1. According to Indest (2008), the scope of practice for a Registered Nurse in Florida is defined as assessment, nursing diagnosis, planning, intervention, and evaluation of care; health 12
teaching; prevention of illness; administrating treatments including medications as prescribed by provider; and supervision and educating of others in the above listed tasks. 2. According to Lockwood (2018), delegation is defined as transferring the authority of a task to unlicensed assistive personnel and is to be done with responsibility. Lockwood (2018) notes that it should be a task not outside of the scope of practice of the professional nurse delegating the task and the delegating nurse must also weigh the possibility of the task to cause patient harm and the difficulty of the task to be completed. F. It comes as no surprise that the professional nurse plays many roles including those of the scientist, detective, and manager of healing environment. I think that these roles may mean different things and play different parts for different nurses but do all play a part. As a scientist, I believe that this role plays in my practice by assessing my patients and discovering problems in which I may need to request treatments from the physician. I often use my professional judgement in accurately assessing the patient and collecting the necessary data 13
before consulting with the physician and recommending and/or taking orders from the provider. Once a treatment has been ordered, I administer the treatment and evaluate the outcomes. I feel that this process fits my personal role as the scientist. As a detective, I often care for patients who are either non-verbal or confused and unable to communicate effectively. Unfortunately, in my practice in the hospital it is important to have accurate medical history and medication history in order to treat patients effectively. As a detective I often find myself calling family members if available, pharmacies, and/or nursing homes in order to get accurate information on my patients. I will also note that in order to care for patients as such I also try to reach out to family to get to know more about the patient in order to make them more comfortable, sometimes things as simple as diet preferences. I think that patients who are confused are just as uncomfortable as we the healthcare team may seem sometimes and that its worth taking all the extra steps to make them feel more comfortable with us as their care team. Of all the roles I feel that a manager of the healing environment is one of the most important. I believe that more than medicine can heal and that as a professional nurse in beside 14
nursing in the hospital I am at the forefront of healing. I feel that when I help my patients get more comfortable in bed, get their pain under control, or reduce the noise and light in their environment the patient feels better and heals better. I think that a manager of the healing environment is underplayed role and that nurses should have more education on it as it is a piece of human compassion as well.
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