Nursing Autonomy

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    Could anyone please tell me what you feel nursing autonomy is at a bedside level nurse and as an advanced practice nurse? Do you feel nurses have autonomy in their jobs? I have been a nurse for 34 yrs and am having a hard time with this issue.
    lindarn and NurseLay like this.
  2. 10 Comments so far...

  3. 0
    Quote from sailing9734
    Could anyone please tell me what you feel nursing autonomy is at a bedside level nurse and as an advanced practice nurse? Do you feel nurses have autonomy in their jobs? I have been a nurse for 34 yrs and am having a hard time with this issue.
    I didn't mean to put a thank you, but I wanted to ask you what are your feelings about your level of autonomy. Are you at the bedside?
  4. 0
    Thread moved to General Nursing Discussion forum.
  5. 0
    Quote from NurseLay
    I didn't mean to put a thank you, but I wanted to ask you what are your feelings about your level of autonomy. Are you at the bedside?
    I am not at the bedsie unless I am in a patient's home or at a facility I am a hospice nurse. But I too am mandated by the physician and am not autonomous. I know nursing has changed greatly in technology but have we changed patient care and are we autonomous if we have physicians leading how we practice? I think only if we become educated enough we will have the respect of Physcian who let of us have some sense of autonomy. Good
    luck in this wonderful beloved profession. I truely mean that!
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    Hmmm, will I take the BP on the left arm or the right arm? Should I take a radial pulse or an apical pulse?

    I would suspect if you spoke to some older retired nurses you would find that we have gained a great deal of autonomy in the last few decades
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    For me, the best thing about not being a NP is not having as much responsibility. I like the autonomy of being able to give nursing care without having to take as much responsibility for initiating medical care.

    The autonomy I treasure as a nurse at the bedside is to really understand how to make people comfortable, prevent complications, anticipate complications, and treat as directed. I am thrilled that I can use my mind to determine when that treatment may not be appropriate and know I can and need to question the treatment ordered.

    As long as I stay within my scope of practice I have full autonomy in these things. I don't tell the MD what to do. I suggest and listen to reasons why this is appropriate or not. If I am unsure of my role I can call the BON for clarification. These parameters may be fluid in many situations but the basics remain. I work within protocols agreed upon and can do many things that required MD intervention in my distant past.

    I am not sure if this is exactly what you are asking. It works for me.

    It is a great question and one that is good for me to think about.
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    Quote from AirforceRN
    Hmmm, will I take the BP on the left arm or the right arm? Should I take a radial pulse or an apical pulse?

    I would suspect if you spoke to some older retired nurses you would find that we have gained a great deal of autonomy in the last few decades
    I am an older nurse not retired, probably never will. But I do not see great strides.
  9. 0
    Quote from aknottedyarn
    For me, the best thing about not being a NP is not having as much responsibility. I like the autonomy of being able to give nursing care without having to take as much responsibility for initiating medical care.

    The autonomy I treasure as a nurse at the bedside is to really understand how to make people comfortable, prevent complications, anticipate complications, and treat as directed. I am thrilled that I can use my mind to determine when that treatment may not be appropriate and know I can and need to question the treatment ordered.

    As long as I stay within my scope of practice I have full autonomy in these things. I don't tell the MD what to do. I suggest and listen to reasons why this is appropriate or not. If I am unsure of my role I can call the BON for clarification. These parameters may be fluid in many situations but the basics remain. I work within protocols agreed upon and can do many things that required MD intervention in my distant past.

    I am not sure if this is exactly what you are asking. It works for me.

    It is a great question and one that is good for me to think about.
    Do you work on standing orders?
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    We have standing orders for many things. Some are really a menu of orders to have MD cross out what does not want. Other things are covered by protocols agreed upon by all the MDs involved.

    I work closely with MDs so it really is a fairly simple process.
  11. 0
    Quote from aknottedyarn
    We have standing orders for many things. Some are really a menu of orders to have MD cross out what does not want. Other things are covered by protocols agreed upon by all the MDs involved.

    I work closely with MDs so it really is a fairly simple process.
    Had to chuckle at you too man years and speciality, I feel the same


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