outlines mandatory reporting to the board. It also explains the boards definition of unprofessional conduct, explains safe nursing conduct, physical and verbal abuse, and lists the nurses scope of practice[MTB17]. Knowing the nurse practice act in my state helps me protect myself by giving
C304 TASK 1 10 me parameters to use while working, and protects my patients from unsafe nursing practices[NCS17]. E1. Scope of Practice Montana state board of nursing states that nurses need to follow a frame work to promote patient’s safety. The framework listed that a nurse must follow is: determine accountability for practice decisions, communicate with health care professionals, inform, educate, and guide[MTB17]. The Montana board of nursing has a decision-making framework model for nurses to follow. The purpose of the model is to help the nurse identify, describe or clarify the activity. This model helps the nurse take into consideration the intervention that is needed. The model always asks the nurse to consider if it is prohibited by the Montana state board of nursing. If it is, you stop what you are doing. If not, you keep going down the framework model. If you make it all the way through the framework then the nurse may perform the activity or intervention knowing that they are prevailing standards of safe nursing care[MTB17]. E2. Rules for effective Delegation The Montana State board defines delegation as “the act of authorizing and directing unlicensed assistive personnel to perform a specific nursing task in a certain situation in accordance with these rules[Cyn11].” The state board of Montana states a nurse becomes a delegator once they make the decisions to delegate, and this makes them accountable for their delegation. They are also to follow the five rights. The five rights are: right task, right circumstance, right person, right direction, and lastly right supervision[Cyn11]. The criteria for delegating should be done by the nurse who has assessed the patient’s condition, they should determine if it can be delegated, without harming the patient. The delegation must be in the
C304 TASK 1 11 scope of the nurses practice to delegate, and can be safely performed[Cyn11]. The focus on delegation is the patient’s overall safety. F. Application of Nursing Roles The nurse uses the role of a detective when they use clinical imagination coupled with nursing science to detect small changes [WGU13]. Working in long term care I used the role of detective a lot. The first thing a long-term care nurse needs to do is communicate and listen to the CNA’s. The CNA’s are the nurse’s eyes and ears. If a CNA voiced that a resident was acting different, I knew I needed to go assess that resident. Knowing how my residents normally act, knowing their standard of normal. Helped me assess if they were acting out of sorts. Urinary track infections can be detected just by behavioral changes. Is a resident acting aggressive, and normally is very sweet? Then my detective work sets in, and I start to look further in to what might be going on The nurse as a scientist uses scientific inquiry to inform healthcare decisions[WGU13].
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- Winter '17