1.

8 Value
the ideal
of lifelong
learning
to support
renee_sm 1500- excellenc
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 interprofe
quality
ssional
and safe
teams.,
patient
6.6
care as a
6.3
Advocate
member
Incorpora
6.2 Use
forthe
high
This week’s experience was great as I got to see the professional community nurse with a twist. ofAs theand
te
inter- only long-term care ped
quality
Lifelong learning is essential to support excellence in nursing practice. Care and needs of these interprofe
children at ECC change daily a
effective
intraprofe
and safe
ssional
communi
sional
patient
team.
cation
communi
care as a
technique
cation
member
s,
and
of the
including
collaborat
interprofe
negotiatio
ive skills
ssional
n
to and
deliver
team.
conflict
evidence-
resolution
based,
to
patient-
produce
centered
positive
care.
professio
nal
working
relationsh
ips.

6.4
Contribut
e the
Describe-After spending my clinical (population and community health) with my preceptor, I understand
unique the importance of nursin
Analyze- Lifelong learning is the foundation for overall wellness. The life learning nurse is determined and prepared to gain mor
nursing
Reflect- Skilled and well-rounded nurses are needed in the nursing field. Lifelong learner’s patients have better outcomes and n
perspecti
ve to
interprofe
ssional
teams to
optimize
patient
outcomes
.
 7.10
Collabora
te with
others to
Exceptionaldevelop
Care for Children is staffed with nurses, nursing assistants, respiratory therapist, social work, therapy services (OT,
an
interventi
In addition to nurses, a pediatric medical doctor comes weekly to round on the children and update their care as needed. Durin
on plan
If more information and testing are needed for a specific child, a referral is made with a specialist at Nemours DuPont Hospital f
that takes
into
Exceptionalaccount
Care for Children is staffed with nurses, nursing assistants, respiratory therapist, social work, therapy services (OT,
determina
In addition nts
to nurses,
of a pediatric medical doctor comes weekly to round on the children and update their care as needed. Durin
If more information
health, and testing are needed for a specific child, a referral is made with a specialist at Nemours DuPont Hospital f
available
Describe-Dueresources
to residents not old enough to able to communicate their needs this is then left up to the parent to express their d
Analyze- I ,understood
and the why the parents would request for the CVL to be removed but did not know the doctor’s reservation. The
rangethe
Reflect-Though of line was not being used, it remained important to keep the access to have resident prove tolerance of foods
activities
that
contribute
Describe: After starting a new nursing role I had to adjust to the style and habits of my partner that have been in the position for
to health
Analyze: I had to find a way to make this work and quickly as it had negatively affected me. Being both nurses with the experien
Reflect: Toand
havetheeffective communication skills you have to be able to negotiate, listen, be receptive, and understand the situati
preventio
n of
illness, Describe- My preceptor and I visited a newly discharged patient home to access the home situation and h
injury,
DAR: to disbility, Analyze- The pediatric population is considered a vulnerable and at-risk group. Children with special need
be and
continued prematur Reflect- Sending a special needs child home to their family can be complicated because you never know w
... e death.

derstand the importance of nursing education and learning as our patient's life depends on it, and it allows the ones we care for to trust in us
mined and prepared to gain more knowledge that can be used for personal advancement, and their skills can be utilized in the care and tre
ents have better outcomes and nurses can apply what they learned in their care. The lifelong learner nurse stays up to date in evidenced-ba

8.6
Reflect
Describe- A group of six pediatricians do weekly rounds usually on Tuesdays on the residents and make changes to care as ne
on one's
Analyze- Each child was discussed, and changes to care were made if needed. The MD completed full assessments on the chi
Reflect-With different nurses andown
nursing aids daily it can be difficult to have consistency. Children are vulnerable and are at ris
beliefs
and
values as
they Though I have been in the health field for fourteen years as a CNA, LPN for seven y
relate to Having the best interest of the patient in mind at all times is important to me in my nu
professio With diseases and illness changing frequently I believe in taking part in nursing resea
nal
practice.
ocial work, therapy services (OT, ST, and PT) and other non-health care professionals that are part of the daily operation and lives of the ch

date their care as needed. During weekly rounds, the doctor, RNAC, nutritionist, charge nurse, therapy team, and nurses discuss each child
st at Nemours DuPont Hospital for Children. The specialist then communicates with the rounding doctor at the time to develop a plan as ne

ocial work, therapy services (OT, ST, and PT) and other non-health care professionals that are part of the daily operation and lives of the ch

date their care as needed. During weekly rounds, the doctor, RNAC, nutritionist, charge nurse, therapy team, and nurses discuss each child
st at Nemours DuPont Hospital for Children. The specialist then communicates with the rounding doctor at the time to develop a plan as ne

p to the parent to express their desires, values, and beliefs. I was able to witness parents who wanted their child to have their CVL removed
ow the doctor’s reservation. The child’s intake and output were great for a child with intestinal failure as short gut syndrome can cause intes
resident prove tolerance of foods and a stable weight gain. After back and forth discussion between parents, primary physicians, intestinal s

hat have been in the position for the last six years. I found it hard to communicate with her, and I assumed it was because old habits die ha
ng both nurses with the experience our similar personalities did not allow for sufficient communication, and I knew the children who count o
ptive, and understand the situation. As nurses, these skills reflect professionalism and growth that oneself and the patients we care for rely

access the home situation and how she was adjusting. There had been frequent discussions about the safety, health maintenance, and wel

roup. Children with special needs are at an increased risk of injury due to their increased daily requirements. This family had little to no inco

cated because you never know what to expect. “It takes a village to raise a child” is accurate, and with a team approach, services or resour

he ones we care for to trust in us. The pediatric population is a vulnerable and at-risk population, and it takes a skilled nurse to make sure th
an be utilized in the care and treatment of their patients. Patient care is not only used in a hospital setting but also in homes of children with
stays up to date in evidenced-based practice allowing for excellence in nursing practice.

and make changes to care as needed. My preceptor and I were able to sit in on ‘rounds’ with the charge nurse, RNAC, MD, and dietician.
eted full assessments on the children, wrote medical letters as needed for discharge home, and recommended new treatment based on nu
ren are vulnerable and are at risk for harm without proper communication or the attentive skills of a nurse. The nurses email their concerns

ears as a CNA, LPN for seven years and now an RN for almost a year, I often find my beliefs and values changing due to personal and care
imes is important to me in my nursing practice. As a nurse, I plan to provide the best care without discrimination and regardless of the circu
eve in taking part in nursing research to allow for best patient outcomes based on evidence-based practice. Though the road of nursing can
aily operation and lives of the children at ECC. A staff educator, director of nursing, and assistant director of nursing are also part of the nurs

m, and nurses discuss each child individually and make changes if necessary.
the time to develop a plan as needed.

aily operation and lives of the children at ECC. A staff educator, director of nursing, and assistant director of nursing are also part of the nurs

m, and nurses discuss each child individually and make changes if necessary.
the time to develop a plan as needed.

child to have their CVL removed due to the resident not having TPN or other fluids infusing for about two months. Keeping the CVL also ke
ort gut syndrome can cause intestinal dumping. Weekly weights increased and continued to increase at a steady rate. The discontinuation o
s, primary physicians, intestinal specialist, and surgeon the line was removed. Also, due to the infection in the CVL, removal of the line was

it was because old habits die hard and change is not easy for many people.
I knew the children who count on us would eventually be affected. I learned to fully listen even when I did not agree and compromise unde
and the patients we care for rely on.

ety, health maintenance, and welfare of the child post discharge from the facility she resided in because of the previous history with the patie

s. This family had little to no income, lived in a poor neighborhood, and mom had a history of drug abuse and mental illness that may ultima

am approach, services or resources can be provided to prevent illness, injury, or premature death further.

es a skilled nurse to make sure their growing needs are met whether they are in a facility or at home.
ut also in homes of children with special needs for example. These children trust the nurse is educated and capable of providing the best n

rse, RNAC, MD, and dietician.

ded new treatment based on nursing concerns.
The nurses email their concerns to the doctor on call or duty for the month and charge nurse to allow for the best patient outcome.

hanging due to personal and career growth. I can also contribute it to my continuing education as I pursue my BSN. Nursing is a career whe
ation and regardless of the circumstance. I believe in holding myself accountable to allow for personal reflection and growth.
Though the road of nursing can be faced with many challenges, I plan on taking on the journey to make a difference in the lives of the patie
 nursing are also part of the nursing team. The nurses range from LPN’s, RN with an associate, bachelor, and master degrees. The staff ed

nursing are also part of the nursing team. The nurses range from LPN’s, RN with an associate, bachelor, and master degrees. The staff ed

months. Keeping the CVL also kept the child from going home as two caregivers were needed then. The resident then caught a line infection
eady rate. The discontinuation of TPN also caused lab values to improve where they were once abnormal most of the time while on TPN. T
he CVL, removal of the line was in the best interest of the child to keep further infections from developing.

not agree and compromise under challenging situations. When things or conversations did not make sense to me I clarified them with my pa

he previous history with the patient’s parents.

nd mental illness that may ultimately affect this special need child. Social work and nursing-implemented a plan to assist the parents in disc

d capable of providing the best nursing care.

e best patient outcome.

my BSN. Nursing is a career where the opportunity to learn new things each day is endless.
ction and growth.
difference in the lives of the patients are care for daily.
and master degrees. The staff educator is responsible for the training of new and existing employees, family training, and keeping staff upda

and master degrees. The staff educator is responsible for the training of new and existing employees, family training, and keeping staff upda

ident then caught a line infection forcing parents to be more adamant about the removal of CVL.
most of the time while on TPN. The child's primary doctor agreed with mom and wanted the line pulled, but the final decision was up to the i

to me I clarified them with my partner to have a better understanding of her logic. These techniques have thus far led to a productive and p

plan to assist the parents in discouraging any harmful activity from occurring. Home care companies and state assistance were set up to as
 training, and keeping staff updated on new practices that affect the pediatric population that resides at ECC. The LPN and RN role is simila

training, and keeping staff updated on new practices that affect the pediatric population that resides at ECC. The LPN and RN role is simila

the final decision was up to the intestinal failure team. Research has shown short gut syndrome or intestinal failure suffers can still have inte

hus far led to a productive and positive relationship.

ate assistance were set up to assist the mom with medical equipment, food, and extra money. All follow up appointments were reviewed by
C. The LPN and RN role is similar to this facility whereas the advanced degree of the RN allows them, to do IV push, hang TPN, and admis

C. The LPN and RN role is similar to this facility whereas the advanced degree of the RN allows them, to do IV push, hang TPN, and admis

al failure suffers can still have intestinal setbacks even if they are medically doing well whether they are PO feeding and tolerating it and void

appointments were reviewed by the nurse and contact numbers to transportation companies like Logisticare were provided to allow the fam
o IV push, hang TPN, and admission assessments where the LPN cannot. The entire nursing department and the respiratory department ca

o IV push, hang TPN, and admission assessments where the LPN cannot. The entire nursing department and the respiratory department ca

feeding and tolerating it and voiding and stooling appropriate. The premature removal of the line may cause the individual to go through an

e were provided to allow the family to get back and forth to appointments. Before discharge, an ethics meeting was held with the child’s spe
nd the respiratory department can manage trach care, trach changes, and ventilators. Nursing assistants provide ADLS, feeding assistance

nd the respiratory department can manage trach care, trach changes, and ventilators. Nursing assistants provide ADLS, feeding assistance

e the individual to go through an additional unnecessary surgery placing them at risk of infection from surgery or delay treatment if gut was

ting was held with the child’s specialty doctors to make sure the discharge was safe. The home inspection concluded the child was safe thu
rovide ADLS, feeding assistance, and assist the nurses. All healthcare professionals are required to maintain their professional license, BLS

rovide ADLS, feeding assistance, and assist the nurses. All healthcare professionals are required to maintain their professional license, BLS

ery or delay treatment if gut was to shut down quickly and immediate access was needed.

concluded the child was safe thus far and parents were acting and being appropriate in her care.
in their professional license, BLS certification, and PEARS certification. In addition to nurses, a pediatric medical doctor comes weekly to ro

in their professional license, BLS certification, and PEARS certification. In addition to nurses, a pediatric medical doctor comes weekly to ro
edical doctor comes weekly to round on the children and update their care as needed.

edical doctor comes weekly to round on the children and update their care as needed.