HEALTHCARE PROFESSIONALISM

ROBBIE ANNE G. BELMIS, RN, MAN

WHAT IS PROFESSIONALISM?

WHAT IS A PROFESSIONAL?

WHAT IS A PROFESSION?

WHAT IS NURSING PROFESSIONALISM?

WHY IS PROFESSIONALISM IMPORTANT IN HEALTHCARE?

Nursing Professionalism Attributes

Knowledge Spirit of Inquiry Accountability Autonomy Advocacy Innovation & Visionary Collegiality & Collaboration Ethics & Values

KNOWLEDGE

WHAT KIND OF KNOWLEDGE IS NEEDED?

SPIRIT OF INQUIRY

 Open mindedness Asking questions Being committed to learning

ACCOUNTABILITY

AUTONOMY

ADVOCACY

INNOVATION & VISONARY

ETHICS AND VALUES

COLLEGIALITY & COLLABORATION

WHERE DO WE START?

CASE STUDY 1
You are a nurse working in a community hospital emergency department for the past 5 years; prior to that you worked for 5 years on a surgical unit. You really like a new a coworker (Crystal a RN). The two of you have connected and have lots of fun working together, although you have to admit to yourself (and youve heard from other nurses), you are a little concerned about Crystals competence. Crystal is new to the ER having worked on the unit 10 months. You believe her lack of competence relates to lack of experience; she came to the ER after working just one year on a medical unit. During this shift you are working closely with Crystal (each of you is caring for clients in a close area). You overheard Crystal swear under her breath at the medication cart. You ask her what is wrong. She admits she has made a medication error. She administered twice the dose of Hydrochlorothiazide (40 mg. rather than the ordered 20 mg). She gave the medication 2 hours ago. Crystal asks you if this has to be reported. She admits she made a small medication error 3 weeks ago and shes worried if this is reported she will be removed from the ER and she wont be working with you.

CASE STUDY 1

1. What will be your immediate action after what crystal confessed? 2. What should be the proper patient management after the medication error? 3. Must you report this medication error? If so, who must be aware of the error? The patient? The physician? The ER Head Nurse?

CASE STUDY 1

Your immediate reaction is to ask the present condition of the patient.

Crystal states the patients urine output is not measured (goes to the bathroom on his own) but his vital signs are stabilized. His heart rate and blood pressure have both reduced to normal compared to arrival in the ER when both were high.

CASE STUDY 2
Sophia, a registered nurse and had been working in ER for 2 years now, was taking care of a patient that was involved in a motorcycle accident in which his bike fell onto and injured his left leg. When Sophia was assessing the patient, she could not detect a pulse in that leg, an ominous sign of circulatory failure. The physician when notified chose to dismiss this fact and discharge the patient. How ever Sophia really thinks that it needs prompt treatment. Should Sophia follow the physicians order and just discharge the patient even though it is against her principles? Should Sophia argue with the physician and insists her assessment? What will be Sophias appropriate action? Whom will she notify if she decides not to follow the physicians order?

1. 2. 3. 4.

CONCLUSION

THANK YOU!!!