Task 1 Newword. C304- Task 1

TASK 1 NEWWORD. C304- TASK 1 A. Identify a nursing theory that has influenced your values and goals. A. I am a brand new nurse. I identified most with “From Novice to Expert” by Patricia Ben- ner. This nursing theory is something that I hold close to my heart because I am still learning and it helps keep me grounded in that I will not know everything just because I went to nursing school. Experience is a learning experience that makes me better at what I do and increases my knowledge that I am constantly building on to be a better nurse. (Current Nursing, 2011) 1. Explain how nurses apply the identified theory from part A to implement excellent nursing practices. 1. Nurses are constantly learning and perfecting their skills and knowledge base. This the- ory is applied in every nurses career day to day by experiencing and learning from those experiences. (Current Nursing, 2011) 2. Discuss how the identified theory from part A fits your professional practice. This theory fit my professional practice by setting a template for my growth as I gain ex- periences and knowledge from those experience to move from a novice nurse to a more experi- enced nurse up to an expert level by the end of my career. I look forward to being able to teach what I have learned through my experiences to other nurses. (Current Nursing, 2011) B. Identify the contributions of two historical nursing figures in the nineteenth or twentieth cen- tury. Florence Nightingale- Environmental Theory Patricia Benner- From Novice to Expert 1. Compare the differences in contributions of the two historical figures identified in part B. 2. Florence Nightingale contributed to the nursing world by implementing practices that in- fluenced the sanitation practices and environmental aspects of care of the patient. 3. Patricia Benner contributed to the nursing world by designating the different learning lev- els of a nurses career. She states that experience is the prerequisite to being and ex- pert. (Current Nursing, 2011) 4. The differences of these contributions include one being to set a clean environment with decreased harm to the patient while the other shows how experience is a big factor in the career of a nurse. (Current Nursing, 2011) 2. Describe how the contributions of the two historical figures influence your professional nurs- ing practice. Currently being a novice Operating Room nurse, I use Florence Nightingale’s theory of sanitation and decreased patient harm by adjusting the environment for healing in the operating room. Also, I am a novice in the nursing development levels of Benner’s theory. I feel I use both of these theories the most in my everyday work. (Current Nursing, 2011) C. Explain the functional differences between the State Board of Nursing and the American Nurses Association (ANA). 1. Define the roles of these two organizations. 5. State Board of Nursing: state-specific licensing and regulatory body that sets standards for safe nursing care, decides the scope of practice for nurses within its jurisdiction and issues licenses to qualified candidates. (Graduate nursingEDU, 2019) 6. American Nurses Association: Exist to advance nursing profession by fostering high standards of nursing practice, promoting a safe and ethical work environment, bolstering the health and wellness of nurses, and advocating on health care issues that affect nurses and the public. (American Nursing Association, 2018) 2. Explain how these two organizations influence your nursing practice. Both organizations influence my nursing practice by keeping me and my patients safe by regulations and rules and also by keeping all nurses up to date on their licenses. 3. Explain the requirements for professional license renewal in your state. 1. cannot renew more than 2 months before expiration date. (Texas Board of Nursing, 2013) 2. Must meet mandatory continuing nursing education requirements (Texas Board of Nursing, 2013) 3. Must pass criminal background checks (Texas Board of Nursing, 2013) 4. The license number and social security number must match what is on the system. (Texas Board of Nursing, 2013) a. Discuss the consequences of failure to maintain license requirements in your state. a. Failure to maintain license requirements in Texas will result in an inability to renew li- cense and possible expiration of license. (Texas Board of Nursing, 2013) 4. Compare the differences between registered nursing license requirements in a compact state versus a non-compact state. 1. Compact State- a compact license permits practice across state lines in other compact states. (Texas Board of Nursing, 2013) 2. Non-compact State- a non-compact state permits practice only in the state you have your license. An additional license would have to be obtained in each non-compact state in or- der to work. (Texas Board of Nursing, 2013) D. Discuss the functional differences between the Food and Drug Administration and the Center for Medicare and Medicaid Services (see the web links below). 1. Food and Drug administration- responsible for protecting the public health by ensuring the safety, efficacy, and security of human and veterinary drugs, biological products, and medi- cal devices. (Food and Drug Administration, 2018) 2. Medicare- federal program provides health coverage for 65+ or under 65 if you have a disability no matter what you income is. (Food and Drug Administration, 2018) 3. Medicaid- state and federal program that provides health coverage if you have low in- come. (Food and Drug Administration, 2018) 1. Discuss how the two regulatory agencies influence your professional nursing practice. 1. The food and drug administrations influences my professional nursing practice by im- plementing rules and regulations on food, drugs, and medical equipment so that my patients as well as myself are safe. (Food and Drug Administration, 2018) 2. Medicare and Medicaid influence my professional nursing practice by helping my pa- tients to obtain care from me when they do not have the money or traditional insurance to cover their hospital bills. (Food and Drug Administration, 2018) a. Describe your role as a patient advocate in promoting safety when a patient has requested to use an alternative therapy. My role as a patient advocate in promoting safety to patients is to provide them with the education and resources to obtain knowledgable decisions in their healthcare. I should not dis- courage them if there is no harm in the alternative therapy but I should educate them so they can make an educated choice. E. Discuss the purposes of the Nurse Practice Act in your state and its impact on your profes- sional practice. The purpose of the nurse practice act in Texas is to provide rules and regulations in writ- ing to promote a safe and competent nurse practice. 1. Discuss the scope of practice for a RN in your state. 7. The scope of practice for an RN in Texas includes: 1. the observation, assessment, intervention, evaluation, rehabilitation, care and coun- sel, or health teachings of a person who is ill, injured, infirm, or experiencing a change in normal health processes; (Texas Board of Nursing, 2013) 2. the maintenance of health or prevention of illness; (Texas Board of Nursing, 2013) 3. the administration of a medication or treatment as ordered by a physician, podiatrist, or dentist; (Texas Board of Nursing, 2013) 4. the supervision or teaching of nursing; (Texas Board of Nursing, 2013) 5. the administration, supervision, and evaluation of nursing practices, policies, and procedures; (Texas Board of Nursing, 2013) 6. the requesting, receiving, signing for, and distribution of prescription drug samples to patients at practices at which an advanced practice registered nurse is authorized to sign prescription drug orders as provided by Subchapter B, Chapter 157; (Texas Board of Nursing, 2013) 7. the performance of an act delegated by a physician under Section 157.0512, 157.054, 157.058, or 157.059; and (Texas Board of Nursing, 2013) 8. the development of the nursing care plan. (Texas Board of Nursing, 2013) 2. Discuss how your state defines delegation for the RN. Delegation is an essential nursing skill that RN’s use to maximize the nursing care that patients receive. Delegation is based on: • The needs of the patient and the stability of the patient’s condition; (Texas Board of Nursing, 2013) • The RN assessment of the potential for patient harm; (Texas Board of Nursing, 2013) • The complexity of the task; (Texas Board of Nursing, 2013) • The predictability of the outcomes; (Texas Board of Nursing, 2013) • The abilities of the unlicensed assistive personnel (UAP) staff to whom the task is delegated; (Texas Board of Nursing, 2013) • The context of other patient needs to achieve the most benefit from nursing care since the RN is responsible and accountable for safe and appropriate delega- tion (§224.5, RN Accountability for Delegated Tasks), delegation is utilized at the RN’s discretion. (Texas Board of Nursing, 2013) F. Apply each of the following roles to your professional practice: • a scientist- Nursing is rooted in science. A nurse has to be very knowledgable in health sci- ence in order to understand the healthcare of the patient. In my own professional practice, I act as a scientist by using my science knowledge base to understand the healthcare of the patient. • a detective- Being a nurse you have to be a good detective. Nurses research and connect the dots every day in order to find out the big picture of what is going on with their patient. In my professional practice, I become a detective when i research a patients background to under- stand the big picture of what is going on with their health. • a manager of the healing environment- Nurses have to take the lead in promoting a healthy healing environment for their patient. If they do not manage and advocate for their patients who will? In my professional practice, I become a manager of healing environment when I teach and instruct my patients on their health and the care they need when they leave the hospital. G. Identify two provisions from the American Nurses Association (ANA) Code of Ethics (see web link below). 1. The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person. (American Nursing Association, 2018) 2. The nurse collaborates with other health professionals and the public to protect hu- man rights, promote health diplomacy, and reduce health disparities. (American Nursing Associ- ation, 2018) 1. Analyze how the two provisions identified in part G influence your professional nursing prac- tice. 1. This provision influences my professional nursing practice in that it is my duty to be a compassionate and respectful nurse to my patients to preserve their dignity and worth in the very vulnerable position they may feel they are in while preparing for surgery. (American Nursing Association, 2018) 2. This provision influences my professional nursing practice in that it is my duty to properly collaborate with other health care workers in the whole care of my patient in order to pre- vent harm to the patient. (American Nursing Association, 2018) 2. Describe a nursing error that may occur in a clinical practice (e.g., clinical setting, skills lab, or simulation). A nursing error that may occur in a clinical practice, specifically the operating room, would be not checking the allergies of the patient and administering a medication that the pa- tient is allergic to. a. Explain how the ANA provisions identified in part G can be applied to the error discussed in part G2. The first provision of practicing with compassion and respect for the inherent dignity, worth, and unique attributes of every person can be applied to this error by preserving the dig- nity and respect of the patient and nurse relationship. With this error, the patient may feel like they have lost their dignity if they wake up from surgery with an allergic reaction from a medica- tion the nurse administered that was clearly marked as an allergy on the chart. The patient may also feel disrespected by the nurses failure to truly take care of them in that vulnerable situation. (American Nursing Association, 2018) The second provision of properly collaborating with other health team members could prevent this. The pre op team could list the patients allergies on the front of the chart as a back up for the operating room nurse. This shows a communication loop that could prevent the aller- gies from getting missed. (American Nursing Association, 2018) H. Identify four leadership qualities or traits that represent excellence in nursing. Critical Thinking Integrity Initiative Ability to handle stress 1. Discuss the significance of the four leadership qualities identified in part H in the nurse’s role as each of the following: • a leader at the bedside This leader needs integrity to gain trust from patients, initiative to get their nursing job done, critical thinking to get their nursing job done in an efficient and safe way for the patient, and the ability to handle stress during highly stressful situations at the bedside. • within a nursing team or interdisciplinary team This leader needs integrity to gain trust among coworkers, the initiative to collaborate and get the job done in a team environment, critical thinking to collaborate efficiently with a team, and the ability to handle the stress that may accompany working in a team environment 2. Identify how your work environment impacts the following: • nursing leadership • Leadership needs a team environment that is cooperative and wants to work towards a uni- fied goal promoting health. The work environment is impacted in a negative way if the nurs- ing leadership is not cooperative with the team and vice versa. Cooperation by everyone is needed for a healthy nursing leadership work environment • decision making • The work environment impacts what decision making is made. If the work environment is promoting safe care the decision making will be based on safe care. • professional development • If the work environment has a good moral, safe, and promotes job security and value, then the professional development will also reflect value in its employees. The type of work envi- ronment impacts professional development by setting the stage of what is most important for its employees. REFERENCES: Nursing Theories. (2011, October 17). Retrieved July 29, 2019, from What is a State Board of Nursing? (2019). Retrieved July 29, 2019, from - American Nursing Association. (n.d.). About ANA: ANA Enterprise. Retrieved July 29, 2019, from Texas Board of Nursing. (2013). Online Renewal - Eligibility Information. Retrieved July 29, 2019, from Commissioner, O. O. (2018, March 28). What We Do. Retrieved July 29, 2019, from (Food and Drug Administration, 2018) Texas Board of Nursing. (2013). Practice - Registered Nurse Scope of Practice. Retrieved July 29, 2019, from Frequently Asked Questions - Delegation. (n.d.). Retrieved July 29, 2019, from .- (Texas Board of Nursing, 2013)