floor nurses and ancillary staff. There is an enlisted chain of command that coincides with the above chain of command. This would be the CMC (Command Master Chief), then the LCPO (Leading Chief Petty Officer) for each department, then the LPO (Leading Petty Officer) for each floor or area). The enlisted chain is ultimately responsible for the enlisted staff military needs, ensuring their career pathways are being taken care of, but the DIVOs are ultimately accountable for their work on the floor. A3. Explain the primary needs of the population served by this organization. NMCSD mainly serves San Diego County. The primary age of patients is 18-50 due to the bulk of the patients being active duty. San Diego’s racial demographic is 11.5% Asian, 4.7% Black, 33.4% Hispanic/ Latino, 0.4% Native American, 0.4% Pacific Islander, 3.3% Multiple races, 46.2% White. Per the Hospital Association of San Diego and Imperial Counties 2019 community health needs assessment, the top ten health concerns in San Diego are 1. Access to Health Care, 2. Aging Concerns, 3. Behavioral Health. 4. Cancer, 5. Chronic Conditions, 6.
Essentials of Advanced Nursing Practice Field Experience C157 4 Community and Social Support, 7. Economic Security, 8. Education, 9. Homelessness and Housing Instability and 10. Unintentional Injury and Violence. (Community Health Needs Assessment Committee, 2019) NMCSD is only for active duty, retirees, and their dependents. The main concerns for this particular population are behavioral health, community and social support, education, and unintentional injury and violence. NMCSD has an inpatient psychiatric ward to help alleviate the community area hospitals' needs assessed by the Hospital Association of San Diego and Imperial Counties. There are also many community outreach programs offered to assist with mental health, parenting, budgeting, and how to transition out of the military. NMCSD also services the VA patients who are referred out due to lack of providers available at the VA hospital, and this prevents them from going to civilian hospitals, thus improving access for civilians in the community. A4. Describe the nurse leader's role. I interviewed Lieutenant Melissa Schmidt RN, BSN, RNC-OB, USN, NC, who is the Divisional Officer (DIVO) for Labor and Delivery at NMCSD. Schmidt has been in this role for six months but was the assistant DIVO for two years before that. Being an active-duty military nurse, the DIVO role is continuously being reassigned as people transfer duty stations. In the military, the DIVO is equivalent to a unit nurse manager in most civilian hospitals. The DIVO is responsible for leading and guiding all staff employed on Labor and Delivery. The DIVO functions as the formal and informal leader, with duties encompassing administrative, clinical, and supervisory roles, straddling the worlds of staff and middle-upper management, ensuring a two-way flow of communication.
Essentials of Advanced Nursing Practice Field Experience C157 5 LT Schmidt exhibited the Essentials of Master’s Education in Nursing in her everyday work. Essential III is quality improvement and safety. NMCSD is facing a nursing shortage, and
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- Fall '18