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. As a self-directed professional, this nurse is confident and well prepared. 0000000016 00000 n
Work in the area of clinical specialty with the Employer for the last two years. ( Coping with staff shortage and high turnover. The Staff Nurse III accepts accountability for actions and outcomes and knows when to involve others in a plan of care. Choose a mentor from the local FSC mentor list. Normal expressions of grief may be physical NOTE: The Letter of Recommendation Form is provided in this packet to assist the writer of the recommendation to cover all requirements. The results of the new application and the regional appeal will be coordinated appropriately. development of the fetus within the uterus, and birth. },e.eI8i6n=_Xz^|M/^,/XN0'a}}c~ WebThe exemplar is written in the first person. I assisted her and taught her that following the ET tube, she could place the NGT without any further injury. changes in its internal or external environment that disrupt its During this time I gained experience from people suffering at different severities of their mental illness. PERIOD COVERED BY REPORT DUE COMPLETED 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. Teaching & Learning Teaching is a planned method or series of methods used to help 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 I found this plan of action totally unacceptable. also advocates for others unable to make decisions for themselves, as The ED MD thanked me for my good suggestion in performing a tracheotomy versus intubation. Community-based care is health care provided to people living in a defined g ORGANIZATION AND WORK-ROLE COMPETENCIES
( Coordinating, ordering and meeting multiple patients needs and requests: Setting priorities. The patient was awake, alert, oriented with warm and dry skin. 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. It includes formal education and professional work experience beginning with your most recent experience in each area. If the nurse goes on non-paid status (no sick leave) the leave of absence cannot exceed three (3) months. I introduced myself and asked a few simple questions to help establish his state of mind before I started my full psychiatric questions. The charge nurse role requires diligence, patience, and skill. If a charge nurse relies solely on their clinical skills, it could result in chaos and poor patient outcomes. Browse books, pocket cards, practice tools, certification reviews, products and more. Some salaries range from $16.33 to $36.11 per hour. 0000002503 00000 n
Exemplary caregiver to patients. 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. information. variety of roles. We discussed that he may have had this condition for t he month that he had been feeling so weak. I took the time to really listen to her history and her feelings. I felt that a hospital admission was needed. I rechecked his vital signs and all appeared to be stable. health care for its inhabitants (Taylor et al., 2019). Skilled use of therapeutic communication techniques helps the nurse I then aged the Team Lead physician. Home Health/Hospice III only
A current license to practice as a Registered Nurse in California. B) The family needs to agree to surgery. Thanks to everyone who submitted an Exemplar this year! TThe exemplar is written in the first person. to secure the interests and welfare of those entrusted to the nurses She agreed, but she needed to call her husband to come home and watch the baby while her sister in law took her. Spiritual health or well-being abilities are essential for many important tasks, including making Not sure where he has been receiving his medical or psychiatric care. I asked her I she wanted to say a prayer out loud and she at once started to verbalize her convictions to God. Responsibility of Applicants
Provide the best possible documentation of his/her clinical practice, leadership, and professionalism to the Facility Selection Committee ahead of or before the deadline (March 1, July 1, or November 1). goal through mostly noncoercive means; typically composed of a wide 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. In addition, the Regional Appeals Committee may review the nurses original application materials and the FSCs decision, including its reasons for the denial. Before, working in the ED, I worked in locked psychiatric facilitates for several years. For a nurse on disability (UCD) or Workers Compensation integration of the number of weeks will be subtracted from the number of total weeks. I went on to say that I had taken care of Mr. P so many times and I knew him well and he was not himself.
F j k l s nnY )hm h'k B*CJ$ OJ QJ ^J aJ$ ph %hm h)' B*CJ OJ QJ ^J ph &h= h)' 56CJ OJ QJ ^J aJ #h= h)' 5CJ OJ QJ ^J aJ hm h)' 5OJ QJ ^J h)' j h)' Uj h)' 5CJ U h)' 5OJ QJ (j hfQ 5>*OJ QJ UmH nH u h)' CJ( OJ QJ h)' 5>*OJ QJ in performing and directing client care, and then begin to visualize And Mr. Y. did not fit the typical manic presentation. 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. should result in a positive or rewarding
Experience for the patient. In many units, the charge nurse monitors patient care, administers resources, schedules nursing staff, and assigns patients. Individuals can find a mentor where they work or by networking with more experienced charge nurses. You can take as much space as you feel is necessary to tell your story. Understand When and How to Delegate Tasks. However, charge nurses must show the willingness to learn and seek out those who can teach them. I started my day by first assessing my other patient, and then headed down to Mr. Ps room. While waiting for the Surgery to round, I proceeded to design different ostomy bags to cover and protect the surrounding tissues and catch the toxic draining before it interfered with her skin integrity As a Would Care Champion, I used my training and expertise to design and implement would drainage collection devices. 0000001561 00000 n
Applications are accepted and reviewed monthly on a rolling basis. As I was continuing to assess and talk with J., her daughter started crying. After making her comfortable, I took her vital signs, and further questioned her about her symptoms. Applicants will be notified of the date of the Facility Selection Committee meeting within fourteen (14) days of the applicable application deadline. Verification of Hours Paid Form
(if applicable)
Performance Evaluation
within the last 12 months at midpoint or above on average. ( Providing emotional and information support to patients families. R.N. It also became evident that the psychological impacts of these changes were adding to his feeling of anxiety, thus increasing his shortness of breath. My knowledge and expertise in the area of IVs and family dynamics, paved the way for a trusting relationship in the difficult situations encountered in the course of T.s care. *
The work of Patricia Benner, RN, Ph.D., was used as a foundation for the development of the SN III/HH/H III classification. The patient had been attacked with a hammer and shot in the face. Nurses can 0000002892 00000 n
(Taylor, et al., 2019), Culture Culture is a shared system of beliefs, values, and behavioral management, finances, and transportation. 12 0 obj <>
endobj
WebStart with a charge nurse position. I explained to Mrs. C. that her symptoms may be related to her heart. Leadership Activities
Hold a Charge Nurse, Chief Nurse Rep, Nurse Rep or other CNA leadership position
Receive Relief in Higher Classification for Charge Nurse or Supervisor
Committee or Task Force, e.g. A less experienced nurse would have not waited while she confirmed care for her daughter. Pressing real close to his face and whispering his name, he opened his eyes slowly, as I had seen him do so many times before. 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. (Hinkle & Cheever, 2018). Now Mr. Y., did not receive the Magic Bullet pills or treatment, but was clearer with his speech and thinking. POSITION TITLE 7. Charge Nurse Salary & Employment Charge nurses can expect to earn between $50,400 and $90,523 annually, with the median salary landing at $68,863 per year. This was one such patient. knowledge or changes behavior in a measurable way as a result of NAME (Last, First, Middle) 2. Be sure to proofread your exemplar for punctuation and spelling. I became the point of care for this mans treatments. of sadness and yearning), social (feeling detached from others and All pages of the performance evaluation must be submitted
Three letters of recommendation dated within the last twelve (12) months of application. I asked the clerk what was going on after hearing a cry for help. All applicants that meet minimum qualifications are interviewed
unless the applicant withdraws their application
Interview Date _____________
Application Form:
All sections of application form are filled out completely and accurately. 7. He/she should use specific examples whenever possible to describe your relationships with patients and peers, your communication skills, and evidence of your clinical leadership. In an effort to calm her fears, I introduced Mrs. S. to the RN who would be taking over her care and also to the on-call physician. A self-evaluation is a tool used to reflect on your current professional practice and progression to date. All pages of the performance evaluation must be submitted
Fifteen (15) CEUs in her/his area of clinical specialty in the past year. In turn, this physician was reluctant to countermand what he was being advised by the ED staff. I asked my patient about any concerns that he might want to clarify with me. (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. Everyone gathers in the break room for shift brief. The nurse informed me the IV push was every thirty minutes and did not feel comfortable requesting more. Type the exemplars in a clear, professional, understandable style. That diagnosis did not prepare me for what would soon follow. Organization and Work-Role Competencies
I built a therapeutic relationship with the facility charge nurse and advocated for the family. Three fundamental responsibilities for charge nurses include planning, coordinating, and evaluating unit nursing activities. 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. The boundaries for After I triaged through all the emergent, transfer and appoint today boxed, I felt it was time to negotiate and find a safe outcome that would balance the members operational needs. 2019). Every day she appeared with another meal, some of which had smells of spices I had never known. Manager _________________________________Cost Center_______________________
( Manager informed that applicant is applying for SN III or HH/H III. Letters that support community service and volunteering require dates and detail of service. Individuals in the charge nurse role must recognize and complete essential tasks first. Average number of hours worked per week during last 12 months (must average 24 hours/wk. I was one of his primary nurses this admission, partly because of the complexity of the care required with the chemotherapy administration, and partly because I had earned this patients trust on a prior admission. I stayed just long enough to get him tucked in and off I went as I was done for the day. My experience with Mr. P reinforced my core belief that I always need to be my patients advocate. The result of my dedication and coordinated interventions are evidenced in the many positive outcomes and were ultimately achieved with T.s peaceful passing. Achievement standard 91329 study exemplar Pages: 8 (2316 words) Holes - Analytical Essay Exemplar Pages: 3 (882 words) BSN nursing VS RN nursing Pages: 3 (898 words) Nursing Knowledge through the Nursing Process Pages: 4 (961 words) Describe the definition of nursing as put forward by the American Nurses Association. The annual ceremony is held during Nurses Week each year and was established in 2007 by Chesapeake Regional Medical Centers Professional Nursing Council to recognize I know we both had the same thought: How many times has he been here for this chest pain? And lo and behold there was Mr. P on the stretcher. I knew this patient and his family would take a great deal of my time, so I enlisted my coworkers to assist with my other patients needs in case I was unavailable. Technical skills are the manual skills needed in nursing to handle It became an easy transition from laparoscopic to open case because I had already directed my surgical technician to prepare the back table for the trays necessary. Oral reporting of the story may be helpful because the oral rendition is more natural to include thoughts, feelings, and concerns. the range 7 to 7. He also has a history of coronary artery disease and hypertension which has been worked up in the past and has been managed with medications. Knowledge of the patients past medical history is important, but it is equally important to maintain your objectivity and to make no assumptions. 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. WebVA Department of Veterans Affairs PROFICIENCY REPORT SECTION A - INDIVIDUAL REPORTED ON 1. sw,% I am aware that when a family member is dying there are complex family dynamics that require staff to pay close attention. When did you decide it was a worthwhile goal, and why? 0000000872 00000 n
Adequate perfusion Iv|7:On-uBV?N[!NC Relationship to Applicant: ( RN Peer ( Supervisor/Manager Dates: from ________ to _______
( Health Team Member (MD, PT, Social Worker, etc.) Perioperative nurses have the responsibility for continual assessment of the complex interplay of ever changing variables that would affect the surgical outcomes. She was unaware if this was a new symptom. Charge nurses may cover even more territory, but the charge nurse role requires more than strong legs. I gave a detailed report to the recovery room nurse. 0000002625 00000 n
As I was changing my patients gown to keep him warm and dry.
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