Entry-Level Competency In Professional Nursing Practice

There are many concerns the scenario illuminates for practicing nurses. Prior to going out on placement to a healthy facility,

As future Clinical Nurse Leaders (CNLs) we have a huge role in improving patient outcomes within our microsystems. The Joint Commission has recognized the CNL role as being a important contribution to the resolution of healthcare’s safety concerns (Reid, 2013). The CNL role not only improves safety but also manages and improves the overall quality of patient care experiences. For my quality improvement project I plan to design and implement a intervention that will improve the patient experiences on a busy psychiatric unit.

(Joint Commissions, 2014).It is important for nurses to explain how to use the call light to the elderly patients, and also to ask for help before getting out of bed. Vulnerable patients should be placed close to the nursing station for close monitoring. It is very important to educate health care workers on the approaches used to prevent falls. The measures used to prevent falls in the elderly could include; carrying out a risk assessment during admission, placing colorful stickers outside their doors, stopping the use of psychotropic medications, teaching them the best way to use their assistive device, placing their call light and belonging within their reach, placing their beds in the lowest position with brakes /wheels locked at all times, removing throw rugs from their surroundings, making sure that they are wearing non-skid shoes/socks before ambulating and also giving them their prescribed Vitamin D supplement as well as encouraging them on the use of their corrective glasses or hearing aids. It is very important to educate health care workers on the approaches used to prevent

Effective communication is key to the successful running of the ward from triaging emergency calls on admission right through to ensuring safe and successful discharges. I am confident in my ability to effectively communicate using verbal, non-verbal, written and electronic means. An example of when I achieved this is when I completed a set of observations including a GCS on a patient inserting the results onto an electronic device, I noticed the patient was unwell and escalated my concerns using SBAR to a doctor. I attended to the patient, then informed the family, and updated the nursing evaluation notes and online handover so other staff members were aware. In practice, I actively participate in ward rounds, collaborating with all members of the multi-disciplinary team to ensure patient-centred care.

In response to these tragic events, activists have introduced many best-practice approaches to minimize these occurrences. One instance is a new cleaning checklist developed from culture methods from other industries to reduce the risk of Staphylococcal infections. Another best-practice approach is the invention of a Pyxis medication dispensing unit, which is a form of medication management that includes barcode technology. This provides another safety check for the nurse as it implements the five rights of medication administration, and minimalizes any further medication errors.

Information packages can be provided for those unable to attend which after reading have to be reviewed by them with a nurse on duty prior to their own shift. These packages can contain history and reasons of falls and some fall management strategies Graham (2012) . Upon completion of these sessions, the participants should be able to Ø Correctly name the components of Fall response. Ø Correctly complete the Tracking record for Improving patient safety.

Safety: Safety is the number one goal to have when working in the medical field. Our goal in clinical was to make sure everyone remained safe in the workplace, including patients, staff members, and visitors. Some ways how we kept everyone safe included: addressing spills in a timely manner; using the medication rights; keeping bed wheels locked; following standard precautions; double-checking medications and patient charts; answering call lights in a timely manner; hourly rounding; washing our hands; wearing PPE when needed; and so on. There were so many things that we all did during the clinical day to keep all members safe and free from harm. The number one way is to implement standard precautions.

I completed the quality and safety checklist at five patients’ bedsides. Overall my fellow classmates did a good job at keeping the environment and their patients safe. There were only two things on the checklist that I had to intervene and express my safety concerns, and that was putting a sign outside the door for patients who are at risk for falls, and labeling the white board in patients’ room. The first thing I did was look through the charts of the patients to see which patients were on universal, level 1 (L1), or level 2 (L2) fall risk precautions.

A. Clinical Strengths & Needs • Strengths: Today, I began that start to feel like I am perfect certain skills as well as gaining more confidence. It’s amazing how much I have learned and have grown as a future nurse. I’m also beginning to realize how attached I am to my resident; I am constantly assessing to ensure my resident’s health. Objectives I met today were demonstrating professional values of caring and holism; implementing strategies to promote, maintain and restore health; and demonstrating effective clinical decision-making and safety in practice. An example of objective 1 was during a depend change, I noticed my resident had a redness on his right bottom.

It also provided the use of critical thinking and clinical judgment on how to prevent falls, support, and be accountable for a client professionally. The practical knowledge I have learned helped me become aware of assessing and assisting a client. As a nurse, our job is to provide “safe, compassionate, competent and ethical care” (p.8) and collaborate as an interprofessional team to deliver safe care and prevent risks from happening while offering quality nursing care (CNA, 2017). I will always provide the professional care under the code of ethics to promote health and wellness for an older adult and prevent risks from happening. As well as following the plan of care, use communication strategies, be aware, acknowledge, and accommodate individuals with different diseases such as with dementia, to promote fall prevention strategies (RNAO, 2017).

In the leadership in care delivery course, we were assigned to a hospital to perform clinical hours and provide care to four patients. Additionally, the purpose of this paper is to explain and provide examples on how our patient care included the concepts of Quality and Safety Education for Nursing (QSEN) competencies, delegation, handoff reporting, and a reflection of the clinical experience. Quality and Safety Education for Nursing (QSEN) Competencies QSEN consists of six competencies: patient centered care, quality improvement, teamwork and collaboration, safety, informatics, and evidence based practice. To provide patient-centered care, I had to educate the patient when administering medications on why the patient was taking the medication and side effects. Care had to be individualized with each patient and it included providing respect with his or her decisions in their care.

Registered nurses are required to deliver wide-range nursing attention and treatment to all persons in a healthcare setup (American Nurses ' Association, 2000). Notably, they have to offer emergency care and guarantee the safe execution of treatment. It is mandatory for nurses to demonstrate a broad knowledge of the laws and regulations that are in line with their profession. Additionally,

This incident makes me think that I was not aware of the patient’s need. I should expect the risk can happen to patient especially patient who can walk and need to go to the toilet. After this incident I reflected on my nursing practice and concluded that I need to be more aware to improve my nursing care for a better outcomes of the patients.

Since the beginning of my nursing career, the trend of patient safety has been the number one priority. In order to keep up with the current safety culture, we have to keep up with the changes in nursing education related to safety. The safety of patients is taught in Nursing 101, and is on-going throughout our nursing careers. Students need to become knowledgeable about system vulnerabilities and understand how knowledge, skills, and attitudes promoting utilization of safety science will lead to safer care for patients and families (Barnsteiner, 2011). As nursing students we need to learn about both patient safety and system vulnerabilities needs to begin in pre-licensure programs and become an integral part of learning in all phases of nursing

This case was just tragic. At first I was a little intimidated because the patient’s blood pressure was so unstable so my nurse and I spent all most the entire day administering meds to stabilize her so I didn’t really do that