Acute Hospital

Instructions:

Please place roles and responsibilities listed below integrating the Five Core Values Veteran Affairs information below. Thank you – Paragraph form. no resources.
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Acute Hospital Staff Registered Nurse / Charge Relief / Intermediate Care
-In the absence of the Unit Administrator, leadership, development, guidance, and supervision were provided to over 13 Registered Nurses and ancillary staff engaged in delivering skilled care. Served as an advanced preceptor and employee resource for policies, training, and communication changes.
-Helped start an ortho unit making educational information.
-Cared for 5-7 patients a shift
-Provides nursing care to patients with post-surgical procedures, acute/chronic medical illnesses.
-Advocates needs of, and assists patients and significant others in receiving proper medical care during hospitalization.
-Coordinates with the patient, family, social worker, attending physician in planning and facilitating discharge and continuing needs for home care or transfer to an extended care facility.
-Coordinates flow from Ed, OR/PACU, PCU, CCU, or direct admit patients from home or Physician’s office and assign to appropriate room and nurse on duty.
-Deal with patient and physician complaints.
-Coordinated patient care assignments, maintained drug accountability, ensured proper documentation and equipment maintenance.
-Ensured efficacy of treatments through monitoring of treatment regimens.
-Able to develop the special patient rapport required to care for these chronic and critically ill patients.
-Educated patients regarding their medications, procedure and treatments.
-Additionally, provided preoperative, inter-operative and post-operative care instruction.
• Performed assessments; provided intravenous therapy; complex wound care; monitored various drainage devices, etc.
• Collaborated daily with physicians and health care team to achieve optimum patient care.
• Established strong relations with physicians built on trust and knowledge of patient care
• Crossed trained:
o ICU – Please specify a day as a ICU nurse
o PACU – please specify a day as a PACU nurse- also add on call information
o Ortho/Surgical – please specify a day as a Ortho/surgical nurse
o Medical – please specify a day as a medical nurse
• Did emergency care – Code team was the recorder during a CODE.
• Did roles of a Certified nurse assistance
• Precepted two students at a time during shifts when school’s did their rotation
• Precepted new hire nurses
Please integrate the five core values:
VA’s five core values underscore the obligations inherent in VA’s mission: Integrity, Commitment, Advocacy, Respect, and Excellence.
• Integrity: Act with high moral principles. Adhere to the highest professional standards. Maintain the trust and confidence of all with whom I engage.
• Commitment: Work diligently to serve Veterans and other beneficiaries. Be driven by an earnest belief in VA’s mission. Fulfill my individual responsibilities and organizational responsibilities.
• Advocacy: Be truly Veteran-centric by identifying, fully considering, and appropriately advancing the interests of Veterans and other beneficiaries.
• Respect: Treat all those I serve and with whom I work with dignity and respect. Show respect to earn it.
• Excellence: Strive for the highest quality and continuous improvement. Be thoughtful and decisive in leadership, accountable for my actions, willing to admit mistakes, and rigorous in correcting them.

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Solution

Acute Hospital

Healthcare professionals have distinct roles and responsibilities, well outlined in their job descriptions. Besides, the health care providers and specialists professionally practice and interact with patients, considering the various Veteran Affairs’ core values. These core values include excellence, commitment, respect, advocacy, and integrity. The acute hospital registered nurse is obliged to offer comprehensive patient care focused on addressing the dynamic patient needs. In the absence of the unit administrator, the registered nurse is entirely responsible for forerunning and overseeing the former’s health care roles. For instance, the registered nurse should create a conducive environment that fosters teamwork, guidance, goal development and leads the other staff in meeting the health facility’s mission and vision.

In the absence of the unit administrator, the acute hospital registered nurse assumes leadership roles and responsibilities. As such, the registered nurse could offer guidance, besides supervision of the other health care providers, in delivering skilled care in the clinical settings. The registered nurse could ultimately offer advanced preceptive services to junior staff and other employees regarding the recommended health policies, standard operating procedures, and other healthcare setting guidelines. The registered nurse also plays a fundamental role in developing effective and beneficial communication changes within the health care facilities. Timely and effective communication is of paramount significance in patient care; thus, it should be implemented in an acute hospital setting to promote interprofessional collaboration among the health care providers. Efficient nurse-patient relations are also grounded on effective communication, respect, cultural awareness, and competence.

The registered nurse’s core roles and responsibilities would also include providing educational information when establishing an orthopedic unit. Their vast knowledge in various patient dynamics, which they acquire through training and educational experiences, is crucially helpful in caring for at least five patients in each shift. Their role in providing patient care, notably after the patients encounter chronic or acute medical ailments. Critical patients, such as those requiring close monitoring following a post-surgical procedure, are also prioritized in the treatment plan by the health care providers. As they provide such quality, sustainable, and cost-effective patients, the intensive care unit specialists, should be committed and respectful to patients’ needs and concerns regarding their health care issues.

The charge nurse advocates for reconsideration and reevaluation of the patient’s needs and ensures that they receive proper medical care throughout their hospitalization period. Maintaining a professional relationship with the patients, their families, or their significant others align with the veteran affairs’ core values, particularly advocacy and commitment. The intermediate care specialist should perform a comprehensive patient assessment before providing intravenous therapy, monitoring body fluid drainage devices, or partaking in complex wound care. They should also portray integrity when collaborating with physicians and health professionals to achieve optimum and standard patient care. Such collaboration calls for trust, honesty, and integrity among the health care team.

Intensive care and post-anesthesia care unit specialists mostly interact with patients requiring comprehensive medical attention and close monitoring. Working or being granted a shift in these settings calls for optimal carefulness and timely communication among the health care providers. These health providers should be well-versed with all health interventions that patients admitted to these special health care units require. Precepting student nurses or newly hired nurses regarding the various health facilities ’ range of health care services and their corresponding standards of practice also comprise the registered nurse’s multiple roles and responsibilities.