Final Self-Assessment
During the FNP III rotation, the student has seen many patients who have complex chronic illnesses than other two rotations that she completed for the FNP I and FNP II courses. The student had many opportunities to independently interview and exam the patients, then come up with differential diagnoses and treatment plan based on the pertinent and impertinent information and evidence-based practice. The preceptor, Dr. Jeanne-Elyse Cedeno, a medical physician/owner of the clinical site, always encouraged the student to think as a primary care provider in many ways. In this paper, the student is going to discuss the progress of the eight objectives (see Appendix A for details), discuss her personal growth and development in the nurse practitioner role, provide the information on what she learned in the clinical that will be valuable to her future practice, and describe any missed opportunities that she did not get out of this experiences as expected, discuss for areas of improvement in the future clinical rotation, and the summarize the final evaluation with her preceptor.
By the end of the clinical rotation, the student has met objective
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The preceptor is good at orthopedics and physical therapy. She uses knee and ankle braces to correct patients’ alignment. Some of the patients are elderly and do not want have any surgeries. She also provides physical therapy for a short period of time at the clinic to relieve patients’ pain. The pain can be in the shoulder, neck, hip, back, knee, or ankle. The patients already felt better when they left the clinic. If the patients did not feel any relief, she would refer the patients to physical therapy with extended amount of time. These are useful skills as a primary care provider to help patient during the initial visit. Patients tend to come back to the primary care providers who have the skills, compared to the ones who do
Purpose and Goals Statement The Ohio State University Graduate College of Nursing Christina M Sanchez As a little girl, all of my art projects and writing assignments were full of ambitious promises to cure the sick of all their ailments. Watching my mother care for my ill grandmother, who lived with us when I was young, ignited my passion to help those in need. It then became my fierce determination to make an immediate difference in the quality of life for others.
Highly motivated to impact patient safety and quality of care. Experience with project management within Bellin’s refill pilot team, involving one-one training with orientation, competency assessment completions, evaluation of knowledge and understanding, in addition to implementation of evidenced-based practice involvement with protocol utilization. Achieved bachelor’s degree in nursing from Marian University May 2013. Part-time nursing master’s student at Marian University graduation anticipation December 2019. Licensure/Certification: WI Nursing License (File Number: 198659-30), CPR/AED Certified, NIH Stroke Scale Certification (2015), Pain Management Course Completion.
VA nurses assess, provides nursing diagnoses, plans, implements, and evaluates (ADPIE) care based on maturational focused components. Undertakes accountability for the management of care concentrated on the patient’s process through the range of care, patient and family education, patient self-management, and accompanying circumstances that influence the patient’s satisfaction. The VA nurse considers all attributes of the individual, including age and stages of life, presence of health, race and culture, values, and prior experiences. Administers medications and procedures per policies and procedures. The VA nurse effects patient care outcomes by collaborating with members of the interdisciplinary team.
My knowledge in the Doctor of Nursing Practice (DNP) continues to expand as I progress through the DNP program. The knowledge I have attained while in the study of the DNP I and DNP II is priceless. For example, recognizing stakeholders and utilizing networking has helped me to progress on my DNP project (Gokenbach, 2012). I also have a better understanding as well as the purpose of a DNP project. My mentors have been great in directing me in remaining on the right track.
Introduction Nursing judgment refers to a clinical assessment concerning person’s response to health situations or how vulnerable the response is to individuals, household, clusters or the entire community. Clinical judgment consists of two main sections, descriptor, and attention on examination inclusive critical aspects of examinations. In some cases, exceptions are made on judgment and given in one term like anxiety, pain, and dehydration. Clinical officers should not concentrate most on diagnoses from focused challenge but to risks realized (North American Nursing Diagnosis Association, 2005).
Also They plan and execute rehabilitative programs designed to improve the patient’s mobility, increase his or her strength and relieve or at least lessen his or her pain. But also how they help is Athletic trainers help prevent
A practice placement portfolio is a collection of work by an individual which is used as evidence to show achievements and other learning that has taken place to enhance their professional development (Hayes E. 2013). It has an important role in the educational development of nursing students as it is a tool which can evaluate the student’s learning during the undergraduate programme and can act as a link between theory and practice (Jones E. 2010). It enables them to demonstrate the knowledge and skills they have developed throughout their training, as it makes them engage fully with their experiences from clinical practice which are valuable sources of learning (Joyce P. 2005, Ryan M. 2011). In the professional development of a qualified
The guidelines set by the NP’s Core competencies involves educational programs for nurse practitioner and are referred to as essentials behaviors for all NPs (The National Organization of Nurse Practitioner, ([NONPF],2017). As a future NP, this course has echoed the importance to critically examine information given by finding evidence to support and manage care for the individual or the population, which I will apply to my practice. This, in turn, will offer better treatment plan and optimize better patient outcome. Using the differential diagnosis to pinpoint the best possible diagnosis for individuals has helped me to use critical thinking about my patient and to find the appropriate plan of care.
They assess, diagnose and treat acute and chronic illnesses as well as preventative healthcare for individuals and families. As their care is family-centered, they must also be able to understand the relevance of the family’s identified community. In addition to the nine essentials as outlined by the AACN, the FNP must meet competencies in advanced health assessment skills in order to differentiate between normal and abnormal findings. They should able to use screening and diagnostic strategies to develop diagnosis and they must be able to prescribe medications to enable them to work as independent practitioners (Competencies for Nurse Practitioners, 2012). In order to meet these competencies, the Consensus Model for APRN Regulation (2008) requires three separate graduate-level courses in advanced physiology and pathophysiology, health assessment and pharmacology as well as appropriate clinical experiences across the age
ANNOTATED BIBLIOGRAPHY Berman, A., Kozier, B., Snyder, S., & Frandsen, G. (2015). Kozier & Erb 's fundamentals of nursing: Concepts process and practice (10th ed.). Hoboken, NJ: Pearson Education.
Advanced Practice Registered Nurses(APRNs) have expanded in numbers and competencies over the past several years. Because of the increasing needs of APRNs, they are being highly valued and became an integral part of the healthcare system. APRNs include Certified Registered Nurse Anesthetists, Certified nurse-midwives, Clinical Nurse Specialists and Certified Nurse Practitioners. Each has a distinct history and context but shares the commonality of being APRNs. They are educationally prepared to presume responsibility and liability for health promotion or maintenance, assessment, diagnosis and management of patient problems which includes the use and prescription of pharmacologic and non-pharmacologic interventions.
350). Due to the increase in accountability of FNPs to provide safe, quality, and cost-effective health care, it is imperative that the nurse is fully prepared for practice as a nurse practitioner (NP). The outcome of the NP’s role transition can be inhibited or promoted by different transition conditions, such as the environment, availability of resources, support, and nursing experience. All of which fall into the lines of Meleis’s types of transition, making the process complex and multidimensional (Meleis, et al., 2000, p. 18). The role of nurse practitioners has extended in practice to provide comprehensive care.
Arrange patient details on abnormal results of physical and psycho-social assessment treatment, medications and laboratory results. Then develop goals and outcomes and list what can do to address each problem. Following these steps will help nurses or students to think critically and it will help to improve clinical experience and outcome of the patient. One research article published in pub med in 2010 regarding “Concept mapping” for applying theory to nursing practice. That theory-based practice believe that this will improve clinical outcomes and nurse satisfaction.
Nurses are critical for promoting health in the society. The profession is highly flexible, since they specialize in diverse operations in the medical field. Registered nurses, for instance, are responsible for the administration of medicine and inoculations to patients (American Nurses ' Association, 2000). Additionally, these professionals observe, record, and enlighten doctors of any changes in a patient’s health. Nurses interpret and evaluate diagnostic examinations to determine an individual’s condition, as well as making the necessary adjustments in patient treatment plans on their health progress.
Through this initial assessment, the nurse can obtain information that is crucial in providing the client with effective holistic care. Nursing assessment framework tools are used to help the nurse obtain accurate information about the patient’s wants and needs. This initial assessment based on subjective and objective data, helps to determine the patient’s actual problems and potential problems (Weber & Kelley, 2013). An assessment is carried out to obtain objective data and a physical baseline of the patient on admission.