Change of topic to today's purpose:
I remember when I was a NEW, not much experience Registered Nurse, years ago, and worked in the emergency dept of a tiny hospital in a small town in the South, I was told by a doctor on call to suture up a laceration! I said, I cannot do that! And doctor on call said, Gloria, you are smart. you can do it. I trust you. And I said I have never been taught how to do that. And he said, something like, you can sew and its similar and I said NO, I won't do it. And he said why? {this conversation was over the telephone.] and I said well for starters it requires anesthesia and I also cannot do that! And he said, it's that deep? And I said yes. And he said ok, I will have to get dressed and come in, tell patient I will be there soon. So he did come to ER and sew up that patient but I always felt as if I could have handled it better.
So, nurses around the world have complained about these sort of expectations from medical staff and as result, state boards of nursing are giving them some guidelines on when to say no to requests to do things not in your job description or training. I am including the guidelines mailed to me so others around world can learn from them.
For Registered Nurses, to decide if you are qualified to perform any particular task:
Ask yourselves these questions:
"1) Is the activity, intervention, or role prohibited by the NPA and rules/regulations of any other applicable laws, rules/regulations , or accreditation standards or professional nursing scope and standards? If yes, STOP.
If no, proceed to question 2.
2) Is performing the activity, intervention, or role consistent with evidence-based nursing and health care literature?
If no, STOP.
If yes, proceed to question 3.
3) Are there practice setting policies and procedures in place to support performing the activity , intervention or role?
If no, stop.
if yes, proceed to question 4.
4) Has the nurse completed the necessary education to safely perform the activity, intervention or role>?
If No, STOP.
If yes, proceed to question 5.
5) Is there documented evidence of the nurse's current competence [knowledge, skills, abilities,and judgements] to safely perform the activity, intervention or role?
If no, STOP.
If yes, proceed to question 6.
6) Does the nurse have the appropriate resources to perform the activity, intervention, or role in this setting?
If no, STOP.
If yes, proceed to question 7.
7) Would a reasonable and prudent nurse perform the activity, intervention or role in this setting?
if No, STOP.
If yes, proceed to question 8.
8) Is the nurse prepared to accept accountability for the activity, intervention or role and for the related outcomes?
If no, STOP.
If yes, the nurse may perform the activity, intervention, or role to acceptable and prevailing standards of safe nursing care."
This guideline is directly from the Missouri State Board of Nursing Newsletter , Feb-Mar-April 2017 issue, pg5.
The same newsletter , same article defines accountability as " to be answerable to oneself and to others for one's own choices, decisions, and actions as measured against a standard such as that established by the Code of Ethics for Nurses with Interpretative Statements. " I admit I am shocked by that statement since it says code of ethics and not standards of nursing practice. But the guidelines are worthwhile to help all new to the health care professions to make wise decisions.
Thanks to my readers of the previous post of this particular blog in US,Russiam France and Latvia. . You can read the complete list of all countries where I have followers on twitter or readers of my blogs on my https://gloriapoole.blogspot.com.
Also, you can follow me on twitter to be alerted when I post art I make or words I write or photos I photograph on this twitter accounts of mine: @gloriapoole; @gloria_poole; @ProlifeNurse; @tweetie0817 , @Tartan_Bliss and @personhood1. You can see more of the art I create in previous posts via links, and on the post if you scroll down a bit; and on my about me page on my https://gloriapoole.blogspot.com or at :
NOTICE TO PUBLIC; I am NOT in any way associated with or even know the people who tried to steal my identity and who bought domains twicial and human--relatiosnhips to steal my content to place onto their domains. You can and should read more about that on my https://gloriapoole.wordpress.com.
Some more of my blogs and sites for teaching health care and or prolife cause:
https://prolife-nurse.blogspot.comProlife Nurse Gloria Poole, blog
https://save-the-baby-humans.blogspot.comSave the baby humans , blog
https://real-women-have-babies.blogspot.com
https://publishing-life.blogspot.com
https://news-for-life.blogspot.comNews for Life
https://sites.google.com/site/artistillustrations/ [linked below]
https://sites.google.com/site/wordslife/Another public health effort of mine.
https://sites.google.com/site/wordslife2/A public health teaching site of mine.
https://sites.google.com/site/ambassadorforlife/HomeAmbassador for life --the cause of human life
https://sites.google.com/site/gloriapooleRN/optimumhealthisachievable Optimum health is achievable
https://sites.google.com/site/optimumhealthisachievable/ Back up site for Optimu health is achievable.
https://sites.google.com/site/gloriapoolern/Gloria Poole,RN earlier site
https://sites.google.com/site/myrnteachingwebsites/ List of my teaching sites as Registered Nurse
Also, please read this site of mine:
https://sites.google.com/site/webmaamgloriapoole/
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STATEMENT OF OWNERSHIP OF THIS BLOG:
This blog however is owned by and created by me [Ms] Gloria Poole,RN,artist of Missouri and below are facts about me and I own all rights to it.
This is my copyright notice in my own handwriting for this blog and all blogs and content I create including art I post with these #art; #sketches #ethnicseries; #birdsketches; #watersketches; but keep in mind other people can use the hashtag method to tag their posts also.
https://gloriapoole.blogspot.com/p/about-me-gloria-poole.html.
I have to remind public occasionally I am same single-again [since Oct 2007] white, Southern Baptist, born again, twice-divorced, woman who also photographs extensively and makes art almost every day. And occasionally, I write on nursing or medical issues to educate the public. You can read some of those also on these sites of mine:
https://twitter.com/ProlifeNurse
https://twitter.com/personhood1
About me Gloria Poole, RN, artist, blogger, writer, author, photographer, tweeter:
Symbols and photos that represent me Ms Gloria Poole, RN, artist of Missouri and Georgia:
This is one of my Christian crosses that I wear sometimes. I am posting it here to remind all that I am a believer in THE LIVING LORD JESUS who is THE MESSIAH as foretold by the Old Testament. You can read more about JESUS and how to be born again on this blog of mine:
https://salvation-is-free.blogspot.com.
This is the seal of the Georgia Baptist College of Nursing where I graduated nursing school years ago. I am a Registered Nurse licensed in Missouri but before that in other states; but for most of my life, my license was in state of Georgia, where I was born and grew up and was educated.
You can see more of the art I created on these blogs of mine, and read more on the human development of babies in wombs on my #prolife blogs:
https://save-the-baby-humans.blogspot.com
https://publishing-life.blogspot.com
https://real-women-have-babies.blogspot.com
https://prolife-nurse.blogspot.comUpdated in Jan 2017.
https://gloriapoole.blogspot.com
https://artist-gloriapoole.blogspot.com
https://gloriapoole-paintings.blogspot.com
https://gloria0817.blogspot.com
https://gpoole817.blogspot.com
https://mini-exhibition.blogspot.com
https://gloriapoole.wordpress.com
https://gloriapoole1749.wordpress.com
http://gloriapoole.livejournal.com
http://gloriapoole-UK.livejournal.com
https://tapestry-of-life-LLP.blogspot.com; updated by me Gloria in Feb 2017
https://words-that-work-LLP.blogspot.com; includes my words I wrote of my experience after concussion
That article is in the archives so scroll to find it.
https://news-for-life.blogspot.com I Updated to create a culture of life.
https://sites.google.com/site/ArtistIllustrations
with pencil drawings I drew of some of the stages of human development.
https://cartooning-by-gloriapoole.blogspot.com
https://sites.google.com/site/PooleGloria; updated by me today 31 August with simple #cartoon I made
https://lifes-entertainment.blogspot.com
I updated this blog today also.
https://sites.google.com/site/webmaamgloriapoole/; updated slightly by me today also
and other sites and blogs of mine also. My copyright includes all original content that I create whether or not I post it on web.
STATEMENT OF OWNERSHIP:
This blog and all content, all words, all photos and all art on it, are owned by me and were created and posted by me Gloria Poole , RN, artist of Missouri and Georgia, signed by me, photographed by me and uploaded by me, and I own all rights to it collectively and individually.
Copyright notice :I, Gloria Poole, own all rights to all content on this blog. Usually I sign the art I create as simply Gloria since that is my first name, that I was born with; but on pencil and or ink drawings I sometimes also sign my born with surname of Poole which is my legal name again because I resumed it by Court order after both divorces. I am also known on the web and in real life as Gloria; Gloria Poole; Gloria J Poole; Gloria Poole, RN, artist; and on the web as : gloriapoole; gloria-poole; gloria.poole; Ms Gloria Poole; gloriapoole.RN; gloriapoole_RN; gloriapooleRN at yahoo; gloria0817; gpoole817; artist-gloriapoole; gloriapoole-paintings; artist-gloria; Poole,Gloria; gloriapoole1749; and other variations of my real, born with, and legal name of Gloria Poole. For the record, I am a white, single-again, twice divorced, Southern Baptist, born again, Christian, woman and the mother of only two children who are grown daughters who are named Jennifer and Leigh. I am also a prolife activist, blogger, artist in all mediums; photographer for my own purposes, Registered Nurse with a license in Missouri but before that for most of my life in the state of Georgia, U.S. citizen born in the state of Georgia; University of Georgia alum, Georgia Baptist College of Nursing alum, writer, illustrator, author, personhood promoter. This blog may not be downloaded, nor copied individually or collectively as a whole; nor have domains forwarded to it that do not belong to me, nor may the photos or art on it be reproduced or saved to disk by anyone .
I create all content on this blog and I, Gloria Poole, own all rights to this blog collectively and individually as single posts. All telephones listed on this account and any account of mine on the web belong to me personally and are in my apartment in Missouri or in my possession at all times. Some of my numbers are wired, landline telephones and some are mobile phones. This blog and all blogs that I create and that contain my words I wrote and or art I made and signed and or photos that I photographed belong exclusively to me Gloria Poole, of Missouri and Georgia. Copyright. Gloria Poole / Gloria / gloriapoole /gloria-poole /gloria.poole/ Ms Gloria Poole/ Poole Gloria / G-L-O-R-I-A / gloriapoole1749 /gloria0817 /gpoole817 / gloriapooleRN at yahoo / gloriapoole.RN / artist-gloriapoole /Gloria Poole,RN,artist /cartooning-by-gloriapoole / photo-by-gloriapoole, and other variations of my real name with or without my professional status as Registered Nurse and with or without numbers after my name, at my own private apt in Missouri which is not shared with anyone and neither is my equipment nor phones shared with anyone, and neither is my isp account shared with anyone which means no one is authorized to log into any account of mine anywhere but me. /signed/ Gloria Poole, RN, artist; at my apt in Missouri on 27th Feb 2017 at 1:53pm. Gloria Poole / Gloria / gloriapoole / [Ms ] Gloria Poole,RN,artist of / in Missouri, USA
