E1- Scope of Practice: As an RN in Washington state my scope of practice is vast. I can make clinical judgments based on my nursing knowledge, and data collection and analysis. Based off of patient data and nursing principles I can develop a nursing diagnosis and come up with a care plan to carry out effective nursing care. I can give medications and vaccines from a doctor’s order. I can practice off verbal orders and carry out treatment plans. I can hang blood products and start and manage IV’s. I can delegate tasks to lower licensures as seen fit, and I am responsible for those outcomes. I can independently triage and send patients to the ER. I cannot prescribe medications or come up with medical diagnosis’s. E2- Rules for Delegation:
As an RN in Washington state we can delegate to lower licensure as we see fit and in the best interest of the patient. Delegation of tasks may only be performed on patients who are “stable and of predictable condition”. When delegating the State requires that we must first determine the competency of the individual performing the task, then evaluate the appropriateness of the task, and perform supervision of the tasks at all times. We cannot delegate a task that is out of our own scope of practice. Administration of medications cannot be delegated as well as any task that may penetrate the skin. F- Application of Nursing Roles: A Scientist- As a nurse you are a scientist without even trying. All day we are collecting data from patients and trying to figure out how we can make and do things better. Comparing evidence-based practices to current practices. In my own professional practice, I ask “why” all the time. As a nurse it is our job to figure out the “why” and gather information to make a change. For example, why is hand hygiene so important, and by making simple changes we see improvement in our infection rates? A Detective - Being a detective comes naturally to nurses as well. In my daily practice I am always trying to figure out how things are connected. I use assessment skills to research and dig into each patient’s history trying to find evidence and correlations to answer questions about a patient’s health. What is their behavior telling me? We look for patterns to explain why incidents keep happening. We look for clues to why patients may be having certain symptoms and try to find answers to relieve these symptoms. A Manager of the Healing Environment - As a nursing professional providing an optimal healing environment is essential. As a nurse, I must make sure a patient feels cared for and respected and promote well-being. I must not show stress and encourage a positive environment, and in turn this helps patients to be positive themselves and encourages healing. As the manager of the healing environment it is my job to decrease stimuli, modify and regulate surroundings depending on the patient needs as well. For example, more light, cooler room temperature, and providing socks to prevent falls. It is also important to involve family in the healing process.
- Fall '15
- Nursing, State Board of Nursing