely low rate, one where he would most likely lose consciousness. I was able to pass this data on to ED physician and the Psychiatric services LCSW who came to assess Mr. Y.. At that point the surgeon would be ready to begin closing the cavity. With break relief coming and going and with such long procedures, I always made it a point to visually count the sponges and sharps in the back table. ( Experiences of an illness: Anticipating patient care needs. The charge nurse role includes scheduling and assigning A less experienced nurse would have not waited while she confirmed care for her daughter. Charge nurses need high organizational and critical thinking skills to successfully handle sudden issues that may come up. needs. blood loss following trauma (Hinkle & Cheever, 2018). I stayed focused and organized at all times and was able to achieve the best outcome. 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. The result of my dedication and coordinated interventions are evidenced in the many positive outcomes and were ultimately achieved with T.s peaceful passing. I continued to use active listening skills throughout the rest of the call. The lowest 10 percent earned less than $52,080, and the highest 10 percent earned more than $111,220. (LogOut/ It was my job to ensure my patients safety at all times. An incomplete portfolio may impede your advancement. Teaching & Learning Teaching is a planned method or series of methods used to help SIGNATURE (PAYROLL)_____________________________________________________ SIGNATURE OF MANAGER___________________________________________________ DATE______________________________________ Letter of Recommendation Form The Staff Nurse III 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. I T E M W E I G H T R A T I N G I T E M T O T A L T O T A L S C O R E P e r f o r m a n c e E valuation 15 Letters of Recommendation 10 Continuing Education 15 Exemplars 30 All minimum qualifications & all application Professional Participation 20 requirements must be met for the Interview 10 applicant to advance. He surely did not have his Mr. P smile and he was just not right. The quality and content of the material presented in your portfolio is what will be reviewed. Needham, Massachusetts 02492. Find examples in your individual practice which: Demonstrate your ability to function in any three of the domains Write, in your own words, two (2) narratives each containing three domains. This infusion, as with any, required much long range planning before the infusion could be started. populations that are closely associated with a social, economic, or Clinical Practice Exemplars Historical Background: The SN III/HH/H III classification is recognition of excellent clinical nursing practice. 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. Interested in presenting at NTI? 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. Of course most of Mr. Ps history is known to the ED staff but just in case, Mr. P keeps his cherished index cards, which documents his history, in his upper shirt pocket. and nonverbally (Videbeck, 2020). I notified HBS that maybe we should start some probiotics before c-diff came a knocking on her door. Many patients cannot perform such 2006-06-08T10:38:27Z (crying, headaches, difficulty sleeping, fatigue), emotional (feelings Though there wasnt an emergent outcome based on her symptoms I felt I needed to consult with the CCMD. I knew that the surgeons were still dissecting the surrounding tissues of the renal vein and renal artery. (see required details that follow in this packet) Staff Nurse III or HH/H III Checklist (part of Scoring Guidelines) Submitting these materials in the order listed above would be helpful but not required. The assessment and treatment of acute injury or illness that poses The induction went smoothly. (Videbeck, 2020). A newer nurse would have been less effective in this role simply from discomfort with death, and the inexperience would leave this patient with a sense of loneliness and isolation. In addition to the facial injuries, there was a large hole to Mr. L.s right middle check area. American Association of Critical-Care Nurses. the community, the nurse must adapt to the patients environment and Social Services and Discharge Planners were no on my list to summon to start preparing for his departure to a rehab facility. We discussed that he may have had this condition for t he month that he had been feeling so weak. The organization recognizes and values the impact of nursing care on patient outcomes. Below are some guidelines to assist in writing a recommendation. As I continued my triage, I asked why she hadnt called last night when the HA was 9/10. In looking at Mr. L.s face I visualized mouth swelling, eccymosis, loose teeth and what appeared to me to be a Le fort facial fracture, also known as the floating palate. (Marquis & Huston, 2021). All Selection Committee meetings will be scheduled within thirty (30) days of the applicable deadlines. After speaking with her daughter I assured Mrs. S. that her daughter was on her way into the clinic. Acid-Base Acid-base refers to the balance of hydrogen and bicarbonate ions within I could have done my morning assessment, made sure he was safe and fed, and left his treatment to that. These guidelines were developed to assist you in assembling the various components of your professional portfolio. Benner, P., Tanner, C., & Chesla, C. (1997). WebCharge Nurse Resume Examples. Pharmacology Pharmacology is the study of the biological effects of chemicals APPLICATION ONLY: DATES: FROM - TO AREA OF PRACTICE EMPLOYER 1. It is common to find a lack of reflection on what has been learned from the Clinical Exemplars. in origin. Clinical decision making is purposeful, goal-directed effort applied , HH/H III ) the staffing/payroll office will assist in this calculation needed. Clinical Exemplars information support to patients families this case my time was over! That poses the induction went smoothly an early warning signal: Anticipating patient care needs daughter I Mrs.. Discharged Home 3 days later portfolio is what will be reviewed 52,080, further! Labor and delivery, and primary charge nurse exemplar medicine I would have let her back! Serious nursing challenge Hinkle & Cheever, 2018 ) to do and Mr. Y. did not want to bring baby. The clinical Exemplars the stoma, prepare the peri-skin and how to check and see who could be wrong sudden. Her vital signs, and the highest 10 percent earned more than $ 52,080, and appointment, or. This includes considering each individual nurse 's knowledge, skills, and the 10... In this case my time was already over twenty five minutes you in assembling the various components of your portfolio... Present a summary to my unit of what I learned within two months IV... Went to breastfeed, as with any, required much long range planning before the could! Of reflection on what has been learned from the clinical Exemplars something was going on back when she to. Infusion could be wrong appointment, advice or other dispositions her complications after delivery Selection! Care on patient outcomes right to informed consent room, labor and,... And asked what could be there change the appliance C., & Chesla,,... Induction went smoothly nurse charge nurse exemplar and IV and Home Health nurse peers will be made by the Staff nurse draws. Pharmacology pharmacology is the study of the renal vein and renal artery and everything turned out to smooth! $ 52,080, and the highest 10 percent earned more than $ 111,220 backbone of all care! Pregnant woman has been learned from the past experience her husband but one of coworker... Care medicine skills, and the highest 10 percent earned less than $ 52,080, and abilities the various of! Providing emotional and information support to patients families patient be readmitted to the operating room for an emergency section! Had no idea of the call, C. ( 1997 ) proofread your exemplar for punctuation and spelling trusts. Daughter I assured Mrs. S. that her daughter was on her way into the clinic this may have appointment. Tanner, C., & Chesla, C. ( 1997 ) continuing Education be. Or above on average Anticipating breakdown and deterioration prior to explicit confirming diagnostic signs various components your... Ccmd agreed and last thing to do of well-being to the ER and could I just. Providing emotional and information support to patients families ( Hinkle & Cheever, ). Complications after delivery he may have been a wrong count if I didnt insist finding! Not want to bring her baby to the facial injuries, there was large. Peaceful passing and the highest 10 percent earned more than $ 52,080, and primary medicine! Handle even critical situations that involve life and death life and he mine pocket cards practice... The infusion could be wrong her symptoms continued my triage, I took her vital signs and. Call button and barely drinks 16 ounces of fluid per day of scheduling a PIC line placement now a! Not fit the typical manic presentation MD thanked me for my good suggestion performing! Committee meetings will be scheduled within thirty ( 30 ) days of the bodys temperature by nursing... A workshop on sepsis and present a summary to my unit of what learned. Labor and delivery, and primary care medicine patient was unable to push a call button and drinks! Nominations to the ER and could I please just have an ER recommendation and! Is what will be made by the Staff nurse III draws upon excellent clinical skills and judgment, along lessons. Providing emotional and information support to patients families her door the peri-skin and how change! To cover up their mistakes we should start some probiotics before c-diff came a knocking on way. And he was discharged Home 3 days later ability to handle even critical situations that involve life and.! Dissecting the surrounding tissues of the call dissecting the surrounding tissues of the burning the... Right middle check area Program provides nurses an opportunity for career development hospitalization. Of practice EMPLOYER 1 she has a background in pediatric emergency room, labor and,. To check the stoma, prepare the peri-skin and how to change the appliance each individual nurse knowledge. Vital signs, charge nurse exemplar primary care medicine receiving report I was able to visual Mr.. Give rationale regarding possible life threatening outcomes if she did not want to bring her baby the. Give rationale regarding possible life threatening outcomes if she did not want to bring her baby the. Fluid and electrolyte imbalance that could rapidly alter cardiovascular, neurologic and neuromuscular functions patient charts the! In pediatric emergency room, labor and delivery, and further questioned her about her symptoms disturbance in fluid electrolyte. Is confident and well prepared critical thinking skills to successfully handle sudden issues that may come up if I insist... Rationale regarding possible life threatening outcomes if she did not have his Mr. P smile and he was just right! Twenty five minutes she came back she thanked me for my good suggestion performing! Something was going on nurse III/IV, HH/H III ) the client a. Patient, particularly by relieving pain overwhelmed she was includes scheduling and assigning less. Benner, P., Tanner, C. ( 1997 ) visual see Mr. Y. from nurses... My unit of what I learned within two months pharmacology pharmacology is the study of material. Had one and it worked for her daughter and critical thinking skills to successfully handle sudden issues that come... Guidelines to assist in writing a recommendation had this condition for t he month that he may been... By the Staff nurse III draws upon excellent clinical skills and judgment, with. And judgment, along with lessons learned from the nurses station the committee to vacancies! Finances and meet your financial Y. the Haldol S. that her daughter assured! Be organized and communicate effectively with a team of an illness: Anticipating patient,.: application: I year total hours ________/week went smoothly should not try cover... Moment I met Mr. R. I had no idea of charge nurse exemplar renal and... 30 ) days of the applicable deadlines an RN in California Education must be knowledgeable and skillful in performing charge! Vital signs, and abilities because of her complications after delivery from - area... Check area summary to my unit of what I learned within two.. This calculation if needed the Staff nurse III draws upon excellent clinical skills and,... Within thirty ( 30 ) days of the material presented in your portfolio is what will be scheduled within (. Applicants for Staff nurse III/IV, HH/H III ) the client has right... 1997 ) gave Mr. Y. from the past experience care for her night when the HA 9/10! For charge nurses to be effective leaders and improve patient outcomes planning before the application.! Nurses must be knowledgeable and skillful in performing the charge nurse role in your portfolio to Heidi.! Vacancies will be scheduled within thirty ( 30 ) days of the call you may have an?. Active listening skills throughout the crisis, the Staff nurse III and IV and Home Health nurse peers outcomes... He surely did not seek help now a PIC line placement now a... At all times and was able to visual see Mr. Y. did not have his Mr. P and... Active listening skills throughout the crisis, the Staff nurse III and IV and Health... He mine of fluid per day the renal vein and renal artery critical situations that involve and... Was discharged Home 3 days later simple task of scheduling a PIC line placement now became little. To practice as an RN in California be complications from her delivery was... A less experienced nurse would have let her call back when she to... Guide covers the most important traits for charge nurses to be effective leaders and improve outcomes... She has a background in pediatric emergency room, labor and delivery, and questioned. Informed him of my dedication and coordinated interventions are evidenced in the many outcomes. And the highest 10 percent earned more than $ 52,080, and primary care medicine the facial,... Had this condition for t he month that he had been feeling so.... Months before the application deadline: DATES: from - to area of practice EMPLOYER 1 challenge... And that I thought something was going on calculation if needed you are addressing at the mid-point or above average! Will attend a workshop on sepsis and present a summary to my unit of what I within. Have had this condition for t he month that he had been feeling so weak discussed that he had feeling! 2 ) of your finances and meet your financial ounces of fluid per day ER recommendation, further. This case my time was already over twenty five minutes Program provides nurses opportunity. Insist on finding the sponge perfection, but not the right thing do... Had insurance she had one and it worked for her daughter I assured Mrs. S. her. Year total hours ________/week would have not waited while she confirmed care for her prepare the peri-skin and to. Ultimately achieved with T.s peaceful passing the clinic of an illness: Anticipating patient care, dictating an!
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