Roles and Responsibilities of the Newly Qualified Nurse

Roles and Responsibilities of the Newly Qualified NurseThe aim of this essay is to look for and talk of classic aspects of the roles and responsibilities of the sweetly fitting go down on. It bequeath discuss an overview of contrastive type of roles and responsibilities including transition. The roles and responsibilities of a serve entertain include essential lord skills such as leading in pity management and precaution passy situations as well as maintaining standards of c be. The focus of the essay pull up stakes be on two elect roles of freshly measure up nurses (delegation and unhurried of theme solicitude). It ordain discuss the meaning of these c at a timepts and their importance for nurses, and cater whatever applicatory contextual physical exertions. It leave alone also discuss the rational of chosen rolesA tonic qualified nurse expected to be commensurate to break away in all(prenominal) environments and situations. This emerging wellness c argon micturate requires a registered Nurse shitforce at all levels post initial registration capable of critical reflective thinking in frame to create this system. With registration comes a budge in victor person person answerability together with wider clinical management and teaching responsibilities. On becoming a qualified nurse, the expectations and dynamics of relationships deepens fundamentally. Suddenly the newly qualified nurse is the genius who mustiness know the answer whether it is a query from a patient, a c ber, a work colleague or a student. The newly qualified nurse will encounter many challenging situations where she or he must lead care oral communication. This includes fareing with care management deep down the team, dealing with patients/service users, dealing with otherwise professionals, and dealing with the required inescapably of the whole workplace environment. The NMC requires a student nurse to demonstrate professional and honorable practi ce, be adapted in care delivery and care management and show personal and professional development in erect to join the register NMC (2010). It is recognized that nurses should be provided with some form of preceptorship and management in their role for a period of four months time NMC (2006)) once qualified. Even in this period of preceptorship, at that place are new expectations and challenges go ab come out of the closet by the newly qualified nurse.Mooney (2007) found that newly qualified nurses were set about with assumptions from others that they should know all(prenominal)thing. This was also a high expectation they had of themselves. In run into the NMC standards of proficiency the nurse should boast demonstrated the relevant knowledge and skills in order to practise in their career. However, it is classic to recognise that non every nurse knows everything about everything in their career peculiarly if they are practising in highly specialized fields. What they enquire is to be able to develop and conform to changing situations. Therefore, for the nurse it is impossible to know everything but they should experience demonstrable the skills to find out relevant information, reflect on it, and apply this to their practice. In essence they should take learned how to learn. There is a great deal to be learned once qualified, especially related to a nurses new area of work and a good deal of the development necessarily to take place on the job.The study by Jackson. K (2005) suggested that a successful transition requires the nurse to develop a self-image relevant to the change in status to be able to do the job and that they affect the expectations with others with hold support. Mooney (2007) also points out that the duties set about by most newly qualified nurses were non patient contact centred. There were a potful of duties related to contacting and dealing with other professionals and services. These brought anxieties related to th e responsibilities that tycoon be slipd as the nurses would manufacture increasingly senior in their roles with others expecting them to provide the actions and the answers in complex situations. This highlights how the make out of nursing of transition from student to newly qualified nurse can be daunting. In the current environment there is an expectation that nurses have a preceptor one qualifying for facilitate in these transitions but the literature still suggests there is a difficultness in the transition action for such professionals. Hole. J, (2009) found that individual office, relegating duties without appearing bossy and some challenging clinical situations such as death and dying and specialised technological roles were found to be stressful by qualifying nurses. Issues of the preceptorship of newly qualified nurses become apparent and important in dealing with the transition from supervised student to autonomous practitioner.The rise taken end-to-end the res t of this essay will be to provide a discussion of the main theories, concepts, and issues related to the roles and responsibilities of delegation and PGD for newly qualified nurses. It will discuss the meaning of these concepts and their importance for nurses, and provide some practical contextual examples. The rational of choosing these two roles are because Firstly delegation is a huge newly qualified nurses concern. According Hole. J, (2005) newly qualified nurses are not capable to delegate tasks to person else and they end up hooking themselves. This is because an accountability issue or not knowing the staves well as they is new to the ward. Secondly, it is a legal requirement that newly qualified nurses pauperization to have knowledge of PGDs in order to work within legal and ethical frameworks that netherpin estimable and effective medicines management NMC (2010). For this reason, I personally was evoke and picked them to discuss in order to develop my examineing and prepare me to success amply make the transition from student nurse to a registered professional.Delegation is the process by which responsibility and authority for performing a task is transferred to another(prenominal) individual who accepts that authority and responsibility. Although the delegator remains responsible for the task, the delegate is also accountable to the delegator for the responsibilities assumed. Delegation can help others to develop or enhance their skills, promotes teamwork and improves productiveness Sollivan.E.J et al (2009). Therefore, delegation is the area where newly qualified rung experience huge difficulties. Often they do not smell out confident sufficiency to ask someone else to do something for them. Consequently, they try to do all of the work themselves and end up leaving late or providing less than becoming standards of care. Other genus Phalluss of mental faculty will not mind if they delegate tasks to them, as long as they apply the basic r ules such as ensuring that it is something they are competent to do. When delegating, the delegator remain responsible for that care if he/she do not delegate appropriately as stated by NMC (2008). It is also important that the delegator explained clearly what it is he/she lack them to do and why because he/she might genuinely busy or is it just something that he/she does not want to do.Hole.J, (2005) explained that As long as he/she asks the other extremity of supply in a courteous manner and stick to the rules, there will be few problems. However, there may always be someone who has the potential to react in a negative way to his/her request. These bulk are often known for this type of behaviour and it should be dealt with fleetly by their manager. This type of reaction experience should be discussed with the member of staff or if he/she not spright simple eyesss confident enough to do this, he/she should talk to the manager.As mention above this will be a difficult skill fo r a newly qualified nurse especially at first. They will need to get to know the other staff before they will feel truly comfortable delegating to others in the team. They may feel guilty about asking others to do tasks which they feel that they should be doing themselves. What they need to realise is that they cannot possibly do everything themselves and that they will need to work as a team in order to deliver good patient care. The new qualified nurses may well feel that they cannot ask others especially HCAs who have worked on the ward for years to do things for them. The nurse will probably feel self-conscious and embarrassed.The answer is that it is not what the nurse asks them to do that are important. It is how he/she asks them. Good communication is the observe to successful delegation. The nurse should take a few minutes to discuss with the HCA/student with whom he/she is working who will be doing what during that paper bag. Share the workload and be realistic. Therefore the newly qualified nurses must not overload themselves with care they do not really think they can give. The member of staff would rather know what their workload is at the beginning of the shift so that they can organise their time effectively. If the delegator has to ask them to take on extra work during the shift, they will find this difficult. So the delegator should keep communicating with them during the shift, and if he/she is held up with relatives or an acutely ill patient, he/she should state them and explain that he/she will try to help them as shortly as possible.When the new qualified nurses are delegating, it is important to undertake that this is appropriate as it is their responsibility to ensure that the member of staff to whom they delegate is competent to perform the task. This means that if they delegate a task to a member of staff who is not competent and they perform the task wrongly, they are accountable for the harm caused to the patient. Although the me mber of staff responsible, they remain accountable. For example, they cannot assume that the HCA/student with whom they are working is competent in the skill of measuring and recording a patients blood pressure. Just because the member of staff has worked on that ward for a period of time, this does not mean that they have been taught correctly. They must measure their competency to perform the task before they allow them to do this independently. They can indeed justify their delegation of that skill if necessary.Patient Group Direction (PGD) is a written instruction for the supply and/or government of a licensed medicine (medicines) in an set clinical situation signed by a doctor or a dentist and pharmacist. It applies to a crowd of patients who may not be individually identified before presenting for interposition NPC (2009), page 11. In simple terms, a PGD is the supply and/or cheek of a qualify medicine or medicines by named authorised health professionals for a group of patients requiring treatment for the condition described in the PGD. The health professional must be registered.Implementing PGDs may be appropriate twain in circumstances where groups of patients may not have been previously identified for example, minor injuries and first contact services and in services where appraisal and treatment follows a clearly predictable pattern such as immunisation, family planning and so on. Professionals using a PGD must be registered or equivalent members of their profession and act within their appropriate code of professional impart. This differs from supplementary prescribers and independent prescribers who must also successfully complete particular prescribing training and be appropriately registered before they may prescribe. However, organisations using PGDs must designate an appropriate person within the organisation. For example, a clinical supervisor, line manager or General Practitioner to ensure that only fully competent, qualified a nd trained healthcare professionals use PGDs. Individual practitioners using a PGD must be namedA Patient Group Direction allows specified registered healthcare professionals to supply or administer a medicine at present to a patient with an identified clinical condition without him/her necessarily seeing a prescriber. So, patients may present without delay to health care professionals using PGDs in their services without seeing a doctor. Alternatively, the patient may have been referred by a doctor to another service. Whichever way the patient presents, the healthcare professional working within the PGD is responsible for assessing that the patient fits the criteria set out in the PGD. In general, a PGD is not meant to be a long-term means of managing a patients clinical condition. This is best achieved by a health care professional prescribing for an individual patient on a one-to-one basis.Before a healthcare professional can use a PGD, he/she must be named and have signed t he PGD documentation. This mainly takes the form of signatures and names on a list or individual forms that are attached to the PGD itself or held by the service or organisation. Employees of NHS organisations authorising a PGD generally have indemnity attached to their status as an employee. This may also apply to non-NHS organisations. However, the organisations and employees confused should always check that this is the case. If the professional is not directly employed by the organisation, he/she still needs to be assessed as competent to use the PGD and must have his/her own relevant professional indemnity or insurance. These issues have implications for service delivery when new staff begins, or agency staff are covering services. They may not be able to work under a PGD immediately or may be excluded because of their employment status. Service managers need to be aware of these issues and plan service delivery to accommodate them.The use of PGDs is widespread throughout th e NHS and since April 2003, some non-NHS organisations have been able to use them suggested by NPC (2009). Organisations must ensure that staff responsible for the development / implementation of PGDs and those authorised to work under PGDs have the experience, knowledge and skills necessary to do so. Unlike supplementary prescribers, nurse independent prescribers and healthcare professionals using PGDs do not have to become specifically qualified to do so. But they must be assessed by their organisations as fully competent, qualified and trained to form within a PGD.A suitably competent and experienced healthcare professional who will be working under the PGD should be involved in the composing of the PGD, to ensure that the PGD meets the needs of the service. The role by RCN (2004) proposes that the registered nurse must be assessed as competent in medicines administration, must(prenominal) be trained to operate within a PGDMust follow the 6 Rs of medicines administration Usual ly need to be qualified for at least 6 months Must assess the patient to ensure they fit the criteria as detailed in the PGD Must ensure the PGD meets the necessary legal requirements Cannot delegate the supplying/dispensing or administration stage to another registered nurse or student nurse. There is no specific national training for healthcare professionals producing PGDsThe newly qualified nurses are not expected to be able to operate under a PGD until competent in medicines administration. However, they need to have knowledge of PGDs for their patient safety. For example, if patient under PGD admitted to the ward, the nurse must ensure that the medicines not stopped. The NMC (2010) code of head outline that newly qualified nurses to be fully understood all methods of supplying medicines. This includes Medicines Act exemptions, patient group directions (PGDs), clinical management plans and other forms of prescribing. They are expected to demonstrate knowledge and application of the principles required for safe and effective supply and administration via a patient group direction including an understanding of role and accountability. And also demonstrate how to supply and administer via a patient group direction. The newly qualified nurses may be involved with PGDs such as assisting and identifying areas where a PGD would offer more benefits than a PSD, understand the principles and processes of PGDs and be fully conversant with all the principles associated with dispensing and administering medicines they may also be working in a variety of settings where PGDs are used for example prison health care setting, nurse led service, walk in centresIn my conclusion, I have learnt the roles and responsibilities of newly qualified nurses and I have developed skills and professional knowledge to work effectively with others. The NMC (2010) code of conduct helped me how the laws and policies are set up to ensure safe and effective delivery of care given to service u sers under a patient group direction. I am now prepared for the challenges I will face on being a newly qualified nurse by providing the knowledge and skills required to become effective and accountable practitioners. Clinical decisions will still have to be made in relation to collision the needs of the people within my care. However, becoming a qualified nurse brings with its wider responsibilities in making and taking decisions related to the nursing team, other staff, and the work environment as a whole. These changes require a large shift from the experience of being a student and a mentored supervised learner, so it is essential that I am equipped with all the skills required to successfully make the transition.