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with certain medication. Promoting patient safety is a top priority in my nursing practice. Purpose of the Nurse Practice ActThe Nursing Practice Act (NPA) "of California law that mandates the Board to set out the scope of practice and responsibilities for RNs" (California Board of Registered Nursing n.d.). The NPA gives a nurse a scope of practice for specific nursing roles. It impacts my practice by providing rules and regulations specific to my aspect of nursing. For example, in California, we are required to complete thirty hours of education every two years to renew our nursing license.Discuss the scope of practice for an RN in CaliforniaThe scope of practice refers to the procedures and action a nurse can provide when he/she has direct or indirect contact with a patient. The scope of practice outlines what a nurse can do following these rules. Policies and protocols are developed and the nurse follows these policies.Discuss how California defines delegation for the RNIn the state of California, the RN is responsible for supervising care provided by subordinates, and they must use judgment in the delegation. The RN needs to know the capability of the worker, for example, are they a certified nursing assistant or licensed vocational nurse. (LVN). Inthe state of California, an LVN cannot administer IV medications, unless she is a license for IV medication administration. It is crucial the RN communicates, with subordinate staff regarding their experience and qualifications.
9PROFESSIONAL NURSING PRACTICEApplication of nursing rolesI often feel I am a nurse detective when I am assessing my patient. I use this information to critically look for any changes in my patients. For example, the other day I was caring for an eight-year-old with asthma. The treatment plan was albuterol nebulizer every three hours. I was auscultating his lung and detected that his lungs where clear and wheezing was gone. When the doctor made rounds, we discussed how the patient was improving and began to spread out his breathing treatments. As a nurse scientist, I used evidence-based practice with my patient with asthma. I discuss with the parents their current asthma plan, and how is it working? With this case, I discovered that they were not using the nebulizer machine for treatments, it was broken. I notified the doctor, who then orders a new nebulizer machine. The nurse also manages the healing environment. We have a treatment room for the procedure so that the patient can feel safein their room. We also have a playroom and a therapy dog that comes and visit our patients in thehospital.ANA Code of Ethics ProvisionsThe American Nurses Association supports nine Codes of Ethics for nurses. The first provision that I chose that relates to my nursing practice is, provision one “The Nurse Practices with Compassion and Respect for Inherent Dignity, Worth, and Unique Attributes of Every Person” (Ovid n.d.). I will focus on section 1:1 Respect of Human Dignity. The second provision I will focus on is 1:2, Relationship with Patients.