Leadership & Management, Individual Assignment
American Nurses Association has established the Nursing: Scope and Standards of Practice for nurses. This document
creates a foundation for all practicing nurses to abide by. As a current
Licensed Vocational Nurse and Registered Nursing student, I will be discussing
the differences in the Nursing: Scope and
Standards of Practice that I will be applying to my clinical experience
during school. Two specific standards that I am interested in are assessment
The first standard under the Standards of Practice is assessment, defined by the American Nurses
Association as, “The registered nurse collects pertinent data and information
relative to the healthcare consumer’s health or the situation” (American Nurses
Association, 2015, p. 53). A very
noticeable difference between the scope of a Licensed Vocational Nurse versus
the Registered Nurse will be doing the initial assessment of the patient upon
admission. The Registered Nurse is tasked with the initial assessment rather
than the Licensed Vocational Nurse because of their educational background and
more responsibilities. It’s very important to perform a thorough evaluation of
your patient, not just their body but their psychosocial, socio-economic
status, personal values and beliefs, family dynamics, education level, etc. The
Registered Nurse is one of the first people a new patient will meet upon
arriving to the unit and it’s important to have great assessment skills. During
clinicals, I plan to use my time to shadow other Registered Nurses and learn
their techniques to perform a thorough and comprehensive admission assessment. During
my time as a Licensed Vocational Nurse, I have performed many duties in the
admission process but always had a Registered Nurse sign off on my
observations. The Licensed Vocational Nurse can log all the medications that the
patient is currently taking and have them sign all the admission forms.
The standard of leadership is defined by the American
Nurses Association as, “The registered nurse leads within the professional
practice setting and the profession” (American Nurses Association, 2015, p. 75).
Reading more about leadership and what it is to be a leader according to the Nursing: Scope and Standards of Practice it
talks about being a mentor to others and advancing the quality and standards of
nursing care. I can see myself stepping out of my role as a Licensed Vocational
Nurse and being more of a leader as a Registered Nurse by sharing knowledge and
proving help to my coworkers who may be struggling. If I were to see that
someone needs help with sterile technique or just reminding someone the
importance of handwashing to help protect patients and others, it would show
leadership. Also a leader I can help create an atmosphere where I can help
maintain the patient’s dignity and earn their respect and trust. We as nurses know
a lot about our patients and we must protect and maintain their dignity and
earn their trust and respect. An example I see a lot at my job is seeing staff
talking about patients, in a non-professional capacity, while in the facility.
Gossiping about patients is inappropriate and if one is being a leader, we need
to politely ask others to save their conversation for another time, not at work
or not at all.
to our text book, “Nurses are alternately leaders and followers when they work
with other health care team members to achieve patient care goals,” (Kelly,
2012, p. 4). I have seen a lot of Registered Nurses that are leaders but do not
act as part of a team to help achieve patient goals. One of my goals for myself
as a Registered Nurse and as a leader is to not fall into bad habits by
delegating and relying on the staff around me and avoid being part of the
healing process for my patients.
Nurses Association. (2015). Nursing: Scope and Standards of
Practice (3rd ed.). Silver Spring, MD: American Nurses Association.
P. (2012). Nursing Leadership & Management (3rd ed.). Clifton Park, NY:
Individual Assignment Grading Criteria
200 Points possible
1. Work submitted
demonstrates independent thinking and performance.
2. Application of
theory demonstrates use of text/class resources. (leadership,
pathophysiology, nursing focus/process, ethics, culture, references,
evidence-based practice EBP).
depth and solutions are presented, expounded upon and discussed.
4. APA 6th Edition writing style (grammar,
spelling, punctuation, running head and references including proper citations
within the body of the paper and a reference page).