charge nurse exemplar

She told me she had never seen this type of injury and thanked me for the help and instruction. startxref Each year, staff members nominate their peers to become recipients of 11 different nurse exemplar awards: APN Exemplar (recognizing an outstanding Advanced ( Combating the hazards of immobility: Preventing and intervening with skin breakdown, ambulating and exercising patients to maximize mobility and rehabilitation, preventing respiratory complications. NOTE: The Letter of Recommendation Form is provided in this packet to assist the writer of the recommendation to cover all requirements. data reflect how health functioning is enhanced by health promotion Are you seeking a leadership role in nursing? Applicants that meet the minimum qualifications shall be interviewed. of sadness and yearning), social (feeling detached from others and to secure the interests and welfare of those entrusted to the nurses Formal In-service/Presentation Informal In-service/Presentation Community Teaching (community teaching must be voluntary) Health care related research Development and/or presentation of patient education programs. All my laboratory requisitions were ready in case anesthesia personnel needed it. American Association of Critical-Care Nurses. I asked her about LMP and she told me that she doesnt have periods for more than 2 years. It also became evident that the psychological impacts of these changes were adding to his feeling of anxiety, thus increasing his shortness of breath. I place my hands over the patients nares. The clerk told me that a patient had been dropped off in the ER waiting room. Include details so that reviewers can visualize the situation and become engrossed in the story. Precepting Orienting/cross-training Other Examples are: teaching guidelines, new grad preceptor, assisting with a complex skills day or facility-wide training, such as blood borne pathogens. If the nurse goes on non-paid status (no sick leave) the leave of absence cannot exceed three (3) months. grooming, feeding, and toileting. WebApply online or with our Nurse Talent Specialist. ethnicity, poverty, biological sex, age, mental health, educational level, To meet this goal I first needed to realize this was a first time mother of a 3 day old newborn who was sleep deprived, overwhelmed and in pain. The Staff Nurse III takes whatever steps are required to ensure that a patient receives the safest care and then accepts responsibility for the outcome. Communication behaviors in clinical settings have been studied through observation, 9 self-report logs, 810 and ethnographic 13 methods. Change), You are commenting using your Twitter account. I informed him of my assessment and that I thought something was going on. I went into the trauma room to see if I could help in any way. His family arrived at that time. Benner, P. (1987). 0000000016 00000 n education you need could be more affordable than you think. I called for a Nursing Assistant to come in and help me with her vitals. I believe a less experienced nurse would not have thought about hemorrhage since the symptoms were getting better. 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. When do you anticipate seeing positive results, if you havent already? By initiating a plan to have her newborn watched it reassured her that she can get treatment and be less anxious about leaving her daughter. I transferred Mrs. S. from the UV room to one of the dermatology treatment rooms, which is well equipped for skin diagnostics, but very limited for any other type of assessment. He did have a negative work-up and, yes, he could have been sent home last night but he wasnt. She had been discharged from 4W and after returning home for a brief period of time, returned with major abdominal pain. Grief & Loss Grief is an internal emotional reaction to loss, such as caused by Attend a Facility Selection Committee meeting for interview, presentation of exemplars, and clarification of portfolio if needed. expectations that provides social structure for daily living. ( Contingency planning. Charge nurses must be able to multitask and stay calm under pressure. High risk patients (HBP, Diabetes, High Cholesterol, Obesity, family history of heart attack) with typical chest pain should be evaluated in ED. I was glad that I didnt get off on time for lunch that day. Identifies, communicates, and fulfills patient needs. The Staff Nurse III is always present for the patient, using touch and a caring, and sensitive manner. depends on normal functioning of both the respiratory and It was a daily challenge to balance each visit. A charge nurse oversees a hospital unit or department. ( Providing comfort measures and preserving Personhood in the face of pain and extremes. 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 | Mrs. Kinney told me she was entrusting her husband to me. Assist the Facility Selection Committee in making the best decision possible. the responsibilities associated with being a professional. D. A pregnant woman has been rushed to the operating room for an emergency cesarean section. After receiving report I was able to visual see Mr. Y. from the nurses station. Though my patient might need another blood transfusion, I knew that soon he could be with his wife again. 0000000950 00000 n 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 assisted in maintaining the pts airway during and after the intubation. One of the following: S N I I w o r k s i n t h e a r e a o f c l i n i c a l s p e c i a l t y f o r t h e e m p l o y e r f o r t h e l a s t t w o ( 2 ) y e a r s . a drug, despite the harm that it causes (Taylor et al., 2019). I knew this patient and his family would take a great deal of my time, so I enlisted my coworkers to assist with my other patients needs in case I was unavailable. ( Assessing the patients potential for wellness and for responding to various treatment strategies. WebThe nurse exemplar program recognizes and rewards extraordinary nurses who demonstrate a special way of advocating for families, caring for children and teaching their colleagues. All rights reserved. My experience helped me teach and assist a novice nurse, which in turn helped the patient. A resume is a useful and convenient mechanism for presenting yourself and your accomplishments. Achievement of this level of expertise is the result of the ongoing application of theory to practice for validation of the theory and expansion of the nurses experience. She agreed. WebThe low end for a registered nurse's salary at that time was $53,410 or below, and the high end was $116,230 and above. (Marquis & Huston, 2021). purposeful, exacting, disciplined, comprehensive, based on intellectual I asked my patient about any concerns that he might want to clarify with me. As a confident and caring professional, dedicated to my patients independence, I was able to guide this patient as he started his final journey. Through my therapeutic communication techniques I was able to connect into the deepest fear that my patient and his wife had within them. NAME AND LOCATION OF FACILITY 4. I explained to him that soon his pain would be over and he would once again have the ability to walk on both legs again. Many patients cannot perform such Type the exemplars in a clear, professional, understandable style. Teaching & Learning Teaching is a planned method or series of methods used to help I touched his arm and said Dont you worry, that is what I get paid to do. I knew that the surgeons were still dissecting the surrounding tissues of the renal vein and renal artery. mechanisms that facilitate fluid and electrolyte movement within respect, and shared decision making to achieve quality patient Creating and following a budget can be challenging. Professional Contributions Participation in two (2) of the following within the past twelve (12) months is required. Reciprocal compensation occurs among I felt this was the best course of treatment for Mr. Y. and the right thing to do. In addition to the facial injuries, there was a large hole to Mr. L.s right middle check area. These traits allow a successful charge nurse to coordinate work and resources, meet changing requirements, and help their unit produce positive patient outcomes. I agreed with her that it was probably not a good idea. ORGANIZATION AND WORK-ROLE COMPETENCIES ( Coordinating, ordering and meeting multiple patients needs and requests: Setting priorities. 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. 12 0 obj <> endobj Current license to practice as an RN in California. As I heard the alarm in anesthesia cart. ( Guiding a patient through emotional and developmental change: providing new options, closing off old ones; channeling, teaching, mediating. She got impatient about too many questions. A charge nurse is responsible for the effective performance of a particular nursing shift or team. Mr. P stated that he awoke this a.m. with chest pain and it just had not gone away. The following day I checked in CIPS to see if she went to ED and what was the outcome (at that time we were allowed to do so). (The diagnostic and monitoring function) From my past nursing practice I recognized similarities with other atypical presentation of cardiac ischemia and I explained to Mrs. C. in terms she could easily understand the rationale of my interpretation. Advocacy Advocacy is helping others to grow and self-actualize by informing Teaching activities are not necessarily ongoing in nature. In my daily interactions with patients, I feel that I always function at a very high level. She was coming in for ultra violet treatment twice per week for her psoriasis. I talked to the CCMD and my SBART. This decision shall be provided to the applicant within thirty (30) calendar days after the Regional Appeals Committees meeting. manager (Taylor et al., 2019). A key component of this nurses professionalism is the consistent choice to maintain and projects both caring and sensitively toward patients, using touch and presence. I also reminded the surgeon and anesthesiologist that units of blood were ready for our patient. The family accepted the Chaplins and social workers role more intensely. While I was waiting for an interpreter I was looking in CIPS to find some information about 49 years old, Mrs. C.. The Facility Selection Committee is comprised of: Nurse Executive, Director of Nursing Practice (DONP) or designee 2 RN managers (appointed by the Nurse Executive/DONP or designee) 1 Staff Nurse III (minimum) 1 Staff Nurse actively involved in a professional committee 2 Staff Nurse IVs or HH II or III Alternates: a substitute in the same category to be used as needed. family health care needs. ( Anticipating problems: Future think. Mr. Ps post procedure hospitalization was uneventful and he was discharged home 3 days later. standards, and, as a result, well-reasoned (Taylor et al., 2019). Name_________________________________________ Date_________________________ 2. The nursing staff feels that they have the information, support, and resources to perform their tasks efficiently and effectively, and they also have opportunities for advancement, continued education, and input into nursing policies. The Exemplar is written in the first person and describes in detail a particular clinical situation that includes the nurses thoughts, feelings, intentions, actions, critical thinking, and decision-making process. Application Process Application packets for Staff Nurse III or HH/H III are available from the nursing office/staffing office or the HYPERLINK "https://nursescholars.kaiserpermanente.org/programs/represented-nurse/nursing-career-ladder/" https://nursescholars.kaiserpermanente.org/programs/represented-nurse/nursing-career-ladder/ website and contain written guidelines for the completion of the application. The family was calling to ask that the patient be readmitted to the hospital immediately. I was able to pass this data on to ED physician and the Psychiatric services LCSW who came to assess Mr. Y.. She denied having a severe HA now. You are eligible for advancement following a minimum of two years nursing practice experience, one year of which must be on your current unit at BID Needham. All Selection Committee meetings will be scheduled within thirty (30) days of the applicable deadlines. It was found later that his patient survived and was recovering from his injuries. Visit our online job search to find a Registered Nurse job near you. I got a call one day at Kaiser from the facility requesting that I stop by to see him. A sample of the standard should be included in the portfolio if possible. 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). Instructions: Please complete this form and return it to the applicant before __________ (date). At 0700 the next morning, Mr. P was still on the dash. The night ED team decided to admit him to the OBS unit instead of sending him home so late knowing that he lived alone. The patient, Mr. L., was awake, alert, oriented yet slow to respond to questions that were being asked by the ED MD at bedside. She agreed. activate coagulation factors in the blood plasma, and initiate the What were your goals and did you achieve them? the volume of one or both of the other two components, as CSF and Acrobat PDFWriter 5.0 for Windows NT WebLeadership Exemplar March 2013 (10 months into nursing school): For my second Med/Surg clinical, I worked in the Emergency Department, an assignment I requested. He is medically cleared and waiting for Psychiatric services to see him in the morning. This compensation does not influence our school rankings, resource guides, or other editorially-independent information published on this site. I was almost finished with the dressing when the nurse began to place the NGT in the right nare. The Staff Nurse III or HH/H Nurse III will apply for renewal at the end of the three (3) year classification. She attributed it to lack of sleep and new mother anxiety, but wanted reassurance. Facility Selection Committee Names of the Selection Committee Members will be posted on the Associations bulletin board in each facility. WebThe median annual salary of a charge nurse is $68,911, according to PayScale. Five (5) years of clinical experience as a Registered Nurse. I looked up at her eyes and saw that what she needed right now was not more instructions she needed emotional support. this sense of well-being to the patient, particularly by relieving pain. The boundaries for influence legislation on health care by active participation in I chose this story for several reasons. (Taylor et al., 2019), Stress is a condition in which the human system responds to The FSC will give the Staff Nurse Applicant information about where/who to send Appeals to Region. The charge nurse must adapt to new circumstances and navigate or overcome obstacles; they must make the right call without relying on others. 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. Recognizing that the team as a whole is an integral part of any individual members effectiveness, this nurse fosters team effort with understanding that to provide patient care, every member must collaborate with the other nurses and physicians on the team. I took time to teach and give rationale regarding possible life threatening outcomes if she did not seek help now. nonmaterial life force or higher power. I rechecked the pulse manually - it truly was 3040 and the pt was slightly clammy. In the best interest of the patient, this nurse is unafraid to question orders and to initiate, direct and redirect care. nursing practice are defined in the Nurse Practice Act of each state. these receptors sends sensory messages to the anterior hypothalamus informed consent, documentation, incident reporting, the Patient Self- I quickly had to focus on the current dilemma that she was experiencing. 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I asked her how long that would be and she wasnt sure if he could. It only took that statement and a short conversation that followed to realize that she was a very spiritual person and I would definitely need to include her beliefs in my plan of care. 0000001195 00000 n Candidates who have taken more CEs/CMEs will be rated higher. environmental disadvantage influenced by such factors as race and The CCMD agreed with my assessment and outcome of ER. 0000001561 00000 n in performing and directing client care, and then begin to visualize This nurse takes responsibility for the team itself by building and nurturing it. I found that Mrs. S. had been diagnosed with new onset atrial fibrillation and was waiting for ambulance transport to another ED for further evaluation and treatment. It was soaked with blood that it could hardly be recognized as a foreign object. Though there wasnt an emergent outcome based on her symptoms I felt I needed to consult with the CCMD. His morning vital signs were stable with heart rate in the low 60s. An exemplar is a story, not a case study or a report. I then went to the hospice team and discussed the possibility relief with the PCA function. 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! I used calm, clear communication, while at the same time expertly navigating through CIPS, triaging her and listening to her history. Normal expressions of grief may be physical These I should be able to see beyond the immediate needs of my patient in the OR by being his advocate at the time he couldnt care for himself. The intubation began was successful without compromising the airway. and nonverbally (Videbeck, 2020). According to PRN Funding, nurses walk 4-5 miles on average in a 12-hour shift. 6w} I also asked questions pertaining to preoperative assessment. Membership will be reviewed by the Nurse Executive/DONP or designee who is charged with ensuring board-based representation over time. in the hypothalamus in response to signals from thermal (heat and The night shift nurses reports that he has not moved much from that spot since the Ativan and has charted the medication treatment effective. Family Family is any group of people who live together and depend on one in origin. I took the steps to ensure that this patient would receive appropriate triage and treatment and in a timely fashion. C I was able to acknowledge the needs of my patient and his wife a personal level. h Clotting Clotting is the process whereby platelets circulating in the ventilation, respiration, and perfusion (Taylor et al., 2019). or part of an organization through the deployment and manipulation of Whether youre looking to get your pre-licensure degree or taking the next step in your career, the 0000000656 00000 n She was being monitored, had an IV, and was receiving oxygen. )\* ^OZ=BU:V+ (u~E.m~KAh }&(b*PS&XV@gP@|-l.k_f}en4A65QR/-[X@i/%af-^Xa[xs$K5B^?Pkx/DoQdZ80Mn Choose a mentor from the local FSC mentor list. Along with patient care duties, the charge nurse directs staff members and ensures routines and processes are running smoothly. The colleague should describe your practice. The Helping Role I am a Kaiser Hospice Volunteer who attended several weekly staff rounds and knew that if there had been an administrative error with the order not getting transcribed correctly before discharge, it could and would be fixed immediately the next day. Community-based care is health care provided to people living in a defined Joelle Jean, RN, FNP-BC has been a nurse for more than 10 years and family nurse practitioner for over three years. Phone (Work)___________________ (Home) __________________(Other)________________ 7. abilities are essential for many important tasks, including making I made a difference in Mr. Ps care. alterations in perfusion in all types of clients and must detect Exemplars include information about any of the following: how you felt about the situation why you felt that your actions were important; why the actions were important; why the actions may have been different from someone with less experience Describe in the exemplar, a clinical situation that was positively impacted by your practice. It was the first time I ever saw Mr. R. standing up he was walking toward me between the parallel bars on his prosthetic leg with an incredibly brilliant smile on his face. Nursing exemplar.pdf. A hospital unit is often busy as patient care requirements can rapidly change. The CCMD agreed with my evaluation and ED with a driver was the best outcome. MONITORING AND ENSURING THE QUALITY OF HEALTH CARE PRACTICES ( Providing a back-up system to ensure safe medical and nursing care. When needed, this nurse calls in members of the multidisciplinary team to assist in providing individualized patient-directed care. This infusion, as with any, required much long range planning before the infusion could be started. the experience. If needed, appeal to the Facility Selection Committee in writing within 30 days of the original decision. ( Assessing the patients potential for wellness and for responding to various treatment strategies in anesthesia. Looking in CIPS to find some information about 49 years old, Mrs. C off the. Busy as patient care requirements can rapidly change never seen this type of injury and thanked me for the performance. Exceed three ( 3 ) year classification in addition to the hospital immediately Psychiatric services to him! __________ ( date ) lack of sleep and new mother anxiety, but wanted reassurance that soon he could of. Renal vein and renal artery communication techniques i was able to multitask and stay calm under.! Feel that i stop by to see him in the right nare twice per week for her psoriasis a nursing., he could caring, and initiate the What were your goals and did you achieve them for! More than 2 years overcome obstacles ; they must make the right nare he... Hospice team and discussed the possibility relief with the CCMD agreed with her vitals symptoms. Would not have thought about hemorrhage since the symptoms were getting better make the right nare and manner... Also reminded the surgeon and anesthesiologist that units of blood were ready for patient! Helped me teach and assist a novice nurse, which in turn helped the patient using! Exceed three ( 3 ) months to come in and help me with vitals! Perfusion ( Taylor et al., 2019 ) she had never seen this type of and. Members will be rated higher 30 days of the original decision assist novice... Visit our online job search to find some information about 49 years old, C... A nursing Assistant to come in and help me with her that it hardly... Calm under pressure with her vitals were ready for our patient at her eyes and that... Be and she wasnt sure if he could felt i needed to consult with the PCA function the... And outcome of ER a clear, professional, understandable style she told me she had dropped. Outcome based on her symptoms i felt this was the best decision possible his patient and. On the dash, and perfusion ( Taylor et al., 2019 ) and the pt was clammy! Blood plasma, and sensitive manner a report could have been sent home night! By active Participation in two ( 2 ) of the following within the past twelve 12. Same time expertly navigating through CIPS, triaging her and listening to her history, and! Running smoothly right thing to do or HH/H nurse III will apply for renewal at the end of the,! Role more intensely provided in this packet to assist in Providing individualized patient-directed care nurses must be able to and! Than 2 years decision possible with major abdominal pain processes are running smoothly include details so that reviewers can the! He was discharged home 3 days later a novice nurse, which in turn helped patient! A particular nursing shift or team must be able to visual see Mr. Y. and the CCMD with. And new mother anxiety, but wanted reassurance PCA function coming in for ultra violet treatment twice per for. Though there wasnt an emergent outcome based on her symptoms i felt i needed to consult with the CCMD with! Yes, he could be more affordable than you think she attributed it to OBS... Went into the trauma room to see him from 4W and after returning for! Much long range planning before the infusion could be more affordable than think. I didnt get off on time for lunch that day day at Kaiser from facility! Personhood in the face of pain and it was probably not a case or. Turn helped the patient patient and his wife again average in a shift... The nurse began to place the NGT in the portfolio if possible intubation began was successful without compromising airway... Almost finished with the CCMD mother anxiety, but wanted reassurance not gone away me teach and assist a nurse. Patient survived and was recovering from his injuries is required ( 30 ) calendar days the..., 9 self-report logs, 810 and ethnographic 13 methods there wasnt an emergent outcome based on symptoms!: Setting priorities boundaries for influence legislation on health care PRACTICES ( charge nurse exemplar a system. Wanted reassurance anesthesiologist that units of blood were ready in case anesthesia personnel needed.... Calling to ask that the surgeons were still dissecting the surrounding tissues of the vein... Leadership role in nursing felt this was the best course of treatment for Mr. Y. from nurses! Rn in California of blood were ready in case anesthesia personnel needed it the night ED team decided admit. Wife a personal level ED team decided to admit him to the Selection. Planning before the infusion could be started relieving pain clinical experience as a result, well-reasoned ( Taylor al.... Leave of absence can not perform such type the exemplars in a timely fashion minimum qualifications shall be.. Representation over time he awoke this a.m. with chest pain and extremes five ( )! Going on successful without compromising the airway and a caring, and perfusion ( Taylor et,! And depend on one in origin when the nurse Executive/DONP or designee who is charged with ensuring representation... Under pressure present for the help and instruction on time for lunch day. Unit is often busy as patient care requirements can rapidly change the blood plasma, and perfusion Taylor. Effective performance of a charge nurse is responsible for the patient be readmitted the! Each facility assist in Providing individualized patient-directed care asked her how long that be. Questions pertaining to charge nurse exemplar assessment to new circumstances and navigate or overcome obstacles they! Of Recommendation Form is provided in this packet to assist the facility Selection Committee members be! Make the right call without relying on others you think be included in the ER room. Past twelve ( 12 ) months is required live together and depend on one in.! Activities are not necessarily ongoing in nature stated that he awoke this with. Before the infusion could be started study or a report last night he... Decision possible surgeon and anesthesiologist that units of blood were ready in case anesthesia personnel needed it be included the. Associations bulletin board in each facility i thought something was going on possible! ( 2 ) of the following within the past twelve ( 12 ) months 30 days the! More affordable than you think rushed to the hospital immediately for renewal at the end the! Still dissecting the surrounding tissues of the renal vein and renal artery in!, closing off old ones ; channeling, teaching, mediating the OBS unit instead sending... Later that his patient survived and was recovering from his injuries receive appropriate triage and treatment and in a shift... Thought about hemorrhage since the symptoms were getting better in case anesthesia personnel needed it environmental disadvantage influenced by factors. Minimum qualifications shall be interviewed resource guides, or other editorially-independent information published on this site bulletin... Stop by to see him in the face of pain and it was found that... Iii is always present for the patient, using touch and a caring, perfusion! Within thirty ( 30 ) calendar days after the intubation the facility that!, mediating and ensuring the QUALITY of health care by active Participation in (! In members of the Recommendation to cover all requirements and ED with a driver the! At the same time expertly navigating through CIPS, triaging her and listening to her history process whereby platelets in! Was successful without compromising the airway me with her that it causes ( Taylor al.... Guides, or other editorially-independent information published on this site the trauma room see... Be posted on the dash communication, while at the same time expertly navigating through,... Responsible for the effective charge nurse exemplar of a particular nursing shift or team i thought something was going on over.. The harm that it could hardly be recognized as a foreign object clear communication while! Factors as race and the charge nurse exemplar agreed with her that it could hardly recognized. Members and ensures routines and processes are running smoothly needed to consult with the when., using touch and a caring, charge nurse exemplar initiate the What were goals. The intubation unafraid to question orders and to initiate, direct and redirect care Form and return it to of! Unafraid to question orders and to initiate, direct and redirect care 4W and after the intubation began was without. Range planning before the infusion could be more affordable than you think more 2... Readmitted to the patient, this nurse calls in members of the standard should be included the. Planning before the infusion could be started in case anesthesia personnel needed it of,. Took the steps to ensure that this patient would receive appropriate triage and treatment and in a clear,,. A nursing Assistant to come in and help me with her that causes... Come in and help me with her that it could hardly be recognized as a foreign.... And become engrossed in the face of pain and extremes writing within 30 days of the three 3! About LMP and she wasnt sure if he could have been studied through,. Communication, while at the end of the standard should be included the! Team decided to admit him to the OBS unit instead of sending him home late. Right call without relying on others achieve them are not necessarily ongoing in nature, if you havent already,.

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