Transcript Nursing Concepts - Porterville College

Nursing Concepts
Professionalism
Definition
• A profession is “a vocation requiring
knowledge of some department of learning or
science.”
• A professional is one who follows “an
occupation as a means of livelihood or gain”
or who is “engages in one of the learned
professions.”
Definition
• Professionalism is exhibited by …professional
character…or the “standing, practice, or
methods of a professional” as distinguished
from an amateur.” ~ American College Dictionary
• “The conduct, aims, or qualities that
characterize or mark a profession or a
professional person” ~ Merriam-Webster Dictionary
6 Characteristics of a professional
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6.
Education
Code of Ethics
Compensation
Organized
Autonomy
Licensure
Education
• Accreditation of schools
• “Porterville College is fully accredited by the
Western Association of Schools and Colleges
and is recognized by licensing authorities of
the State of California, the U.S. Office of
Immigration and Naturalization, and the
Veteran’s Administration.”
Education
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Accreditation of schools
Nursing research
Nursing theory
Nursing publications
Continuing education
Nurses Top List of Most Honest and Ethical
Professions
• GALLUP NEWS SERVICE
– December 14, 2006
• PRINCETON, NJ -- Someone seeking a job that commands
high respect need look no further than nursing.
According to Gallup's annual honesty and ethics poll,
nurses top the list of occupations rated for their honesty
and ethical standards, earning high marks from more
than four in five Americans. A combined 84% of
Americans describe nurses' ethics as "very high" or
"high." What's more, only 2% of Americans say nurses
have low ethical standards.
Code of ethics
• 04/17/2007 Nurse Steals Pain Medication from
Patient
• Debra J. Krekovich, 51, was a registered
nurse at Premier Estates nursing facility
where she allegedly stole a patients
prescription of Demerol. Demerol is a
moderate to severe pain relief drug and can
be very habit forming.
• Krekovich picked up the drug for the patient
at the pharmacy but never delivered it. She
admitted the theft to police and claimed she
used it for her own chronic pain.
• Krekovich was charged with theft and
possession of a controlled substance. Her
employment with the nursing facility has
been terminated.
Organized
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Professional Nursing Organizations
– The American Academy of Nursing
– The American Association of
Colleges of Nursing
– The American Association of
Neuroscience Nurses
– The American Association of Nurse
Anesthetists
– The American Nurses Association
– The American Nurses Credentialing
Center
– American Public Health Association
– Commission on Graduates of
Foreign Nursing Schools
– The National Council of State
Boards of Nursing
– The National League for Nursing
Accrediting
– The National League for Nursing
– National Student Nurses'
Association
– National Institute of Nursing
Research
– Sigma Theta Tau International
– U. S. Public Health Service Nursing
Autonomy
• Autonomy is the freedom to act on what you know, to
make independent clinical decisions and to act in the
best interest of the patient
• Judgment
– Professionals are in a position, given their training and
education to use their own judgement in determining the
appropriate approach to their clients
• Independence
– They can work independently and charge fees or they can be
part of an organization
Licensure
• Board of Nursing
• All states (since 1923)
Title 16
• California Code of Regulations, Division 25 Chapter 1. Vocational
Nurses
(Includes Amendments Through June 1, 2008)
• 2518.5. Scope of Vocational Nursing Practice.
– The licensed vocational nurse performs services requiring technical
and manual skills which include the following:
• (a) Uses and practices basic assessment (data collection), participates in
planning, executes interventions in accordance with the care plan or
treatment plan, and contributes to evaluation of individualized
interventions related to the care plan or treatment plan.
• (b) Provides direct patient/client care by which the licensee:
– (1) Performs basic nursing services as defined in subdivision (a);
– (2) Administers medications;
– (3) Applies communication skills for the purpose of patient/client care and
education; and
– (4) Contributes to the development and implementation of a teaching plan
related to self-care for the patient/client.
2518.6. Performance Standards.
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(a) A licensed vocational nurse shall safeguard patients'/clients' health and safety by
actions that include but are not limited to the following:
– (1) Reporting to the Board acts specified in Sections 2878 and 2878.5 of the Business and
Professions Code;
– (2) Documenting patient/client care in accordance with standards of the profession; and
– (3) Performing services in accordance with Section 125.6 of the Business and Professions
Code.
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(b) A licensed vocational nurse shall adhere to standards of the profession and shall
incorporate ethical and behavioral standards of professional practice which include but
are not limited to the following:
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(1) Maintaining current knowledge and skills for safe and competent practice;
(2) Maintaining patient/client confidentiality;
(3) Maintaining professional boundaries with the patient/client;
(4) Abstaining from chemical/substance abuse; and
(5) Cooperating with the Board during investigations as required by Section 2878.1 of the
Business and Professions Code. (c) A violation of this section constitutes unprofessional
conduct for purposes of initiating disciplinary action.
Pass Rates for LVN Boards
SCHOOL
Porterville College
Pacific College
Palo Verde Community
Pasadena City College
Preferred College - Carson
Preferred College - LA
Premiere Career College
Sierra Community College
Summit Career College -
2004
87%
79%
73%
-
2005
81%
80%
85%
73%
65%
33%
2006
79%
84%
80%
74%
73%
80%
75%
2007
83%
88%
78%
96%
78%
85%
79%
100% 100% 100% 100%
77% 63% 59% 53%
The ANA Code for Nurses defines
professionalism, as follows:
1. The nurse provides services with respect for human dignity and the
uniqueness of the client, unrestricted by considerations of social or
economic status, personal attributes, or the nature of health problems.
2. The nurse safeguards the client’s right to privacy by judiciously
protecting information of a confidential nature.
3. The nurse acts to safeguard the client and the public when health care
and safety are affected by the incompetent, unethical, or illegal
practice of any person.
4. The nurse assumes responsibility and accountability for individual
nursing judgments and actions.
5. The nurse maintains competence in nursing.
The ANA Code for Nurses defines
professionalism, as follows:
6. The nurse exercises informed judgment and uses individual competence and
qualifications as criteria in seeking consultation, accepting responsibilities,
and delegating nursing activities to others.
7. The nurse participates in activities that contribute to the ongoing development
of the profession’s body of knowledge.
8. The nurse participates in the profession’s efforts to implement and improve
standards of nursing.
9. The nurse participates in the profession’s efforts to establish and maintain
conditions of employment conducive to high quality nursing care.
10. The nurse participates in the profession’s effort to protect the public from
misinformation and misrepresentation and to maintain the integrity of
nursing.
11. The nurse collaborates with members of the health professions and other
citizens in promoting community and national efforts to meet the health
needs of the public.
Practical Information
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Common Courtesy!
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Express your gratitude
Smile.
Recognize the achievements of others
Respect the opinions and decisions of others, even if you
disagree with them.
Treat others with respect.
Act kindly toward others without expecting anything in return.
Respond to rudeness with kindness.
Be gentle in your dealings with others.
• Be respectful to everyone you meet
– Time
– Be flexible
• Professional appearance
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Grooming
Uniform
Neat and clean
Don’t…
• Professional speech
Nightingale Pledge
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I solemnly pledge myself before God and in the presence
of this assembly, to pass my life in purity and to practice
my profession faithfully. I will abstain from whatever is
deleterious and mischievous, and will not take or
knowingly administer any harmful drug. I will do all in my
power to maintain and elevate the standard of my
profession, and will hold in confidence all personal matters
committed to my keeping and all family affairs coming to
my knowledge in the practice of my calling. With loyalty
will I endeavor to aid the physician in his work, and devote
myself to the welfare of those committed to my care.