Sheila, an RPN has been working at the Victoria General Hospital for the last 15Marketing Research and Data Analysis
years. The first seven years she worked on a busy medical unit where she was part-
time and worked both days and nights and the equivalent of full time hours because she
went in more or less whenever she was called. She really enjoyed the work on this unit
but when a full-time posting came up on the Palliative Unit she really felt she should
apply as she was getting married, saving to buy a house and thought it was very
important to have more stable work. Sheila was the successful applicant in competing
for this position. She was thrilled and eager to work in another area of nursing;
Palliative Care.
Sheila has been working on this unit for 8 years now. She has really found the
work on the Palliative Unit to be very rewarding; supporting families as they deal with
the end stages of life; losing a loved one. Recently, she is beginning to find 12 hour
days, nights and weekends and the intensity of the care along with having two young
children at home to be difficult. She has been considering looking at what other
employment options she may have within the institution. She frequently checks the on-
line posting board.
One day on her lunch, she notices a new posting for the Post-op Day Unit. The
shifts are 8 hours and primarily days and may be required to work one weekend a
month. She discussed the opportunity with her husband. They both feel that this would
be a very positive change for their family. He inquires if that would be the type of unit
that his colleague, Ed’s wife would be going to have her colonoscopy and Sheila tells
him yes.
Sheila feels confident in her skill set because of her experience. She begins to
feel excited and wonders what it would be like. She wants to find out what a typical
nurse’s shift would include. She does not want to ask a lot of questions because she
really does not want any of her colleagues or her manager to know she is interested in
this position. One night she ponders about how she could find out more information.
She remembers that her husband’s colleague’s wife was going there for a colonoscopy
and she decides to go into her chart on her break to view what the nursing care
requirements involved. At the same time, she accesses personal information about
Ed’s wife. When one of her colleagues enters the nursing station, she quickly closes
the screen.    three nursing practice recommendations using
rationale from three scholarly resources and at least one CNO document.
Nursing Recommendations:
Recommendations may include any relevant nursing intervention, action, or strategy that is within the scope of practice of an RPN.

 

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