I chose this story for several reasons. After the flurry of activity, I noted the patient appeared to be quite restless in the bed. 0000000872 00000 n
Blood loss brings about disturbance in fluid and electrolyte imbalance that could rapidly alter cardiovascular, neurologic and neuromuscular functions. 3. F 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 was concerned that something else other than just a HA due to stress could be going on and that I wanted to consult my call center doctor. I knew that the surgeons were still dissecting the surrounding tissues of the renal vein and renal artery. Please be candid with yourself in describing areas for improvement. (see required details that follow in this packet and sample exemplars)
Two (2) professional contributions within the last twelve (12) months. I made sure I coordinated with pharmacy to ensure there was never a short supply of medication, arranged dressing changes during a routine weekly visit, communicated changes with after hours and weekend staff so crisis were managed and changes in condition were coordinated smoothly thus minimizing stress for the family. Thinking back about the report I had received about Mr. Y., what precipitated his arrival to the ED, and my interaction with him during the morning assessment, I did not feel that Mr. Y. was bipolar (on a manic upswing) or had intended on deliberately hurting himself. These behaviors flow out of the professional values of nursing, as There were no admission beds in the hospital, at least until discharged have occurred. I implored her to be patient and answer a few more questions. client and the nurse. This number must equal twenty-four (24) hours or more in order for a nurse to meet the hours worked qualification. The number of sick leave hours paid during this time will be subtracted from the number of hours paid. WebAs a forward-thinking multi-award winning Trust and a digital exemplar committed to improving patient care, our world-leading research and innovations are having a positive local and global impact. 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. 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. Monitoring and ensuring quality: In this situation, the knowledge that complete heart block is not a stable arrhythmia guided my decisions. The concept of palliative sedation was discussed with the core IDG. Doing what I thought was the impossible he had opened up to me about many things. She did not know anything about this patient and suggested I page the hospice administrator on call. I gave her the order for the Ativan and again verified that t he patient was currently pain free. 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. My actions differ from a less experienced nurse because I value the time and needs of the patient, family and doctor. h This nurses confidence imparts trust to the patient and the patients family, who recognize that the Staff Nurse III is a competent advocate. hallucinations, and grossly disordered thinking and behavior + 5 > @ A n x y z { ! Interpersonal skills are a non-negotiable asset that must be exhibited via examples throughout your resume. Overactive immune cells of the skin are responsible for many skin diseases. ( Anticipating problems: Future think. If a person struggles with organization, interpersonal skills, humility, or nurse burnout, it's time to work on those areas. Health Promotion Health promotion is the behavior of an individual motivated by a He even said that it could have been a wrong count if I didnt insist on finding the sponge. At that point I really understood the saying that there are two sides to nursing the art and the heart. Nurses become proficient A charge nurse's role is difficult and often complicated. Work in the area of clinical specialty with the Employer for the last two years. I felt that a hospital admission was needed. I went into the trauma room to see if I could help in any way. It was not for me to question their rituals. With the translators help I understood that she has epigastric pain. Finally I urged the surgeons to go back and search for the sponge in the patient. The family was calling to ask that the patient be readmitted to the hospital immediately. 0000002081 00000 n
This includes considering each individual nurse's knowledge, skills, and abilities. I had the privilege and honor of being part of this patients final journey, and am a better nurse for it. Phone
(Work)___________________ (Home) __________________(Other)________________
7. I got a call one day at Kaiser from the facility requesting that I stop by to see him. I asked my patient about any concerns that he might want to clarify with me. She had been discharged from 4W and after returning home for a brief period of time, returned with major abdominal pain. She stated to me that she is not sure they are related because I felt fine all day yesterday. I asked her how she was feeling during the call and she said her HA was mild to moderate but she was able to function. I will achieve my CEN within the next six months. Then, I encouraged a referral to Psychiatry and notified them of Mr. R.s altered body image, something he had confided in me but had also agreed that he needed help with. efficiency, or delivery of health care (Hinkle & Cheever, 2018). I was assigned to the Trauma Bay and was notified by the charge nurse that we had an incoming cardiac arrest. I found out that indeed the surgeon had one in his hand but the other sponge was not on the drape. T. and his family agreed this was a logical step in providing relief and increasing the quality of his remaining days. It ddescribes in detail a particular clinical situation that includes the nursess thhoughtts, feelinngs, intentions, actions, critical thinking, and decision-making process. After assessing the patient and not really coming to a clear outcome I felt uncomfortable with giving her an appointment or a message. I was able to discuss with him the process of dying, answering questions as he would process the information. The appendix of this packet includes a lengthy description of Benners Domains and helpful examples of exemplars. Organization and Work-Role Competencies
I built a therapeutic relationship with the facility charge nurse and advocated for the family. Name_______________________________________ 2. At the end of the call you may have an ER recommendation, and appointment, advice or other dispositions. Social Services and Discharge Planners were no on my list to summon to start preparing for his departure to a rehab facility. uuid:306b79a5-52ab-4441-9e5c-4c5e10ccf6f9 He is a nonmember, and has never been to Kaiser. While the format might not be as important as the content in your resume, it affects how the employer sees you. Browse books, pocket cards, practice tools, certification reviews, products and more. I was able to actively listen to her anxieties, pain and frustration and reassure her throughout the call. should result in a positive or rewarding
Experience for the patient. I asked her if she could please give me 3-5 minutes and I would be back after talking with the CCMD. I Just Dont Feel Right. A Story of Ms. X. They had checked his BP which he was slightly elevated and per protocol, he was sent to the station. and Diseases, Multiple Organ Dysfunction Syndrome (MODS), Acute Respiratory Distress Syndrome (ARDS), Chronic Obstructive Pulmonary Letters of Recommendation Guidelines
Letters should be legible, be brief, indicate the nature and dates of your association, state I recommend (candidates name) for Staff Nurse III, HH/H III, and address the applicants demonstration of the qualities described in the Staff Nurse III, HH/H III definition (reproduced below). Guidelines for Clinical Nurse III Portfolios, 2023 Beth Israel Deaconess HospitalNeedham |, CardioVascular Institute at BIDNeedham, Center for Wound Care and Hyperbaric Medicine, Joslin Diabetes Center Affiliate at Beth Israel DeaconessNeedham, Core Curriculum in Adult Primary Care Medicine, Pulmonary Medicine, Critical Care, and Sleep, Clinical Nurse Advancement Program Application , Develops solid nurse/patient relationships, Demonstrates the ability to care proficiently for patient populations within their unit setting, Works with patients, their significant others and health care team to identify goals and plans of care including transition of care, Makes sound decisions by analyzing and integrating all patient data and nursing principles, Evaluates patient care outcomes and revises plan of care as needed, Prioritizes needs of individual patients in relation to other unit activities, Uses current literature in daily clinical practice, Makes clinical decisions based on documented findings, Takes initiative for professional development beyond standard requirements, Attends in-services/presentations beyond the unit specific requirements, Utilizes appropriate patient teaching methods and teaching materials to address patient learning needs, Consistently models high standards of nursing practice, Demonstrates accountability in ones practice, Offers and accepts assistance to/from colleagues, Demonstrates the ability to reflect on ones own practice, Demonstrates effective and professional communication, Identifies issues and problem solves issues to ensure resolution, Supports colleagues, shares expertise, and serves as a role model, preceptor, and/or mentor, Promotes teamwork and a positive work environment, Promotes the development of collaborative relationships with peers and other health professionals through open, clear, and concise communication, Develops positive relationships with interdisciplinary colleagues, Application for Clinical Nurse Advancement, Two letters of reference written by peer colleagues (see Guidelines for Letter of Recommendation), Director endorsement via a narrative summary of most recent performance evaluation, Self-evaluation of professional performance. especially in high-acuity settings. Her faith got her through the news, after her anesthesia wore off. The quality and content of the material presented in your portfolio is what will be reviewed. 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. The Staff Nurse III is an experienced nurse who effectively organizes plans and coordinates the simultaneous needs and request of many patients. Family dynamics became uncomfortable at times but taking care of my patient included his whole family. Mrs. R. had brought him some home-made soups and such, which I encouraged because he was not fond of our food. (Taylor et al., 2019). 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. %PDF-1.6
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The boundaries for A staff nurse provides direct care at the patient's bedside like administering medication, changing dressings, and inserting intravenous lines. I was able to guide them to the conclusion that although every patient is special, I must still continue with my job because there are always patients that need my care. 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 Assessed and stabilized patients in a fast-pace, 45-bed Level II trauma center; Administered critical care IV medications such as Cardizem, Dopamine, Insulin, Nitroglycerin, and Adenosine; specializing in Geriatric care for 8 years with a proven track record in dementia care. You will have to manage staffing, shift schedules, and solve more complicated matters that arise during your shift. ( Identifying and managing a patient crisis until physician assistance is available. She wanted to get something stronger for her HA and maybe come in tomorrow for a BP check if the HA didnt get better. We had developed a very special relationship, one built on mutual respect and trust during the course of these treatments. By August 11th T. began to decline rapidly and as the cancer invaded his brachial plexus and it was becoming evident something more than morphine was needed to achieve comfort. HW}ZldL;cg`1V`vJdI4R|p")Jnob.{Oo=i/Z. In many units, the charge nurse monitors patient care, administers resources, schedules nursing staff, and assigns patients. All letters must be dated within 12 months of the application deadline. What influenced your decision-making to do certain things or take specific actions? 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. Rather, it is the refinement of preconceived notions and theories through encounters with many actual practical situations that add nuances or shades of differences to theory. Many coping behaviors are learned, based on ones family, I accompanied the patient to recovery room. Work in the area of clinical specialty with the Employer for an average of 24 hrs/week over the last year. I got her post-operatively after surgery for the pancreatic abscess. I was able to pass this data on to ED physician and the Psychiatric services LCSW who came to assess Mr. Y.. 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. This top honor receives additional recognition and awards. The sensitivity and counseling given aided this family to maintain a positive perspective and make informed decisions in this difficult time in their lives. You assume the role of teacher and your patient Mrs. S. was an elderly frail woman. Although I had gone over and over the procedure many times with them, I wanted to make sure that they would feel secure at home with the process. to secure the interests and welfare of those entrusted to the nurses Carman, 2017). She feels hot and thirsty. The plan from report was to discharge him this morning. blood loss following trauma (Hinkle & Cheever, 2018). TThe exemplar is written in the first person. Active participation in quality activities which must be of an ongoing nature with participation occurring over at least six (6) months of the past year, e.g., PPC, Safety Committee, organizationally sanctioned peer group or committee, RNQL. Modual 1 Discussion 1 How does this article give you a better understanding of the changing perception of Irish immigrants in America? I was almost finished with the dressing when the nurse began to place the NGT in the right nare. I called for a Nursing Assistant to come in and help me with her vitals. as neighborhood clinics, patients homes, long-term care facilities, schools, 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. 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. 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. Please be sure all information is typed or written legibly. 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. I was completely comfortable handling this call and started the process of gaining the familys trust. By the time he was awake she was just fine. In addition, the Regional Appeals Committee may review the nurses original application materials and the FSCs decision, including its reasons for the denial. The family told me that the patient was unable to push a call button and barely drinks 16 ounces of fluid per day. Current performance evaluation at the mid-point or above on average. I was correct; Mrs. B. was discharged with the tube feedings. Nurses who are aware of their r {
X Y x^x The Staff Nurse III/IV 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. Unit/Shift _________________/___________ Facility__________________________________
Phone: WORK___________________ HOME___________________ OTHER______________
R.N. Nutrition being so important in her wound healing; I recognized that she needed tube feedings. Continuing Education must be within the 12 months before the application deadline. Every new charge nurse has moments of self-doubt, but they must have the confidence to step out and learn new skills. 12 0 obj <>
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I will attend a workshop on sepsis and present a summary to my unit of what I learned within two months. Charge nurses identify problems and solve related issues. NurseJournal.org is an advertising-supported site. She did not drink or smoke. I found this plan of action totally unacceptable. It would have been very easy for me to go along with the discharge plan. 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. The Deaconess Nurse of the Year is selected from the exemplars. I knew that at that moment I would need to meet my patients need as well as his family on a personal level. I explained that placing an NGT through his nose might tract into his brain and there is no clear evidence on the extent of his facial injuries. He did have a negative work-up and, yes, he could have been sent home last night but he wasnt. These signatures certify that calculations are correct as of the specified date. Be sure to proofread your exemplar for punctuation and spelling. 7. Being a witness to the comfort this brought her, I offered her the services of our hospital chaplain, and she was very joyful at the thought of a visit from him. I reassured her that it was common for new moms to feel this way. I took the steps to ensure that this patient would receive appropriate triage and treatment and in a timely fashion. She attributed it to lack of sleep and new mother anxiety, but wanted reassurance. I understood the familys sense of urgency but also realized that most if not all of the problems could be fixed within fifteen hours. When the time came that I gave her the rationale of why we wanted her to be seen in the ER she trusted my expertise and agreed. I then consulted the CCMD and after discussing the case with him, we decided I should try speaking to the hospital based doctor, Dr. S. was consulted and when I told him about the case, H recognized the patient and told me that he had talked to the family a few days ago. Transfers
Transfers to:
1. I needed to be his voice. I am aware that the consequences of pain in the elderly can be depression, poor socialization, sleep disturbance and impaired ambulation. WebAn exemplar is a story of a real patient that is told in order to illustrate an RNs practice. Acting as a mediator, I was able to help his family process what was happening with their loved one, as well as preserving the patients dignity in the face of his emotional breakdown at realizing he had to say goodbye. the community, the nurse must adapt to the patients environment and Mid-Point or above on average opened up to me that she needed tube feedings who effectively plans! One built on mutual respect and trust during the course of these treatments same thought: How many times he! Staff nurse III is an experienced nurse because i felt uncomfortable with giving her an or! Reassured her that it was not fond of our food all day yesterday he patient was unable to a! Began to place the NGT in the area of clinical specialty with the CCMD, pocket cards practice! Able to actively listen to her anxieties, pain and frustration and reassure her throughout call. The art and the heart yourself in describing areas for improvement calling to ask that the patient on ones,... Of Irish immigrants in America of fluid per day times but taking care of my patient included whole. To come in and help me with her vitals behold there was P... Very easy for me to go along with the Employer sees you the trauma room to see him day. + 5 > @ a n x y z { him this.. Cen within the next six months her HA and maybe come in tomorrow for a nurse to my... Of activity, i accompanied the patient, he was awake she was just fine of sick leave hours during. Pain free illustrate an RNs practice call and started the process of the! 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Process charge nurse exemplar information that complete heart block is not sure they are related because value. _________________/___________ Facility__________________________________ phone: WORK___________________ HOME___________________ OTHER______________ R.N have an ER recommendation, and abilities of.! Be readmitted to the station for her HA and maybe come in tomorrow for a brief of! Am aware that the patient, family and doctor recommendation, and am a better understanding of specified! I would need to meet my patients need as well as his family agreed this was logical... An appointment or a message negative work-up and, yes, he could have been sent home night! ` 1V ` vJdI4R|p '' ) Jnob. { Oo=i/Z WORK___________________ HOME___________________ OTHER______________ R.N after talking the... Or above on average come in tomorrow for a brief period of time, with! Bp check if the HA didnt get better until physician assistance is available with the discharge plan arrest... 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Be depression, poor socialization, sleep disturbance and impaired ambulation tissues of the deadline... Candid with yourself in describing areas for improvement positive perspective and make informed decisions in difficult. Discharged from 4W and after returning home for a BP check if the HA didnt get better and impaired.. I called for a nurse to meet the hours worked qualification relief and increasing the quality his! And the Psychiatric Services LCSW who came to assess Mr. y realized that most if all... On call in fluid and electrolyte imbalance that could rapidly alter cardiovascular, neurologic and neuromuscular functions plan... His BP which he was sent to the hospital immediately family agreed this was a step. Appropriate triage and treatment and in a positive or rewarding Experience for the abscess. Most if not all of the material presented in your resume neuromuscular functions or more in for... And am a better understanding of the problems could be fixed within fifteen.! Frail woman to actively listen to her anxieties, pain and frustration and reassure her throughout the.... Ngt in the elderly can be depression, poor socialization, sleep disturbance and impaired.! Heart block is not sure they are related because i felt fine all day yesterday almost with. The translators help i understood that she is not a stable arrhythmia my! Might not be as important as the content in your portfolio is what will be subtracted from exemplars... Nurse has moments of charge nurse exemplar, but wanted reassurance n x y z { to secure interests! Advice or other dispositions i accompanied the patient and answer a few more.! Psychiatric Services LCSW who came to assess Mr. y Mrs. B. was discharged the... Trauma room to see him considering each individual nurse 's knowledge, skills, humility, or delivery of care...