NR393 nursing history Course Project Milestone 3 Template completed samples

Note: See Milestone 3 Rubric for details required in each area.

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30 points

30 points

30 points

[Kathy: yes this is fine, you have my permission. ]

[Kathy: My favorite memories were probably clinical days, they were my favorite because they were exciting and scary all at once. For me it was the carrot that kept me wanting do the hard work and I knew it would lead me to bedside care. nr393 nursing history Course Project Milestone 3 Template completed samples. My favorite memory is the first time I had to do bedside care and I froze, I was walking past a patient to begin my med administration (he was a psych patient) and I thought I was prepared, in fact I thought nothing could scare me, yet when I first went to see my patient he threw a cup at me,( at the time I didn’t know what it was) I froze and bolted out the room. Everything I had learned went out the window and I walked right out the room, and my instructor marched me right back in and told me to get a grip. ]

[Kathy: The college I attended required a year and a half of mandatory and elective classes before you were allowed to start the school of nursing, My favorite classes then and throughout college were the social sciences; sociology, philosophy, religion, but especially psychology. I also liked anatomy and physiology. Once I was accepted into the nursing program my favorite classes were pathophysiology, I loved to study diseases and their treatment.]

[Kathy : The department head of the nursing school, Dr. Rena Lawrence, she was a phenomenal instructor and mentor. She encouraged, motivated and lead by example. Her evaluations were tough, but honest and fair. nr393 nursing history Course Project Milestone 3 Template completed samples. She in my opinion encapsulated everything I wanted to become as a nurse. Except the “Dr.” part. While I consider myself a lifelong learner, I never aspired to go beyond my BSN education.]

[ Kathy: I believe I have improved the quality of nursing by the care I provide. I strive to better myself as a nurse every day. I take pride in what I do, and I try to improve in all areas I feel is a weakness. Technology has changed throughout my career and as you know Alicia I am not afraid to ask questions, and I may at times have to look to the younger generations for assistance. I am not ashamed in this nor do I feel threatened by the younger generation.  I even have to ask you for help at times, I have learned I have to keep up with the “times” in order to provide better care. I have learned to admit when I don’t understand something and I have learned to find the resources I need to find the answer. I am a patient advocate when I’m needed, I am a voice for other nurses especially when I serve as a mentor to a new nurse, my job is to educate them and make them feel welcome. When I serve as charge nurse I look out for other nurse and make sure their workload is acceptable and must always consider patient safety, all this I believe contribute to improved quality care for nurses. I hope I lead by example. ]

[Kathy: I have seen so many changes throughout my forty years. Models of patient care delivery has shifted. Team nursing prevailed; when I first graduated as a registered nurse, LPN’s and nurse aids were responsible for 15-20 patients. Initially, only RN’s could give medication and a large part of your shift was spent doing this. When LPN’s became proficient in med administration, care delivery transitioned to primary nursing with RN’s responsible for the care of their assigned patients and oversight of the LPN”s care. Lately, we have seen a shift to an RN based primary care model in the acute care setting. Technology has probably played the biggest part in the changes I have witnessed nr393 nursing history Course Project Milestone 3 Template completed samples. It has touched every aspect of patient care from diagnostics and treatments, to assessment, documentation, and communication in general. It has greatly increased the amount of information available to the provider and the speed with which new information is available. I have come to find it has enabled us as nurses to track progress more efficiently during a patient’s acute stay and through the healthcare continuum. Also, I have seen changes in reimbursement models which has impacted how we practice healthcare. The focus is now on healthcare improvement and it has mobilized and mainlined the research aspect. It has lead to evidenced based standardization of care and these pathways have impacted our patient’s length of stay. It has shifted attention to outcomes and patient satisfaction. Healthcare improvement initiatives have greatly impacted the way things are done and are directed at patient safety, which reduces as you know medication errors and unnecessary injuries and infections. ]

[ Kathy: ] After four years into my career, my husband and I began a family, and I changed my status, first I began part time, then went to per diem. I only did this when it first become an option which I believe was in 1991. Family has been my greatest accomplishment. Nursing is tough and always a challenge but raising a family and trying to balance a career is even tougher. Raising kids is a challenge in itself, its unpredictable and there is no book on how to be a parent. Although I have had many accomplishments in my career, nothing comes close to raising 3 daughters and now being a grandmother. Motherhood is a blessing, and I have learned through my career you have to step back and enjoy the simple things in life. nr393 nursing history Course Project Milestone 3 Template completed samples.

[ Kathy: The first six years after I graduated, were spent working in a variety of med surg settings at Lancaster General. During this time LGH (Lancaster General Hospital) engaged in an initiative to group patients geographically based on the admitting group. I worked on three different units, and had exposure to orthopedics, oncology, urology, and cardiac patients. I worked with a team that would fill in periodically for the ostomy nurse and served on a few committees. After six year, I was ready to move on and found most of the other local hospitals had hiring freezes in effect. My goal at the time was to stay in hospital nursing so I expanded my search and found a job at Good Samaritan Hospital ICU/CCU. At this time I had never considered a critical care position before, due in part to fear of the critically ill patients and in part to the admiration and respect I had for ICU nurses I had come in contact with. At the time, the GSH unit had 12 beds and worked with lines and vents but this was before the start of invasive diagnostic and interventional cardiology, interventional radiology, balloon pumps, open hearts and so on. The staff I remember was so welcoming and supportive and the preceptor I was paired with helped me to navigated the complex medical and emotional needs of the acutely ill patients. I was able to take a holistic approach to patient care that I felt that the ratios was much better and quickly realized med surg never allowed such nurse to patient ratios. I was able to dive deep into the patient’s case and attend to the patient and family serving as a liaison between them and medical staff. I found my happy place as the patient advocate, which is one of my favorite roles as a nurse.]

[Kathy: That is the beauty of nursing, you don’t ever have to stay in one area of nursing, right now I am content and I hope to stay per diem and perhaps one day soon retire for good, but I like practicing and I haven’t convinced myself that it’s time to throw in the towel quite yet. I don’t have a reason to switch areas as of now, I’m content. nr393 nursing history Course Project Milestone 3 Template completed samples]

[Kathy: The medical staff was courteous, willing to teach and open to input from other nurses, it allowed us to work autonomously within parameters. I am allowed to think critically and give voice to the clinical decision making that my instructors had worked so hard to develop in me.]

[Kathy:  I hope I have contributed in a positive way, anytime there is change I have evolved as a nurse and I hope I have given back to the profession such as telling you my story, I share my experiences with new nurses and my knowledge within the last 40 years, I put my all in anything I do and I hope to inspire future generations of nurses.]

[Kathy: I love the population of people I am working with right now. I love the fact that I am still able to work and I hope to continue to make a difference. I love working with the heart and working on this cardiac unit has been a rollercoaster and I love the challenge. The drugs used today is constantly evolving. This area is much different from other floors as it requires you to think on your feet. As you know the heart can be very unforgiving and requires quick thinking. It keeps me young in a sense and keeps my brain sharp and there is something every exciting about problem solving.]

[Kathy: ] My professional objectives when first out of school was to expand my knowledge base and skill set; to gain confidence in my decision making ability, time management and prioritization; to serve in the role of patient advocate.

[ Kathy: Of course I’d have to say Florence Nightingale, because she responded to a calling that at the time was not even looked at twice, She is the reason you and I are here today. Florence made the profession and made it a respected one at that. Florence changed the course of this nation for sure. I also really like Edith Cavell, because she also contributed to hospitals all around promoting standards of improvement and pushed for nurses to provide the patients with quality care and this of course is something I am passionate about. Like her I strive to treat others with respect and I would hope to never discriminate when caring for a patient. Like Edith I was taught some great principles in life by my parents and I feel she stood by her principles and what she believed in. ]

[ Kathy: My favorite nurse was my mother even though I never witnessed her functioning in that role. She worked as a pediatric and private duty nurse and served as an army nurse during World War II. She worked in my father’s medical practice until she started her own family. Even though she left nursing when  she started her family she never stopped using her nursing judgment and knowledge. She raised 3 boys, two which were diabetic, and a girl. My mother never seemed to lose interest in new advances in medical or nursing care, and led by her word and led by example the benefits of a healthy lifestyle.]

[Kathy: I hope to maintain my flexibility and teach others that change is inevitable and we must change with technological advances and research based guidelines, I hope to be supportive of the next generation of nurses and recognize and honor the contributions of all nurses who have played such a vital role in forming the nurse I have become. I hope I can continue to contribute to my own unit by providing feedback to nursing leadership and serving as a resource for co-workers. I hope we as a floor work toward unit goals and quality management and I have hopes to support and recognize our healthcare system to the community for the quality of care we provide. ]

20 points

20 points

Note: See Milestone 3 Rubric for details required in each area.

30 points

30 points

Areas worked emergency medicine, administrative, educator, registered nurse for 20 years.

30 points

Lyle: Whenever I first felt like I was a nurse in my preceptorship. Throughout nursing school, you feel like a baby nurse but on during my preceptorship I finally knew what it felt like to be a nurse it was refreshing.

Lyle: My biggest fear was failing I did not want to fail out of nursing school it was one of the hardest things I ever had to do. If I failed out all that hard work would have been for nothing.

Lyle: I was inspired by many of my instructors throughout nursing because some of them had come so far and showed how much they wanted us to pass. My classmates were a huge impact on me. We all worked hard together nr393 nursing history Course Project Milestone 3 Template completed samples

Lyle: My passion for nursing and becoming a preceptor became something I was very much interesting I loved to teach new nurses how to provide evidence-based care. I also created a trauma rotation for exercise science students to do as their internship, so they could learn how to do many things in the hospital. I feel that my quality of nursing practice evolved into what I love most as I continued with my career in the trauma department.

Lyle: Throughout nursing there will always come a time when there are conflicts. As a charge nurse you know that there will always be a conflict when dealing with equity. I learned that you let your fellow workers know that it is not personal you just have to separate people the best you can even if others are not happy with the case load they were give. However, it is important to always be there for others and see the sides of each individual nr393 nursing history Course Project Milestone 3 Template completed samples.

Lyle: Being trauma nurse, you treat patients in a state of emergency and get to handle urgent situations where the cause is unknown. You learn to assess patients at another level being a trauma nurse you feel like you are saving people’s lives each day and treating them at their most vulnerable moments.

Lyle: Dealing with death happens a lot as a nurse but it comes even more when you are working in trauma. I struggled with this a lot at first but learned that I provided the best care possible. Codes come in often it is important to remember that you work as a team and then you have to pull yourself together because there will be another patient that needs you. nr393 nursing history Course Project Milestone 3 Template completed samples.

Lyle: I became a stronger nurse and more effective nurse from working in the emergency department.

Lyle: My passion for nursing has grown throughout the years I found a love in the trauma unit and stay there for a long time doing many different roles. If you work hard you can achieve anything.

Lyle: My passion for the emergency department and trauma grew more and more even to this day now that I do not work in the trauma department. Trauma nurses are a different breed of nurses, I learned so much from being a trauma nurse and I enjoyed showing others and allowing them to establish a love for it as well.

Lyle: I think that everyone misses a certain career that they use to do but it is definitely something to look back at and to teach others about.

Lyle:  If I had to pick a favorite nurse from actually history I would pick Florence Nightingale she accomplished so much in her life and worked hard for so many years. I think that people with worth ethics such as her will go far in their career.

Lyle:  Florence Nightingale is known as the lady with the lamp. She made many contributions to nursing one of my favorites was how she would walk around at night with her lamp making sure each solder was comfortable and sat with dying solders during Crimean war. Nightingale showed how nurses should treat their patients and expressed her level of care greatly.

Lyle: Florence Nightingale was a warrior of her own kind. As a nursing student I was influenced by her drive for nursing I thought that many nurses should feel the way she does. When I became a nurse, I knew I want to always strive for excellence and continue my education. Also, I wanted to care and practice as she did always putting her patients first.

20 points

20 points