1. Ana Willis
C304 Task 1
When I think of nursing theory the first person that comes to
mind is Florence Nightingale. She is well known for her
environmental adaptation theory. In her theory she discusses
ventilation and warming, noise, variety, diet, light, cleanliness,
and chattering hopes and advices. I feel that her theory
influences my values and goals. Her theory is also used every
day in the hospital facility I work in (Cherry and Jacob, 2017).
Nightingales theory has influenced my nursing values by
ensuring that I provide a safe environment for my patients.
Patient rooms should be clean, well lit, and free of clutter to
implement non-maleficence. Her theory has influenced my
values such as altruism and dignity. I provide individualized
care to my patients while respecting their morals. Every person
is different and their care needs to be catered to their needs. As
a nurse I am always concerned with the patient’s altruism.
Safety is key and the driver in everything I do as a nurse. If
safety is not up held then everything else fails.
Nurses apply Florence Nightingales theories in their practice to
promote excellent nursing practices in many ways. There are
restricted visitor’s hours to promote rest and reduce noise.
Patients are put on specific diets depending on their health
history to promote healing and further harm. For example,
Nurses monitor the amount of fluids that patients take in that
are admitted for Congestive Heart Failure to ensure they do not
further complicate their disease process. In the morning nurses
raise the blinds to let in the natural light so patients are aware
that is a day time and time to be up and not sleeping. This helps
to combat delirium in patients and helps them get the proper
rest. Nurses also ensure the rooms are clean, linens are changed

2. daily, patients are bathed daily and as needed, and housekeeping
tends to the patient rooms every day. Not only does cleanliness
apply to the patients but it also applies to the nurses. In current
practice nurses must wash their hands with antimicrobial soap
before entering and after leaving a room. To combat boredom of
patients and have a variety of activities nurses can offer art
therapy, music therapy, or pet therapy. There are many other
things that nurses can do for patients in their nursing practice
that are influenced by Florence Nightingales nursing theory.
Currently in my professional practice I also do many of the
mentioned things above that align with Florence Nightingales
nursing theory. When I bathe my patients I implement the use of
CHG wipes that not only clean the patient but also provide
cleanliness to help prevent infections. I also wash my hands
prior to entering a room, assessing a patient, and upon exiting a
room. While in a patient room I try to limit noise and
distractions to help promote rest and healing. At the facility I
work at we do not have strict visiting hours but we do have
quiet time where we dim the lights and try to limit visitors to
advocate rest. I am upfront with my patients about their care but
at the same time am respectful of their feelings. I do not fill
them with false hopes or tell them things that are untrue about
their care or diagnosis. Everything that I do in my practice
relates to Florence Nightingales nursing theory in some sort of
way.
There were many influential nurses in the nineteenth and
twentieth century. The two that I would like to discuss are
Linda Richards and Lillian Wald. Linda Richards was born in
1841. Richards was America’s first trained nurse in 1900. She is
known for creating the first system of keeping written medical
records. Prior to her creating individualized written records
nurses were expected to report important facts orally from
memory. Richards contribution helped to change the process of
giving report and keeping medical records. By keeping written
records nurses are now able to keep an accurate history on the
patient. When information is given by mouth facts can be

3. misconstrued or completely left out. Richards contributions
differ from Wald’s because Richards changed the process of
nursing. Wald’s contribution recognized the need to expand
nursing to a more in need population. Both women made drastic
changes for the nursing community (Campbell, n.d.).
Lillian Wald was born in 1867. Wald is considered to be the
founder of public health nursing. Wald recognized that
poverties areas needed access to affordable healthcare. Patients
were charged based on a fee sliding scale. She also started the
first American public school of nursing in New York City and
founded the Henry Street Settlement. The Henry Street
Settlement was known for its large playground in the lower east
side. The Settlement opened more branches in New York to
provide services such as health care, community programs, and
employment to everyone. She was recognized in the New York
Times as “one of the 12 greatest living American women” and
received the Lincoln Medallion for being an “Outstanding
Citizen of New York” (Hansan, 2018)
The works of these two ladies influence my professional nursing
practice in many ways. Richards introduction of charting patient
information helps with effective communication skills. With the
help of my charting I am able to effectively communicate the
patients care to the oncoming nurse and members of the
healthcare team accurate information. By charting the
information items are not as easily missed and I am able to look
back throughout my shift to ensure I didn’t miss anything.
Charting is used in the court of law as proof to what did and did
not happen. The rule of thumb in nursing is “if it wasn’t
charted, it didn’t happen”. Having the ability to chart patient
information also allows for implementation, interventions, and
evaluations. I am able to see what the Doctors chart and view
their orders which allows me to implement their plan of care
and provide interventions that align with the plan of care. I am
also able to evaluate things that have happened on different
shifts like when wound care was last done and when it needs to
be redone.

4. Wald’s recognition of the need for public health nursing and
providing care to everyone in a community has changed nursing
in a drastic way. By providing extended care to everyone in my
practice I am able to provide nursing care to everyone in my
community. Due to the diversity of my community I am able to
care for people from all different walks of life and see a variety
of different disease processes. I am also able to provide care to
people who may not have received care before if it wasn’t for
Wald. As a nurse I also volunteer in my community for a variety
of things that offer public health nursing to members of my
community. By doing this I am able to implement education to
these individuals that they may not have ordinarily received
(Hansan, 2018).
The State Board of Nursing and the American Nurses
Association (ANA) differ in various ways. The State Board of
Nursing is state specific. It is a regulatory body that sets the
standards for safe nursing care, decides the scope of practice for
nurses in its jurisdiction, and issues licenses to qualified
candidates. The State Board of Nursing covers issues such as
public health, safety and welfare, and help to develop nursing
licensure exams (“What is a State Board of Nursing?”, 2018).
While the ANA is a professional organization that represents
the entire RN population. The ANA requires RN to pay a fee to
become a member. The ANA helps to advance nursing and be
the “voice” of its members. Once a member of the ANA you are
given resources to further your career, access to journals,
discounts on certification exams, discounts on personal benefits,
ANA meetings and conferences, live webinars, and many other
benefits. The ANA is a nationwide organization (“About ANA”,
n.d.).
The State Board of Nursing is in every state and each state has
its own individual set of rules. These rules are established by
the Nursing Practice Acts (NPAs). The NPA set rules and
regulations into place that establish the qualifications for state
licensure. The State Board of Nursing is responsible for issuing
and renewing nursing licenses, reviewing applications for nurse

5. applicants, and enforcing disciplinary action (“What is State
Board of Nursing?”, 2018).
The ANA is a membership only professional organization. It
prides itself in improving the quality of healthcare for all. It
currently has members in all 50 states and U.S. territories. The
ANA has two types of membership. The lowest type of
membership has limited access. The ANA collaborates with
other nursing organizations to address and solve issues that
affect the nursing profession. The ANA recognizes problems
within the nursing profession and finds solutions to improve the
practice. They also offer many benefits to their members (“The
History of the American Nurses Association”, n.d.).
Both of these organizations influence my nursing practice. The
ANA helps to make changes to better nursing. The changes that
they make allow me to practice safely and have adequate
resources in my nursing practice. I am actually a member of the
ANA. By being an ANA member I received a discount on the
CMSRN exam. I am now a CMSRN. I frequently receive
education opportunities from the ANA which allow me to have
advanced knowledge in specific areas. They also send me CEU
opportunities at a discounted rate which I need to maintain my
RN license. The State Board of Nursing (BON) helps my
nursing practice by requiring education to maintain my license.
This education helps to ensure I am up to date with the frequent
changes in healthcare. BON is also responsible for allowing me
to renew my license which I need in order to practice as an RN.
I live in the state of Virginia. In the state of Virginia you are
required to have continued competency hours which must
include 15 contact hours and 640 practice hours or 30 contact
hours. Licensure is required to be renewed every 2 years. In
order to renew a fee is applied. If license requirements are not
maintained then disciplinary action such as probation or loss of
license can occur (Kluwer, 2018).
In the United States there are compact and non-compact states.
Compact states allow you to practice in other compact states
without having to obtain an additional license, but your original

6. residence needs to be located in a compact state (Douglas, n.d.).
If you reside in a non-compact state, then you are not able to
practice in any other state. In order to practice in other states
then you have to obtain a separate license for that state. You are
allowed to obtain as many single state licensures as you want.
You are required to adhere to the rules and regulations in the
state that you are working (Papandrea, 2016).
The Food and Drug Administration (FDA) and the Center for
Medicare and Medicaid Services (CMS) both play vital roles in
the healthcare system, but they do differ. The FDA is
responsible for making sure that drugs and devices are safe and
effective. The FDA monitors things such as medications,
vaccines, medical devise, and blood products. CMS is
responsible for deciding if the product is needed for the
condition of the patient or can improve function to the patient.
CMS is also responsible for determining the amount that
healthcare providers get reimbursed (Richardson, 2015).
The FDA influences my clinical practice by the types of
medications I administer to patients. The medications I
administer have to be approved by the FDA. They also decide
what medical devices are safe and effective for patients. Their
determinations play a factor in what I have available to
adequately care for my patients. If a patient is on a medication
that has been taken off of the market by the FDA it is my
responsibility to inform the doctors that the patient is taking
this medication. Which means that is up to me to be aware of
medications that I administer.
The CMS is the main decider in determining if patients qualify
for certain medications and equipment. This plays a role in my
clinical practice when it comes to safely discharging a patient.
There are times when a patient needs certain medications or
equipment in order to be discharged but CMS doesn’t feel it is
necessary, so the patient gets denied. This then can possibly
make the discharge unsafe. It is then up to me to work with the
medical team and social worker to troubleshoot how we can get
the patient the things that they need in order to be discharged

7. safely. This also comes in to play when a patient needs physical
therapy services at discharge, but CMS doesn’t approve them
because they are out if rehab days or don’t feel it is necessary.
It again is up to the whole medical team including myself to
figure out how we can get the patient what they need to have a
safe discharge. This plays a large part in my advocacy for my
patients.
As an RN one of my major roles is being a patient advocate as
well as promoting patient safety. When a patient request to use
alternative therapy I have to use my clinical judgement to
determine if this option is safe. There are times when a patient
requests alternative therapy that will not jeopardize the care or
safety and are beneficial to the patient. I have to advocate for
my patient to the medical team that the patients request is
feasible and would benefit the patient. However on the other
hand if a patient request alternative therapy that I feel is not
safe then it is up to me to educate the patient on their decision
and possible consequences.
The Nurse Practice Act in the state of Virginia is to ensure that
there are criteria that is met in regard to healthcare
professionals. The Nurse Practice Act covers things such as
licensure requirements, responsibilities of healthcare
professionals, Board of Nursing member requirements, legal
matters concerning nurses, requirements for schools that would
like to open a nursing school, etc. The Nurse Practice Act plays
a role in my professional practice by setting rules that I must
abide by as an RN. In my practice if I break rules outlined in
the Nurse Practice Act there can be consequences such as
suspension or permanent loss of my RN license. Also the Nurse
Practice Act states what my scope of practice is as an RN. This
guides me in my practice to make sure that I am not practicing
outside of my scope. It also states the amount of continuing
education I am required to maintain in order to maintain my
license. In my practice I make sure that I accrue the proper
amount of continuing education to maintain my license. The
Nurse Practice Act of Virginia outlines the scope of practice of

8. an RN. As an RN in the state of Virginia RNs are responsible
for administering medications and treatments as long as it has
been prescribed by an authorized person, delegate tasks to
unlicensed persons that is defined by the board, to receive
compensation for services while caring for people with
illnesses, those who are injured or those who require health
maintenance, and also responsible for teaching and educating
those who will be providing nursing care. In the state of
Virginia RNs are allowed to delegate tasks to unlicensed
persons that are defined by the board. Even if the task is
delegated it is still the responsibility of the RN to ensure that
the task gets completed (Douglas and Hershkowitz, 2018).
As an RN I play many roles and wear many hats. One of those
roles is a scientist in my professional practice. As a scientist I
am always investigating different outcomes and treatments. I am
always asking the team about the disease process and how
different interventions work in different ways. When I come
across things that are unfamiliar to me or rare I frequently
research to find out more about the symptoms or disease
process. I also use scientific based evidence when providing
care to my patients.
As an RN I also play the role of detective in my professional
practice. I frequently am asking a lot of questions like a
detective does. I am investigating my patient and their disease
process. Certain answers I get can help to answer things that we
may not have known before or to help the patients healing
process or decrease their length of stay. I also pay a lot of
attention to detail when I care for my patients. Any slight
change in a patient could be an indicator of an underlying cause
such as a urinary tract infection that causes an elderly patient to
suddenly become confused. In my professional practice I also
document everything like a detective. In the nursing world if it
wasn’t documented then it didn’t happen.
Lastly as an RN in my professional practice I am also a manager
in the healing environment. In my professional practice I am
responsible for providing a healing environment. I try to ensure

9. that my patients get adequate rest by clustering my care. I try to
minimize noise when coming in and out of the patient’s room
and limit interruptions. I administer medications in a timely
manner to ensure that things like antibiotics aren’t missed. If an
antibiotic is consistently late then over time that causes a
patient to miss a dose. Before leaving a room I always make
sure to check that my patient is comfortable since this promotes
rest which promotes healing.
The ANA Code of Ethics has nine provisions. Two provisions
that I am going to discuss are Provisions two and three.
Provisions two states that “The Nurse's Primary Commitment Is
to the Patient, Whether an Individual, Family, Group,
Community, or Population”. The third provision states “The
Nurse Promotes, advocates for, and Protects the Rights, Health,
and Safety of the Patient” (Hegge, 2015).
Provision two plays a role in my professional practice by not
only caring for the patient but also caring for the family
involved. While caring for my patient I also care for the family
member if they are present. I check in on the family member
just as I check in on the patient. I make sure that they are
comfortable, don’t need anything to drink or eat, and provide
them essentials if they do not have their own. It is important to
not only help the patient but also the family member at this
critical time in their lives.
Provisions three speaks to my everyday practice. Everything I
do as a nurse follows provisions three. As a nurse it is my
responsibility to keep my patients free from harm, protect their
rights, and advocate for them. When speaking with a patient I
ensure to keep their information confident. Where I work the
rooms are semi-private, so it is very important to ensure patient
privacy. When administering medications I ensure that the
patient doesn’t have any allergies listed to the medications that
I am giving. When patients have been NPO for an extended
amount of time I always ensure that they are placed on fluids
for proper hydration and talk with the team to advocate when
we can get them off NPO status.

10. In clinical practice medications errors can happen. Sometimes a
patient can be given a wrong dose of medication or a completely
wrong type of medication. In this type of error, provisions two
can be applied since it states that the nurses primary concern is
the patient. In this scenario the nurses primary concern would
be the patient. As the nurse you would want to monitor the
patient for any adverse reactions to the medication error. If
family was present, you would notify the family of the error as
well as the patient since you are caring for them as a whole like
provision two states. The nurse would be responsible for
notifying the team of the error and informing the patient of the
error. Making sure that the patient is safe and that the patient
has medications available in case an adverse reaction occurred
would tie into provisions three. Advocating to the team the error
and the need for any additional monitoring from the nurse
would have the patient’s safety at the forefront.
Four leadership qualities that I think represent excellence in
nursing are respect, trustworthiness, critical thinking, and a
team player. As a leader at the bedside your teammates and your
patient should be able to respect you. If you are not respected as
a leader then people will not value your opinions, follow your
lead, or ask you for help. If patients do not respect you then
they will not be compliant with your care. Respect should be
given all around and in order to be an effective leader you need
to be respected. As a leader at the bedside you should be
trustworthy. In order to work effectively as a team you need to
be trustworthy. If your teammates cannot trust you then the
team will fall apart. You should be able to talk to leader and
know that what is discussed will be confidential and kept
between the two of you. If a patient does not trust you then they
will not trust you with their care or to be an advocate for them
which may hinder their healing. As a leader at the bedside you
must have critical thinking skills. As a nurse it is very
important to have critical thinking skills. Nursing is not black
and white and a lot of the times the answer is not always in
front of you. As a leader newer nurses should feel comfortable

11. going to you when they need someone with more experience to
help them critically think. One of the most important traits as a
leader at the bedside is being a team player. A leader needs to
be willing to help out and not afraid to get their hands dirty. In
nursing you need to work well as a team to help get through
difficult situations. A leader should be willing to help out in
times of need. As a leader there may be things that you may not
want to do but you do them because you are part of the team.
The team not only consist of nurses but include everyone on the
interdisciplinary team. Nursing is very stressful and having a
leader with all of these qualities helps make the job a little bit
easier.
Within the nursing and interdisciplinary team it is important to
be respected. These teams work together to provide the best
care possible to patients and if any member of that team is not
respected then the patient is the one who suffers. If there is no
respect, then things may not be taken seriously or done in a
timely manner. If the person giving an order is not respected,
then the order may not get done to it’s full potential which can
cause patient harm or a delay in care. It is also important to
have a trustworthiness in the nursing and interdisciplinary team
that you are working with. Not only does the nurse need to trust
them but the patient does too. If the nurse is not trusted, then
the team may not believe what is reported by the nurse. If the
patient doesn’t trust the nurse or the team then they may be
reluctant to share information that is pertinent to their
diagnosis. As a nursing team or interdisciplinary team critical
thinking is a must. If you are not able to critically think then
things may be missed when assessing a patient. Critical thinking
is what nursing is about. It is especially important to be able to
critically think in emergency situations. When there are new
graduate nurses that are working, they may have not developed
the skill to critically think so it is important to have that skill as
a seasoned nurse. Lastly being a team player is important when
on a nursing or interdisciplinary team. There may be times that
a fellow nurse has fallen behind or needs additional help and

12. that is where being a team player comes into play. If you are not
a team player, then that nurse will continue to struggle, and her
patients will suffer as a result of this. Eventually nurses get
burnt out if they do not have a nursing team that are willing to
help out. On a nursing team you should be willing to help out
fellow nurses. I always say that teamwork makes the
dreamwork! No matter how bad the day is if you have a group
of nurses that have good teamwork then ultimately the day will
not seem as bad.
Work environment is impacted by nursing leadership, decision
making, and professional development. If the work environment
has poor nursing leadership then the turnover rate will be high
on the unit. However if the work environment lacks
communication, teamwork, and effectiveness then this may
drive nursing leadership away. Leadership may not have the
energy or ability to fix a team that is dysfunctional. Decision
making is also affected by the work environment. If there is
always high stress situations and lack of support, then decision
making will be affected in a negative way. If nurses are always
stressed, then the decisions that they make will not be of best
judgement. If there is a lack of seasoned nurses on a unit then
that will also negatively affect decision making. New graduate
nurses do not have the experience or gained the skills to always
make right decisions. Their decisions make be impacted by their
knowledge in the situation. On the other hand if the unit works
well together and there is less stress then the decision making
would probably be more adequate. When your brain is well
rested and under minimal stress it makes better decisions.
Professional development is impacted by the work environment
as well. If I am constantly stressed, then I am not going to think
about professional development because my free time is not
going to be spent on advancing my career. If you have leaders
that push for professional development and help you along the
way, then you may be more prone to advancement. I personally
have a nurse educator that is a big advocate for professional
development and walks with you every step of the way. She

13. meets with you weekly to check on your progress and to answer
any questions. This helps the process for advancement run more
smoothly and help with any barriers that may come across. Prior
to knowing how much she helped I was not wanting to advance
professionally because the amount of time I would have to
spend outside of work on the paperwork. As a nurse education is
a continuous thing since healthcare is always changing.
References:
About ANA | ANA Enterprise. (2018). Retrieved December 13,
2018, from https://www.nursingworld.org/ana/about-ana/
Campbell, J. (n.d.). Linda Ann Judson Richards. Retrieved
December 12, 2018, from
https://vermonthistory.org/research/vermont-women-s-
history/database/richards-linda
Cherry, B., & Jacob, S. R. (2017). Contemporary nursing:
Issues, trends, & management (7th ed.). Elsevier.
Douglas, J., & Hershkowitz, L. (n.d.). Nurse Licensure
Compact. Retrieved December 11, 2018, from
http://www.dhp.virginia.gov/nursing/nursing_compact.htm
Douglas, J., & Hershkowitz, L. (2018, July 1). Virginia Board
of Nursing Laws and Regulations. Retrieved December 11,
2018, from
http://www.dhp.virginia.gov/nursing/nursing_laws_regs.htm
Hansan, J. (2018, February 27). Wald, Lillian. Retrieved
December 12, 2018, from
https://socialwelfare.library.vcu.edu/people/wald-lillian/
Hegge, M. (2015). Code of ethics for nurses with interpretive
statements. Silver Spring, MD: American Nurses Association.
Kluwer, W. (2018). License Renewal Requirements by State.
Retrieved December 11, 2018, from
https://www.nursingcenter.com/ceconnection/ce-state-
requirements#virginia
Papandrea, D. (2016, January 15). Nursing Compact States Map
& Details. Retrieved December 14, 2018, from

14. https://www.travelnursing.org/nursing-compact-states-what-
you-need-to-know/
Richardson, E. (2015, August 27). Aligning FDA and CMS
Review. Retrieved December 12, 2018, from
https://www.healthaffairs.org/do/10.1377/hpb20150827.132391/
full/
The History of the American Nurses Association. (n.d.).
Retrieved December 11, 2018, from
https://www.nursingworld.org/ana/about-ana/history/
What is a State Board of Nursing? (2018). Retrieved December
13, 2018, from https://www.graduatenursingedu.org/state-board-
of-nursing/
PROFESSIONAL ROLES AND VALUES
C304 V3 TASK 1
(0917)
Professional Roles & Values
• 740.1.4 : Professional Accountability - The graduate analyzes
the responsibilities and accountability of the
professional nurse.
• 740.1.5 : Self Advocacy of the Nurse - The graduate integrates
strategies of self-awareness and self-care into

15. professional practice to ensure personal health and well-being.
• 740.1.7: Roles of the Nurse (WGU) - The graduate analyzes
the roles of the nurse as a scientist, a detective, and a
manager of the healing environment.
• 740.1.10: The Nursing Profession - The graduate applies
historical and contemporary nursing theories and models
to define their professional nursing practice.
• 740.1.13: The Professional Nurse - The graduate integrates
knowledge, skills, and attitudes of the nursing
profession into personal and professional interactions and
ethical decision making.
• 740.1.15: Healthcare Work Environment - The graduate
evaluates how the vision, values, mission, and philosophy
of an organization align with an individual’s professional
values, beliefs, and approaches to inter- professional
collegiality
• 740.1.4: Professional Accountability - The graduate analyzes
the responsibilities and accountability of the
professional nurse.
APA Formatting & Task Information
APA Formatting
Separate cover and reference page
Running Head
Margins 1 inch

16. Font: Times New Roman, size: 12
double spaced throughout
Each reference must have a matching in-text
citation
Write in first person (the candidate, your )
Write in third person (the nurse, nurses)
Task Information
Use your rubric and task
directions to write your paper
Rubric - assessment criteria
Task Directions - how to meet the
assessment criteria
Far left column rubric titles are
hyperlinked to the text
Nursing Theory
A. Nursing Theory
A. Identify and describe a nursing theory that has influenced the

17. candidate’s values and goals.
A1. Excellent Nursing Practice
• Explain how nurses apply (use) the identified theory in Part A
to plan excellent nursing
practices.
A.2 Professional Practice Nursing Theory
• Discuss how the identified theory fits your professional
practice.
Contributions of 19th or 20th Century Historical
Nursing Figures
• B. Historical Nursing Figures
• Identify and describe the contributions of two historical
nursing figures from the nineteenth
(1801-1900) or twentieth century (1901-2000).
• B1. Difference in Contributions
• Discuss how the two historical figures are different from one
another (compare and contrast).
• B2. Description of Historical figures
• Discuss how the contributions of each of the two historical
figures have
influenced your practice.

18. Nursing Organizations and Boards
• C. State Board of Nursing VS. American Nurses Association
(ANA).
• Explain the functional differences between the State Board of
Nursing (BON) and the
American Nurses Association.
• C1. Roles of Organizations.
• Define the roles of a board of Nursing and the American
Nurses Association.
• BON (Scope of practice, education, disciplinary actions, etc.).
• ANA (Ethical guidelines, nursing values, advocacy).
• C2. BON & ANA Influence.
• Explain how the State Board of Nursing and the ANA
influence the candidate’s nursing practice.
Professional License Renewal & Maintenance
• C3. Explain the requirements for professional license renewal
in your state.
• In what state do you hold a license?

19. • How do you renew your license in your state?
• How often are you required to renew your license?
• Do you pay a fee?
• Do you need CEUs?
• C3a. Discuss the consequences of failure to maintain license
requirements in your state.
• What are the consequences if you do not maintain/renew your
license in your state?
• What would happen to your current license?
Compact VS. Non-Compact State
• C4. Compare the differences between registered nursing
license requirements in compact
state versus a non-compact state.
• Is your state a compact or non-compact state?
• Discuss the differences for RN license requirements in a
compact versus non-compact state.
Resource: Nurse Licensure Compact PDF
https://www.ncsbn.org/NLC_What_Nurses_Need_to_Know.pdf
Agencies Functional Differences

20. • D. Discuss the functional differences between the Food and
Drug Administration (FDA) and the
Center for Medicare and Medicaid Services(CMS).
• Discuss the function of the of the FDA.
• Discuss the function of CMS.
• D1. Discuss how the two regulatory agencies influence your
professional nursing practice.
• What does the FDA regulate?
• What does CMS regulate?
Resources: CMS.Gov https://www.cms.gov/
https://www.fda.gov/aboutfda/transparency/basics/ucm194879.h
tm
Drugs &Vaccines
National health programs
Blood products
Health information technology
Medical devices
Guidelines for reimbursement
Insurance oversight

21. Bedpans
Medical device internet software
https://www.cms.gov/
https://www.fda.gov/aboutfda/transparency/basics/ucm194879.h
tm
Nurse’s Role as a Patient Advocate
• D1a. Discuss your role as a patient advocate in promoting
safety when a patient has requested to
use an alternative therapy.
• Discuss what a patient advocate is and how you could be a
patient advocate for a patient who has
requested alternative therapy.
• What questions would you ask the patient?
• Who would you collaborate with?
FDA – Complementary and Alternative Medicine
https://www.fda.gov/regulatoryinformation/guidances/ucm1446
57.htm
CMS - https://www.cms.gov/Regulations-
andGuidance/Guidance/Manuals/downloads/ncd103c1_Part1.pdf
Purposes of the Nurse Practice Act & Scope of practice

22. • E. Discuss the purposes of the Nurse Practice Act in your state
and its influence on your
professional practice.
• What is the Nurse Practice Act and what is its mission?
• How does the Nurse Practice Act influence your professional
practice?
• E1. Discuss the scope of practice for an RN in the candidate’s
state
• What is a scope of practice?
• What is included in the scope of practice for your state?
• How is the scope of practice different from a nurse practice
act?
Nurse Practice Act Rules & Regulations
https://www.ncsbn.org/nurse- practice-act.htm
Rules For Effective Delegation
• E2. Discuss how your state defines delegation for the RN.
• Discuss in detail the rules for delegation from your state.
• Think about:
• What steps does your state board require the RN to take when
deciding what to delegate?

23. • To whom can the RN in your state delegate?
• What is the RNs responsibility after delegating a task? 20
(Figure 19.2)
Application of Nursing Roles
• F. Discuss how you apply (use) each of the following nursing
roles in your professional
practice.
• A scientist.
• A detective.
• A healing environment manager.
• Write a separate paragraph for each of the roles.
What role am I?
Resources: Nursing Conceptual Model Reference: Western
Governors University. (n.d.). Nursing conceptual model.
Retrieved from https://srm--
c.na13.visual.force.com/apex/CourseArticle?id=kA0a00
00000xGlVCAU
Reviewing EBP care guidelines
Patient assessment
Room temperature

24. Pain control
Family presence
Patient safe area
Handwashing
Teamwork & collaboration
Patient centered care
ANA Code of Ethics Provisions & Analysis
• G. Identify two provisions from the American Nurses
Association (ANA) Code of Ethics.
• Write a separate paragraph explaining each of the two (2)
provisions you have chosen.
• G1. Analyze how the two (2) provisions identified in part G
influence your professional
nursing practice.
• Discuss in detail how the two provisions influence your
nursing practice. (Examples:
commitment to the patient, accountability, patient dignity,
integrity, human rights.
Resource: ANA Code of Ethics with Interpretive Statements.
Retrieved from https://www.nursingworld.org/coe-view-only

25. Application of ANA Provisions
• G.2. Describe a nursing error that may occur in a clinical
practice.
• A clinical setting, skills lab, or simulation.
• What are some examples of nursing errors?
• G2a. Explain how [both] ANA provisions identified in G can
be applied (used) to the error
discussed in part G2.
• Who would you collaborate with or approach?
• What is your responsibility to the patient and the patients
family?
Leadership Qualities Or Traits
• H. Identify and discuss 4 leadership qualities or traits that
represent excellence in nursing.
• Name and describe four leadership qualities or traits
(characteristics).
• What are some leadership qualities or traits?
• H1. Discuss the significance of the four (4) leadership
qualities identified in part H in the
nurse’s role as each of the following:

26. • As a leader at the bedside.
• As a member of a nursing or interdisciplinary team.
Work Environment
• H2. Identify and discuss how your work environment impacts
the following:
• Nursing leadership.
• Decision making.
• Professional development.
• Examples: Does the organization;
• Support clinical decisions?
• Provide education assistance?
• Have a clinical ladder?
• Encourage professional development?
• Use shared Governance?
QUESTIONS