CNO Competencies: Application to the Scenario by Gurvir Parmar

7.1. Recognize and take action in situations where pt safety could be compromised: Asking the physician for alternative orders, and updating them on pt status.

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kellyzhangnotes — 2024-11-21 19:07:44 UTC

5.1 Consults with clients and health care team members to make ongoing adjustments

required by changes in the availability of

services or client health status

Scenario: the nurse advocated for changes in the treatment plan as she noticed the client's status deviating from baseline

1.4 Interpreted findings from head-to-toe assessment —> determined antibiotics are not improving the pt

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2.1 Nurse demonstrates accountability and seeks assistance as needed regarding patients antibiotic therapy

5.2

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Monitors client care to help ensure needed

services happen at the right time and in the

correct sequence

Rebecca continued monitoring the client to ensure the required actions were taken at the right time and sequence

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1.6; the nurse used her assessment and knowledge of the patients history to review efficacy of the plan of care and provide recommendations accordingly (ex. address the antibiotic resistance, address needs for new orders when patient condition deteriorating)

7.2 resolves unclear orders

rachaelv1_1 — 2024-11-21 19:08:13 UTC

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2.3 expresses professional judgement by bringing her concerns up to the MD

7.6. Advocates for safe, competent, compassionate care: Rachel stood her ground and advocated for the pt's health.

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1.25: Uses strategies to promote wellness, to prevent illness, and to minimize disease and injury in clients -> advocate for patients necessary needs to the physician to promote patient safety and prevent deterioration

1.24 used effective pharmacological strategies (Lorazepam) to de-escalate pt's aggressive behaviour

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1.7 Anticipates actual and potential health risks and possible unintended outcomes

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The nurse recognizses the potential risks of not taking preventable actions given the pt's medical history and current deteriorating status

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2.2 nurse demonstrated professional presence through the interaction with the MD and was committed to the health and well being of the patient

^^^ Questioned the current antibiotic treatment.

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5.6

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Supports clients to navigate health care systems and other service sectors to optimize health and well-being.

Rebecca supports the patient to ensure his health and well-being is optimized

1.2 Conducts a holistic nursing assessment to collect comprehensive information on client health status

2024-11-21 19:11:45 UTC

The nurse could implement the holistic care plans from Activity 2 (considering the pt physically, emotionally etc.)