Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 2 Beginning Your Nursing Career

Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Healthcare: A Multidisciplinary Approach

Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Types of Nursing Programs (Certified) Nurses Aide (CNA) Unlicensed Assistive Personnel (UAP) Licensed Practical/Vocational Nurse (LPN/LVN) Registered Nurse (RN) Advanced Practice Nurse or Nurse Practitioner (NP)

Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Basic Education Registered Nurses (RNs): –2-year program leading to associate’s degree (AD- RN)/Technical Nurse –3-year program affiliated with community and state colleges that grant college credits –4-year program in a college or university that leads to a baccalaureate or bachelor’s degree in nursing Practical Nurses (LPNs/LVNs): –12 to 18 months of full-time study

Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Responsibilities Registered Nurses: –care for the acutely ill and assist in surgery –teach professional and practical nursing students –manage personnel and take charge in various healthcare settings Practical Nurses: –provide nursing care –work under the supervision of an RN or MD

Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Question A nurse who receives additional training in a specialized field such as pediatrics or maternity is referred to as ________. a. Licensed Practical Nurse b. Registered Nurse c. Licensed Vocational Nurse d. Advance Practice Nurse e. Certified Nurses Aide

Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer d. Advance Practice Nurse An Advance Practice Nurse or a Nurse Practitioner is a Registered Nurse (RN) who receives additional training in a specialized field such as pediatrics or maternity. A Licensed Practical/Vocational Nurse works under the supervision of an RN. A Certified Nurses Aide provides basic nursing care in a long-term care facility.

Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Licensure of Nurses Licensing laws or Nurse Practice Acts: –Protect the public from unqualified workers –Establish standards for the profession –Differentiate between a qualified and an unqualified worker Nurses must know and understand the licensing laws and the state’s Nurse Practice Act specific to their level of licensing.

Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Licensure of Nurses (cont’d) NCLEX –National Council’s Licensure Examination for graduates from an approved nursing program Mandatory Licensure –Designates the functions, duties, and responsibilities of the nurse and use of the title “nurse” in the particular state. Permissive Licensure –Practicing nursing without a license

Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Licensure of Nurses (cont’d) Endorsement –It is a form of agreement between states, particularly state licensing agencies. Reciprocity –It is a type of recognition of previous education and experience.

Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Nurse's Pledge The pledge serves as a guide for nursing practice. RNs recite the Florence Nightingale Pledge. LPNs recite the Practical Nurse’s Pledge. Nurses are expected to –practice ethically and conduct themselves appropriately –accept responsibilities within the role delineated by licensure

Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Theories of Nursing A theoretical framework provides a reason and a purpose for nursing actions. –Natural-Healing theory by Florence Nightingale –Independent-Functioning theory by Virginia Henderson –Self-Care theory by Dorothea Orem –Adaptation theory by Sister Callista Roy –Systems theory by Betty Neuman

Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Contemporary Nursing Roles

Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Question A nurse obtaining informed consent from the client is performing the duties of a nurse as a ________. a. teacher b. leader c. communicator d. team member e. client advocate

Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer e. client advocate As a client advocate the nurse helps clients understand their rights and responsibilities. They explain details about procedures, so clients are able to give informed consent. As a team member the nurse works in cooperation with other members of the healthcare team. The nurse teaches the client and family about illness and healthcare. The nurse communicates with other healthcare team members by documenting client care and maintaining reports. As a leader, the nurse motivates clients to achieve important goals.

Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins The Nurse’s Image Nurses need to –project a professional image –show respect for all –follow general practices of good grooming –wear washable uniforms with their nametag –maintain maximum levels of safety, hygiene, and protection for clients and self –maintain optimal health

Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Role of Nursing Organizations To provide professional forums To offer continuing education opportunities To enable network with peers To influence healthcare, nursing, and public policy legislation

Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Nursing Organizations National nursing organizations usually have state affiliates. Some of the national nursing organizations are: –NAPNES –NFLPN –NLN –HOSA –ANA International Council of Nursing

Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Question Is the following statement true or false? The American Nurses Association is an organization whose membership is composed of LPNs.

Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer False The American Nurses Association (ANA) is an organization whose membership is composed of RNs. It considers itself the voice of professional nursing in the United States. The National Association for Practical Nurse Education and Service (NAPNES) focus on the professional practice, licensure, and education of LPNs/LVNs.

Copyright © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins End of Presentation