healthcare professionalism
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HEALTHCARE PROFESSIONALISM
ROBBIE ANNE G. BELMIS, RN, MAN
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WHAT IS PROFESSIONALISM?
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WHAT IS A PROFESSIONAL?
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WHAT IS A PROFESSION?
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WHAT ISNURSING PROFESSIONALISM?
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WHY IS PROFESSIONALISMIMPORTANT INHEALTHCARE?
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KNOWLEDGE
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WHAT KIND OF KNOWLEDGEIS NEEDED?
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SPIRIT OF INQUIRY
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Open mindedness
Asking questions
Being committed to learning
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ACCOUNTABILITY
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AUTONOMY
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ADVOCACY
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INNOVATION & VISONARY
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ETHICS AND VALUES
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COLLEGIALITY
&COLLABORATION
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WHERE DO WE START?
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CASE STUDY 1
You are a nurse working in a community hospital emergency departmentfor the past 5 years; prior to that you worked for 5 years on a surgical unit. Youreally like a new a coworker (Crystal a RN). The two of you have connected andhave lots of fun working together, although you have to admit to yourself (andyouve heard from other nurses), you are a little concerned about Crystals
competence. Crystal is new to the ERhaving worked on the unit 10 months. Youbelieve her lack of competence relates to lack of experience; she came to the ERafter working just one year on a medical unit.
During this shift you are working closely with Crystal (each of you iscaring 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 smallmedication 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.
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CASE STUDY 1
1. What will be your immediate action after what crystalconfessed?
2. What should be the proper patient management after themedication error?
3. Must you report this medication error? If so, who must beaware of the error? The patient? The physician? The ERHead Nurse?
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Your immediate reaction is to ask the presentcondition of the patient.
Crystal states the patients urine output is not
measured (goes to the bathroom on his own) but hisvital signs are stabilized. His heart rate and bloodpressure have both reduced to normal compared to
arrival in the ER when both were high.
CASE STUDY 1
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CASE STUDY 2
Sophia, a registered nurse and had been working in ER for 2years now, was taking care of a patient that was involved in amotorcycle accident in which his bike fell onto and injured his left
leg. When Sophia was assessing the patient, she could notdetect a pulse in that leg, an ominous sign of circulatory failure.
The physician when notified chose to dismiss this fact anddischarge the patient. How ever Sophia really thinks that it needs
prompt treatment.1. Should Sophia follow the physicians order and just discharge
the patient even though it is against her principles?2. Should Sophia argue with the physician and insists her
assessment?3. What will be Sophias appropriate action?4. Whom will she notify if she decides not to follow the physicians
order?
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CONCLUSION
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THANK YOU!!!