Differences In Competencies In Nursing

Register to read the introduction… 72% of CNO’s and nursing administrators stated a difference in stronger critical thinking skills and leadership skills among the BSN prepared nurses. Registered nurses today are the primary care givers and directly responsible for the coordination of care for their patients and work as part of an interdisciplinary team. Through formal education a BSN prepared nurse is prepared for community education and case management, these areas provide coordination of patient care within and outside the hospital setting. The ADN prepared nurse due to being technical/skill educated lacks community and case management knowledge which is not taught in the degree ADN program. Coordination of care starts at the beginning of providing healthcare to a patient it continues after the patient is released and enters the community which is why there is an importance of education for community and case management …show more content…
An ADN nurse whose name is Gloria has been providing care to patient B for several days she notices that there is a change in the patents behavior but can’t exactly identify the critical change. Using her skills she was educated with and the up to date literature she educates herself she probes a little further to identify the change. Ann a BSN prepared nurse and is working in pod 1 with Gloria, Gloria discusses the change and concerns in her patient with Ann. Ann who has a light assignment for the afternoon reviews in depth the patients’ charts, progress notes and medication record. She takes her formal education and critical thinking and correlates the information. Ann notices a change in a lab value corresponds to a day that a medication was started and a different MD in the progress note charting. Ann probes a little more through the medication record and sees that the pharmacy was sending 1ml of a medication instead of the 0.1ml correct dosage that was to be administered. Ann through her critical thinking realizes that a medication error is being made. Through leadership skills notifies her direct management and informs them of this mistake. Because she is a BSN prepared nurse the education committee for the hospital asks Ann to present to the hospital board at the next committee meeting to propose a initiative to reduce medication errors. Ann through evidence based practice shows a method to reduce medication errors, the committee was so impressed that her theory was put into place and succeeded to reduce medication errors. Ann was looked upon as an equal through the hospital administration, doctors, pharmacist and other highly degreed team members. When a management position was available Ann applied and was offered this position due to having the basic requirement of a BSN. Where is Gloria today? Gloria is working at the bed grateful that Ann knew how to