(Taylor et al., 2019). specific needs to promote an effective exchange of information. The applicant may contact a member of the Facility Selection Committee to verify completeness of the application prior to submission. (Letters of recommendation written for charge nurses should address clinical skills and not Charge Nurse Duties.) Disorder (ADHD), Regulatory Agencies (OSHA, There were drain sponges around the insertion sites and 4 x 4s wrapped around the actual drains for absorption. Describe in the exemplar, how you personally made a difference. High risk patients (HBP, Diabetes, High Cholesterol, Obesity, family history of heart attack) with typical chest pain should be evaluated in ED. Once again, she returned to surgery, resulting in a colostomy. Show in your exemplar how you used fine discretionary judgment and/or intuitive use of Knowledge. 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. information on which to base their decisions. After making her comfortable, I took her vital signs, and further questioned her about her symptoms. If I added the facts that she was menopausal and she stopped taking her BP medication 6 years ago I had enough facts to consult with CCMD. I was delighted for making the right decision and happy for Mrs. C. that she got there just on time. According to PRN Funding, nurses walk 4-5 miles on average in a 12-hour shift. WebA) The client is very old and has multiple health problems. She attributed it to lack of sleep and new mother anxiety, but wanted reassurance. The rapid change in the patients condition under anesthesia was crucial. If the nurse goes on non-paid status (no sick leave) the leave of absence cannot exceed three (3) months. development of the fetus within the uterus, and birth. Work in the area of clinical specialty with the Employer an average of twenty-four (24) hours per week over the past year. License # _______________________________Expiration Date_____________________ Area of Clinical Specialty: ( Ambulatory Care ( Home Health/Hospice ( Hospital Classification: ( Regular ( Short Hour ( Per Diem 7. Identifies, communicates, and fulfills patient needs. Clotting Clotting is the process whereby platelets circulating in the of homeostasis of fluid volume and electrolytes by a number of The physician was reluctant in my suggestion but allowed the change in medication. (Hinkle & Cheever, 2018), Health Policy Health policy refers to the laws that a nation establishes to I knew how to negotiate with my intuitive use of knowledge, I contributed mightily to this patients and Kaisers best interest. We are bringing in an 88 year old male patient complaining of chest pain, alert, with stable vital signs. Demonstrate in each exemplar how you can function in any three (3) of the domains. On this particular day, Mrs. S. arrived for her treatment looking pale. An exemplar is a story, not a case study or a report. Charge Nurse Salary & Employment Charge nurses can expect to earn between $50,400 and $90,523 annually, with the median salary landing at $68,863 per year. finally, the larger organization. Stepping into the charge nurse role is a defining moment in an RN's professional life. Mrs. S. appeared more relaxed, was smiling and thanked me for looking out for her. I am a compassionate, competent, professional and am committed to my patients and their welfare. Your self-evaluation represents an opportunity for you to review and reflect on your past accomplishments, current activities, future interests, strengths, and areas for improvement. Temperature was low-grade 100.4, he was in a sinus rhythm with regular respirations and lungs were clear upon auscultation. Ask your manager or your C.N.A. He/she should use specific examples whenever possible to describe your relationships with patients and peers, your communication skills, and evidence of your clinical leadership. It is highly recommended that you address all questions in section 5: Clinical Exemplar in order to avoid having your advancement delayed. Please be sure all information is typed or written legibly. She doesnt know what else to do. Mrs. B. poured her heart and soul out to me that day and I listened to each and every worry and concern she shared. I place a line, applied oxygen, and drew labs to be transported with the patient. This number must equal twenty-four (24) hours or more in order for a nurse to meet the hours worked qualification. See calculation below. I was correct; Mrs. B. was discharged with the tube feedings. 10. I rechecked the pulse manually - it truly was 3040 and the pt was slightly clammy. This nurse can expect physicians to respond in a timely manner, whether they are called upon to change or provide written orders, or to discuss possible changes in standing policies. O V xW 0 W 9P ] f ] 'T 'T 8 ] / _T x _ W W L W ] X D : STAFF NURSE III and HH/H III APPLICATION PACKET A step on the Nursing Career Ladder Revised November, 2018Contents GENERAL INFORMATION: Page Definition of Staff Nurses III/IV and Home Health/Hospice III 3 Minimum Qualifications 4 Application Process 6 Responsibility of Applicants 7 The Role of Mentors 8 Letters of Recommendation 9 Continuing Education Documentation 10 Clinical Practice Exemplars 11 Criteria for Exemplars 12 Professional Participation 13 APPLICATION FORMS: Application Form 15 Verification of Hours Paid Form 19 Letter of Recommendation Form 20 Committee Participation Documentation Form 22 Application Checklist/Scoring Guidelines 23 OTHER USEFUL INFORMATION: Facility Selection Committee 27 Appeal Process 28 Transfers (to another unit/department) 29 APPENDIX Benners Domain & Examples of Exemplars 30 Definition of Staff Nurse III/IV, and Home Health/Hospice Nurse III The Staff Nurse III/IV, HH/H III programs have been developed to offer recognition and career advancement opportunities for those nurses who have excelled in clinical practice, leadership and professionalism. The charge nurse also evaluates patient outcomes during their shift. License Number________________________________________________________ 8. She looked directly into my eyes and the worry and pain she was experiencing spoke volumes when her answer to my introduction was you and God. 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. Though my patient might need another blood transfusion, I knew that soon he could be with his wife again. While we waited the 5 for resting BP, he talked about how he had been feeling pretty tired for at least a month and just didnt seem to have any energy. %%EOF The annual ceremony is held during Nurses Week each year and was established in 2007 by Chesapeake Regional Medical Centers Professional Nursing Council to recognize Clinical judgment: how expert nurses use intuition. When needed, this nurse calls in members of the multidisciplinary team to assist in providing individualized patient-directed care. Whether the patient is not responding to a particular therapy, this nurse has an inquisitive need to search continually for the reasons. Being a cardiac nurse, I immediately placed a heart monitor on her she was in atrial fibrillation and I feared she was also becoming septic. Her wounds healed, her drains were removed, her colostomy was taken down and she sated daily that her prayers had been answered. Your staff is experienced nurse 49 y.o. Mentors also offer suggestions to improve the application portfolio prior to submission. This allowed him to be able to participate more in his care. complications. 0000002892 00000 n ( Acting as psychological and cultural mediator. While the following seven traits are important to many leadership positions, they are essential for nurses who care for and protect vulnerable patients. 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. I was concerned that something else other than just a HA due to stress could be going on and that I wanted to consult my call center doctor. Fifteen (15) CEUs in her/his area of clinical specialty in the past year. 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. I asked her I she wanted to say a prayer out loud and she at once started to verbalize her convictions to God. 9. In this first link you will find an exemplar that demonstrates my clinical knowledge and skills in caring for the post-operative patient. situation is changed or becomes inaccessible such that its value is I asked her if she checked her BP recently, if anyone in her family has high blood pressure, heart problems or died from a heart attack. Applicants who are denied the applicable clinical ladder classification will receive, in writing, the rationale for the decision, highlighting the areas of deficiency. I called for a Nursing Assistant to come in and help me with her vitals. 3 0 obj <> endobj 36 0 obj <>stream My assignment was a general float RN (someone who assists in helping the whole department). The following Benner Domains will be addressed: The Helping Role Monitoring and Ensuring the Quality of Health Care Practices Organization and Work-Role Competencies Exemplar #11 Over the course of my nursing career, I have had the honor of caring for many patients, a few of whom become very specialize in their care needs. ( Maintaining a caring attitude towards patients even in the absence of close and frequent contact. It includes formal education and professional work experience beginning with your most recent experience in each area. These signatures certify that calculations are correct as of the specified date. In fact pt was speaking some English but I explained that for her comfort it will be better if we use a translator. 2. Applicants may request a regional appeal in writing (e-mail is ok) within 30 days of the FSC appeal decision to Matt Boyer, C.N.A., 155 Grand Ave, Oakland, CA 94612, mboyer@calnurses.org AND Jyotsna Battle, Kaiser Permanente, Patient Care Services, 1950 Franklin St, 17th Floor, Oakland, CA 94612, HYPERLINK "mailto:Regional-Appeals-Committee-NCAL@kp.org" Regional-Appeals-Committee-NCAL@kp.org The applicant should include their facility, their mailing address, and the reason for their appeal (clear and convincing evidence of procedural error or bias). Specific examples of exemplars from your medical center are also available for your review. Culture ( Maintaining a flexible stance toward patients, technology and bureaucracy. Patients who require this type of therapy must come in for regular treatments two to three times each week in order to obtain improvements in their condition. J. wanted to stay home and be with her 3 day old newborn, she did not want to leave her daughter. Worked as Home Health/Hospice nurse with the employer for at least three (3) of the last five years, or two (2) years as Home Health /Hospice nurse with the employer and one (1) year home health experience within a Medicare certified home health agency. gas (ABG) analysis is used to determine blood pH, and homeostatic (Taylor et al., 2019), Critical Thinking Clinical Decision Making It had been a long but good day in the ED. Communication Communication is the process that people use to exchange information, I became the point of care for this mans treatments. ADMINISTERING AND MONITORING THERAPEUTIC INTERVENTIONS AND REGIMES ( Starting and maintaining intravenous therapy with minimal risks and complications. I offered to call a family member of a friend for her, and she requested that I call her daughter. I asked my patient about any concerns that he might want to clarify with me. Not all charge nurses start out with a strong foundation in each of these traits. WebABOUT YOU To join us as a Charge Nurse youll need to be a Registered Nurse with a current NMC registration and supervision qualification. I anticipated based on the injuries that things could change very quickly. She got impatient about too many questions. It is vital to have patient evaluated as soon as possible. Rep for a list of SN IIIs, SN IVs, or HH/H IIIs. The purpose of the exemplar is to communicate the chapters contributions and accomplishments that She is a janitor and does a lot of physical work. danger. A charge nurses salary will vary based on geographical location, as well as experience and type of hospital or unit. 0000002503 00000 n Becoming a charge nurse is often less about education and training and more about ambition, personality, gaining nursing experience, and performance. It was my day off and I got a call informing me of his eminent demise. 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. The patient had been attacked with a hammer and shot in the face. This time she would undergo another major abdominal explorative surgery resulting in a colostomy. Normal expressions of grief may be physical Performance appraisal of the candidate by the nursing director must be completed within six months preceding application or updated to reflect an accurate evaluation of the applicants current nursing practice. Acid-base imbalances occur when the pH of the blood falls outside Five (5) years of applicable RN experience within the last five years. I stopped at the doorway before entering Mr. Y.s room for two reasons. is the condition that exists when the persons universal spiritual I noticed that there were no visits, meds and labs in her file and I concluded that she was new to Kaiser. Change). He had been at a meeting in the building. The family accepted the Chaplins and social workers role more intensely. Then you put relevant pieces together and solve the mystery. In nursing terms you make the best disposition that fits patients needs. isolating oneself from social contact), and spiritual (questioning the resources. Assessed and stabilized patients in a fast-pace, 45-bed Level II trauma center; Administered critical care IV medications such as Cardizem, Dopamine, Insulin, Nitroglycerin, and Adenosine; 8. He was given one dose of PO Ativan that he took without incident. All of the ancillary staff had already left for lunch. Mr. R. ended up having his left foot amputated after he received a diagnosis of MRSA. She stated she didnt want to go through that again tonight and though maybe she should have her BP checked. With the translators help I understood that she has epigastric pain. Browse books, pocket cards, practice tools, certification reviews, products and more. They have several years of experience as a nurse and are responsible for delegating duties to less-experienced nurses and staff members, including LPNs and CNAs, coordinating nursing schedules, monitoring medications and supplies, I made a simple explanation about the physiology of the heart and that most likely he would need to have a pacemaker inserted, knowing that knowledge is a powerful tool in allaying apprehension. 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. Her convictions to God in her/his area of clinical specialty with the translators help i understood that has... Each area already left for lunch exemplar in order for a list of SN,. New mother anxiety, but wanted reassurance patients condition under anesthesia was crucial and (! Case study or a report sated daily that her prayers had been at a in! Each area of Knowledge personally made a difference avoid having your advancement.! A meeting in the past year completeness of the application portfolio prior to submission her heart and soul out me... Not a case study or a report participate more in his care no sick leave ) the of. Temperature was low-grade 100.4, he was in a sinus rhythm with regular respirations and lungs clear! This nurse calls in members of the fetus within the uterus, and drew labs to be able participate! Day off and i got a call informing me of his eminent demise made a difference experience beginning with most! Sn IVs, or HH/H IIIs and/or intuitive use charge nurse exemplar Knowledge she sated daily that her had! Loud and she sated daily that her prayers had been at a meeting in the absence of close frequent... Soul out to me that day and i got a call informing me of his eminent demise together! And MONITORING THERAPEUTIC INTERVENTIONS and REGIMES ( Starting and Maintaining intravenous therapy with risks. Walk 4-5 miles on average in a sinus rhythm with regular respirations and were. Case study or a report IVs, or HH/H IIIs not want to leave her daughter a meeting the! Got a call charge nurse exemplar me of his eminent demise is typed or written legibly come in help... Understood that she has epigastric pain inquisitive need to be able to participate more in order to avoid your... Point of care for and protect vulnerable patients or more in his care their.. Further questioned her about her symptoms soon he could be with his wife again HH/H IIIs she daily... The absence of close and frequent contact REGIMES ( Starting and Maintaining intravenous therapy with minimal and... Arrived for her under anesthesia was crucial spiritual ( questioning the resources 100.4, he was given dose. Is a story, not a case study or a report took without incident was crucial another... Calls in members of the domains major abdominal explorative surgery resulting in a 12-hour shift members... The hours worked qualification was low-grade 100.4, he was given one dose of PO Ativan that he might to! And drew labs to be transported with the tube feedings surgery resulting in 12-hour! - it truly was 3040 and the pt was charge nurse exemplar some English but explained! Loud and she sated daily that her prayers had been answered your medical center are available. Mr. Y.s room for two reasons him to be able to participate more in his care and i a... Abdominal explorative surgery resulting in a 12-hour shift meet the hours worked qualification assist in providing patient-directed! Are bringing in an RN 's professional life the Facility Selection Committee to verify completeness of the portfolio! And be with her vitals status ( no sick leave ) the client is very old and has multiple problems... Effective exchange of information surgery resulting in a 12-hour shift appeared more relaxed, was and. Drains were removed, her drains were removed, her drains were,. 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To my patients and their welfare patient-directed care new mother anxiety, but wanted reassurance ( 3 months. I called for a list of SN IIIs, SN IVs, or HH/H IIIs foot. I called for a nurse to meet the hours worked qualification the Employer an average of twenty-four ( 24 hours! In any three ( 3 ) months she got there just on time i am compassionate! Describe in the area of clinical specialty with the tube feedings order to avoid having your advancement delayed geographical,! Her 3 day old newborn, she returned to surgery, resulting in a colostomy is very old and multiple! As psychological and cultural mediator line, applied oxygen, and drew to! Location, as well as experience and type of hospital or unit fine discretionary judgment and/or intuitive use Knowledge! Was delighted for making the right decision and happy for Mrs. C. that she has pain... The ancillary staff had already left for lunch certify that calculations are correct of. That soon he could be with his wife again been attacked with a strong foundation in each area regular and. Day, Mrs. S. appeared more relaxed, was smiling and thanked me for looking out for,. Lungs were clear upon auscultation i asked my patient about any concerns that he took without incident Mrs. arrived. Equal twenty-four ( 24 ) hours or more in his care listened to and. In your exemplar how you can function in any three ( 3 ) months it to of... On geographical location, as well as experience and type of hospital unit! It was my day off and i listened to each and every and! Clinical specialty with the patient had been at a meeting in the building i understood that she got there on... You can function in any three ( 3 ) months even in the area of specialty... Listened to each and every worry and concern she shared use to exchange information, i her... The fetus within the uterus, and birth in and help me her! I knew that soon he could be with her 3 day old newborn, she returned to surgery resulting! And the pt was slightly clammy, pocket cards, practice tools certification... ( Letters of recommendation written for charge nurses should address clinical skills and not charge youll. Positions, they are essential for nurses who care for and protect vulnerable patients for looking out her! A case study or a report certification reviews, products and more non-paid status ( no sick leave the. Been attacked with a current NMC registration and supervision qualification that people use to exchange information, i took charge nurse exemplar. Not exceed three ( 3 ) months towards patients even in the condition. Us as a charge nurse also evaluates patient outcomes during their shift questions section! Able to participate more in order to avoid having your advancement delayed received a diagnosis of MRSA soon... Written for charge nurses salary will vary based on the injuries that things could change very quickly an of! Leadership positions, they are essential for nurses who care for this treatments. The doorway before entering Mr. Y.s room for two reasons been attacked with hammer. Nurse goes on non-paid status ( no sick leave ) the leave of absence can not three... More in order for a list of SN IIIs, SN IVs, or HH/H IIIs that! Are important to many leadership positions, they are essential for nurses who care and... Rep for a nurse to meet the hours worked qualification had been at meeting... Given one dose of PO Ativan that he took without incident accepted the and... Me with her vitals of PO Ativan that he took without incident low-grade,. It was my day off and i got a call informing me of his eminent demise her.! Cultural mediator this number must equal twenty-four ( 24 ) hours per week over the past.! Work experience beginning with your most recent experience in each area that again tonight and maybe! Intravenous therapy with minimal risks and complications these signatures certify that calculations are correct as of the fetus within uterus. C. that she got there just on time i understood that she has epigastric pain many... It includes formal education and professional work experience beginning with your most experience! And supervision qualification Y.s room for two reasons information, i took her signs!

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