A narrative summary must be included highlighting the applicants strengths in clinical practice and/or professional activities. She just wanted a message and something stronger for her pain but I intuitively knew something more was going on her and I felt she needed more urgent care. I know that I must tell patients that need to go to ED and in many occasions patients get in a state of denial, changing the description of their symptom and asking for an appointment. I knew that it was going to be a long day but I love doing urology cases after all. As a leader, the charge nurse must demonstrate humility as they collaborate with healthcare teams. Letters that support community service and volunteering require dates and detail of service. Mrs. S. was comfortable with me and had confidence in my expertise and judgment. <<9C13C84E391F1B4D9CE87E60E362D8AE>]>> Choose a mentor from the local FSC mentor list. She said her daughter seemed to be latching on okay and getting enough fluids. The applicant is free to apply at the next deadline regardless of the status of the regional appeal. It ddescribes in detail a particular clinical situation that includes the nursess thhoughtts, feelinngs, intentions, It involves conception (the My first visit was spent establishing trust and identifying his goals for care which were pain control, decrease in shortness of breath and decreased anxiety. He was given one dose of PO Ativan that he took without incident. 5. 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. She doesnt know what else to do. The Facility Selection Committee shall review the appeal and either accept the application or deny the appeal, providing a written explanation of the reasons for the written denial. equipment and perform procedures and other clinical activities with feelings, or behaviors resulting from maturation, experiences, and His morning vital signs were stable with heart rate in the low 60s. The family was calling to ask that the patient be readmitted to the hospital immediately. A regional appeal may not be completed before the next application deadline. Knowing that my room was ready I went straight to the preoperative department to meet my patient and to receive a handoff. His hospital stay will require diabetic control, restoring blood flow to bilateral lower extremities, wound care to necrotic diabetic ulcers and restoring proper nutrition. B) The family needs to agree to surgery. It was not for me to question their rituals. 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. The Staff Nurse III is an experienced nurse who effectively organizes plans and coordinates the simultaneous needs and request of many patients. Manager _________________________________Cost Center_______________________ ( Manager informed that applicant is applying for SN III or HH/H III. Mr. R. was eventually sent to a rehab facility to learn to use his prosthetic leg. Use This Template Alfie Jonas Charge Nurse 458 635 9654 alfie@hiration.com San Francisco, CA www.linkedin.com/in/alfie SUMMARY How would you describe yourself and your work? affect ones health. Charge Nurse Emergency Room and Trauma Unit, 2017-2020 Mary Mount Hospital, San Francisco, CA. The education process began immediately on how to gown and glove to protect him, our staff and his family and friends. management, finances, and transportation. The American Nurses Association identifies the Five Rights of Delegation as: Leadership encompasses a variety of unique qualities, and a mindful charge nurse recognizes the difference between leading and managing. The lowest 10 percent earned less than $52,080, and the highest 10 percent earned more than $111,220. Do-Study-Act. A hospital unit is often busy as patient care requirements can rapidly change. 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. this sense of well-being to the patient, particularly by relieving pain. the nurse and the client during which the nurse focuses on the clients In the best interest of the patient, this nurse is unafraid to question orders and to initiate, direct and redirect care. He was added to my caseload in June when his nurse retired. They had checked his BP which he was slightly elevated and per protocol, he was sent to the station. cognitive, and physical symptoms (Videbeck, 2020). When I assessed his abdomen, he was slightly tender with positive bowel sounds and he continued to complain of slight nausea. depends on normal functioning of both the respiratory and I stayed just long enough to get him tucked in and off I went as I was done for the day. ACLS/PALS/NRP counts if it is applicable to the clinical area and NOT a job requirement. My critical thinking and years of experience being an OR nurse has made it possible for me to protect my patient from a sentinel event that would endanger his life because of retained foreign object in his body. She had been discharged from 4W and after returning home for a brief period of time, returned with major abdominal pain. She thanked me for my patients and kindness. Not sure where he has been receiving his medical or psychiatric care. The Applicant-Mentor relationship is required, and, ideally, the relationship would start at least one month before the application deadline. You may use the typical abbreviated telling of the nursing practice situation but should be written in first- person. Fevers began and she was readmitted, requesting 4E. In many units, the charge nurse monitors patient care, administers resources, schedules nursing staff, and assigns patients. E'[i;T3^umhiBC CcM! The applicant may contact a member of the Facility Selection Committee to verify completeness of the application prior to submission. I had to catch my breath and make sure that my face didnt reveal what my mind was thinking. joining of the sperm from the male with the ovum from female), Who was affected by the work that you achieved? By now I knew that I have to ask questions. At this point, I felt that this patient needed an advocate. The nurse is accountable for the care provided to clients and Sometimes conferencing with CCMD might change their mind or if denial continues a non-compliance disposition is given. I felt that I can connect her last night symptoms to cardiac ischemia but I needed more information to confirm it. In no time we were able to position the patient taking into consideration that he was well supported and padded. STAFF NURSE III, HH/H III SIGNATURE PAGE FOR MENTOR Mentors Name________________________ Mentor Signature______________________ Date ________________________________ STAFF NURSE III, HH/H III RECEIPT OF APPLICATION FORM Application Submission: Date application submitted:_________________________________Time application received:__________________________________ Application received by:____________________________________ Note: please provide applicant with a signed copy of this page as verification of receipt of SN III/ HH/H III application.) c) The Diagnostic and Monitoring Function - Anticipating problems: Future thinkA great deal of my time in this case was spent anticipating problems and putting back up plans in place. The NGT was placed successfully after the first attempt. I was able to actively listen to her anxieties, pain and frustration and reassure her throughout the call. Fifteen (15) CEUs in her/his area of clinical specialty in the past year. Provides best possible patient care. License # _______________________________Expiration Date_____________________ Area of Clinical Specialty: ( Ambulatory Care ( Home Health/Hospice ( Hospital Classification: ( Regular ( Short Hour ( Per Diem 7. The ED MD thanked me for my good suggestion in performing a tracheotomy versus intubation. The following Benners Domain will be addressed: The Helping Role The Teaching Coaching function Effective Management of Rapidly Changing Situation Organizational and Work Role competencies Exemplar #12 It promised to be a relatively straightforward day in OR Room 3. or part of an organization through the deployment and manipulation of Three fundamental responsibilities for charge nurses include planning, coordinating, and evaluating unit nursing activities. One organizational nursing recognition award is the nationally recognized Daisy Award which recognizes exceptional nursing care, outstanding clinical skill, and compassion. All of a sudden Mrs. Kinney became emotional, she just burst into tears and began holding her husbands hand. 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. A resume is a useful and convenient mechanism for presenting yourself and your accomplishments. The ER MD prepared to intubate. Additional letters of recommendation may be submitted in case one or more letters do not meet requirements. Why did your work succeed or fail? Please describe and critique your current nursing practice in a Clinical Exemplar. I have the great pleasure and privilege of continuing to care for Mr. P. FYI, I am happy to report that his index cards have now been updated! professional organizations and by individual and group lobbying of I immediately called the Central Processing Unit to ensure that I had the instrument trays that we would need in case we did the case open instead of laparoscopic. After receiving report I was able to visual see Mr. Y. from the nurses station. Attempting to avert a crisis, this nurse quickly assesses the magnitude of a problem in order to identify and assign resources that the patient needs. I was able to make her feel at ease while she balanced breastfeeding and talking by asking about the well-being of her daughter and if she was latching on. WebExemplars In the following section I have included two exemplars to reflect an example of my clinical and leadership abilities in nursing. agrees to be morally responsible for the consequences of his or her 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. ( Assessing the patients potential for wellness and for responding to various treatment strategies. The concept of palliative sedation was discussed with the core IDG. More than 15 CEUs may be submitted with the application packet in case some CEUs do not meet requirements. What were your goals and did you achieve them? A sample of the standard should be included in the portfolio if possible. 2006-06-08T10:38:27Z Only last night she got scared because of a bad dream that woke her up in cold sweats and she couldnt catch her breath to wake up her husband. She has published and lectured throughout her career. The one thing all these admissions had in common was his request for me to be his nurse. Becoming a charge nurse is often less about education and training and more about ambition, personality, gaining nursing experience, and performance. While the following seven traits are important to many leadership positions, they are essential for nurses who care for and protect vulnerable patients. I was able to discuss with him the process of dying, answering questions as he would process the information. In addition, the Regional Appeals Committee may review the nurses original application materials and the FSCs decision, including its reasons for the denial. Checking labs confirmed where my thought process was going, her albumin was very low and that would really delay her wound healing. F The Staff Nurse III draws upon the patient, family and significant other as resources. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Welcome to Tracys ProfessionalPortfolio. WebNurses who excel in managing client care and possess strong interpersonal skills often assume additional management duties when assigned the role of charge nurse or nurse After his second round of high dose chemotherapy, a bone marrow biopsy showed poor prognosis, the leukemia was not responding to the aggressive treatment we had started. If a charge nurse relies solely on their clinical skills, it could result in chaos and poor patient outcomes.