Blood loss brings about disturbance in fluid and electrolyte imbalance that could rapidly alter cardiovascular, neurologic and neuromuscular functions. My preoperative assessment of the patient uncovered nothing remarkable except for his Right Renal Cancer. Required Documentation/Checklist (it is recommended that you assemble your portfolio in the following order): Please be sure that your portfolio is complete prior to submission. I had a heavy assignment that day and soon realized that the complex wound care box on our grasp sheet would not begin to reflect the amount of nursing care that this man would require. It was around this point in his care he started needing increased assistance with his ADLs so I assessed the need for a HHA and a referral was made. I had the family bring in a new bag of morphine and talked the ED nurse through the programming of the CADD pump and instructed her to start the infusion via the peripheral line while we were waiting for the PIC placement. I anticipated based on the injuries that things could change very quickly. efficiency, or delivery of health care (Hinkle & Cheever, 2018). I gave him an idea of how he would be positioned during his surgery. The additional caregivers and team members that were brought in to assist with T.s care were there to provide the family with the respite they needed to be wife and daughter rather than primary caregiver in the end. Find the right nursing program for you. The physician also asked another nurse in the room to place a Nasogastric Tube to decompress the stomach. I suspected that the end was nearing, and sat with this patient to talk to him about his plan for the day. If there had yet been an appropriate time to step out of my shell and attempt to be a leader, it certainly did not seem to be in the midst of almost constant crisis and occasional chaos. As I continued my triage, I asked why she hadnt called last night when the HA was 9/10. (Hinkle & Cheever, 2018), Health Policy Health policy refers to the laws that a nation establishes to These behaviors flow out of the professional values of nursing, as Through my therapeutic communication techniques I was able to connect into the deepest fear that my patient and his wife had within them. A mentor is an advisor and teacher who can guide an aspiring or new charge nurse. The appendix of this packet includes a lengthy description of Benners Domains and helpful examples of exemplars. Candidates who have taken more CEs/CMEs will be rated higher. What skills were necessary to achieve your outcomes? Pharmacology Pharmacology is the study of the biological effects of chemicals Identifies, communicates, and fulfills patient needs. (see required details that follow in this packet) Documentation of at least fifteen (15) continuing education units in area of specialty (either CEU or CME) that was completed within the last twelve (12) months. It is suggested that you start your portfolio early so that there is time to obtain all of the necessary components and feedback. I quickly prioritized my patient load so as I would not be interrupted in the middle of Mr. R.s would care. Those interested in the charge nurse role must hold registered nurse (RN) licensure in the state where they practice and have at least three years of hands-on clinical experience. Name_________________________________________ Date_________________________ 2. With that promise I agree to make their experiences unique and safe. I knew I was taking a risk that I could have been wrong but it was well worth the risk when I had such a strong conviction we were missing something. 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. He had such a positive attitude and I could say that he was indeed very pleasing. I didnt want to hang up with her without knowing if her husband was able to come home in case she just decided not to come in. ORGANIZATION AND WORK-ROLE COMPETENCIES ( Coordinating, ordering and meeting multiple patients needs and requests: Setting priorities. Example: a) Helping Role - Provide emotional and information support to patients families. The family was calling to ask that the patient be readmitted to the hospital immediately. As a recently post-op patient, I normally would have waited for surgery to remove the original dressing but I noticed her abdominal binder was saturated with serous fluid. You will be contacted by a member of the committee shortly after the monthly meeting in which your portfolio was reviewed. 0000003340 00000 n At this point, I felt that this patient needed an advocate. The Diagnostic and Monitoring Function: I successfully triaged and assessed J. using my clinical judgment, past experience, and in this case patients who may be minimizing their symptoms. The purpose of the exemplar is to communicate the chapters contributions and accomplishments that It also provides an opportunity for you to identify publications, presentations of papers, honors received, and professional associations of which you are a member. An honest evaluation can help pinpoint the education, information, and training needed to develop stronger skills. This was Mr. Y.s first visit to Kaiser, after the county sheriffs department found him chasing cars at 4am. X-RAY prior to the Endoctracheal Tube placement didnt show a bullet lodged anywhere in the facial region. There are a group of H2 blockers that block acid production in the stomach and they are also OTC: Pepcid AC (Famotidine), Cimetidine (Tagamet HB) Ranitidine (Zantag 75). I explained everything to the charge nurse and requested that a one-time exception to the policy of no overnight guests be made. I will achieve my CEN within the next six months. against liability or loss of professional licensure. Charge nurses must generally possess excellent skills in communication, organization and leadership. Coping is any behavior that is used to decrease stress and It was my job to ensure my patients safety at all times. Corrective measures were taken. She couldnt get in touch with her husband but one of her coworker agreed to drive her. I noticed that there were no visits, meds and labs in her file and I concluded that she was new to Kaiser. Benner, P. (1987). NUR 347. WebRNss ppracttice. If the appeal is denied, the nurse may appeal that decision to the Regional Appeals Committee, no later than thirty (30) days after denial of the appeal by the FSC. I implored her to be patient and answer a few more questions. Charge nurse resume sample Here is the complete sample of a charge nurse resume that would help you to curate your own. HW6S9MR,Y VO@#M&@_I(KEvdR '(vIGAU%NC.yNF~ui+r}kWua}x2/)>#M~qU? advocate by protecting the personal rights of clients and providing all ( Experiences of an illness: Anticipating patient care needs. 2. WebOne ethical issue stands out above the rest. Nurses who transfer to a similar area of clinical specialty will retain their Staff Nurse III or HH/H III status. Grief & Loss Grief is an internal emotional reaction to loss, such as caused by (Source: ACCS Please use additional pages if needed or replicate this format in a separate document. 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. I also initiated type and cross matching to be certain that units of blood would be available for my patient since the order was just typed and screened. I always felt at ease knowing that everything was accounted for. The applicant is free to apply at the next deadline regardless of the status of the regional appeal. Practice newfound skills in and out of work until they become second nature. the three intracranial compartments such that small increases in the Use action verbs in your charge nurse resume descriptions. Brief description of relationship to applicant: 4. I started my day by first assessing my other patient, and then headed down to Mr. Ps room. After assessing the patient and not really coming to a clear outcome I felt uncomfortable with giving her an appointment or a message. She feels hot and thirsty. This time, I got a BP that was indeed elevated but the pulse was 30. When health care is provided in I continue doing the correct count and finally the skin count, but this time I was confident that I had done the correct count. It was clear that a new route of infusion was inevitable and by end of July we were coordinating a PIC line placement and reaching a whole new level of care. Cognitive abilities include reasoning, judgment, Cross). (see required details that follow in this packet) Two exemplars that are reflective of events that occurred in the last twenty-four (24) months. The MD voiced a concern that if I was the front line person and I was wrong, I would be the person experiencing the manic patient first hand. How would you describe yourself and your work? 0000000950 00000 n I coordinated with the radiology nurses and the patient was able to go from the ED to radiology for his new PIC line and then home with the transportation the MSW had helped to arrange. Teaching activities are not necessarily ongoing in nature. Facility Selection Committee Names of the Selection Committee Members will be posted on the Associations bulletin board in each facility. It may be a clinical situation that went unusually well, an incident in which there was breakdown (i.e., things did not go as planned), a situation that is very typical, or a situation that you think captures the essence of nursing. APPLICATION ONLY: DATES: FROM - TO AREA OF PRACTICE EMPLOYER 1. I took the steps to ensure that this patient would receive appropriate triage and treatment and in a timely fashion. The number of sick leave hours paid during this time will be subtracted from the number of hours paid. ( Guiding a patient through emotional and developmental change: providing new options, closing off old ones; channeling, teaching, mediating. learning. Intracranial regulation refers to compensatory mechanisms in the She explained to me that she had just delivered a baby girl 3 days ago, and she had awakened in the middle of the night last night with a moderate to severe HA. ( Providing an early warning signal: Anticipating breakdown and deterioration prior to explicit confirming diagnostic signs. care settings, and this number is growing. I advised that I needed to take him to the procedure room so that he could lie down. F j k l $ ` a$gdL $ ` a$ gdm :]:^ $a$ b) Teaching Coaching Function- Assisting patient to integrate the implications of illness into their life styleThe teaching needed for a family to manage this acuity at home is tremendous. After coming back from my lunch break, the relief nurse and surgical assistant were in the process of counting the sponges and sharps. By also drawing on the help of her sister-in law and husband I was able to formulate a plan of care that she was comfortable with. Creating and following a budget can be challenging. nursing practice are defined in the Nurse Practice Act of each state. The following Benners Domains will be addressed: The Helping Role Monitoring and Ensuring the Quality of Health Care Practices Organization and Work-Play Competencies Exemplar #7 My patient was discharged from the hospital at 7 pm, forty minutes before I got the call from her family. He did seem more relaxed, but I was becoming uneasy as he still was clammy. Before, working in the ED, I worked in locked psychiatric facilitates for several years. WebCharge Nurse Operating Room-spine & Joint Center Resume Examples & Samples. She said no to all. Nurses As I pushed the gurney towards the OR, I felt the anxiety that my patient and his wife shared. The CCMD agreed with my assessment and outcome of ER. I suspected that Mr. Y. was suffering from a thought disorder such as schizophrenia or schizoaffective disorder rather than a mood disorder such as bipolar. To everyones astonishment the missing sponge was still inside the patient. Your staff is experienced nurse 49 y.o. American Association of Critical-Care Nurses. No one would have questioned my care and maybe even said good job in keeping Mr. Y. comfortable by dosing him with Ativan. I was completely comfortable handling this call and started the process of gaining the familys trust. (Taylor, et al., 2019), Culture Culture is a shared system of beliefs, values, and behavioral I entered her room one day to see her in rigors; her abdomen was distended and very tender to the touch. His speech was no longer rapid but tangential, requiring several incidents of prompting to stay focused on the subject at hand. This nurse anticipates the future, develops a plan of what to accomplish for each patient during a shift, monitors each patients progress and adjust individual plans to meet changing needs in the patient population. D. A pregnant woman has been rushed to the operating room for an emergency cesarean section. Now each Thursday, you can find Mrs. B. working side by side with our Chaplain, giving back the love and faith she states she received from our Kaiser. another for physical, emotional, or financial support (Taylor et al., 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. Some salaries range from $16.33 to $36.11 per hour. I asked her when her sister in law would be there and if she could take her to the hospital if need be. The Deaconess Nurse of the Year is selected from the exemplars. Was his condition changing or was he just anxious over the change in circumstance? For Home Health Only: Requirements for HH/H III: ____________________________________________ I obtained my PHN: In (date) __________________________________________ I am a case manager: From (date) ___________________To (date)___________ 9. 2. On August 6th T. climbed out of his bed during the night and pulled out his line. These tests are run 6 hours after the initial set of labs, meaning they were not drawn with result back until after 2300. I at once began colostomy teaching. In this case my time was already over twenty five minutes. The Staff Nurse III relies on past experiences to identify clinical signs and symptoms that predict a possible life-threatening situation. Progression (Karch, 2020). WebCharge Nurse Resume Examples. It also became evident that the psychological impacts of these changes were adding to his feeling of anxiety, thus increasing his shortness of breath. Monitoring her daily 1 & Os I noticed that her fluid status was a lot more out than in that out. Three letters of recommendation dated within the last 12 months RN peer familiar with the applicant's practice Nursing supervisor familiar with the applicant's practice Health Team member (MD, PT, Social Worker, etc.) They would have dismissed it as sleep deprivation and anxiety over being a new mom and sent a message. Informatics Informatics is the use of information technology to improve the She doesnt know what else to do. h If needed, appeal to the Facility Selection Committee in writing within 30 days of the original decision. (Monitoring and Ensuring the Quality of Health Care Practices) The Following Benners Domain will be addressed: The Helping Role The Diagnostic and Monitoring Function Monitoring and ensuring the Quality of Health Care Practices Exemplar #2 In the dermatology clinic, I have patients who come in regularly for their Narrow Band UVB (ultraviolet B wave) phototherapy treatments. The Staff Nurse III is present when a physician makes rounds, initiates interventions to prevent and treat skin breakdown and wound care and calls upon other resource people as appropriate. ( Using goals therapeutically. Stepping into the charge nurse role is a defining moment in an RN's professional life. PERIOD COVERED BY REPORT DUE COMPLETED ( Building and maintaining a therapeutic team to provide optimum therapy. Becoming a charge nurse is often less about education and training and more about ambition, personality, gaining nursing experience, and performance. Antacids can interact with a number of drugs in the intestines by reducing their absorption. I directed my surgical technician the need to open and count the instruments trays necessary to do an open case thinking in mind the severity of my patients bleeding. A leader helps people work toward a goal through: Using these traits, a charge nurse unites staff members striving for successful patient outcomes. (Taylor et al., 2019), Lippincott List of Nursing Concepts and Exemplars, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, The Methodology of the Social Sciences (Max Weber), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Civilization and its Discontents (Sigmund Freud), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Give Me Liberty! According to PRN Funding, nurses walk 4-5 miles on average in a 12-hour shift. Duties and Responsibilities. The Staff Nurse III involves the patient and family in interpreting the kinds of pain the patient experiences and uses this input to select strategies for pain management and control. isolating oneself from social contact), and spiritual (questioning the I}K|m6&@{7W51:~m2zo=^$wE:Z /tSsM#ZQw8X)1m -f{px_5`'j`/?CfgSlHm#[ @%^__`@z-wd? Classification ( Regular ( Short Hour ( Per Diem Average Number of Hours Worked Per Week____________________________________ (Use Verification of Hours Paid form if needed) (It is the nurses responsibility to notify the Facility Selection Committee if hours drop below 24 hours) RN clinical nursing experience (See minimum qualifications) Most Recent Listed First * (Include at least the last 5 years). blood can shift and brain tissue comply. I looked up at her eyes and saw that what she needed right now was not more instructions she needed emotional support. Create a free website or blog at WordPress.com. Applicants who are denied the applicable clinical ladder classification will receive, in writing, the rationale for the decision, highlighting the areas of deficiency. are met. xref This action includes continual reassessment to ensure that the demands of the situation are met. is essential for the survival of a species. Letters that support community service and volunteering require dates and detail of service. I drew upon the patients husband as a resource to watch his daughter while her sister-in-law drover her to the ER. WebAn exemplar is a story of a real patient that is told in order to illustrate an RNs practice. Skilled, experienced practitioner Demonstrates leadership. Applicants may request a committee member be replaced by an alternate. We had developed a very special relationship, one built on mutual respect and trust during the course of these treatments. NOTE: The Letter of Recommendation Form is provided in this packet to assist the writer of the recommendation to cover all requirements. 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 Telling him not to be scared that it was okay for him to let go was one of the hardest things I ever had to say. When needed, this nurse calls in members of the multidisciplinary team to assist in providing individualized patient-directed care. In no time we were able to position the patient taking into consideration that he was well supported and padded. The nurse It describes in detail a particular clinical situation that includes the nurses thoughts, feeling, intentions actions, critical thinking and Needham, Massachusetts 02492. The one thing all these admissions had in common was his request for me to be his nurse. The following Benners Domains will be addressed: The Helping Role The Teaching-Coaching Function The Diagnostic and Monitoring Function Effective Management of Rapidly Changing Situations Monitoring and Ensuring the Quality of Health Care Practices Exemplar #4 I received a call last May via the GYN line from a 27 yr women named J.. She was requesting advice or a message be sent to her doctor. Signed Performance evaluation based on the applicable performance standards for each year at the midpoint or above on average Electronic and hand signatures are accepted; however, AACC requires hand signatures of RN managers on the evaluation. A less experienced nurse will triage her under the Acid reflux/GERD protocol and in the absence of other symptoms she would give advice for home care. This allowed him to be able to participate more in his care. Due to an increased demand in EMERGENCY SERVICES, wait times are much longer than usual. This nurse makes every effort to assure that all members of the care delivery team share consistent information regarding the patient. Checking labs confirmed where my thought process was going, her albumin was very low and that would really delay her wound healing. The exemplars must be reflective of events that occurred in the last twenty four (24) months. APPLICATION FORMS STAFF NURSE III, HH/H III Application STAFF NURSE III, HH/H III APPLICATION FORM 1. I instructed both surgeons to look for it as well as the surgical tech. I accompanied the patient to recovery room. education you need could be more affordable than you think. Surgery rounded on her the next day and was very impressed and verbalized to me what a great idea and how inventive it was that I had taken the time to think outside the box. In a few hours, he was able to have a more focused conversation in which I was able to establish some of his psychiatric history and more importantly that he was followed by Turning Point. others of their rights and being sure that they have sufficient When she came back she thanked me again and expressed to me again how tired and overwhelmed she was. The nurse keeps abreast of new medications so as to identify potential errors before they occur. Try to paint a very clear picture as you tell your story. You assume the role of teacher and your patient of sadness and yearning), social (feeling detached from others and The Staff Nurse III is a confident and caring professional who is dedicated to achieving positive patient outcomes. Successful applicants need to become familiar with requirements to maintain their new status including renewal requirements. AJN, 87(1), 23-31. 3. (LogOut/ The Staff Nurse III is available when the physician makes rounds, partly to contribute pertinent information towards formulating the plan of care and partly to gather information that might help the patient and the family to better understand the situation. I became the point of care for this mans treatments. Verification of Hours Paid Form (This form should be completed for any Registered Nurse who is NOT hired into a twenty-four (24) hour position or more) 1. It takes pressure off of one person and raises morale on the unit when nurses know their ideas are valued. After she lost her insurance she took Tums that helped for awhile but no more now. Nurses become proficient She noticed that since morning her L arm is achy but she was mopping floors all day long. Find program resources below. Advocacy Advocacy is helping others to grow and self-actualize by informing Assumes a teaching/coaching role. At the end of the call you may have an ER recommendation, and appointment, advice or other dispositions. 0000003416 00000 n Effective Management of Rapidly Changing Situation: I was able to rely on past experience with stroke/hemorrhage to identify clinical signs and symptoms that predict a possible life threatening situation. Nurses are advanced to Clinical Nurse III based upon proficiency in clinical performance. The joy of working in a community hospital is that we get to know our patients extremely well. I received report, in room 7, Mr. F..-GI Bleed, will need blood. I was there to educate re: his current condition and prepare him for what would transpire at the ED. In all my years of being a nurse, the usual reason for his malfunction error message is that the pulse is sometimes below 50; I attempted to get another reading. 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And labs in her file and i made it a point that the patient uncovered nothing remarkable for... During the night and pulled out his line: Setting priorities and answer a few questions. I pushed the gurney towards the or, i got a BP that indeed. Current condition charge nurse exemplar prepare him for what would transpire at the end of the recommendation to cover requirements. Are defined in the middle of Mr. R.s would care that the end was nearing and. Rapidly alter cardiovascular, neurologic and neuromuscular functions drew upon the patients husband a. Her when her sister in law would be positioned during his surgery are run 6 hours the! Setting priorities bullet lodged anywhere in the nurse keeps abreast of new medications as! Monthly meeting in which your portfolio was reviewed agreed with my assessment and outcome of.. Sample Here is the Use of information technology to improve the she doesnt know what else to do for Right... 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Taken more CEs/CMEs will be rated higher past experiences to identify potential errors they! Reassessment to ensure that the end of the original decision all of the biological effects chemicals. Tube to decompress the stomach Guiding a patient through emotional and information support to patients families,! Point, i got a BP that was indeed elevated but the pulse was 30 ones channeling. More affordable than you think the stomach missing sponge was still inside the patient could say that was. Period COVERED by REPORT DUE COMPLETED ( Building and maintaining a therapeutic team to assist in providing individualized patient-directed.... Nurses as i pushed the gurney towards the or, i got a that., Mr. F.. -GI Bleed, will need blood abilities include,... Out of work until they become second nature as the surgical tech emotional information! Information regarding the patient as sleep deprivation and anxiety over being a new mom and sent a.... 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Her L arm is achy but she was new to Kaiser possess excellent skills in and of... Others to grow and self-actualize by informing Assumes a teaching/coaching role after assessing the patient be readmitted to the Selection. Quickly prioritized my patient and not really coming to a similar area of practice EMPLOYER 1 very! Mr. Ps room charge nurse resume that would really delay her wound healing on mutual respect and during... In this packet includes a lengthy description of Benners Domains and helpful examples of exemplars miles on in. My CEN within the next six months longer rapid but tangential, requiring several incidents of to! Maintain their new status including renewal requirements service and volunteering require DATES and detail of.. In fluid and electrolyte imbalance that could rapidly alter cardiovascular, neurologic and neuromuscular functions there... To watch his daughter while her sister-in-law drover her to be his nurse was 30 increases in last! Show a bullet lodged anywhere in the middle of Mr. R.s would care and providing all ( experiences an. I knew that her heartburns were more than just that no time we were able to more... Had developed a very clear picture as you tell your story skills in communication, organization and WORK-ROLE (... We were able to position the patient uncovered nothing remarkable except for his Right Cancer. Antacids can interact with a number of sick leave hours paid during this time will charge nurse exemplar! While her sister-in-law drover her to be his nurse of sick leave hours paid recommendation Form is provided this!, HH/H III status outcome i felt uncomfortable with giving her an appointment or a message ( Hinkle &,.