Educational Activities to Improve Clinical Knowledge
Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages to Order 5-10 Pages Description/Paper Instructions
Educational Activities to Improve Clinical Knowledge
PROFICIENCY REPORT FROM Ms. I
PRACTICE
Practice: Below are some of practices I believe I do.
She is a registered staff nurse on 4 East, a Medical Surgical Unit with Telemetry. She practices using the nursing process which she utilizes in her every day work and maintains optimum standards of care for our Veterans with a wide variety of health problems. She has demonstrated the ability to care for veterans with integrity, honesty and accountability. While providing care she also provides patient education and therapies geared towards control, management, prevention of infections and complications. For example: When at the bedside discuses with the patient about their blood glucose levels and what insulin or medications they will be receiving. Providing diabetic teaching by explaining diet requirements and how to take medications appropriately. She maintains a professional attitude toward veterans and staff members. She provides privacy during care and maintain patient confidentiality when speaking about patient concerns and conditions. She is mindful to always be respectful to veterans and peers.
As a RN on this unit here are some of her practices in the unit: Demonstrate the ability to function effectively in the charge nurse and leader roles. Utilize effective problem –solving skills, seeking confirmation from co-workers and supervisors when confronted with difficult situations. Readily identified a potential critical situation, taking the appropriate actions to provide quality positive patient outcomes. Her professional practice is patient focused, am consistently advocating for my patients and striving to maintain high standards and patients right. As charge nurse, makes assignment in a manner that reflects optimum use of available staff while prioritizing patient cares and needs. Changing assignments per the unit acuity level and work load. Promote planning and continuity of care through developing an individualized interdisciplinary plan of care in collaboration with the patient, family and the health care team
******* She applies the nursing process to improve care, and manages complex care. She showed this in evaluation of a general surgery patient s/p foot surgery with long post-operative course, initially post operatively the patient was on Telemetry, but after 3 days the doctor discontinued monitoring as patient had no events (history of MI); an EKG was obtained before discontinuation of telemetry which was normal sinus rhythm — this was performed on day shift. Working a PM shift on the telemetry unit and had worked with the patient previously the past few days determined something was ‘off’, with her rhythm couldn’t put her finger on it which warranted continued observations/assessment. Her thorough assessment and intuition determined the patient had a new onset of atrial fibrillation. Doctor was notified and Patient was started on cardiac meds, and converted back to normal sinus rhythm within 24 hours of my assessment. Her assessment and subsequent interventions resulted in prompt treatment of atrial fibrillation, and resulted in saving the patient’s life and probably not having to be anti-coagulated for the rest of his life.
Ethics: Supports and enhances client self-determination. Serves as a resource for client and staff in addressing ethical issues.
Provide Examples and Measurable Outcomes Demonstrating How Dimension/Criteria Met:
This nurse serves as resource to patients, providers, families, and other staff when ethical issues arise: She provides ethical resource information to patients, families and staff, adhere to VAMC ethics and compliance standard in work activities. She supports and enhance patient’s self-determination, provide accurate information needed for patients to understand the implications of Advance Directives, informed consent and Patient’s Bill of Rights. She assists staff and new Medical students to comply with the HIPPA regulations on patient confidentiality; reminding them to promptly Log off computer/system when two steps aware, shred un-needed papers with patient’s identifiable information, not seek to know information of the patients not under direct care. Putting patient first good knowledge of ethical issues and to provide accurate information to patient. She treats patients and family with respect. Proactively, respect patient self-dignity, space and privacy without compromising standard of care given. She promptly encourages others to provide privacy when changing linen and during hygiene activities. She assists providers, patients and families to comply with informed consent for procedure.
Resource Utilization: Identifies and assesses resource utilization and safety issues, taking appropriate action.
Provide Examples and Measurable Outcomes Demonstrating How Dimension/Criteria Met:
This nurse effectively provides care to patients and minimizes waste without compromising patient positive outcome. She makes safety rounds as a charge nurse and uses sound judgement to identify malfunctioning equipment and take prompt actions to contact engineering department for repairs and replacement. She demonstrates the ability to prioritize and coordinate patient care by completing assignment within the scheduled hours of work to decrease overtime. She considers factors related to safety, effectiveness and cost in delivering care. She possesses effective leadership skills in emergent situations and knows how to adjust staff assignments to meet the needs. She is able to assess unit activity and patient acuity to assign staff appropriately.
PROFESSIONAL DEVELOPMENT
Education/Career Development: Acquires knowledge and skills to maintain expertise in area of practice. Participates in educational activities to improve Clinical knowledge and enhance role performance.
Provide Examples and Measurable Outcomes Demonstrating How Dimension/Criteria Met:
She personally develops and pursues educational plans to help maintain and improve knowledge in her specialized area of professional practice. She currently holds a BSN and has almost completed her MSM. She maintains current ACLS and CPR certifications. She effectively attends continuing educational program; reviewing current literatures and research findings that are relevant to her present job skill and competence development. She assumes responsibility for completing mandatory education requirements on the TMS learning program, complete annual mandatory training on time. She attends and participates in skill fares, participates on in-services, seminars and conferences for skill development.
Performance: Evaluates practice of self and others using professional standards, relevant statutes, and regulations. Takes action to improve performance. Examples and Measurable Outcomes Demonstrating How Dimension/Criteria Met:
This nurse does not require supervision to solve routine clinical problems. She attends seminars, read current literatures, review current research findings for self-professional improvement. She utilizes close assessment findings to identify areas of patient/family knowledge deficit, initiate educational plans to meet patient care needs. She is always on the lookout for actual or potential problems and intervenes promptly; making sure that intubated patients and those on tube feeding have HOB elevated up to 30 degrees to prevent aspiration. She anticipates changes, prioritize, initiate and modify her work to accommodate staff and patient needs, she is flexible and readily available for pulling to other departs within organization in other to cover staff needs. She attends continuing education program, review new policies and new regulations and applies new changes as needed into practice. She practices OSHA sanitation act and JACHO privacy act in her nursing care. She adheres to current procedures for patient safety, observe universal precautions and effectively handle hazardous material and equipment associated with my job. Demonstrate knowledge of occurrence reporting system and use system to report potential patient safety issues, such as fall and near incidents.
Collaboration/Collegiality: Educates colleagues and/or students and serves as a preceptor and/or mentor.
She encourages collaboration and teamwork; She works effectively with others and encourage cooperation among staff. She communicates effectively and professionally with internal and external customers. A team approach is the best way to care for patients. For example: I) Encouraging our veterans to use the resources available to them such as transportation, and social services for assistance. II). Encouraging veterans / family members to use correct equipment when entering isolation rooms and using disposal equipment to help prevent infection. Listening to patient complaints and coming up with resolutions. These are to encourage the patient to get involve with their own health care.
SCIENTIFIC INQUIRY
Quality of Care: Initiates/participates in quality improvement activities that result in approved outcomes.
Research: Uses a body of research to validate and/or change work group practice.
She uses scientific based evidence for practice in her profession. She observes diverse methodologies which focus on the understanding and relieve of symptoms of acute and chronic illness. Her eight years as a nurse with five years at Hampton VA has helped her to constantly improve her critical thinking and problem solving skills. She effectively uses traditional approaches in controlling pain, behavioral activities and anxiety-induced confrontations that did not require utilizing medications such as dimming the light, talking to patient in a soft tone of voice, reposition them to make them comfortable. She makes sure that she is compliant with HVAMC’s policy and performance initiatives.
GOALS:
Her goal is to ensure proper care of our veterans and use optimum standards of care.
Complete her MSN and enhance her nursing knowledge and skills so that she can go on to provide more efficient care for her patients.
She will continue to endeavor hard to do her very best in providing excellent care to our Veterans and to be a constant asset in this organization.
RUBRIC
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper. GET THIS PROJECT NOW BY CLICKING ON THIS LINK TO PLACE THE ORDER
CLICK ON THE LINK HERE: https://www.perfectacademic.com/orders/ordernow
Also, you can place the order at www.collegepaper.us/orders/ordernow / www.phdwriters.us/orders/ordernow
Do You Have Any Other Essay/Assignment/Class Project/Homework Related to this? Click Here Now [CLICK ME]and Have It Done by Our PhD Qualified Writers!!