Accountability of Nursing Professional
Every health care member is accountable to their Profession ,Public ,Self,Clients,and health care agency.Accountability means they are able to explain the reasons behind their actions. Accountability facilitates self assessment and assume ownership of job role. Porter-O’Grady & Malloch(2007) replaced respnsibility with accountability. The word ‘ Responsible ‘ means,it ,make the workers feel like they need to complete a job within certain time.Accountability make the workers programe their job and take ownership of it. They can eventually feel proud about their performance.American nurses association stated that the nurse will be accountable for their actions and their judgment.(ANA2001P1).Accountability is a legal obligation.It applies to every one involved in the health care.According to the health portability and accountability act, the nurse should not ignore the patients wishes.Nursing shortage will impact the future of health care.This make the health care institution uses the non-licensed individuals to be patient care givers.This inturn will place more ethical and legal responsibility on RNs .RN position will be as a leader or supervisor in the health care industry. Nurses are accountable to the clients.
Nurses allow clients to participate in nursing care activities and planning.Nurses serve as a client advocate, when the need arises.Nursing task will be performed with competence., Provide quality of work.Protect the patient from unsafe situation.Nurse work collaborately with clients to adopt health related goals. Professionals are accountable to provide the clients the information about their medical condition. As a knowledgeable professional the nurse share the accountability with the other health care members. There are positive aspects towards accountability.nursing professional is accountable to clients, self, public, employing agency and health care team.This brings increased respect, rewards and effectiveness. Accountable to the employing agency
The Term Paper on Health Care 2
By the late 1990s, caregivers started to question the benefits of clinical paths. Organizations reported problems integrating the pathway document into patient records, thus dampening caregiver enthusiasm for using the pathway. Physicians, nurse, and other clinicians found the pathways difficult to apply to all patient populations. A variety of factors may be causing clinical paths to look like ...
Nurse should participate as a member of professional nursing organizations. Nurse practices according to the policy and procedure of the agency, when fails, negligence increases, will be accused of malpractice. Nurse accountable to public Public became more knowledgeable about the profession through media and formal education.Nurses are accountable to provide health education to the pubic.
Nurse accountable to self.
Nurses should protect self from harm, improve leadership skills. Since world is moving towards faster technology one should as a professional get familiarized with advanced technology.One should obtain clinical and professional competence.Continuing education will play a big part in the development of the professional RN.Clinical ladder and BSN are becoming a requirement for RN in most facilities.The nurse should not participate in any situation that violates their personal or professional values.Professional practice with accountability experience healthier relationships,improved team work,and less stress,along with greater team work,increased productivity (.page311)
Accountable to Profession.
As a knowledgeable professional , accountability will be shared with other team members. The nurse must be accountable not only to self, but also to colleagues. Peer review programs help to improve self awareness of practice, quality of client care, professionalism, and accountability.(page309-conceptual Bases of professional Nursing) Nurse accountable to agency.
The Term Paper on Do Professional Athletes Make To Much Money
Are professional athletes overpaid? This question continues to permeate conversations from the board rooms to locker rooms; to street corners and beyond. How much is too much money for an athlete to earn. Folks will argue that the money could be spent on increasing teachers salaries as they are responsible for sculpting the minds of the American youth. Athletes make more money in one day than most ...
The agency make sure the nurse is competent to work in this field. They have the right to expect that the nurse is accountable .The unsafe nursing practice situation will be notified to the agency. The professional has the obligation to protect the agency from any unsafe clinical situation. Patient care situation.
76 yr old Spanish speaking patient admitted to telemetry unit with complaints of dizziness. Patient was connected to the cardiac monitor. Vital signs checked. Body weight was checked. 2liter oxygen was given via nasal cannula.Cardiac monitor showed sinus brady cadia, with 2 sec pauses.Patient was asymptomatic at that time.Vital signs were stable.Primary Physician recommended the Cardiologist to see the patient.Defibrillator with pacer leads were kept next to the patient.The writing RN , kept the atropine injection and normal saline flush ready .Patients heparin lock site was patent.Pacer leads were not attached to the patient , because according to the hospital policy,Doctor’s order is required to attach the pacer leads to the patient. Cardiologist came and saw the patient.
Cardiologist said that this patient needed pacemaker 2 years ago. He sent the patient to the hospital 2 years ago recommending pacemaker for the patient. Patient and her 4 daughters decided not to have any invasive procedure on the patient. They did not make the patient DNR. Cardiologist was supprised to see the patient lived 2 more years with out pacemaker. Cardiologist made another attempt to talk to the patient and her daughters about the importance of having pacemaker or make the patient DNR. At this time patient’s condition started to get worse. Patient became weak, BP started to drop,. Surgon gave the patient and daughter overnight to make a decision. Family was in a difficult situation. The writing RN sat down with daughters along with a PCA who speak Spanish. The writting RN noticed that the daughters have a had time to convey the message to their mother. They do not want to make the mother upset..(accountability to patient).The nurse collected the translator phone and approached the patient. They had a long conversation for an hour, after great amount of explanation about heart and its function according to the patients knowledge.(knowledge deficit).
The Essay on Mcmurphy Vs Ratched Patients Mac Nurse
This feature looks at the life in a mental institution from the viewpoint of the anti-hero, Randale Patrick McMurphy (Mac). As McMurphy attempts to shake things up within his gloomy atmosphere, the tyrannical nurse Ratched stops him dead in his tracks. This film captures the anarchic spirit of Mac, as well as shows us the workings of a truly destructive system. The film's credits role over an ...
The writing nurse also explained about the pace maker and its function. The benefit of having pacemaker in her medical condition. The complications may or may not happen post operatively. The nurse also explained the patient about the post operative care ,the points to remember, while taking coumadin, periodic blood work for evaluating the INR level. The patient said she need some time make a decision.(treat the patient with respect and dignity).
After 30mts later, patient informed the nurse that, she is ready to sign the consent for consent. Consent.
A person signs a legal release form for a medical procedure .In case where an individual is considered unable to give informed consent, another person is generally authorized to give consent on his behalf. Eg; Parents or legal guardian of a child
– care giver for the mentally ill. Incases where an individual is provided insufficient information to form a reasonel decision, serious ethical issues arise.
The surgon came and explained the patient and family again and obtained consent from the patient. The nurse witnessed the consent.(accountable to the profession).Patient was taken to the OR and had a permanent pacemaker placed. Cardiac monitor showed sinus rythum with pacing at 60’s.Post operative care was provided. Patient and family felt so much relieved. They were so thankful to the whole healthcare team. In conclusion.
The nursing professional is accountable to their actions and their own judgement. They are also accountable to clients , employer, co-workers and also to the public .The accountability is developed by professional organizations, this makes the nursing professional respected and dignified.
References
HOOD, L. J. (n.d.).
Conceptual Bases of Professional Nursing. In (Ed.), ACCOUTABILITY OF NURSING PROFESSIONAL (SEVENTH EDITION, . Retrieved from accountability. (n.d).
http://www.csun.edu/meh20426/303/6Accountability.pdf consent. (n.d).
In consent. Retrieved , from p://en.wikipedia.org/wiki/informed-consent
The Research paper on How to Become a Professional Nurse
Becoming a professional nurse, a nurse must self-regulation with knowledge to practice standards and code of ethics. One of the first stepping stone is reflecting in journal of experiential learning. “Knowledge of yourself is gained from reflecting on your experience” (Cooper, 2001, p. 22). In the course Development of self as nurse I have learned how to be a professional nurse practicing the ...
