Staff nurses facing reassignment-are you competent?
Staff Development Coordinator, HEC HEC Hautes Études Commerciales
HEC Hautes Etudes Commerciales (French)
HEC Higher Education Commission (Pakistan)
HEC Hydrologic Engineering Center (Davis, CA) Trinity Regional Medical Center Trinity Regional Medical Center (TRMC) is a regional medical center located in Fort Dodge, Iowa. The hospital has 200 licensed beds, and in addition provides support to a number of smaller hospitals in northwest Iowa. The hospital is affiliated with the Iowa Health System. , Fort Dodge Issues have arisen when nursing staff have been reassigned to a clinical specialty area in which they are unfamiliar with the skills that are needed to provide safe patient care. Picture yourself reporting to duty on your surgical unit only to be reassigned by the nursing staff coordinator to a telemetry unit. You have not worked with cardiac monitors since your clinical rotation clinical rotation Medical education A period in which a medical student in the clinical part of his/her education passes through various 'working' services3 in 1-4 month blocks in school, but are expected to care for four patients on cardiac monitors.
Each clinical area has a degree of specialty in today's nursing practice. Nursing practice is "knowledge based." We perform tasks from knowledge obtained through educational programs. An individual nursing license ensures that the basic and minimum competencies and standards have been met by the educational program. Ongoing education and working experience will provide the needed knowledge to care for patients in specialty areas in today's healthcare settings. If a nurse concludes that he or she lacks competence or is inadequately prepared to carry out a specific nursing function to provide safe care they should have the right to refuse that assignment.
Then how can we ensure that staff is competent to provide the needed care? That they are qualified and capable of performing the job of caring for patients? ANA through the Code of Ethics Code of Ethics can refer to:
n.pr a nonprofit national organization of individuals, institutions, and organizations engaged in direct patient care. The association works to promote the improvement of health care services. states that hospitals have the ethical and legal responsibility to make certain that the healthcare provided by their personnel meet acceptable standards. Then there is the Joint Commission on Accreditation of Healthcare Organizations Joint Commission on Accreditation of Healthcare Organizations,
n.pr the United States body that accredits healthcare organizations.
Joint Commission on Accreditation of Healthcare Organizations (JCAHO/TJC),
n. (JCAHO JCAHO Joint Commission on Accreditation of Healthcare Organizations, see there ) and other accrediting bodies that have requirements to ensure the ongoing competencies of personnel. It is a joint effort by an individual person and the organization to provide and maintain the competencies that support the ability to perform the skills needed to do the job.
It is not just a matter of having adequate staff but that of providing adequate staffing of competent nurses, able to complete the assignment while providing safe patient care. Employers need to provide the time, resources and educational support necessary for safe nursing care. Staff needs to be willing to learn new competencies and expand their nursing knowledge in anticipation for role expansion.
To learn new competencies staff may transition into new roles by shadowing experienced staff as they provide nursing care. Cross-training between specialty areas is another way to ensure competency. Educational departments could assess educational needs and provide competencies as needed. Nurse leaders have the responsibility to ensure that the care provided meets the standards and that staff are educated and competent.
Be an advocate for safe patient care thorough the practice of continuing education to remain competent in the ever-changing healthcare arena.
American Nurses Association American Nurses Association,
n.pr professional organization of registered nurses created to encourage high standards in nursing care, pro-mote nursing as a profession, and lobby Congress for issues of concern to nurses. . (2005). Utilization Guide for the ANA Principles for Nurse Staffing (Brochure).
Brunt, B.A. (2002). Identifying Performance Criteria for Staff Development Competencies. Journal of Nurses in Staff Development, 18(6), 314-321.
American Nurses Association. (1995). The Right to Accept or Reject an Assignment (Position Statement).
LaDuke, S. (2000). Competency Assessments: A Case for the Nursing Interventions Classification Nursing Interventions Classification,
n.pr a comprehensive system of classification that describes and categorizes actions and therapeutic approaches performed by nurses within all types of specialties and settings. and the Observation of Daily Work. Journal of Nursing Administration, 30(7/8), 339-340.
Giordano, B.P. (1996). American Nurses Association Centennial Celebrates Nursing's Past and Addresses Current Issues: Friday, June 14, to Wednesday, June 19, 1996. AORN AORN Association of periOperative Registered Nurses
AORN Association of Operating Room Nurses (name changed)
AORN As of Right Now , 64(3), 354-358.
By Diane Anderson, RN, BSN BSN
Bachelor of Science in Nursing