Reflection
Over my years as a healthcare worker, there have been moments where I have felt immense self-adoration because of the progress of my patient, however in the same timeframe there have been times where professional limitations have stopped me from doing the right thing.
As a Registered Practical Nurse. I have worked in healthcare environments, where I have gained important knowledge and skills related to providing direct patient care. I have, however, come into several restrictions as to my scope of practice over time, which has led me to decide on Trent University’s Registered Nurse (RN) program. The limited capacity to independently evaluate and plan patient care, and the limited participation in leadership positions and decision-making are two particular difficulties that stand out.
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Challenge 1: Limited Capacity to Evaluate and Plan Patient Care
My area of practice as an RPN includes providing direct patient care, which includes helping with everyday living tasks, monitoring vital signs, and giving medications. When it comes to carrying out thorough examinations and creating care plans on my own, my role is restricted. This limitation is most noticeable when dealing with complicated patient situations that call for extensive professional judgment. For nurses like me who are capable of taking on more responsibility. RPNs often face challenges due to the necessity of working under the guidance of RNs or other healthcare professionals (Lavoie-Tremblay et al., 2011). RPN’s frequently struggle to make independent clinical decisions, especially when it comes to patient assessment and treatment planning, which has a big influence. This challenge has inspired me to look for a more independent position where I can directly participate in patient care planning and better use my clinical skills. For example as an RPN working in a long-term care facility. I was assigned to care for Mr. T, a resident with multiple chronic conditions. During my routine assessment, I noticed that his blood pressure was high, he appeared more fatigued and reported shortness of breath, which may indicate a worsening heart failure. I monitor his vital signs and follow the care plan in place. I was not authorized to make significant changes to his treatment, such as adjusting medications or ordering tests. Recognizing the need for advanced evaluation. I consult with the supervising RN or physician to ensure Mr. T. receives the appropriate care and an updated treatment plan.
Challenge 2: Restricted Leadership Opportunities and Decision-Making
The absence of participation in leadership and decision-making in the healthcare team is another issue I deal with as an RPN. Although registered nurses and other healthcare professionals frequently work together. RPNs usually have limited leadership and decision-making authority. In addition to leading teams and advocating for patients at a higher level. Registered nurses are expected to make important decisions on patient care. However, as an RPN, I frequently find that I am unable to lead the team or have a significant impact on choices, which restricts my ability to advance professionally. (Parsons & Pearson, 2016). This limitation impairs my capacity to fully participate in the healthcare team in addition to affecting my professional development. I will be able to take on leadership responsibilities as I transition to an RN position. Given me greater direct control over team interactions and patient outcomes. I will be able to take on leadership responsibilities as I transition to an RN position. For instance a resident’s condition was fast deteriorating after she experienced unexpected problems following surgery. Although I was able to monitor her vital signs, give her medications, and provide basic care. I quickly realized that Ms. C might need to change her treatment plan and seek help from a specialist. However, as an RPN I do not have the authority to decide certain important aspects of her care, such as changing her prescriptions. I had to wait for permission to proceed and submit to the on-call Registered Nurse (RN).
Additionally, my opportunities to participate in leadership roles and decision-making were often limited. As an RPN, I am typically not in a position to lead teams or make key decisions about patient care strategies or staffing assignments. While I can provide valuable input and support. I am not always empowered to take on leadership roles, especially in situations where critical decisions need to be made quickly. This restriction on leadership opportunities has impeded my professional growth, as I felt that my ability to make a meaningful impact on team management and patient care coordination is constrained by my scope of practice (CNO, 2019)
Why the Transition to RN at Trent University?
The RN program at Trent University offers an excellent opportunity to overcome these challenges and take my nursing career to the next level. By gaining a deeper understanding of advanced nursing concepts, clinical decision-making, and leadership. I will be better equipped to assess complex patient needs, develop care plans, and lead teams effectively. The program’s emphasis on leadership, critical thinking, and evidence-based practice will provide me with the skills I need to make healthier and knowledgeable decisions. Which will eventually improve the standard of care I offer patients. Will be able to pursue leadership and specialty nursing responsibilities. This change is in line with my long-term objective of developing into a self-sufficient, well-rounded nurse who can make a significant contribution to patient care and the advancement of the healthcare system.
