Professional Roles and Values Essay Example for Free

Professional Roles and Values Essay A. Promoting Interdisciplinary Care When nurses promote collaborative interdisciplinary care, they are ensuring the availability and accessibility of quality health care (ANA, 2010). As the nursing supervisor in this clinical setting, I would hold a staff meeting with the family nurse practitioner (FNP), nurse, licensed vocational nurse (LVN), nutritionist, and social worker. I would ask them to speak about their areas of expertise and explain how their knowledge will enhance this clinical team. The nutritionist’s expertise in diet, the social worker’s fluency in Spanish, the LVN’s training in education, and the nurse’s specialization in community health are all attributes that will promote the delivery of quality patient care. In this meeting, I give examples of how the specialized training and resources of these individuals will improve patient care and ease the workload of other staff members. I foster an open discussion and encourage thoughts, feelings, and questions. I also state that if someone has a question or concern that they do not wish to discuss in front of everyone, they can speak to me in private. B. Delegation and Teamwork As the nurse supervisor, I would use a coaching approach to speak to Ms. W. Coaching provides a safe environment for trying different approaches to new or challenging situations (Robinson-Walker, Detmer, and Schultz, 2011). I would request to have lunch with Ms. W and at this lunch, I begin by praising her work and emphasizing her importance to this clinic. In a light-hearted and non-confrontational way, I say, â€Å"I know how hard you have been working with Ms. R and you must be so frustrated!† I encourage a response by asking, â€Å"Why do you think she is being non-compliant?† I listen to her responses without interrupting and work into the conversation these questions: â€Å"Do you think it’s possible she does not understand English? What do you think about having the social worker speak to her?† The LVN’s expertise in community health and her available resources would also be mentioned. I emphasize that delegating to members of the team will b e in the  best interest of the patient, as well as free up some of Ms. R’s valuable time. B1. Responsibility The Nursing Code of Ethics Provision 2 states that the nurse’s primary commitment is to the patient and it further implies that nurses should actively promote collaborative multi-disciplinary planning (American Nurses Association, 2012). If Ms. W does not have time to follow through with community services that could benefit Ms. R, then Ms. W has a responsibility to refer Ms. R to people who have the knowledge, resources, and time to help her. In addition to the Nursing Code of Ethics, the National Council of State Boards of Nursing (NCSBN) states that one of the standards related to the RN scope of practice is that nurses evaluate the patient’s response to nursing care. They do this by evaluating: the patient’s response to interventions, the need for alternative interventions, the need to consult with other team members, and the need to revise the plan of care (NCSBN, 2012). When Ms. W saw that the patient was not compliant, she should have reevaluated her plan of care. Ms. W can delegate to the LVN, who is experienced in prenatal education, and would be able to explain the importance of finishing antibiotic therapy or performing tests that are essential for a healthy pregnancy. If Ms. W is too busy to educate, then she is responsible for finding someone who can. B2. Recommended Resource A resource that would benefit Ms. W in learning more about delegating is the continuing education course given by the ANA, â€Å"Developing Delegation Skills.† This course covers delegation and the associated concepts of accountability, responsibility, and authority (Weydt, 2010). It discusses using nursing judgment and interpersonal relationships during the delegation process and at the courses end, the author speaks about how to develop delegation skills. Learning to properly delegate ultimately improves the quality of patient care. B3. Delegation Opportunities The nurse in this scenario has 4 colleagues in the clinic that she can delegate to: the LVN, nurse, nutritionist, and social worker. Ms. R had recurrent urinary tract infections; the nutritionist can review her food and fluid intake and the LVN can teach prenatal care based on the nutritionist’s evaluation and recommendations. The nurse in the clinic can explore community resources that may be available to assist Ms. R. The social worker, however, is the most important person in these collaborations because it is probable that Ms. R does not understand English and needs an interpreter. The social worker is fluent in Spanish and her presence will not only raise the comfort level of Ms. W, but will assure that she is receiving the required information that is pertinent to her pregnancy. References American Nurses Association. (2012). Code of Ethics for Nursing with Interpretive Statements. Nursing World. Retrieved from http://www.nursingworld.org/codeofethics National Council of State Boards of Nursing. (2012). NCSBN Model Rules. Retrieved from http://www.ncsbn.org/12_model_rules_090512.pdf Weydt, A. (2010). Developing Delegation Skills. The Online Journal of Issues in Nursing, 15(2). Retrieved from www.nursingworld.org/mainmenucategories/anamarketplace/anaperiodicals/ojin/tableofcontents/vol152010/no2may2010/delegation-skills

Charles Eastman: Bridging the Gap Between Cultures Essay -- Native Am

Charles Eastman made great strides to bridge the gap between the Native Americans and the white man. Born a Santee Sioux, Eastman excelled in his assimilated life, thereby gaining the respect of the white man, which he used to assist the Native American. He was able to give a voice to the culture and its people, which was quickly being silenced by a Eurocentric government. Eastman exemplified the abilities of the Native American through his accomplishments as an author, lecturer, physician, and activist. His capacity to live between two diverse cultures furthered his unprecedented endeavors. Charles Alexander Eastman was born Ohiyesa, a Santee Sioux. He is believed to have been born near Redwood Falls, Minnesota, on February 19, 1858. His paternal grandmother, Uncheedah, was responsible for his upbringing after his mother’s death due to complications during childbirth. Uncheedah presented him with tradition Sioux teachings. Following the Great Sioux Uprising of 1862, Ohiyesa and other Santee Sioux were exiled to Manitoba. In Eastman’s Indian Boyhood, he fondly recalls these times of living freely and peacefully by saying, â€Å"What boy would not be an Indian for a while when he thinks of the freest life in the world?† Ohiyesa’s father, Jacob â€Å"Many Lightnings† Eastman was instrumental in his assimilation into the white man’s culture, beginning with his education. Unlike many other Native American children in boarding schools, Charles learned to read and write in his native language. This progressive program of learning was often criticized because of the fear felt among American settlers after the Great Sioux Uprising. The settlers, as well as the government agencies, sought only acculturation of the Indians into the w... ...dian Quarterly 25, no. 4 (2001): 609-613. Eastman, Charles A, From the Deep Woods to Civilization, (Lincoln: University of Nebraska Press 1977 [1916]) 195. Eastman, Charles A. Indian Boyhood (New York: Dover Publications, (1971 [1902]), 3. Lopenzia, Drew. â€Å"’Good Indian’: Charles Eastman and the Warrior as Civil Servant,† American Indian Quarterly 27, no.  ¾, Special Issue (2003): 729, 739. Murphy, Nora. â€Å"Starting Children on the Path to the Past: American Indians in Children’s Historical Fiction,† Minnesota History 57, no. 6 (2001): 284,286. Patterson, Michelle Wick. â€Å"’Real’ Indian Songs: The Society of American Indians and the Use of Native American Culture as a Means of Reform,† American Indian Quarterly 26, no. 1 (2002): 54-55. Stensland, Anna Lee. â€Å"Indian Boyhood by Charles A. Eastman’† The English Journal 66, no. 3 (1977): 59.

Nurse Practice Act Essay

The Nursing Practice Act (NPA) is the body of California law that mandates the Board to set out the scope of practice and responsibilities for RNs. The Practice Act is located in the California Business and Professions Code starting with Section 2700. Regulations that specify the implementation of the law appear in the California Code of Regulations (â€Å"Board Of Nursing†, n.d.). What is the NPA? How does it affect nurses? What are the requirements for getting a nursing license from the Board of Nursing? All of these are important questions for someone to ponder when considering joining the nursing profession. Let us explore the ins and outs of becoming and being and registered nurse in California. What Is The Nurse Practice Act The Nurse Practice Act (NPA) is laws in each state that are instrumental in defining the scope of nursing practice. NPAs protect public health, safety, and welfare. This protection includes shielding the public from unqualified and unsafe nurses. In each state, statutory law directs entry into nursing practice, defines the scope of practice, and establishes disciplinary procedures. State boards of nursing oversee this statutory law. They have the responsibility and authority to protect the public by determining who is competent to practice nursing (Business And Professions Code, n.d.). Nursing Chapter Six â€Å"This chapter of the Business and Professions Code constitutes the chapter on professional nursing and shall be construed as revisory and amendatory of the laws heretofore enacted. It may be cited as the Nursing Practice Act† (Chapter 6 Nursing). Article one administration. This is the Board of Nursing and this section remains in effect until January 2012 unless it is voted to extend the authority. The nursing board consists of nine members. Four represent the public at large and have no license and no ties to the healthcare industry. The board also has two registered nurses, one advanced practice nurse, one nurse educator, and one registered nurse that is an administrator of a nursing service (Business And Professions Code, n.d.). All members must be a citizen of the United States and a Resident of the State of California. All appointments shall be for a term of four years and vacancies shall be filled for the unexpired term. No person shall serve more than two consecutive terms. Board positions appointed by the Governor, the senate rules Committee and the Speaker of the Assembly. The board elects from its members a president, vice president, and any other officers as it may deem necessary. The officers of the board shall hold their respective positions during their four-year term (Business And Professions Code, n.d.). The Governor has the power to remove any member of the board from office for neglect of any duty required by law, or for incompetency, or unprofessional or dishonorable conduct. The board for the purpose of transacting its business must meet at least once every three months, at times and places it designates by resolution (Business And Professions Code, n.d.). â€Å"Protection of the public shall be the highest priority for the Board of Registered Nursing in exercising its licensing, regulatory, and disciplinary functions. Whenever the protection of the public is inconsistent with other interests sought to be promoted, the protection of the public shall be paramount† (Chapter 6 Nursing). Article two scope of regulations. According to â€Å"Board Of Nursing† (n.d.), the practice of nursing within the meaning of this chapter means those functions, including basic health care. Helping people cope with difficulties in daily living that are associated with their actual or potential health or illness problems or the treatment thereof, and that require a substantial amount of scientific knowledge or technical skill† (Chapter 6 Nursing). Direct and indirect patient care services that ensure the safety, comfort, personal hygiene, and protection of patients; and the performance of disease prevention and restorative measures (Busi ness And Professions Code, n.d.). Direct and indirect patient care services, including, but not limited to, the administration of medications and therapeutic agents, necessary to implement a treatment, disease prevention, or rehabilitative regimen ordered by and within the scope of licensure of a physician, dentist, podiatrist, or clinical psychologist (Business And Professions Code, n.d.). The performance of skin tests, immunization techniques, and the withdrawal of human blood from veins and arteries (Business And Professions Code, n.d.). Observation of signs and symptoms of illness, reactions to treatment, general behavior, or general physical condition, and determination of whether the signs, symptoms, reactions, behavior, or general appearance exhibit abnormal characteristics, and implementation, based on observed abnormalities, of appropriate reporting, or referral, or standardized procedures, or changes in treatment regimen in accordance with standardized procedures, or the initiation of emergency procedures ( Business And Professions Code, n.d.). There are standardized policies and procedures developed through collaboration with the Division of Licensing of the Medical Board of California and the Board of Registered Nursing may jointly approve or design new policy and procedures. If put into effect by official proclamation, the guidelines shall be administered by the Board of Registered Nursing (Business And Professions Code, n.d.). A registered nurse can dispense drugs or devices when ordered by a licensed physician or surgeon. A registered nurse cannot be employed to perform dispensing exclusively. A registered nurse cannot dispense medication in a pharmacy; keep a pharmacy, open shop or a drugstore for retailing drugs or poisons. No registered nurse shall compound drugs (Business And Professions Code, n.d.). The Business and Professional Code, n.d. also includes how to get a license to be a registered nurse. â€Å"An applicant must have completed such general preliminary education requirements as shall be determined by the board. Have successfully completed the courses of instruction prescribed by the board for licensure, in a program in this state accredited by the board for training registered nurses, or have successfully completed courses of instruction in a school of nursing outside of this state which, in the opinion of the board at the time the application is filed with the Board of Registered Nursing, are equivalent to the minimum requirements of the board for licensure established for an accredited program in this state† (Business And Professions Code, n.d.). The board shall issue a license to each applicant who passes the examination and meets all other licensing requirements. The board shall discipline the holder of any license, whose default has been entered or who has been heard by the board and found guilty, by any of the following methods: (a) Suspending judgment. (b) Placing him upon probation. (c) Suspending his right to practice nursing for a period not exceeding one year. (d) Revoking his license. (e) Taking such other action in relation to disciplining him as the board in its discretion may deem proper (Business And Professions Code, n.d.). Chapter Six of the Business and Professional Code not only covers registered nurses but the following articles are also included: a) Article 2.5. Nurse-Midwives b) Article 3. Disciplinary Proceedings c) Article 3.1 Diversion Program d) Article 3.5 Nursing Corporations e) Article 4. Nursing Schools f) Article 5. Penal Provisions g) Article 6. Revenue h) Article 6.5. Public Health Nurse Certification i) Article 7. Nurse Anesthetists j) Article 8. Nurse Practitioners k) Article 9. Clinical Nurse Specialists The Nurse Practice Act as it is written in the Business and Professional Code defines and lays out a scope of practice to direct a nurse at any level to provide the best possible care while staying within their scope of practice. By following the Nurse Practice Act and providing professional skilled nursing, I will be able to provide care and help my patients to the best of my ability while staying in the confines that my license allows. References Business and professions code. (n.d.). Retrieved from http://www.rn.ca.gov/regulations/bpc.shtml Board of nursing. (n.d.). Retrieved from http://www.rn.ca.gov/regulations/npa.shtml

The Security Of Airport Security Screening - 997 Words

In the last thirteen years there have been major changes made in airport security. What brought the changes and shook America to its core, is a day in history that no one will soon forget. â€Å"Since 9/11, five attempted terrorist attacks on U.S. airliners and airports have made airport security a continued priority. Shortly after the 9/11 attacks, Congress passed the Aviation and Transportation Security Act, which created the Transportation Security Administration (TSA) and put federal employees in charge of airport security screening† (Bajoria). The process for airport security screenings lacked the ability to secure a plane which caused the terrorist to be able to board the plane with ease. There are those that argue that the increase in security has cost the country too much money and does more harm than good. The U.S. has spent more than a trillion dollars to increase the security in all the airports across the nation. According to Paul Borowsky and Gregory Delone , pilots were asked to complete surveys to what they believed needed to be changed. In his book, the pilot wrote that policies were designed to enhance security, however, he believed that they didn’t take into consideration input from the pilots of the airliners that the policies were made to protect. There is also the argument that the increased security was an invasion of privacy. 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