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Month: March 2023

Attaining and Protecting Your Professional Nursing License

March 30, 2023 / / 1 Comment

I intend to become licensed in Vermont which is a compact license state. Since I am planning to move to Vermont I can apply for a license once residency is established. The application is a web-based submission and requires you to register with Pearson in order to take the NCLEX. While applying you can select if you want a single state Vermont license or a multi-state license. Vermont requires both background checks and fingerprinting. For the background check there is a release form to complete within the online application and must be notarized and uploaded. To get fingerprints you can go to a Vermont identification center or a local law enforcement agency. You need to bring your authorization form and ID to the fingerprinting appointment. Nurses who graduated in the state of Vermont do not have to submit official transcripts, but graduates applying from out of state do need to submit transcripts to the board of nursing. Nurses who went to school outside of Vermont also need to submit a verification of education signed by the director of their program.

            I found some information on the Vermont board of website for provisions for impaired nurses. It mentions how “diverting or attempting to divert drugs or equipment for unauthorized use” is considered unprofessional conduct and there will be a consequence. There is also a document called “fitness for work” which discusses the “physical, mental, and emotional ability of the nurse to perform assigned tasks competently and safely”. The fitness for work policy discusses factors that may make a nurse unfit for work such as fatigue, stress, drugs, alcohol, and physical or mental state. The fitness for work document does mention that nurses should notify the manager of any employees who may be unfit to work, which can include impaired employees. It also mentions how employers should promote safety and give adequate breaks to ensure fitness to work which I thought was great.

            To protect my nursing license, I will make sure to document everything and double check it at the end of my shift. I will also make sure to always be communicating with everyone on the healthcare team, so no tasks or orders get missed during the shift. I will also always report any unsafe situations that I see.

Maternity Inclusivity Post

March 23, 2023 / / 0 Comments
  • REQUIRED: Watch the entire YouTube video: https://www.youtube.com/watch?v=U-j8x1gUbUw.
  • Based on your initial reaction after watching this video, describe in detail each reflective prompt. Each answer should demonstrate a depth of exploration. Answer each numbered prompt in separate paragraphs.
  1. If you were assigned this birthing couple, or this birthing person, what would your reaction/feelings be? Why?
  2. What are some methods of promoting inclusivity in the healthcare setting? How can we, as nurses, help our patient feel more comfortable during a vulnerable time?
  3. Think back to the Pediatrics e-Portfolio assignment. How might using female-specific language in nursing report impact the delivery of care? How might it impact the patient’s comfort in using healthcare services, both short-term and long-term

If I were assigned this birthing couple, I would be excited to work with them and my first priority would be to make sure both of them were comfortable with the care, they were receiving. I would also want to make sure everyone else on the unit knew the situation and was going to be respectful when providing care, such as correctly addressing Ari, and being mindful of Caitlyn’s feelings as she said she was having some difficulty getting pregnant.  I would want to meet with the clients before labor, if possible, to talk about anything that they would want me to know or to do while caring for them. 

One method of promoting inclusivity in the healthcare setting would be to put the client’s pronouns in their chart or have some method of making them available to make sure that the staff is addressing them in the correct way. Another way to promote inclusivity in the healthcare setting is to be aware of your own unconscious bias and work to address that, so you can provide good care for the patient. To help the patient feel more comfortable during a vulnerable time such as a birth I would let them know that I would do whatever I could to make this a positive experience for them. I would ask them about any preferences they had of how they wanted to be addressed, who they wanted in the room etc., or if they wanted me to let the staff know about anything else. I would also ask them about if there was anything I could do that would make the experience easier or better for them.

Female specific language in nursing report might impact the delivery of care in a negative way. For example, Ari talked about how he felt apprehensive since people might assume that Caitlyn was pregnant instead of him especially when going to the doctor. If female specific language is used in report in situations similar to Ari’s the staff may be surprised when seeing the client for the first time or assume that the other partner is pregnant and in turn it may be a negative experience for the client. If clients are getting misgendered or discriminated against when receiving care or have a provider who is not using more inclusive language, they would probably be hesitant to go back to that provider if any follow up care was needed. In a long-term sense this may have a negative effect on the patient’s overall health. If they feel they are not being heard by their provider or have had a very negative experience with a provider discriminating against them they may be hesitant to use healthcare services at all.

Career Development

March 2, 2023 / / 1 Comment

The nurses in this film all showed courage, confidence, kindness, patience, and perseverance. One skill that I want to work to develop more is confidence. I felt that I was able to develop more confidence throughout my preceptorship, and I will continue to build on that when I start to learn more during my first job. One location/population that I have not seen yet in my experience at UNE is rural home health nursing. It was very interesting to hear about the nurse’s experience who were treating Navajo people in their homes. One barrier to care that was seen here was the location and access to care. One of the nurses talked about how she might have to drive 2 hours to see one patient. These nurses showed cultural humility when caring for these patients to provide them the best care. One of the nurses talked about how it was very important for them to consider the Navajo people’s beliefs on medicine and incorporate that into their plan to provide them care that they were comfortable with. I would like to learn more about cultural considerations when going into practice to make sure I am providing care that makes patients feel comfortable and safe.

I will describe my strengths by drawing on my clinical experience and how those experiences have prepared me to be a good nurse. I would probably talk about my assessment skills, being able to work as an interprofessional team, and learning from the patients. I would also talk about my experience at my other jobs and how that relates to the nursing position I am applying for. For example, I have been a camp counselor for a few years so I would talk about how I was able to develop multitasking and prioritization skills, and quickly adapting to new situations with that job. One “challenge” I will address is that sometimes I take on too much at once. While I will most likely be very busy throughout my shift at my nursing job, it is important for me to work on prioritizing my care throughout my shift. One way I can work to do this is to plan out my shift at report and try to cluster my care, so I stay organized and don’t get overwhelmed.

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