Sample Answer for NRS 430 Week 4 Discussion Question 2 Included After Question
Outline the process for developing nursing standards of practice, and identify the different entities that might be involved in developing a standard of practice.
A Sample Answer For the Assignment: NRS 430 Week 4 Discussion Question 2
Title: NRS 430 Week 4 Discussion Question 2
Professional accountability is not only holding oneself accountable in the nursing profession, but also holding others accountable professionally. Maintaining professional accountability is staying honest, trustworthy, operating within the nurse’s scope of practice, maintaining patient confidentiality, and upholding the code of “doing no harm” (Green, 2018). I have been practicing at bedside for the past two years and I have encountered a few situations where I had to hold myself professionally accountable, as well as other fellow nurses.
An instance that comes to my mind most recently is, after receiving report from a less experienced nurse who is notorious for cutting corners and leaving work left behind for the second nurse to do, had given me spotty report and neglected to inform me that the patient was on a continuous Heparin drip. As this patient’s labs were scheduled to be drawn at 6am, the patient was a difficult stick and the labs were attempted but not collected. Heparin drips require Q6 blood draws and careful monitoring to ensure the patient stays within the therapeutic range, and the Heparin levels do not become critically high. The nurse giving me report quickly raced through giving me report and grabbed his bag and ran out of the building, without going to bedside with me to evaluate a patient with an oncoming nurse.
I entered the patient’s room directly after the report and found that the Heparin bag was indeed completely empty, and the patient’s labs had not been collected in over 8 hours. I attempted to collect the lab myself to avoid any longer a delay in adjusting Heparin drip and I was unsuccessful myself. I currently work on an organ transplant floor, and I have between 5-6 transplant patients with 20-30 medications per patient, that are all due by 9am and passing these medications is very time sensitive and consuming.
I brought this situation to the attention of my charge nurse, who accelerated it to my nurse manager. At this time the Heparin draw was 10 hours past due and had to be drawn by the nurse manager to avoid any further delay in the process. The doctors had to be contacted regarding the situation as well as the pharmacist who stressed the importance of these critical labs being drawn on time. I had to document the situation in depth to protect my license and I also had to write a patient safety report about the nurse who had given me report and failed to complete his list of tasks to keep the patient safe.
I wouldn’t ever want to get my coworkers in trouble, but this situation could have become dangerous if I didn’t catch the error made by the other nurse, so I had to protect myself and the patient by doing a thorough documentation.
Situations such as these often arise in the nursing profession where a nurse has to hold their fellow nurses professionally accountable when it pertains to patient safety. I was told in nursing school over and over to protect your license because it was so hard to obtain that degree in the first place. Some situations occur in the nursing field that can become uncomfortable for a nurse to hold another nurse or interdisciplinary team member accountable but looking back on the oath taken to “do no harm,” we as the patient primary care giver and advocate, must make those difficult decisions to keep our patients safe.
References
Green, S. (2018). Advancing professional standards. (2nd ed.) Dynamics in Nursing: Art and Science of Professional Practice. Grand Canyon University.
A Sample Answer 2 For the Assignment: NRS 430 Week 4 Discussion Question 2
Title: NRS 430 Week 4 Discussion Question 2
How does knowledge of the foundations and history of nursing provide a context in which to understand current practice? Identify at least three trends in nursing practice from the “Nursing Timeline of Historical Events” media piece. How have these trends influenced your perspective of nursing practice? Describe the definition of nursing as put forward by the American Nurses Association. How does it address the metaparadigm theories of nursing? The media, and Hollywood in particular, represent one avenue in which the general public becomes familiar with the role of nurses. How does the media positively or negatively influence the public’s image of nursing? What other avenues may better educate the general public on the role and scope of nursing as well as the changing health care system?
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A Sample Answer 3 For the Assignment: NRS 430 Week 4 Discussion Question 2
Title: NRS 430 Week 4 Discussion Question 2
What factors need to be considered when determining whether or not identified actions are within the domain of nursing practice? Be sure to cite current literature in your response. You have been asked to investigate a new procedure that physicians would like nurses to adopt in the hospital. Discuss the process. How does the media positively or negatively influence the public’s image of nursing? What other avenues may better educate the general public on the role and scope of nursing as well as the changing health care system? you would apply to determine whether the procedure falls within the RN scope of practice and how you would go about introducing the new procedure with physicians and fellow nurses. Outline the process for developing nursing standards of practice, and identify the different entities that might be involved in developing a standard of practice.
I have used every good and bad experience I’ve had over the past 2 years of working as a beside nurse, as a learning experience. I see the good and bad situations as lessons, and I use those lessons to guide my daily patient care. I recently had to politely ask a nurse giving me report to slow down, because she was going so fast that I couldn’t even write down everything she was saying, and I wanted to catch everything she was saying. Sometimes those situations can feel awkward because I don’t want to seem rude, but it requires assertiveness to ask them to slow down or correct something that wasn’t done when it should have been done. Going forward, with nurses that give partial report to me, I will review the chart myself before receiving report from the previous nurse. Reviewing the patient’s chart will prepare me for what to expect from the patient, as well as prepare me to ask the nurse to clarify something I didn’t understand, or something they may have missed saying during report.
There have been instances with nurses who have left patients lying in bed soiled, and the lesson I learned from that is, I actually go into the room with the nurse giving me report and quickly assess the patient and any drips they may have running. As nurses, I do feel we are leaders in the hospital setting, because we have to delegate care to others. As a leader guiding and training new nurses, I would personally share my experiences as a bedside nurse. When I became a new nurse, I was eager to learn as much as possible about nursing, and I would listen to advice from the more seasoned nurses, and I greatly valued their abundance of knowledge and experience. I remember thinking I was envious of their years of experience, and I can’t wait to be in that position one day, and be able to onboard new graduate nurses, and take them under my wing and lead them and guide them. New nurses are the future of our healthcare system, and after the terrible bullying I experienced as a new graduate nurse in the ICU, I would never want another new nurse to have that experience, that is why training new nurses is something I am very passionate about.
A Sample Answer 4 For the Assignment: NRS 430 Week 4 Discussion Question 2
Title: NRS 430 Week 4 Discussion Question 2
Accountability is defined as the acceptance of responsibility for honest and ethical conduct. (Faubion,2023). A lack of accountability in nursing practice can have significant, far-reaching consequences. Nurses should strive to demonstrate accountability in all aspects of practice. Professional accountability as simply being answerable to oneself and actions. Nurses have a formal obligation of accountability placed on them by their Nurse Regulatory Board and must be willing to accept professional responsibility for the care they provide to patients. Working within the Scope of Practice is one of the best ways to demonstrate accountability in nursing practice even when faced challenging and demanding situations. For example, monitoring patient vital signs and recognizing abnormalities, administering and monitoring medications. Last week, I received hand off on a patient receiving intravenous antibiotics who developed a rash on his back and the doctor was convinced that it was not medication related despite my many attempts to convince him that it is was indeed an allergic reaction and possibly Steven Johnson’s disease. After a dismissal from the doctor, I went to my supervisor to express my concerns about this case and wound care was consulted. Patient merely got worse and soon after he was transferred to the burn unit for Steven’s Johnsons disease. There are several characteristics associated with accountability, including dependability, confidentiality, acting as a patient advocate, and ensuring best practices are followed.
Reference
Faubion, D. (2023). 10 Ways to Demonstrate Accountability in Nursing Practice. 10 Ways to Demonstrate Accountability in Nursing Practice (nursingprocess.org)
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For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
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Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
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Communication
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
Important information for writing discussion questions and participation
Welcome to class
Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to
I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.
Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.
If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.
Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.
Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.
I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!
Hi Class,
Please read through the following information on writing a Discussion question response and participation posts.
Contact me if you have any questions.
Important information on Writing a Discussion Question
- Your response needs to be a minimum of 150 words (not including your list of references)
- There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
- Include in-text citations in your response
- Do not include quotes—instead summarize and paraphrase the information
- Follow APA-7th edition
- Points will be deducted if the above is not followed
Participation –replies to your classmates or instructor
- A minimum of 6 responses per week, on at least 3 days of the week.
- Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
- Each response needs to be at least 75 words in length (does not include your list of references)
- Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
- Follow APA 7th edition
- Points will be deducted if the above is not followed
- Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
- Here are some helpful links
- Student paper example
- Citing Sources
- The Writing Center is a great resource