Nursing Profession & Nursing Scope of Practice Discussion

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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.”

References:

Response posts: Minimum of one (1) total reference: one (1) from peer-reviewed or course materials reference per response.

Words Limits

Response posts: Minimum 100 words excluding reference

FOLLOW RESPONSE PART OF RUBRIC

Discussion 1.

In this discussion board, I look forward to defining my meaning of what being a nurse specifies, along with knowing my peers and obtaining their understanding of what it means to work under the scope of practice. The purpose of this posting is to discuss the scope of nursing practice and how I correlate the meaning and purpose into my own experiences of being a registered nurse. As defined by the Nursing Scope and Standards of Practice, all professional nurses must follow and uphold standards to serve, promote and protect all individuals of humanity in need of mental or physical healing(Association, 2015, p. 1). Nursing Profession & Nursing Scope of Practice Discussion

Each state differs when it comes to scopes of practice and nursing law. In California, the Scope of Regulation Excerpt from Business and Professions explains that nurses are independent practitioners who carry out various professional duties to ensure that essential health is administered and maintained. Duties included are to educate, observe, administer, report and advocate. A California nurse must also abide by approved standardized procedures issued by the Board of Registered Nurses (California Nursing Practice Act, n.d.).

I am relatively new when it comes to the world of nursing, but in my one year of experience, I learned quickly just how vital my duties as a registered nurse are. For example, I cared for a 5150 patient who was a danger to self. She would have suicidal ideations and attempt to cut herself with broken plastic spoons given with meal trays. I knew she was a challenging patient, so I set extra time to sit and be there throughout her two-week stay. I encouraged her to take medications and express what was going through her head. Just the simple task of listening is what made all the difference. This experience helped me identify what it takes to educate and be responsible for the mental well being of someone in need, which falls under the scope of practice. Every nurse should have a functional knowledge of their own practice act because it provides a foundation across the board of what is to be expected of a registered nurse. In conclusion, this discussion board assignment was useful. It helped me better understand nursing’s scope and standards in my state and helped me reflect on my career with a different professional outlook.

References

Association, A. N. (2015). Nursing: Scope and standards of practice, 3rd edition (3rd ed.). American Nurses Association.

California Nursing Practice Act. (n.d.). Retrieved January 23, 2021, from rn.ca.gov/pdfs/regulations/npr-i-15.pdf

Discussion 2.

As a registered nurse it is important to know and understand your scope of practice in not only your country but as well as your state. In this post, we will discuss the nurse’s scope of practice as defined by the American Nurses Association and state so that the nurse is aware of what is to be expected of them as a licensed professional. The American Nurses Association describes the scope of practice of a registered nurse as what they are qualified to do and what they should be competent of doing safely. The American Nurses Association uses a who, what, where, when, why, and how approach to describe their scope of practice.

If you hold a license for a registered nurse in West Virginia you will be provided with a list of questions to ask yourself as well as a decision-making model that will guide you in figuring out if something is within your scope of practice. For example, in determining if a task is within your scope of practice one of the questions you would want to ask yourself would be. What skills are required? Do I have the competence to complete this skill safely? Another important thing to ask would be, “Is this within the standards of care?”

Graduating from nursing school, reviewing my scope of practice, and clinical experience has given me the knowledge of what is within my scope of practice and what I am competent in performing safely. After starting my new job, I was told a patient needed a foley catheter inserted. As a new nurse in a new environment on your own, this can be a little intimidating as you are no longer going into rooms with your preceptor or peers as you once did before. Even though I knew this was within my scope of practice I still asked myself in my head if I was competent in my skills to insert the foley safety. I reminded myself that I had documentation of successfully accomplishing this task in the lab and clinical setting and as well as in my preceptorship. Processing these things through my head reminded me I was qualified and competent to perform this task that within my scope of practice. It is crucial that you fully understand what is within your scope of practice and what is not as a nurse to practice safe nursing care and to ensure the patients receive the qualtiy care they deserve. If a nurse were to perform a skill that was not within their practice, they could risk losing their license or even cause harm to a patient. In conclusion, I think nurses should review what is within their scope of practice often to ensure they are familiar with their responsibilities to provide the best patient care possible.

References

Nursing Scope of Practice: American Nurses Association. (n.d.). Retrieved January 20, 2021, from https://www.nursingworld.org/practice-policy/scope…

T. (2019, October). CRITERIA FOR DETERMINING SCOPE OF PRACTICE FOR LICENSED NURSES. Retrieved January 20, 2021, from https://wvrnboard.wv.gov/lawandscope/Documents/Sco…

Nursing Profession & Nursing Scope of Practice Discussion

rn_bsn_discussion_board_rubric.pdf

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RUBRIC: DISCUSSION BOARD (30 pts) Criteria Characteristics of initial post Support for initial post Responses to Peers APA format*; Spelling/ Grammar/ Punctuation Meets Expectations 10 to 10 Points • Provided response with rationale. • The post is substantive and reflects careful consideration of the literature. • Examples from the student’s practice/experience are provided to illustrate the discussion concepts. • Addressed all required elements of the discussion prompt.

• Well organized and easy to read. 5 to 5 Points • Cited minimum of two references: at least one (1) from required course materials to support rationale AND one (1) from peer-reviewed* references from supplemental materials or independent study on the topic to support responses. • The initial post is a minimum of 200 words excluding references. 10 to 10 Points • Responses to colleagues demonstrated insight and critical review of the colleagues’ posts and stimulate further discussion • Responded to a minimum of two (2) peers and included a minimum of one (1) peer-reviewed* or course materials reference per response. • Responses are a minimum of 100 words and are posted on different days of the discussion period by the due date. 5 to 5 Points • APA format** is used for in-text citations and reference list. • Posts contain grammatically correct sentences without any spelling errors. Levels of Achievement Needs Improvement 3 to 9 Points • Provided response missing either substantive rationale, consideration of the literature, or examples from the student’s practice/experience to illustrate the discussion concepts. • Addresses all or most of required elements. • Somewhat organized, but may be difficult to follow. 2 to 4 Points • Missing one (1) required course reference AND/OR one (1) peer-reviewed reference to validate response. • Post has at least 200 words. 4 to 9 Points • Responses to colleagues are cursory, do not stimulate further discussion and paragraph could have been more substantial. • Responses missing one of the following: o insight/critical review of colleague’s post, o OR respond to at least two peers, o OR a peer reviewed*or course materials reference per response • Responses are a minimum or less than 100 words and posts were on the same date as initial post. 2 to 4 Points • APA format is missing either in-text or at end of the reference list. • Posts contain some grammatically correct sentences with few spelling errors. NOTE: No direct quotes are allowed in the discussion board posts. Unsatisfactory 0 to 2 Points

• Provided response with minimal rationale. • Does not demonstrate thought and provides no supporting details or examples. • Provides a general summary of required elements. 0 to 1 Points • Missing 1 or more of the correct type (course or peer-reviewed) or number of references to support response. • Post is less than 200 words or there’s no post. 0 to 3 Points • Responses to colleagues lack critical, in depth thought and do not add value to the discussion. • Responses are missing two or more of the following: o insight/critical review of colleagues’ post o AND/OR response to at least two peers o AND/OR a peer reviewed* reference per response. • Responses are less than 100 words, posted same day as initial post. 0 to 1 Points

• Not APA formatted OR APA format of references has errors both in-text and at end of reference list. • Post is grammatically incorrect. *Peer-reviewed references include professional journals (i.e. Nursing Education Perspectives, Journal of Professional Nursing, etc. – see library tab on how to access these from database searches), professional organizations (NLN, CDC, AACN, ADA, etc.) applicable to population and practice area, along with clinical practice guidelines (ECRI Institute https://guidelines.ecri.org).

All references must be no older than five years (unless making a specific point using a seminal piece of information) References not acceptable (not inclusive) are UpToDate, Epocrates, Medscape, WebMD, hospital organizations, insurance recommendations, & secondary clinical databases. **Since it is difficult to edit the APA reference in the Blackboard discussion area, you can copy and paste APA references from your Word document to the Blackboard discussion area and points will not be deducted because of format changes in spacing. Last updated: 1/31/2020 © 2020 School of Nursing – Ohio University Page 1 of 1 .