#Registered Nurse

[scrollsofhumanlife]

Faith Nnenna Umeizudike-Ibekwe nee Ezike

B. February 24th 1965 at Lagos Island Maternity Hospital in Lagos , Nigeria

Houston, Texas

#Faith Nnenna Umeizudike-Ibekwe #Faith Nnenna Ezike #Faith Umeizudike-Ibekwe #Lagos #Lagos Island Maternity Hospital #Ota #Ogun #Nigeria #Houston #Texas #New Mexico #author #registered nurse #child care instructor #mother #wife #stepmother #beloved daughter #beloved aunt and sister #may she rest in peace #<3

[macgyvermedical]

RN Scope of Practice

I recently learned something that was pretty interesting about the RN scope of practice.

In hospital settings, we tend to think of registered nurses as carrying out the orders of physicians and advanced practice providers. In a hospital just about everything needs an order, including things that in nursing school we were always told were under our scope of practice-like ambulating the patient, dietary plans, positioning, wound care, etc...

So I was wondering- what can a registered nurse do without an order? Do we have our own scope of practice if we were to, say, freelance?

It turns out, yes- I can only speak for the state of Ohio, but outside a facility that requires an order, an RN can actually do a lot in the way of independent practice. The reason everything requires an order in a hospital setting is facility policy, not law.

Here is what the Ohio Revised Code says the RN Scope of Practice is:

"Identifying patterns of human responses to actual or potential health problems amenable to a nursing regimen

Executing a nursing regimen through the selection, performance, management, and evaluation of nursing actions

Assessing health status for the purpose of providing nursing care

Providing health counseling and health teaching

Administering medications, treatments, and executing regimens authorized by an individual who is authorized to practice in this state and is acting within the course of the individual’s professional practice

Teaching, administering, supervising, delegating, and evaluating nursing practice."

"RNs have independent licensed authority to engage in all aspects of practice specified in Section 4723.01(B), ORC, except that, when providing nursing care pursuant to Section 4723.01(B)(5), ORC, the RN must have an order from an individual who is authorized to practice in this state and is acting within the course of the individual's professional practice for administration of medication or treatments or for the regimen that is to be executed."

Basically, if you read down that list, the only thing that actually requires an order is #5. But other than that, RNs are allowed to independently practice without medical direction, as long as we are doing something that is within our scope.

What does that mean? Well, if you look at number 1, we can identify patients who can use nursing care. If you look at number 2, we can independently select, use, and evaluate the effectiveness of nursing interventions such as positioning, diet, oral hydration, non-pharmacological pain, anxiety, and nausea control, run codes if we have ACLS, etc... If you look at number 3, we can do pretty much any physical assessment. If you look at number 4, we can provide health coaching and teach health education to the public. And if you look at number 6, we can teach nursing students, delegate to those lower on the nursing hierarchy, and study nursing practice academically.

So what does that look like? Well, an RN can independently select a patient who could benefit from nursing care, assess that patient, advise nursing interventions that may help them, perform those interventions or delegate them to an LPN, STNA, or CHW, evaluate the effectiveness of those interventions, provide health education to that patient, and pass along that knowledge to a next generation of nurses, STNAs, and CHWs.

So I just want you to know, RNs, future RNs, and writers that write RNs, an RN is an independent license. You do not need a medical provider to practice nursing, only to do things that fall under a medical scope of practice.

#nurblr #writing reference #nursing #RN #registered nurse #hospital life

[lamentations44]

Hey hey hey- its MELANOMA AWARENESS MONTH!

Put your sunscreen, hat, longsleeve, full coverage bathing suit, etc on!

April 2016 I had a malignant melanoma removed from my back- I still have a significant scar as a reminder. My husband had a melanoma removed a few years after that and we have been vigilant since.

Unfortunately- I had a mole come back after my last visit as a “severely atypical nevi” and had to have a surgical excision( today). These moles or nevi are not ALWAYS cancer or dangerous- but from what I gather, convert easily to melanoma. Given my sordid history with melanoma- the choice was a 2.5cm surgical incision/ removal. I was grateful it was less than the 11cm from the previous melanoma. However- this one is slap dab in the middle of my abdomen. So now, thanks (likely) to my idiotic youth and bikini choices- I will sport- not a cute bikini- but a large surgical incision on my back from 2016 and a medium sized one on my abdomen from today.

Please- be careful. No matter what beautiful skin tone you are- be careful and get SCREENED.

We can PREVENT two cancers- SKIN and COLON. Be smart and screen regularly for both.

(Abdomen from 5/5/23). Back from (4/2016)

#melanoma #skin cancer #melanomaawareness #skincancerawareness #np #prevention #surgery #nurse #rn #nursing #registered nurse #nurblr #medblr #doctor #patient

[breads-voice]

Nurses are not heroes.

That was a dangerous narrative perpetuated by the government and media at the height of Covid. It prevents them from being seen as human with human needs. Now it’s being used by the same media and government to justify the horrendous working conditions and pressure they are being put under.

Nurses stay unpaid after every shift to help their patients and colleagues. That’s great! Nurses are heroes ❤️

Nurses working through their breaks to help their patients. That’s great! Nurses are heroes. ❤️

Nurses are dealing with unalive and traumatic situations every day. Nurses are heroes ❤️

Nurses get beaten and abused on shift by patients and relatives but it’s ‘part of the job’. Nurses are heroes ❤️

There is nothing heroic about a person not getting adequate rest between shifts. An exhausted nurse should not be looking after anybody other than themselves. They are human.

There’s nothing heroic about a person not being able to provide themselves with adequate nutrition or hydration. They are human.

There is nothing heroic about not receiving proper support or acknowledgment of the trauma they go through every day. Same with assistants and paramedics. They’re still human.

There is nothing heroic about being black and blue by a patient or stalked by a relative and having to see them the next day. Not being able to do anything about it because it’s seen as ‘part of the role’.

There is a massive difference between ‘knowing what you’re getting into’ as a newly qualified nurse and treating them with disrespect, running them into the ground and expecting them to be ok with not having their basic needs met for the needs of the general public.

The nurses wages do not reflect their working conditions or the trauma they experience and have to heal from. They are human and grieve for their patients too. They don’t reflect that this a vocation requiring a degree. That nurses don’t just ‘make beds’, they insert tubes down peoples throats to breathe for them, take chest drains out, keep people alive with complex concoctions of medications they’ve mixed. And so much more.

The NHS has relied on the generosity of its nurses and assistant staff for too long. That generosity is wearing out. What we are being put through isn’t worth our wages anymore.

Stop advertising nurses as heroes and force the public and parliament to see us as the humans we are.

#healthcare #medicine #nurses #strikes #uk government #uk politics #registered nurse #fair pay for nursing #rcn strike #rcn #nhs england #news #uk media #uk nurses #nhs #national health service

[whatsyouremergency]

Happy Nurse’s Week, you bad asses.

#er nurse #nurblr #nursing #nurselife #emergency nurse #nurse #er nurses #ed rn #registered nurse

[rainbow-baby-one]

A pretty sweatshirt for all the amazing registered nurses out there! 

Registered Nurse Sweatshirt

https://www.etsy.com/listing/1364041352/registered-nurse-sweatshirt-registered

#nurse #rn #registered nurse #womenssweatshirts

[silverstars87]

So I finished all 16 rounds of chemo and now I’m first case on Monday 12/4 for bilateral nipple sparking mastectomies, right port removal, and bilateral expander placement with a cellular dermis.

I Wish this wasn’t happening.

I cry a lot. And my husband won’t even speak to me for the past 5 months.

#nursing #nurblr #nurse practitioner #registered nurse #aprn #triple negative breast cancer #breast cancer #brca1

[juniper-moon]

✍️🫀🫁🧠

#nurse #nursing student #nursing school #studyblr #study aesthetic #registered nurse #notes #note taking #colorful #college student

[batmanbeyondrocks]

Fashion by Wole Olosunde

Credit: Blattire@theblattire via Wole Olosunde BSN RN 🇳🇬 (@guacawole)

#IG #Instagram #Blattire@theblattire #Wole Olosunde #Wole Olosunde BSN RN 🇳🇬 (@guacawole) #Nigerian-American #Fashion Designer #Registered Nurse #Entrepreneur #AMA #Against Medical Advice #Fashion #Nigeria

[beautyinside775]

Always fun to be Free 💌💐🤟🏼

#Registered Nurse #nursing #Arizona

[scrollsofhumanlife]

Faith Nnenna Umeizudike-Ibekwe nee Ezike

B. February 24th 1965 at Lagos Island Maternity Hospital in Lagos , Nigeria

Houston, Texas

#Faith Nnenna Umeizudike-Ibekwe #Faith Nnenna Ezike #Faith Umeizudike-Ibekwe #Lagos #Lagos Island Maternity Hospital #Ota #Ogun #Nigeria #Houston #Texas #New Mexico #author #registered nurse #child care instructor #mother #wife #stepmother #beloved daughter #beloved aunt and sister #may she rest in peace #<3

[militarymenrbomb]

For those of you that follow me, you know my primary thing is men in uniform (and out!) I'm always on the lookout. Feel free to submit any you might have. Recently,I found an Air Force RN that has made some great tweets, in, and out of uniform, and some gifs as well. I hope you enjoy him, I surely do! @MFR3317

#military #air force #registered nurse

[rekrootinginc]

🩺 Starting a career as a registered nurse 👩‍⚕️👨‍⚕️ sounds impactful because you get to change the lives of individuals. Are you also the one planning to choose this as a career option? If your answer is yes, then this blog is the perfect solution for your queries.

🔍 With this blog, you will get to understand the shift in the area of registered nurses in depth.

💼 Additionally, you will learn about the current market status of RNs and to support your understanding, you can have an insight into some data.

📚 Check out our blog post: https://bit.ly/3OINjrG

🚀 Learn about the procedure and qualities required that will definitely help you kickstart your career in this area.

#nursing #registerednurse #registerednursejobs #registerednurse #rnjobs #nurse 

#recruitment #recruiting #healthcarestaffing #registered nurse #nurse #travel nurse

[breads-voice]

Unless you have been the sole nurse on a unit (whilst your one colleague is on break) finding a patient with no heart beat, call the crash team and initiate a CPR/resus attempt alone: you do not get to say the NHS has enough nurses.

At the moment, this is a scenario most NHS nurses worry about whilst going to work every day.

For each extra patient a nurse has outside the safe ratio of care, mortality for those patients raises 7%.

Steve Barclay, the Health Secretary’s, solution is that nurses should work harder. We’re already doing the work of 4 nurses, 2 assistants, the cleaner and cook. We are already exhausted.

Patients do not deserve to be treated by exhausted nurses.

Nurses deserve to be able to treat their patients whilst not compromising on self care.

#nhs #nurses #healthcare #uk government #strikes #health #self care #uk politics #medicine #fair pay for nursing #patients #patient safety #ableism #understaffed #nhs england #nurselife #registered nurse #unions #unionise #rcn strike #rcn

[rainbow-baby-one]

Pretty oncology nurse sweatshirt :)

https://www.etsy.com/listing/1409672197/oncology-nurse-sweatshirt-nurse-shirt

#oncology #oncologist #nurse #registered nurse #nursing school

[silverstars87]

I survived my nipple sparing double mastectomy with expander placement on Monday 12/4. They also took out my port so that’s a positive. The 9 lymph nodes they took out also tested negative for cancer.

#nursing #nurblr #nurse practitioner #registered nurse #aprn #breast cancer #triple negative breast cancer