Nursing Standards Practice Performance & Ethics

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The process of developing nursing standards of practice in NJ where I currently work, is determined primary by the American Nurses Association, the NJ Board of Nursing, NPA and state officials. The outline they use in defining and making up the standards of nursing care include:

  1. Standards of Practice define assessment, diagnostic, intervention, coordination of care, teaching, consulting, and evaluation competencies.
  2. Professional Performance standards identify role functions, driven by ethics, EBP, communication, education, leadership, collaboration, job performance evaluation, and environmental health.
  3. Guidelines for specialty practice are policies of care for a specific group of people
  4. Required testing and licensure needed to carry out specific standards of care
  5. Standard code of Ethics

Entities involved are as mentioned above, NJ Board of Nursing, ANA, State regulators and state officials and organization such as the NCSBN and the use of the Nurse Practice Act.

The standards of practice influence the nursing process by incorporating: Assessment, Diagnosing, Planning, Implementing, and Evaluating in everyday nursing practice. I work in a med. surgical unit with telemetry patients, and we incorporate all of these to each patient we care for. When I receive a new admission, I do a detailed assessment and if I find any new issues, they are addressed according to policy. For example, I had a confused patient come in, admitted with altered mental status who was from a nursing home. Patient was not in a hospital gown when he was sent to my unit from the Er. The resident on call placed this patient on telemetry observation due to a abnormally high troponin level. When he finally got to the unit, the patient care tech and I removed all of his clothing and found a very large stage 3 on his buttocks that was not addressed on admission, therefore I implemented the order of a wound consult, and initiate skin injury protocol, turned the patient q 2 hours, and provided wound care as needed.

Attached are really nice photos demonstrating the Nursing Standards and regulations.

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Emergency and preparedness in Nursing homes

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Emergency and preparedness in Nursing homes

Discuss what you think the Administrators role should be in developing, activating, and evaluating the facilitys disaster and emergency preparedness plan. Why is it important?

Work must be double-spaced, font size 12, Times New Roman style, margins 1 left and right, and APA-style format is required. One page, at least 2 references and references are not included in the page.

Question 1 (2 points) On July 1 of the current year, the assets and liabilities of John Wong, DVM, are as follows:

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Case Study # 3 – Universal Health Care: The United States is the only industrialized nation that does not offer some form of universal health care, and each year the number of uninsured Americans is increasing. Many people look to Canada's health care

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Case Study # 3 – Universal Health Care:

 

The United States is the only industrialized nation that does not offer some form of universal health care, and each year the number of uninsured Americans is increasing. Many people look to Canada’s health care system as a possible means of fixing our current woes. However, some of the fears associated with universal health care are:

 Drug/medical technology companies fear that they will not make a profit.There will be a large tax increase.Quality of care will decrease.

 

The following cases and their corresponding questions address some of the problems and fears.

 

Case 1:
A mother brings her son into the emergency room during an asthma attack. Though both of his parents work, they cannot afford medical insurance for themselves or him. They also earn too much money to qualify for state or federal aid. He is treated for his asthma attack at the hospital and he and his mother leave. Two weeks later, they return to the hospital in a virtually identical scenario.

 

Questions for Case 1:

 Do you think that this boy is receiving adequate care?…Shouldn’t he be able to see a primary care physician before his condition gets so acute that he must visit the ER?Should everyone be entitled to a basic “minimum of health care”… or to the exact same health care?Do you think that health care is a right? If so, are we forced to honor this right?(If students answer “yes” to the above question) Is this right relative or universal? Does this right exist because of the wealth of the United States, or is it applicable everywhere? Is health care a luxury?Does having money entitle a person to better health care? (they may have worked harder for their greater wealth)

 

Case 2:
An upper middle class, middle aged, Canadian man is playing racket ball when he suddenly feels a pop in his knee. In pain, he makes an appointment with his general practitioner and is seen the next day. He is given pain medication, and is referred to an orthopedic surgeon (he has no choice of who he will see). After a week wait, he is seen by the orthopedic surgeon and is told he will need surgery. Two weeks later surgery is performed on the man’s knee. The physician, who is not very good, does a poor job on the knee, and the man walks with a slight limp for the rest of his life. The surgery costs the man no money directly, however, he pays for it with higher taxes.

 

Questions For Case 2:

 What do you think of this man’s experience in comparison to case 1? Which situation seems worse, and why?Does it seem like it took too long for him to receive care? (The physicians will perform surgery on the more urgent patients first and then on the less serious.)What do you think about not being able to choose your own physician? (Note: In the United States, many insurance companies limit which physicians you choose.)One suggested solution for our current health care woes is that care for the elderly be decreased/eliminated. For example, people over the age of 80 will no longer be placed on life support, which costs approximately $10,000 per day to operate. What do you think of this?What do you think could be a good middle ground solution to this problem?

 

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