My Professional Role and Values
My Professional Role and Values
What is the functional difference between a regulatory agency, such as the Connecticut Board of Nursing, and a Professional Nursing Organization, such as ASPAN? The former is the state regulatory agency that a person who after meeting all the requirements, can apply for a nursing license. The latter is a specific organization that focuses on a specific type or filed of nursing. A Professional Nursing Organization can offer continuing education programs, course specific seminars and certification in that specialty.
The State Board of Examiners for Nursing have positions appointed by the governor and have advanced degrees in nursing. In ASPAN you voluntarily join and decide how much involvement you desire. Their chairs are voted on, whereas in the state they are appointed by the governor.
They each have nursing websites that one can explore. However the Board of Nursing in Connecticut is on a broader, less specific scale, whereas ASPAN focuses on Perianesthesia Nursing.
The Connecticut Board of Nursing addresses licensure verification, renewal, exam information and complaints. They govern the rules applicable to nurses throughout the state. ASPAN governs standards specific to Post Anesthesia Nursing care and concerns. While the Connecticut Board of Nursing licenses the LPNs, RNs and APRNs. The difference is that being licensed allows you to practice your profession, and that certification means you are an expert in your filed. ASPAN provides me with specific standards that should be followed in order to provide the best care to my post-operative patients. The Connecticut Board of Nursing defines the scope of nursing practice in general as it applies within the state . I thoroughly enjoy my work in the Post Anesthesia Unit at my community hospital. I have been in this particular department for the past 12 years and have grown substantially. I incorporate what I learned in nursing school and throughout my career how to focus on various diseases and how to care for a variety of ages.
I have been very involved in implementing and improving policies specific to my practice through the help of the standards adapted by ASPAN .as well as through continuing education programs. For example, a recent seminar that I attended on post –operative nausea and vomiting discussed how aromatherapy in conjunction with an antiemetic helps treat post op nausea. We “trialed” this in our department and have determined that patients who experience post-operative nausea do well when given antiemetic in conjunction with the practice of aromatherapy respond much quicker with improved nausea. I am guided by the standards of ASPN as well as my individual hospital policies in giving the best care to my patients. These are “the rules’ that I must follow to assure that I am giving the best care I can offer. Provision 1 and Provision 3 from the ANA Code of ethics greatly influence my practice. Provision 1 states “that the nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth and uniqueness of every individual, unrestricted by considerations of social and economic status, personal attributes or other health problems.” (Code of Ethics for Nurses with Interpretive Statement, 2010) Provision2 states : ““The nurse’s primary commitment is to the patient, whether individual, family or group.” (Code of Ethics for Nurses with Interpretive Statement, 2010) I always try to treat my patients as if they were a relative, I frequently find myself putting myself “in their shoes.” I find by doing this I can better understand what they are experiencing and better anticipate what they need. An example of this that quickly comes to mind is the time I had to really fight for a patient to be admitted for post-operative vaginal bleeding. The patient recently had a vaginal birth a week earlier and had come through the OR because of post-delivery bleeding.
She underwent a vaginal laceration repair. The plan was for me to discharge her from recovery to home. She woke up from anesthesia fine but continued to have some vaginal bleeding. I informed her obstetrician who came in to evaluate and was not alarmed by the bleeding. The obstetrician informed me that a recovering obstetrician would be the point of contact for any issues. The patient recovered with me for almost 2 hours. I checked her peri pad every 15 minutes. Her bleeding was WNL and as expected. I helped her get up to void and noticed that her bleeding was now redder, more in amount and brighter in coloration. (Her fundus had been firm her entire PACU course. ) I called the on call physician who came to assess her. This physician was not concerned with her bleeding and deemed that the patient could be discharged as planned. The patient herself was now becoming alarmed knowing what her primary obstetrician had discussed with all of us earlier. I was able to reassure the patient and she voiced trust in me. I then told the covering doctor that I did not agree with her assessment and that I would feel that an overnight observation was warranted. I had to place a call to her primary obstetrician to voice my concerns and update her on this patient. The primary physician agreed an overnight stay was warranted. I then had to coordinate her care through the nursing supervisor, call admitting to change the patient’s status to in-patient., and coordinate with general services to obtain a bed for her. The patient was admitted and placed on meds to control her bleeding .She was discharged from the hospital 2 days later. I believe I avoided a potential crisis situation. I also believe that this provides a great example of beneficence. By me not accepting the covering physician’s recommendation to discharge the patient I helped prevent a possible crisis. I followed my nursing judgment and assessment rather than just “listening to doctor’s orders.” I did what was best for the patient. The above scenario also highlights some of my professional traits from the Code of Ethics and what “comes along’ with me to any team of healthcare professionals: I have respect for human dignity, my primary interest is for the patient, that I am able to establish trust with my patient, thereby resulting in a relationship with my patient, and I confidently collaborate with my colleagues.
I have identified Jean Watson and her Theory of Caring as one of the theorists who have influenced me most in my nursing career. Watson states “the mandate for nursing…is a demand for cherishing the wholeness of human personality” and to focus on “human relationship and transaction between persons and their environment and how it affects health and healing…” (Linda A. Ryan, 2012) The above refeerence is my mission statement. I vow to treat each and every patient individually. I vow to take care of their body, mind and soul. To assure that each of these are in harmony with the other in order to promote optimum health. The following is a brief example of how Florence Nightingale has influenced my practice and also demonstrates the principle of autonomy for the patient. I was reminded and thanked today by a patient who recently underwent a procedure for the first time. It was my job to reinforce teaching to the patient of what to expect before, during and after the procedure. As soon as I walked into his room I knew he was terrified. I reassured him about the procedure and reinforced teaching. I then performed some relaxation techniques with him to calm him. I reassured him that I would be waiting for him when he returned to assess him. I then explained that he could decide to not have the procedure done and that the decision was totally up to him. I then had the physician come and answer any more of his questions. We reviewed the Informed Consent together and I told him that the decision was up to him. He underwent the procedure flawlessly. Just today he thanked me as he returned to the hospital for physical therapy and we ran into each other. He purposely stopped me in the hallway to “thank me” personally for my care. He then went on to say that he was having a repeat of the same procedure at a different location and “wished that I was there again to ease his mind. “ I then thanked him for “making my day with his kind words. “
When it comes to a historical figure, Florence Nightingale is at the forefront of having impacted me the most in my daily practice. She wrote” No amount of medical knowledge will lessen the accountability for nurses to do what nurses do, that is, manage the environment to promote positive processes.” (Cherry, 2007) I strive to make the most for all me patients everyday in everything I do. From my experience over the years I have found that a soothing environment does wonders for any patient mind, body and soul. I frequently will turn down lights, close curtains. play soft music, speak in a soft voice medicate appropriately to assure adequate pain control and place them in a position that is comfortable for them. I have found that in doing this my patients recover better, and have a calmer wake up from anesthesia thereby recovering better. I hope that you can “see’ my mission statement in the above paper. I would have to say that first and foremost I follow the “golden rule’ in my practice and hope that eash day I have made a person’s day better.
Cite this Professional Roles and Values
Professional Roles and Values. (2016, May 18). Retrieved from https://graduateway.com/professional-roles-and-values/