T HE POWE R OF T HE WORD VIGIL ANCE IN SCHOOL NURSING L E - PowerPoint PPT Presentation

T HE POWE R OF T HE WORD VIGIL ANCE IN SCHOOL NURSING L E ADI NG WI T H VI GI L ANCE : DR. OL I NDA JOHNSON PhD

 PROFESSIONAL VIGILANCE IS THE ESSENCE OF CARING IN NURSING  “under the w atchful eyes of nursing”

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A mi mine of of wi wisdom om and a heart eart of love

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Wha t is Sc hool Nursing ?  A spe c ia lize d pra c tic e o f pro fe ssio na l nursing tha t a dva nc e s the we ll-b e ing , a c a de mic suc c e ss, a nd life lo ng a c hie ve me nt o f stude nts. T o tha t e nd, sc ho o l nurse s fa c ilita te po sitive stude nt re spo nse s to no rma l de ve lo pme nt; pro mo te he a lth a nd sa fe ty; inte rve ne with a c tua l a nd po te ntia l he a lth pro b le ms; pro vide c a se ma na g e me nt se rvic e s; a nd a c tive ly c o lla b o ra te with o the rs to b uild stude nt a nd fa mily c a pa c ity fo r a da pta tio n, se lf- ma na g e me nt, se lf-a dvo c a c y, a nd le a rning .  Surro g a te mo the r, frie nd, pro te c to r, liste n e a r, sho ulde r to c ry o n, a nd a ha nd to ho ld  http:/ / pe dia tric s.a a ppub lic a tio ns.o rg

V. I. G. I .L . A.N.C.E SI CK SL E E P I NT UBAT E D DE L I RI OUS UNCONSCOUOS COMBAT I VE F E ARF UL L OSS DE PRE SSE D HYST E RI CAL

T he Role of the Sc hool Nurse  T he sc ho o l nurse ha s a c ruc ia l ro le in the se a mle ss pro visio n o f c o mpre he nsive he a lth se rvic e s to c hildre n a nd yo uth. I nc re a sing numb e rs o f stude nts e nte r sc ho o ls with c hro nic he a lth c o nditio ns tha t re q uire ma na g e me nt during the sc ho o l da y. T his po lic y sta te me nt de sc rib e s fo r pe dia tric ia ns the ro le o f the sc ho o l nurse in se rving a s a te a m me mb e r in pro viding pre ve ntive se rvic e s, e a rly ide ntific a tio n o f pro b le ms, inte rve ntio ns, a nd re fe rra ls to fo ste r he a lth a nd e duc a tio na l suc c e ss. T o o ptima lly c a re fo r c hildre n, pre pa ra tio n, o ng o ing e duc a tio n, a nd a ppro pria te sta ffing le ve ls o f sc ho o l nurse s a re impo rta nt fa c to rs fo r suc c e ss. Re c o mme nda tio ns a re o ffe re d to fa c ilita te the wo rking re la tio nship b e twe e n the sc ho o l nurse a nd the c hild's me dic a l ho me . T his sta te me nt ha s b e e n e ndo rse d b y the Na tio na l Asso c ia tio n o f Sc ho o l Nurse s.

BUCK NAKE D T RUST  Nur se s again top sur ve y for e thic s, tr ustwor thine ss among pr ofe ssions  Nursing re ma ins the mo st-truste d pro fe ssio n in Ga llup's a nnua l ho ne sty a nd e thic a l sta nda rds po ll fo r the 15th ye a r running , with 84% o f re spo nde nts ra ting nurse s' ho ne sty a nd e thic a l sta nda rds a s hig h o r ve ry hig h. I n the surve y, pha rma c ists a nd physic ia ns fo llo we d nurse s with 67% a nd 65% ra ting s, re spe c tive ly.  12/ 23/ 2016 AWHONN SMART BRI E F

Provides Active Keep Safeguards Acts Maintains Sustains Recognizes & Accepts Use Participates Plays

HIST ORICAL PE RSE PCT IVE  Nig hting a le (1860/ 1969) re c o g nize d the impo rta nc e o f vig ila nc e in nursing . I n No te s o n Nursing , she wro te :  T he mo st impo rta nt pra c tic a l le sso n tha t c a n b e g ive n to nurse s is to te a c h the m wha t to o b se rve —ho w to o b se rve —wha t sympto ms indic a te impro ve me nt—wha t the re ve rse — whic h a re o f impo rta nc e —whic h a re o f no ne —whic h a re e vide nc e o f ne g le c t—a nd o f wha t kind o f ne g le c t. All this is wha t o ug ht to ma ke pa rt, a nd a n e sse ntia l pa rt, o f the tra ining o f e ve ry nurse (P. 105).

SCHOL ARS  Nurse sc ho la rs ha ve re pe a te dly a c kno wle dg e d tha t o b se rva tio n is a vita l e le me nt in the pra c tic e o f nursing .  T he ha b it o f o b se rva tio n is o ne o f the mo st (if no t the mo st) e sse ntia l q ua litie s in nursing . ...T he re spo nsib ility [to o b se rve ] is distinc tly tha t o f the nurse , fo r during the g re a te r pa rt o f the time she is the o nly o ne pre se nt to c a re fo r the pa tie nt a nd thus to o b se rve a nd re po rt. Witho ut c lo se o b se rva tio n...a nurse c a n no t c a rry o ut the first e sse ntia ls in nursing —tho se me a sure s no t pre sc rib e d b y the do c to r b ut dic ta te d b y the unde rlying princ iple s a nd me tho ds o f nursing itse lf (P. 219).

Anothe r Sc hola r  Mc Cla in (1950) pro po se d, "in o b se rving the nurse must kno w wha t she is lo o king fo r a nd, to a c e rta in e xte nt, wha t she is like ly to find. Ob se rva tio n is b a se d o n kno wle dg e , inte re st a nd a tte ntio n" (P. 51).  1970 the e ra o f g ra nd nursing the o rie s. the a ppre c ia tio n o f this a b ility o f nurse s to re c o g nize impo rta nt c ue s in the ir pa tie nts.  Ca rpe r (1978) ide ntifie d the a b ility to pe rc e ive a s pa rt o f the a e sthe tic pa tte rn o f kno wing in nursing . She de fine d pe rc e ptio n a s the "a c tive g a the ring to g e the r o f de ta ils a nd sc a tte re d pa rtic ula rs into a n e xpe rie nc e d who le fo r the purpo se o f se e ing wha t is the re " (P. 17).

DE F INING VIGIL ANCE  Vig ila nc e is de vo te d a tte ntive ne ss o r wa tc hfulne ss. Se c urity g ua rds a nd te st pro c to rs a like ne e d to pra c tic e vig ila nc e . Vig ila nc e c o me s fro m the L a tin wo rd fo r "wa ke fulne ss," vig ila ntia , a nd in a me dic a l se tting vig ila nc e is still so me time s use d to me a n "inso mnia ."

Profe ssiona l Nursing Vig ila nc e A sta te o f sc ie ntific a lly, inte lle c tua lly, a nd e xpe rie ntia lly g ro unde d:  Atte ntio n to a nd ide ntific a tio n o f c linic a lly sig nific a nt o b se rva tio ns/ sig na ls/ c ue s;  Ca lc ula tio n o f risk inhe re nt in nursing pra c tic e situa tio ns;  Re a dine ss to a c t a ppro pria te ly a nd e ffic ie ntly to minimize risks a nd to re spo nd to thre a ts.

Vig ila nc e E nta ils  Pro fe ssio na l vig ila nc e is the e sse nc e o f c a ring in nursing . Ho we ve r, it is o fte n invisib le , a nd is no t c le a rly de sc rib e d o r ta ug ht to stude nts in nursing pro g ra ms.  “Vig ila nc e is the b a c kdro p a g a inst whic h pro fe ssio na l nursing a c tivitie s a re pe rfo rme d. I t is no t the a c tio n o f do ing so me thing . I t is the c o ntinuo us wa tc hfulne ss tha t is a lwa ys a pa rt o f a nurse ’ s thinking pro c e ss whe n pe rfo rming a c tivitie s, suc h a s ta king vita l sig ns. I t is the me nta l wo rk o f nursing a nd a pre re q uisite to info rme d nursing a c tio n.  Nurse s a re pro fe ssio na lly a c c o unta b le fo r pro fe ssio na l vig ila nc e a nd re c o g nitio n o f the pro b le m so tha t suita b le a c tio n c a n b e ta ke n.”.

Vig ila nte Obse rva tion  T he le ve l o f vig ila nc e a nd o b se rva tio n e xpe c te d a re o b vio usly linke d to the c a te g o ry o f nurse , sc o pe o f pra c tic e a nd e duc a tio na l pre pa ra tio n tha t the y ha ve re c e ive d

Vig ila nte timing  Co mmunic a tio n to a ppro pria te re fe rra ls  T ra nsfe rring o f Stude nts fro m 1 fa c ility to a no the r  I nte rpro fe ssio na l c o mmunic a tio n (te a c he rs, princ ipa ls, pe dia tric ia ns, pa re nts)

L E ADE RSHIP: L E ADING WIT H VIGIL ANCE

If you are Leading and no one is following you are just taking a stroll.

L e a ding with a Vig ila nc e  Co mmunic a tio n skills  Cultura l c o mpe te nt  K no wle dg e a b le o f la ws a nd po lic ie s  Pro mo tio n o f g o o d he a lth  Ac tivist a nd Advo c a te fo r c hildre n

Sc hool Nursing le a de rs. Vig ila nt? How? F o ste r c hild a nd a do le sc e nt he a lth Sc re e ning a nd a nd e duc a tio n re fe rra ls fo r he a lth suc c e ss c o nditio ns L e a de rship ro le fo r he a lth po lic ie s pro g ra ms Pro mo te s a he a lth sc ho o l Pro vide s dire c t e nviro nme nt c a re to Pro mo te s He a lth stude nts Pro visio n o f sc ho o l L ia iso n b e twe e n nurse he a lth sc ho o l pe rso nne l, se rvic e s fa mily a nd HCP

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Re c og nize , Re a c t a nd Re spond

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