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The process of developing nursing standards of practice in NJ where I currently work, is determined primary by the American Nurses Association, the NJ Board of Nursing, NPA and state officials. The outline they use in defining and making up the standards of nursing care include:
- Standards of Practice define assessment, diagnostic, intervention, coordination of care, teaching, consulting, and evaluation competencies.
- Professional Performance standards identify role functions, driven by ethics, EBP, communication, education, leadership, collaboration, job performance evaluation, and environmental health.
- Guidelines for specialty practice are policies of care for a specific group of people
- Required testing and licensure needed to carry out specific standards of care
- Standard code of Ethics
Entities involved are as mentioned above, NJ Board of Nursing, ANA, State regulators and state officials and organization such as the NCSBN and the use of the Nurse Practice Act.
The standards of practice influence the nursing process by incorporating: Assessment, Diagnosing, Planning, Implementing, and Evaluating in everyday nursing practice. I work in a med. surgical unit with telemetry patients, and we incorporate all of these to each patient we care for. When I receive a new admission, I do a detailed assessment and if I find any new issues, they are addressed according to policy. For example, I had a confused patient come in, admitted with altered mental status who was from a nursing home. Patient was not in a hospital gown when he was sent to my unit from the Er. The resident on call placed this patient on telemetry observation due to a abnormally high troponin level. When he finally got to the unit, the patient care tech and I removed all of his clothing and found a very large stage 3 on his buttocks that was not addressed on admission, therefore I implemented the order of a wound consult, and initiate skin injury protocol, turned the patient q 2 hours, and provided wound care as needed.
Attached are really nice photos demonstrating the Nursing Standards and regulations.