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1. NRSE4510: Scope of Nursing Discussion
NRSE4510: Scope of Nursing Discussion ON NRSE4510: Scope of Nursing
DiscussionResponse posts: Minimum of one (1) total reference: one (1) from peer-reviewed
or course materials reference per response.Post a thoughtful response to at least two (2)
other colleagues’ initial postings. Responses to colleagues should be ive and helpful
(examples of an acceptable comment are: “This is interesting – in my practice, we treated or
resolved (diagnosis or issue) with (x, y, z meds, theory, management principle) and
according to the literature…” and add ive reference. Avoid comments such as “I agree” or
“good comment.”Below are the two initial posts of two peers need to respond to.:
NRSE4510: Scope of Nursing Discussion1. GayleScope of Nursing PracticeThe purpose of
this posting is to discuss the scope of nursing practice. The nursing scope of practice as
described by the American Nursing Association “as the “who,” “what,” “where,” “when,” and
“how” of nursing practice.” (2018) As Registered Nurses, there are many components that
we apply to our everyday practice without realizing it. From assessing situations,
advocating, educating, and administering treatment or interventions for all patients in need
and remaining compassionate and caring.The Ohio Administrative Code defines the Scope
of RN practice as: “Providing to individuals and groups nursing care requiring specialized
knowledge, judgment, and skill derived from the principles of biological, physical, behavior,
social, and nursing sciences.” (Lawriter, 2017).How did I provide this care and uphold
theses definitions? One example is a patient that was I was taking care of in an acute
hospital setting was 1 day post-op from colorectal surgery in which he received an
ileostomy. After receiving routine labs, his Hemoglobin resulted in <7.0. Per protocol, the
Resident on call was notified. After assessment, 2 units of PRBC were ordered. After 1 unit
was administered, new onset of symptoms including hypotension, dizziness, pallor,
lightheadedness and an ostomy bag now displaying bright red blood. Our Rapid Response
team was notified and the ultimate result was a transfer to the Surgical ICU. The Resident
was furious that I paged the RR team rather than to notify him again. NRSE4510: Scope of
Nursing DiscussionI upheld the scope of nursing practice by utilizing my knowledge,
judgement and skills that came from education, advocating and interventions. It is
important to know the nursing practice act as it upholds you to react to keep the patient
safe. If I had reacted by just hanging the 2nd unit of blood or ignoring the new onset of
symptoms, the nursing practice act may determine that I am not competent to care for
patients. Nurses have a duty of reasonable care. (ANJ, 2019). At the end of the day, it’s my
duty as a nurse to protect, promote and optimize health. (ANA, 2018).References:American

2. Nurses Association. (2018). Nursing: scope and standards of practice (3rd ed.). Silver
Spring, Maryland.The Elements of a Nursing Malpractice Case, Part 1: Duty : AJN The
American Journal of Nursing. (2019, July). Retrieved November 13, 2019,
from https://journals.lww.com/ajnonline/Fulltext/2019/0…Lawriter Ohio rules and laws.
(2017). Retrieved November 13, 2019, from http://codes.ohio.gov/oac/Search/scope of
rn.2.AndreaScope of Nursing PracticeThe purpose of this posting is to discuss the
understanding of the nurse’s scope of practice as defined by the ANA and through the Ohio
Board of Nursing. It is important to each nurse to have a clear understanding to provide safe
and efficient care to each patient. The standards of practice are guidelines of how every
nurse should be caring for each individual patient. They describe a competent level of
nursing care as demonstrated by the critical thinking model, assessment, diagnosis,
outcomes, identification, planning, implementation and evaluation, otherwise known as the
nursing process. The Ohio Board of Nursing defines the nursing scope of practice as
providing to individuals and groups nursing care requiring specialized knowledge,
judgment, and skills derived from the principles of biological, physical, behavioral, social,
and nursing sciences. NRSE4510: Scope of Nursing DiscussionA scenario that I have
encountered that pertains to this discussion is a patient who came into the Emergency
Department experiencing shortness of breath. Upon arrival to the ED through triage the
patient was pale and tachypnic. When I attached the pulse oximeter the patient’s oxygen
saturation read 89%, after this assessment I applied 2 liters via nasal cannula. I made sure
my patient remained stable, performed the EKG and then found the provider to obtain an
order for oxygenation administration. It is within our scope of practice to administer O2
with an oxygenation saturation below 92%. After reassessing my patient, the O2 saturation
read 95% and the patient was breathing within normal limits. By implementing the nursing
process, I was able to stabilize the patient and prevent them from going into further
respiratory distress. NRSE4510: Scope of Nursing DiscussionUnderstanding the nursing
scope of practice is extremely important due to the fact that nurses can be put into situation
and I believe it is better to ask yourself, a manager or check with someone else before you
perform an action that is out of your scope of practice. When you step out of your scope of
practice you are putting that license you worked so hard for on the line. Our patients
depend on us and trust us, we must be able to provide the care that they deserve.American
Nurses Association (2010). Nursing: Scope and Standards of Practice (2nd ed.). Silver
Spring, MD: American Nurses Association.Ohio Board of Nursing (2018). Scopes of Practice:
RN and LPN. Retrieved from http://nursing.ohio.gov/wp-
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