NRSG 112 Past Paper PDF

·  9/8/24 The History of Nursing & Nursing Education Week 2 – NRSG 112...

·  9/8/24 The History of Nursing & Nursing Education Week 2 – NRSG 112 1 Discipline = scope of practice/boundaries - profession evidence based practice - has rational/science Questions from Last Week? Discipline = Scope of practice/boundaries ; evidence based practice ↳ rational/science Profession of Nursing > - Rules Studentnurserea ↑ thoughts of Arts : compassion , emotion , , art delivery DISCIPLINE PROFESSION ART & SCIENCE ↳ Science : both needed learning (skills techniques anatomy as a , nurse , + physiology 2 Class Objectives Discuss the socio- Discuss the historical contributions to the economic, historical, Review some of the profession of nursing, influential nurses political, and gender including those from factors that have Indigenous, Black, and throughout history shaped nursing People of Colour 3 1  9/8/24 The Plan Today Theory Class Practice Week 2 PowerPoints Activity Questions Questions 4 Why does Nursing History Matter ? where advanced from · we Context · · evidence based practice # learn from past can't make change · we - Untitled photograph Untitled photograph · came from nun-RNs are called sister Why Does Nursing History Matter? 5 women weren't to have wires jobs-house · · New France = Quebec First Nurses & Hospitals in · Nurses mainly did the care No knowledge New France Nurses than physicians who provided and administered · Mary Rollet Hebert first lay - women e came Whushund ed to be nurse health care ↳ created her own medicine administered care for chronic illness ↳ , Mary Rollet Hebert first lay- in that field women · lay person- someone not Indigenous peoples and Settlers herbal medicine (own chemical herb) treating starved person Indigenous peoples ' knowledge of herbs and ↳ treated people then priest appointed starved/ill her to treat settlers ? remedies Male Attendants – Sick Bay indigenous people ) then ↳ Jesuit Priests indigenous works & remedies got mixed. ↳ Did not have Untitled photograph training 6 2  9/8/24 Sold tabaccos sold guns · , Catholic Nursing Tradition · nuns w/ no truing became nurses (nuns) Female Religious Order · female orriented , cariest but not careers Catholic Nursing Sisters Jeanne Mance, Nurse - Hotel Dieu de Quebec 1642 ↳ female power 146 Hospitals by 1947 ↳ hospital-ish charitable people com organization use catholic · > sick - religion - Hospital Administrators /Leaders Urgent request for nurses (nuns) St Augustinian Nurses (nuns) 1639 – · handed a Slip E"donation" madea can come in for care Care for the sick (Image: Library and Archives Canada/Ralph Greenhill collection/a065407 Nuns in Hospital [ca. 1875] · subservient to priest but still made it work 7 more slips : more treatment No employment for female · Expansion of Catholic Hospitals Across Canada provided employment opportunity - > Female Religious Spiritual Ministry Charitable Devoted to the care “were out to win Orders in the Institutions of the ill souls through Province of Quebec hospital care” Nursing sisters' Sister Saint Martin – religious identities – Nuns assigned to Excelled at Surgery different caregiving leaders – few – Performed an employment roles amputation opportunities ↳ Without anasthet. 1 just accor o (Wytenbroek & Grypma, p. 35, 2024) 8 Colonial Health Care H istory of “Indian H ospitals” · Indigenous people blared for TB U nequal H ealthcare in Canada G rey N uns residential school Tuberculosis Spread · nun-teacher = nurse 1890 s to 1945 - Indian Affairs controlled initiatives related to healthcare Indigenous H ospital were underfunded, overcrowded and understaffed · indigenous healing M any hospitals housed in redundant residential schools & m ilitary barracks segregated · Lacked basic am enities such as laundry and kitchen facilities Som e of the highest m orbidity and m ortality rates in the country (tuberculosis crisis) – m oved patients to the south for treatm ent away from hom e com m unities · indigenous people could not get education Similar to residential schools, Indian Hospitals were used to attempt to assimilate Indigenous Peoples into the Euro- Canadian Society Replaced healing practices with biomedicine - westernized medicine. Segregation and colonial practices negatively influenced Indigenous individuals, families and communities. (Wytenbroek & Grypma, pp. 36-37 2024) 9 3  9/8/24 Decolonizing Health Care Canadian Nurses Indigenous Association Advocated for Indigenous Control over Indigenous health care Expanded Indigenous Nurses caring for Indigenous people - university + position open to indigenous people Transformed the relationship between the Indigenous people and the government More work can be done to address · permission + give opportunities/decision for care inequities in nursing and health care (Wytenbroek & Grypma, pp. 37-38, 2024) (University of British Columbia, Indian Hospital in Canada Image, 2021) 10 only 4 month training es 12 May - International day of nursing · wealthy · founder of modern medicine Florence Nightingale parents stopped · · used piccheart & statistics · helped Crimson War soldiers Untitled photograph · hygiene washing hands cleanliness , , 11 · carries lamp - "lady With the lamp" · Nitingale fund · St Thomas. hospital 1803- born in Kingston Jamaica , doctoress - women in some cultures who can use magic to ↳ cure people learned her skills from her mother (doctories) Mary team in London Seacole was rejected by Nightingale's · British Hotel Turkey offices Convalescing ↳ in Set up to treat ↳Became bankrupt ↳ Queen Victoria King Edward , VII , Duke of EdinburghSet up Untitled photograph "Seacule Fund" 12 used surgeries to treat S Was able to diagnose Colora brokenbones Wounds skills nursing + teach gave away all profit 4  9/8/24 · 1884 appointed as superintendent in Toronto general hospital. · Canadian Nursing pincer improved living accommodation for · , work nurses Mary Agnes ↳ removed house keeping tasks from nurses Snively ↳ built good homes for nurses · made 3 year nursing program Untitled photograph · first treasurer of ICN 13 Marie-Marguerite d’Youville Untitled photgraph 14 Timeline for Nursing Education in Canada The Weir 1960s - Early Late 1860s 1874 1919 Report 1970s 1990s 1990s Apprenticeship New nursing First Recommendation Nursing Educational Most provinces model of school at St, undergraduate to: students programs in had announced nursing Catherine's nursing degree graduated from nursing were a four-year General at UBC -First Move schools to two or three- baccalaureate Hospital - First and Last years general education year hospital provided either degree as a hospital to in the system programs with by community requirement for Receive liberal colleges (3- follow the University and a diploma in entry to the Nightingale middle years arts plus technical nursing. year diploma) practice of system in training at skills or universities nursing Canada hospitals (4-year degree Post-Second WWI & influenza Quebec World War, the pandemic of government nature of CASN identified 1918 lead to established an nursing changed history as an support for outpost project considerably. The first integrated essential public health to supply Nursing sisters Visible minorities nursing degree component of programs and nursing services operated at and men were program was baccalaureate Most hospital new patterns of to new districts least 146 encouraged to started at the nursing care provided by health care colonized during hospitals across enter the University of education in its student nurses delivery the Depression. Canada profession Toronto report 1874- WWI & 1930s 1947 1968 1942 2015 1930s 1918 (Refer to the reference page for all authors) 15 5  9/8/24 but also higher/middle · hospital used to be seen for lower class class went to Public Health, War, and the Emergence of University ~ first clean/aseptic technique Nursing Education Influence of · anesthetics Periods of Great Depression to the Social Post-World War II Upheaval on Nursing Emerging from Economic and Military Crisis 16 not undergraduate The First University Programs World War I & Influenza Pandemic Public health programs New patterns of health care delivery Community Health Care Nurses needed university-level education Canadian Red Cross Post Graduate courses 17 code of ethics caring respect human lives · + The Impact of Nursing The Victorian Order of Nurses The International Council of Nurses Organizations on Canadian Nurses Association Nursing Education Canadian Associations of Schools of Nursing Sister Simone Roach – Code of Ethics – Two underlying values (Image: Library and Archives Canada/Department of Employment and Immigration fonds/e010982284) 18 6  9/8/24 went from no training (lay woman · first was diploma degree Nursing Education Today Professional Development Standards of Nursing Education – Monitored by Provincial Regulators and Associations Canadian Association of Schools of Nursing (CASN) – National Nursing Education Framework National Council Licensure Examination (NCLEX) – Entry to Practice Graduate Degrees - allows 19 References Canadian Museum of History (n.d.). A brief history of nursing in Canada from the Establishment of New France to the present. https://www.historymuseum.ca/cmc/exhibitions/tresors/nursing/nchis01e.html#:~:text=For%20over%20350%20yea rs%2C%20nurses,Dieu%20%5Be.g.%20graduation%20pin%202000.111. Health Canada. (2006, November). Office of Nursing Policy. Education https://www.canada.ca/en/health-canada/services/health-care-system/reports- publications/nursing/nursing-issues-education.html# University of British Columbia (2021). Indian Hospital in Canada. Retrieved from: https://irshdc.ubc.ca/learn/indian-residential-schools/indian-hospitals-in- canada/ [Untitled photograph of nurses]. https://www.bing.com/images/search?q=nursing+history+&go=Search&qs=n&form=QBILPG&sp=- 1&lq=0&pq=nursing+history+&sc=1016&cvid=7E98DE9B7F924276B02D399F7B209DEE&ghsh=0&ghacc=0&first=1 [Untitled photograph of nurses in class]. https://www.bing.com/images/search?q=nursing+history+&go=Search&qs=n&form=QBILPG&sp=- 1&lq=0&pq=nursing+history+&sc=1016&cvid=7E98DE9B7F924276B02D399F7B209DEE&ghsh=0&ghacc=0&first=1 [Untitled photograph of nurses and transportation]. https://www.bing.com/images/search?q=nursing+history+&go=Search&qs=n&form=QBILPG&sp=- 1&lq=0&pq=nursing+history+&sc=1-16&cvid=7E98DE9B7F924276B02D399F7B209DEE&ghsh=0&ghacc=0&first=1 [Untitled photograph of Florence Nightingale]. https://www.bing.com/images/search?q=nursing+history+&go=Search&qs=n&form=QBILPG&sp=- 1&lq=0&pq=nursing+history+&sc=1016&cvid=7E98DE9B7F924276B02D399F7B209DEE&ghsh=0&ghacc=0&first=1 [Untitled photograph of Mary Seacole]. https://www.bing.com/images/search?q=nursing+history+&go=Search&qs=n&form=QBILPG&sp=- 1&lq=0&pq=nursing+history+&sc=1016&cvid=7E98DE9B7F924276B02D399F7B209DEE&ghsh=0&ghacc=0&first=1 [Untitled photograph of Mary Agnes]. https://www.bing.com/images/search?q=nursing+history+&go=Search&qs=n&form=QBILPG&sp=- 1&lq=0&pq=nursing+history+&sc=1016&cvid=7E98DE9B7F924276B02D399F7B209DEE&ghsh=0&ghacc=0&first=1 Google Image. This Photo by Unknown Author is licensed under CC BY-SA-NC 20 References [Untitled photograph of Marie Marguerite d’Youbille]. https://www.thecanadianencyclopedia.ca/en/article/marie-marguerite-d-youville Wytenbroek, L & Grypma, S. (2024). The Development of Nursing in Canada. In B. J Astle & W. Duggleby (Eds.), Potter and Perry’s Canadian Fundamentals of Nursing (7th ed.). (pp. 34 – 46). Elsevier Canada. Wytenbroek, L, & Vandenberg, H. (2017, July 03). Canadian Nurses Association. Reconsidering nursing’s history during Canada 150. [Online image] library and Archives Canada/Ralph Greenhill collection/a065407 Nuns in Hospital [ca. 1875]. https://community.cna- aiic.ca/blogs/cn-content/2017/07/03/reconsidering-nursings-history-during-canada-150 Wytenbroek, L, & Vandenberg, H. (Jul 03, 2017). Canadian Nurses Association. Reconsidering nursing’s history during Canada 150. https://community.cna-aiic.ca/blogs/cn-content/2017/07/03/reconsidering-nursings-history-during-canada-150 Wytenbroek, L, & Vandenberg, H. (July 03, 2017). Canadian Nurses Association. Reconsidering nursing’s history during Canada 150. [Online I mage] Archives Canada/Department of Employment and Immigration fonds/e010982284 An anatomy class in progress. Edmonton. Nurses and Nursing - Schools of Nursing. Department of Citizenship and Immigration, Information Division [1930-1960]. https://community.cna- aiic.ca/blogs/cn-content/2017/07/03/reconsidering-nursings-history-during-canada-150 21 7  9/15/24 Week 3 NRSG 112 Professional Organizations 1 Learning Objectives Describe the purpose of Differentiate between the BC Discuss and apply nursing professional organizations professional organizations standards 2 Class Outcomes Differentiate between Apply the standards the three provincial governing the nursing professional profession. organizations 3 1  9/15/24 · keeping nurses + society safe Professional Organizations · community · rights for nurses Why do we need professional associations and organizations as part of and associated with nursing practice? 4 Types of Organizations Associated with Nursing Associations / Regulators Unions Advocacy 5 A professional association fulfills a role quite distinct How are the from the other nursing organizations that exist in BC. The mandates of each of the organizations is as follows: regulatory college, The regulatory college, the BC College of Nurses and Midwives (BCCNM) in BC, acts on behalf of the BCCNM-license union(s), public to ensure safe care and public safety. and the Union(s) acts on behalf of workers primarily to secure professional salary, benefits and working conditions. documentation , fair Wages association The professional association, NNPBC in BC, acts on different? behalf of nursing to advance the profession and influence health and social policy. (NNPBC, 2024) 6 2  9/15/24 · global (nursing abroad) Founded in 1899, started small and out of the 7 values · women’s movement core ICN’s m ission is to represent nursing worldwide, advance the nursing profession, · project information - prom ote the wellbeing of working with WHO Members (countries) had to have a national · nurses, and advocate for health in all policies. Our organization vision is that the global com m unity recognizes, supports, and invests in · global voice nurses and nursing to lead and deliver health for all. Original mandate: Advance interests of women address professional (enhance women’s social welfare of nurses Improve health position) (ICN, 2024) 7 * No date. · National Began as the Canadian Nurses Association of Trained Nurses Became a federation of nursing · Advocate for Canadian nurse (CNATN) in 1908 associations in 1930. > vaccines ↳ for nurses 1908 1909 1930 early 1900s · online education + share With everyone Mary Agnes was the first president, In the early 1900s provincial racism in and officially welcomed into the ICN associations began to be form – nursing in 1909. pushing for legislation and education standards to improve care · Values - Courage, Equity, Diversity, Excellence, Innovation, Trust Mission - To make nursing better — for nurses, for patients, and for our public health systems. · pass it down to regulatory Vision - Progressive leadership that unites nurses to advance our profession, the health of Canadians, and a healthier environment and society. (CNA, 2024) 8 his all that content (organization es · curriculm/Mandat Canadian Association of Schools of Nursing professional development Speaks for Canadian nursing RN + LPN + RPN education and scholarship Establishes and promotes national standards of excellence for nursing O education Promotes the advancement of nursing knowledge Facilitates the integration of theory, research and practice Contributes to public policy Provides a national forum for issues in nursing education and research (CASN, 2024) 9 3  9/15/24 · support indigenouse house/health. · advocacy Began in 1975 – first name Registered Nurses, Indian and Inuit Association of Canada The mission of the Canadian Indigenous Nurses Association is to improve the health of Indigenous Peoples by supporting Indigenous Nurses and by promoting the development and practice of Indigenous Health Nursing. (CINA, 2019) 10 The Canadian Nursing Students’ Association is the national voice of Canadian nursing students. Our goal is to increase the legal, ethical, professional, and educational X NO TEST aspects which are an integral part of nursing. We are actively dedicated to the positive promotion of nurses and the nursing profession as a whole. (CNSA, 2021) 11 grant * leadership borsery , awards scholarship , , BC's four nursing designations, RNs, LPNs, NPs and RPNs, have been collaborating closely since jobs- government funded. 2013 on the BC Coalition of Nursing Associations (BCCNA or the Coalition). This collaboration has been ground-breaking in demonstrating the importance of collaboration and nursing unity to strengthen the profession. mental health support BC is leading this change and in fact inspired our Canadian Nurses Association colleagues to change their bylaws to allow for all nursing designations. update liability protection recognition (NNPBC, 2024) education. 12 Umbrella down to regulators align w/ regulators Spay & do NCLEX 4  9/15/24 · awards + bursery don't pay as students not really · > - a choice take money and them from salary tax · pay my + rights representation · , We are the BC Nurses' Union. We represent more than 48,000 professional nurses and allied health care workers, providing care in hospitals, long-term · safety of nurse + public care facilities and in the community. We speak up and speak out for safe, quality, public health care. We value and respect diversity, and pride ourselves in providing protection, representation and services to all · voice for nurses for our rights. members. (BCNU, 2024) 13 · NCLEX exam · every year pay to keep license Health profession regulatory colleges protect the public by setting standards for their registrants. ↳ for These standards ensure health practitioners provide active RN license > can look nurses up any - safe, competent and ethical care to their patients and clients. When regulated health professions do not meet their standards, their college will intervene ↳) conditions : Must be to protect the public. supervised , etc. BCCNM is empowered by the Health Professions Act to regulate the following health professionals: Learning plan every year · licensed practical nurses nurse practitioners registered nurses registered psychiatric nurses midwives 14 Professional & Practice Standards Scope of Practice 15 G scope of practice , for RN. Us conflict of interest When aware 5  9/15/24 If a person makes a complaint against a nurse's practice… Regulator (BCCNM): Investigates and resolves complaint about the nurses practice …protecting the public… Union (BCNU): Represents the nurse(s) who is involved in the situation Association (NNPBC): Advocates collective for changes to the system to reduce the risks/harms and improve patient outcomes 16 · only practice what you've learned. · speak up for it. "No - I cannot " Organizational Individual Policy / School Competence Policy Student Nurse Practice BCCNM Standards, Legislation in BC and Health Limitations Professions and Act Conditions 17 Legal Designations in British Columbia Licensed Registered Nurse Registered nurse Practical Nurse Psychiatric Nurse practitioners 18 6  9/15/24 Class Activity Time 19 B ritish C olum bia N urses U nion (2024).A bout B C N U. https://w w w.bcnu.org/about- bcnu C anadian Association of Schools of N ursing (2024). M ission S tatem ent. https://w w w.casn.ca/about-casn/casnacesi-m ission/ C anadian Indigenous N urses Association (2019). M ission Statem ent. https://indigenousnurses.ca C anadian N urses Association (2024). O ur M ission, Vision,& Values. https://w w w.cna-aiic.ca/en/about-us/w ho-w e-are/m ission-visions-values References C anadian N ursing Students A ssociation (2021). Voice of C anadian N ursing S tudents. https://w w w.cnsa.ca/about-m entor International N urses C ouncil (2024). M ission, vision, constitution and strategic plan.. https://w w w.icn.ch/w ho-w e-are/m ission-vision-constitution-and-strategic- plan N urses and N urse Practitioners Profession of British C olum bia (2024). Frequently asked questions. https://w w w.nnpbc.com /about-us/nnpbc-faqs 20 7  O K A N A G A N C AM P U S – S C H O O L O F N U R S I N G SMART Goals Across the Curriculum Nursing is a self-regulated profession which requires ongoing self-evaluation and professional development in order to maintain practice competencies3. Developing SMART goals gives a clear and well-defined plan to meet practice competencies and professional standards 3. “A goal without a plan is not a goal1” Developed by Maggie Weninger, RN MSN & Laura Mercer, RN MSN May 2022  SMART goals are a mandatory component of all nursing practice courses. Please submit your SMART goals using the following format: Component: To Do (think): Not To Do: S - Specific What will I do? The goal needs to be focused, clear, and well-defined1.  Avoid making the goal too broad  Does this goal help me meet a course outcome or  Avoid focusing the goal on a skill - unless this has been a past expectation (ie. PAF competency)? issue  What do I want to achieve?  Avoid making the goal a course expectation5 (ie. PAF  What tools, strategies, or resources will help me get there? competency)- unless this has been a past issue Examples -In order to better understand and safely care for a patient with a -I will learn about all of the orthopedic surgeries by the end of my TIA, my goal is to review and competently use resources such as rotation. InsideNet, UpToDate, and unit PowerPoints that discuss TIA & CVA… -I will complete three IV push medications -I will arrive on time to clinical every day M - Measurable How will I know if I have The goal should be quantifiable with results that are measurable2.  Avoid phrasing the goal as an intention or process5 succeeded?  How will I or my clinical instructor clearly assess whether I  Avoid feelings as your main goal have met my goal?  Can I count this goal?  Phrase how the goal is measurable  What do I need to do in order to feel something (ie. confident) Examples: -…I will know I have succeeded when I have successfully completed -I plan to, I will try to, I will work on, I will build on, I want to, etc. my charting for all of my patients by 1100… -I want to feel confident in my assessment skills A - Attainable How can I achieve this? The goal can be achieved based on your  Avoid setting your expectations too high skills, resources, and area of practice3.  Avoid making the number of items too high  Is this goal realistic to my current scope of practice?  Does my practice placement offer the opportunity to meet this goal?  Is this goal a challenge for me? It should be challenging but realistic. Developed by Maggie Weninger, RN MSN & Laura Mercer, RN MSN May 2022 Component: To Do (think): Not To Do:  Can I do this myself?4 Examples: -…I will complete three patient discharge teachings on post-cardiac -I will complete my documentation by 0830 every clinical morning surgery, utilizing the resources provided on my unit, UpToDate, and -I will assess seven different heart murmurs InsideNet… R - Relevant Is this appropriate for my The goal should be related to your current practice area.  Avoid goals that are not within your placement area practice placement?  How does this goal help me to succeed in this practice  Avoid goals you have successfully met in previous practice placement? placements  Is this goal different than my previous goals?  Avoid goals that were more associated to another practice area  Is this expected of a student in my current practice course and setting? Examples: -…teaching clients, using the teach-back method, how to use the -I will practice PCAs during my community rotation Naloxone kit is relevant to my community-specialty placement in -I will complete three bed baths per clinical day in my Year 3 medical Mental Health & Substance Use because I will be working with a rotation population who is at risk of over dose, and this information is important piece of emergency management… T – Timely When will I achieve this by? The goal should have end date and/or time.  Avoid timelines that are outside of your practice placements  Can I achieve this within the time frame of my practice placement?  Is this something I will do daily, weekly, monthly, or by end of the term?  Is this the right time to achieve this goal? 4 Examples: -…By the end of this practice placement, I will have attended and -By the end of my BSN program I will competently care for three medical participated in 3 interdisciplinary rounds. patients. -…I will write a reflective journal at the end of each clinical week and submit it to my clinical instructor. Developed by Maggie Weninger, RN MSN & Laura Mercer, RN MSN May 2022  Examples of SMART goals for each program year: Component Year 1 Year 2 Year 3 Year 4 S - Specific In order to maintain my fitness to In order to better implement In order to better prepare clients for In order to better organize and practice for my N136 clinical therapeutic nursing interventions, discharge, my goal is to successfully prioritize to take on 95% of the RN’s placement, my goal is complete my goal is to attend open-lab every discharge two patients, each with a workload, I will utilize my 20mins of stress-management-and- other week to review and practice the different medical condition. organizational time sheet as well as resiliency-techniques 3 times per skills and concepts learned in N201 the unit’s nursing brains every shift week including every evening before and N226. in N431 clinical practice. clinical practice. M – Measurable I will know I have succeeded when I I know I will have succeeded this I will have successfully met this goal I know I will have succeeded at this have actually completed that 20 goal when I have actually gone to when two patients on 6W have goal when I use the two sheets minutes of SMART 3 times per week, open lab every other week for at signed their discharge education every shift and review these sheets and every evening before clinical least 1 hour per session. Each checklists. at least four more times throughout practice. I will journal about how I session I will focus on the most the shift. feel before and after to get a sense recent psychomotor skills and of its effectiveness in decreasing concepts learned from N201 and stress/anxiety related to clinical N226. practice. A - Attainable I will attain this by: I will attain this by pre-signing up for To attain this goal, I will utilize the I will attain this goal by reviewing my -reviewing my SMART curriculum open lab on Canvas and scheduling resources for discharge provided by two sheets with my prepceptor at materials to remind myself of the these dates ahead of time in my the unit, as well as those on the beginning of the shift, as well as importance of mindfulness practice personal calendar. I will discuss any InsideNet and UpToDate. I will have multiple times throughout the shift. -I will set a reminder in my phone questions I have with the open-lab completed the discharge checklisst I will readjust my plan as needed to for 3 evenings a week to remind me instructor, my lab instructors, or my to ensure that each patient has all of ensure I am staying organized and to take the time to complete my clinical instructor in order to ensure the correct information they need to will seek feedback from my practice that I have a clear and correct facilitate a safe transition home. preceptor four times per shift -I will find a quiet space in my home understanding of the skill and/or regarding my organization. to participate in this practice concept. R - Relevant This goal is relevant because I will be This goal is relevant because This goal is relevant to because This goal is relevant to N431 in a new clinical setting and proficiency in knowledge and skills N336 focuses on medical conditions because as the workload and patient anticipate feeling a bit nervous takes practice. I need to have within acute care as well as it is acuity increases, it is even more about that. It is relevant for nurses proficient knowledge and skills in important to provide patients with important to stay organized. to practice mindfulness because order to perform safe, quality care sufficient and accurate information Organization helps to provide safe, nurses need to be thinking clearly & competent, and ethical care. Developed by Maggie Weninger, RN MSN & Laura Mercer, RN MSN May 2022  calmly, in order to provide safe, for my clients and patients as a in order for them to be successful at quality care. student and as an RN. home and prevent re-admission. T - Timely I will achieve this goal by the end of I will achieve this goal by the end of I will achieve this goal by the end of I will achieve this goal by the end of N136, March 2022. N236, March 2022. N336, October 2022 N431, May 2022 Overall goal: N/A N/A In order to better prepare clients for In order to better organize and discharge, my goal is by the end of prioritize to take on 95% of the RN’s my N336 medical practice placement workload, I will utilize my on 6W, I will have successfully organizational time sheet as well as discharged two patients, each with a the unit’s nursing brains every shift different medical condition. I will in N431 clinical practice. I will refer utilize the resources for discharge to these sheets multiple times per provided by the unit, as well as those shift and readjust my plan as needed on InsideNet. I will have completed to ensure I am staying organizedand the discharge checklist to ensure providing safe, competent, and that the patient has all of the correct ethical care throughout the shift. information. I will have successfully