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Hi Everyone, I am doing an interview research to get a good amount of opinions from real world nurses on the Nurse Practice Act and Nursing Code of Ethics. How do you think they govern the nursing practice and did they affect you as a graduate? How? I need as many answers as possible and if you can add the area of nursing you are currently working would be great! THANK YOU SO MUCH!

Studying strategies on Nursing Assistants and UPN's, have 2 questions about it and need to provide short answers. Would appreciate inputs to my answer... THANK YOU! -Describe strategies that you use to determine if a nursing assistant/UPN has the skills needed to perform a task. -What are the most important factors/criteria that support a decision to delegate to these staff? So far I came up with this brief: I will consider checking if the nursing assistant is ready to perform based on the qualifications, license and experience. When a nursing assistant can demonstrate her skills by following instructions and properly demonstrate procedure and effectively follows instructions. Taking into consideration the patient safety and perform in the capacity of her license, documenting properly according to the service provided.

I can't thank you enough! Leadership is my last class for Nursing school and your inputs are extremely appreciated!!

Hi Everyone , here is another case study I have to discuss Maxine Overland is an RN, working on a medical-surgical unit in a partnership model of primary nursing. She has been on vacation for 2 weeks, and when she returns, she finds that the unlicensed assistive personnel she typically worked with is not expected to be back at work for several months because of a family emergency. A new nursing assistant, John Maxwell, who had worked in the hospital for only 2 weeks, is assigned as her partner. Maxine was pleased to learn that John had previous experience in another hospital and is a certified nurse aide. However, as she began to work with him, she realized that he does not understand the delegation rules established by the state Board of Nursing. For example, she entered a patient's room to find that John was removing an IV from the patient's arm because it had infiltrated. Maxine took over the task, noting that the IV was in fact infiltrated. After leaving the room, she asked John why he had begun to remove the IV instead of calling her. He indicated that he had been taught how to do this at his last place of employment. She indicated to him that this was not a delegated task in this hospital. He responded, "Why? I know how to do it." Later in the morning, Maxine was reviewing the vital signs of the patients to whom they were assigned. The values for all blood pressures, pulses, and respiration's were numerically very close, despite the fact that the patients had previously had widely different vital signs results. If you were Maxine, what would you do? MY ANSWERS: According to what is happening here and if I were Maxine, I would speak with John and explain to him that this is a different place from where he was working before and it has different rules and regulations. Nursing Assistants do not do certain task that pertains to the Registered Nurses and he may read the rules and regulations books because every facility is different, the vital signs values and procedures are different. I will also encourage him to go to the nursing supervisor in case he has any questions and if he needs help I will be there. If something like this happens to me, I will talk to John and I will clarify to him that he is only allow to perform within the limits of his license as a CNA he is not allowed to perform as an RN, that I am the RN and I am liable for the care of the patient. I will point to him that the IV was infiltrated and the vital signs are not correct. I would tell him not to do my job. If he does not understand and replies the same way he did to Maxine then I will report the incident to the supervisor or nurse in charge so he can be corrected. If I were in a situation like she was I definitely talk to John clearly, letting him know that I am the RN and I am responsible for the health and wellbeing of the patient while under my care and that he is not qualified to do my job and it is not acceptable in any place a CNA to perform as an RN and then I will talk to my supervisor or nurse in charge. I would retake patient's vital sign again and I will record the results in the patient chart.

THANK YOU SO MUCH GUYS!!! Your comments helped me BIG time!

Thank you for reading my questions, this is what I came up with: I think one of the most important roles of a nurse is to administer medication and provide comfort to a patient, even more when in pain and in this case the IV med should be given as per doctor’s order , making sure the five Rights are met such as: Right patient, Right medication, Right doses, Right route, Right time. I firmly believe the other nurses from the morning shift were negligent and did not assist the patient efficiently according to their responsibility and duties, neither provided the patient with the required attention or follow the doctor’s order as it was indicate. Also, I think the problem in this scenario is that since it is a new graduate nurse, she pays close attention to what the experienced nurses say and it should not be that way, I, personally, will guide the new graduate and encourage her to follow physician’s order unless she sees there is something wrong with the patient, the medication and/or the dosage, then call and verify with the physician. She has to advocate and provide the appropriate care for her patient, it does not matter what other people say. I will advise her to check his vital signs every two hours, keep an eye on him, and document everything, and about those nurses who made some negative comments to her regarding her patient, she must speak with them and show the patient’s chart and see if their opinion changes, or take it to the nurse in charge. I would advise her to go by the EBP (evidence based practice) if the patient’s vital signs are changing because his level of pain is also changing, then the negative comment are worthless.

Hi Guys, trying to complete a million case studies questions and came across this one was wondering Looks like the new grad needs some guidance when it comes to nursing intervention but at the same time she is following doctors orders. If anybody can shed some light on me...Thank YOU!!! New grad comes to you with a concern. She works nights and has been caring for an IV drug user and has been assessing this individual for pain on a regular basis. He is frequently in pain, as identified not only by his complaints but by physical changes and vital signs. When she is working, she medicates him according to physician orders. Other nurses, mostly from the day shift, have been making negative comments to her and about her related to the fact that she is just feeding his habit, and they see no need to give him so much pain medication. She does not know what to do, as the patient expresses his dread for the day shift and how much pain he will have. What do you think the problem is in this scenario? How would you approach it? Collaborate with colleagues regarding this issue. What would they do? Do your approaches differ? If so, how and why?