Discussion #1 – Review of Scenario A
I would normally describe my role as a nurse as the member of a patient’s health team that supports the patient through regular assessment of their health, activities of daily living, medications, and treatment interventions to help promote the patient’s care needs and goals as defined by their care plan, and to advocate for them to receive the best care through communication and collaboration within the patient’s inter-professional heath care team.
Given that the wound is not progressing along the expected path it is time to engage with other members of the team- see attachment uploaded.
My role a a RPN would have me taking care of patients with “predictable outcomes” or “stable”.
We know that these terms are flawed. Any patient can look well and have a sudden change in status.
An example of this would be administering a vaccine to a patient who is well with KNA, however, they become anaphylactic post vaccine. No all setting has a MD on site or RN. Its my responsibility to know how to deal with this urgent matter.
I would describe my role as a nurse as a part of the circle of care for the patient, their advocate and support throughout their need through the healthcare system. I would also classify myself as their navigator and educator as some people find it difficult to navigate throughout the healthcare system. Some patients also are unsure of the course of treatment and procedures they are going through, so with the assistance of myself and fellow co-workers they are educated on what is going to happen and what has been happening as some MD don’t always take the time to ensure the patient is comfortable and aware of their treatment.
I agree with Megan that as an RPN we are certainly a part of our patient’s “circle of care” and also act as navigators and educators of the health care system for our patients- it is a role with many hats! That extra time we can spend really seems to offer immense amounts of support to patients and their families during difficult times.