NRSE4510 Scope of Nursing Discussion

Response posts: Minimum of one (1) total reference: one (1) from peer-reviewed or course materials reference per response.Post a thoughtful response to at least two (2) other colleagues’ initial postings. Responses to colleagues should be supportive and helpful (examples of an acceptable comment are: “This is interesting – in my practice, we treated or resolved (diagnosis or issue) with (x, y, z meds, theory, management principle) and according to the literature…” and add supportive reference. Avoid comments such as “I agree” or “good comment.”

Below are the two initial posts of two peers need to respond to.:

1. Gayle

Scope of Nursing Practice

The purpose of this posting is to discuss the scope of nursing practice. The nursing scope of practice as described by the American Nursing Association “as the “who,” “what,” “where,” “when,” and “how” of nursing practice.” (2018) As Registered Nurses, there are many components that we apply to our everyday practice without realizing it. From assessing situations, advocating, educating, and administering treatment or interventions for all patients in need and remaining compassionate and caring.

ORDER CUSTOM, PLAGIARISM-FREE PAPER

The Ohio Administrative Code defines the Scope of RN practice as: “Providing to individuals and groups nursing care requiring specialized knowledge, judgment, and skill derived from the principles of biological, physical, behavior, social, and nursing sciences.” (Lawriter, 2017).

How did I provide this care and uphold theses definitions? One example is a patient that was I was taking care of in an acute hospital setting was 1 day post-op from colorectal surgery in which he received an ileostomy. After receiving routine labs, his Hemoglobin resulted in <7.0. Per protocol, the Resident on call was notified. After assessment, 2 units of PRBC were ordered. After 1 unit was administered, new onset of symptoms including hypotension, dizziness, pallor, lightheadedness and an ostomy bag now displaying bright red blood. Our Rapid Response team was notified and the ultimate result was a transfer to the Surgical ICU. The Resident was furious that I paged the RR team rather than to notify him again.

I upheld the scope of nursing practice by utilizing my knowledge, judgement and skills that came from education, advocating and interventions. It is important to know the nursing practice act as it upholds you to react to keep the patient safe. If I had reacted by just hanging the 2nd unit of blood or ignoring the new onset of symptoms, the nursing practice act may determine that I am not competent to care for patients. Nurses have a duty of reasonable care. (ANJ, 2019). At the end of the day, it’s my duty as a nurse to protect, promote and optimize health. (ANA, 2018).

References:

American Nurses Association. (2018). Nursing: scope and standards of practice (3rd ed.). Silver Spring, Maryland.

The Elements of a Nursing Malpractice Case, Part 1: Duty : AJN The American Journal of Nursing. (2019, July). Retrieved November 13, 2019, from https://journals.lww.com/ajnonline/Fulltext/2019/0…

Lawriter Ohio rules and laws. (2017). Retrieved November 13, 2019, from http://codes.ohio.gov/oac/Search/scope of rn.

NRSE4510 Scope of Nursing Discussion