Anadvanced professional nurse has the role of ensuring that he takesgood care of the patients who visit a hospital facility. This carecould be accorded in different ways which could involve bothintrusive and non-intrusive measures. The most important thing is forthe people visiting the facility to gain faith in the health careprovider and be ready to comply with the recommendations that heprovides them so as to help sustain their health. A proper assessmentof the functions of a nurse lies in observing the individual as a pera schedule created so as to determine whether his actions are in linewith the stipulated standards of practice in the nursing profession.There are cases where the nurse acts within the confines of thestandards and other cases where he may veer off theexpectations.Introduction

Thenursing professional under observation was on a 5-hour duty in thegeneral ward which is comprised of patients who have been stabilizedand are under hospital supervision for some time before they arereleased for home-based care. He was in-charge of dispensing drugregimen to about 15 patients who were in the wards as well as keepingan eye of them and ensuring that their situation was improving,(Kearney, 2015). He was also on the look out to ensure that any casesof emergencies in the ward are easily noted and proper action takento address the same within the shortest time possible. The nurserelied heavily on the files of the patients outlining their generalmedical histor, as well as their progress since the time that theywere admitted at the facility (You, Aiken, Sloane, Liu, He, Hu, &ampShang, 2013). The record would be crucial to enable him assess thedevelopments of the patients and be able to make proper decisions asto what further action would need to be taken. He was also in closeliaison with professionals from various other departments such as thelaboratory and diagnostics departments, who would be pertinent toproviding useful information as it relates to the general state ofthe patients (Masters, 2015).

Thenurse would need to stick to the provisions of the hospital as wellas the standard procedure of nursing practice so as to ensure thathis duty is a success. This would involve various aspects as will beshown in the interview schedule. It is, however, important to notethat there are some situations where the professional would not beable to observe standards of practice to the letter, due to someunavoidable circumstances.


Thehealth facility under focus is involved with the provision of bothgeneral and specialized services that range from pediatric care,casualty care, intensive surgery as well as in-patient andout-patient care services. The facility has mission, vision, andgoals that guides how it delivers its services to the patients. Theyare as follows


Toprovide high quality care to patients through the application ofprofessional care


Tobe the leading healthcare provider in the region


Tohave a high level of patient survival rate

Tohave 0 nasocomial infections cases

Thenurse was subjected to ten questions in an interview that aimed todetermine his code of practice so as to ascertain whether he sticksto the provisions outlined in the hospital charter.

  1. Do you update the records of all the patients before leaving the station ont completion of your duty?

Thenurse indicated that he always ensures that all the records of thepatients under his care are properly updated so that they may beuseful to the professionals who will be on duty after he has left.

  1. Do you respond to the pleas of patients all the time that they need you while on duty?

Theprofessional stated that while he is always on the look out to ensurethat the health of the patients is well safeguarded, at times it maynot be possible to respond to the patients all time they cry out.This is majorly because, some cases are normally associated with painand just because the patient is crying out of pain, this does notnecessary mean that his health is deteriorating.

  1. Do you inform the nurse who comes in for the next shift on a patient that needs close supervision?

Thenurse was quite clear that he informs the nurse who is supposed totake over the next round of the situation of all the patients undercare. He also outlines the patients who seem to have advanced healthproblems and require close observation. He always does this so as toensure that the next person on duty will be ready to address anyproblem that may come up among the patients in a quick fashion.

  1. Do you make follow up on laboratory tests done on patients?

Theprofessional under observation also mentioned that he normallycarries out a follow-up to find out the results obtained on thelaboratory tests carried out on the patients, so that he may be ableto take proper action. This also helps to save on the time that wouldbe taken to take care of the patients.

  1. Do you ensure that the beddings of the patients are changed at any time you notice that they are dirty?

Inline with ensuring that the patients admitted to the health facilityare not subjected to nasocomial infections, the nurse always makessure that their bedding are changed regularly and also where theyseem dirty either as a result of any blood from the patients or anyother forms of discharge from such people as they have a potential ofcausing problems that could worsen the health of the patientsadmitted, further.

  1. Do you ensure that all the patients are given drugs at their stipulated time, as par the regimen schedule?

Adherenceto the drug regimen is usually important as it helps to improve thehealth of the patients as well as reducing any cases of drugresistance that could be related to skipping the intake of drugs. Asa result, the nurse always ensures that he has given all the patientsthe drugs that they require at the stipulated time. This is usuallyin line with the need to adhere to the provision of high qualitycare.

  1. Do you give proper advice to care givers and patients being released on how they can be cared for while at home?

Thenurse also ensures that he has given the caregivers instructions onhow they can take care of the patients while discharging them. Inmost cases, the patient is usually not completely healed at the timeof discharge and usually needs a short period to recuperate at home.They, therefore, do require proper care at home so as to achievetheir normal state.

  1. Do you take an active role to call for patients whose health has deteriorated to be transferred to other wards where specialized care may be accorded?

Thenurse also observes the patients closely and determines situationswhere he may need to refer a given patient to be taken to anotherward for specialized care, as a result of a deterioration of hishealth.

  1. Do you believe that this job is helping to develop your professional skills?

Thenurse has faith that the work he does on a day-to-day basis has a bigrole in building his capacity to handle future challenges in thenursing field.

  1. Do you liaise with other nurses for advice where some actions seem challenging for you to take?

Heis always out to consult with other nurses on situations that appearchallenging for him to make decisions alone. Such a practice alwaysensures that the nurse is able to make worthwhile decisions.


Thenursing professional appears to carry out the out the mission,vision, and goal of the agency through sticking to the standardprocedure of nursing practice (Polit, &amp Beck, 2013). He alsoensures that he observes ethical practice through properlysafeguarding the information contained in the medical records of thepatients.


Kearney-Nunnery,R. (2015).&nbspAdvancingYour Career Concepts in Professional Nursing.FA Davis.

Masters,K. (2015).&nbspRoledevelopment in professional nursing practice.Jones &amp Bartlett Publishers.

Polit,D. F., &amp Beck, C. T. (2013).&nbspEssentialsof nursing research: Appraising evidence for nursing practice.Lippincott Williams &amp Wilkins.

You,L. M., Aiken, L. H., Sloane, D. M., Liu, K., He, G. P., Hu, Y., … &ampShang, S. M. (2013). Hospital nursing, care quality, and patientsatisfaction: cross-sectional surveys of nurses and patients inhospitals in China and Europe.&nbspInternationaljournal of nursing studies,&nbsp50(2),154-161.