Two new associate-degree graduates were hired for the pediatric unit. Both worked three 12-hour

shifts a week, Jan in the day-to-evening shift and Ronnie at night.Whenever their shifts

connected, they would compare notes on their experience. Jan felt she was learning rapidly,

gaining clinical skills and beginning to feel at ease with her colleagues. Ronnie, however, still

felt unsure of herself and often isolated. “There have been times,” she told Jan, “that I am the

only registered nurse on the unit all night. The aides and LPNs are really experienced, but that’s

not enough. I wish I could work with an experienced nurse as you are doing.” “Ronnie, you are

not even finished with your 3-month orientation program,” said Jan. “You should never be left

alone with all these sick children. Neither of us is ready for that kind of responsibility. And how

will you get the experience you need with no experienced nurses to help you? You must speak to

our nurse manager about this.” “I know I should, but she’s so hard to reach. I’ve called several

times, and she’s never available. She leaves all the shift assignments to her assistant. I’m not sure

she even reviews the schedule before it’s posted.” “You will have to try harder to reach her.

Maybe you could stay past the end of your shift one morning and meet with her,” suggested Jan.

“If something happens when you are the only nurse on the unit, you will be held responsible.”

In what ways has Ronnie been an effective follower? In what ways has Ronnie not been so

effective as a follower?

Investigate how school health is delivered within your local school system. You can look at one specific school, or an entire school district. Do the schools in your area have a school health nurse assigned? If not, how are health care needs within the school district managed? What are ways in your area schools in which health promotion and management of existing health problems are addressed?

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.

1-IRB is an important step in research. State the required components one should look for in a project to determine if IRB submission is needed?

2-Think back on your National Institute of Health (NIH) training and share what you learned. How will this apply to having an IRB form completed and why?

Advocating for patients means you are keeping their best interest in mind. As nurses, we have a duty to protect their information, rights, dignity, and act as a voice for them when they aren’t able to speak up or advocate for themselves. Having the courage to say something when certain aspects of care are missed or the best interest of the patient is overlooked is another role nurse’s play in patient advocacy. Patients may need you to speak up for them regarding family members who may not have the patient’s best interest in mind as well. “Advocates become facilitators when patients and family members need to discuss uncomfortable information or explore its implications. Nurses may sometimes need to advocate for patients against their families” (Gerber, 2018).

Patient safety is a huge goal for advocating for patients. For example, if a doctor makes a mistake and prescribes a certain drug dose that doesn’t seem right for that patient, it is important to question that and verify it with the provider, even though you may feel uncomfortable doing it. The patient’s safety and health are at risk and it is up to us to be the final check for those circumstances.

A situation I can recall occurred during one of my clinical rotations. A patient I was assigned to with my nurse was homeless and spent a few days on the med/surg unit recovering from pneumonia. The patient was sheduled to be discharged and both myself and the nurse didn’t feel right about the situation. The patient had no where to go and was still recovering. We wanted to make sure the patient could transfer herself from her wheelchair to the bathroom so she didn’t soil herself and contacted a social worker to help find a place for her to go. Once she had a place set up, we bathed her before leaving and made sure she was able to transfer herself before discharging her. If she didn’t have an advocate, she could have not recovered and healed appropriately in addition to being at risk for falling and harming herself. This would have resulted in a worse condition than she came in to begin with. It was a wonderful learning experience to witness.

Reference:

Gerber, L. (2018). Understanding the nurse’s role as a patient advocate. Retrieved from https://journals.lww.com/nursing/Fulltext/2018/04000/Understanding_the_nurse_s_role_as_a_patient.15.aspx

Your nurse manager has asked you to form a small team to explore incorporating patient care technology in the care of patients with pulmonary disease. He has asked that your team prepare a presentation for the nurses on the following topics: asthma and COPD.

Discuss at least two patient-care technologies that would assist in the care of patients suffering from asthma and COPD. Please include in-text citations to support your response.