Set up a Table of Contents
Professional Portfolio
Professional Goals & CNS Core Competencies Achievement Documents
Roshan Jan Muhammad Manasia RN, BScN
|Professional Goal Statement |
| |
|My professional goal upon completion of the CNS program is to obtain a work opportunity in the capacity of Clinical Nurse Specialist in an adult/geriatric acute/critical care unit/s. My vision is to |
|advance the scope of critical care nursing practice by implementing evidence based interventions and through clinical capacity building of nursing staff. Also, I intend to improve quality of care and |
|patient safety in acute/critical care unit/s by enhancing safety culture and by filling the cracks in the broken system and processes to eventually improve clinical outcomes. Moreover, I wish to |
|establish a professional group of critical care nurses in Pakistan to mediate improvement in nursing practice across various institutions in my home country. And, I want to contribute to the scholarly |
|work done by Clinical Nurse Specialists through publication. |
| |
|Documentation of achievement of CNS Core Competencies in Educational Program |
|CNS Core Competencies |Modes of Accomplishment |Documentation of Accomplishment |
|Use knowledge of differential illness diagnoses and |Didactic course work |Expanded knowledge to explain physiologic mechanisms and pathogenesis of selected |
|treatments in comprehensive, holistic assessments of|NR110.502 Physiology and pathophysiology I |disorders; integrate etiology, signs and symptoms and complications; analyze the |
|patients within the context of disease, diagnosis, | |results of various laboratory tests and diagnostic procedures; and apply it to |
|treatments. The outcome of differential diagnosis of| |clinical case studies to formulate differential diagnosis. |
|illness is to explicate etiology(ies) that require | |Case study: Management of cardiac failure |
|nursing interventions to prevent or alleviate the | | |
|illness; | |Acquired advanced knowledge of pharmacokinetics and pharmacodynamics of common |
| | |categories of drugs used in acute/critical care illnesses, related adverse effects, |
| |NR110.508 Clinical pharmacology |and nursing implications. |
| | | |
| | |Advanced skills in identifying, synthesizing and applying knowledge of complex |
| | |disease, multisystem pathophysiology, and advanced physical assessment skills for |
| | |symptom management in adult & geriatric patients with acute or critical illnesses to|
| |NR110.523 Clinical Judgment in Acute and Critical care I |improve clinical outcomes. |
| | |Case study discussions eg., Acute MI and burn. |
| | | |
| | |Incorporated knowledge and skills of health assessment to identify age specific |
| | |normal and pathological variations in geriatric patients. |
| | | |
| | | |
| |NR110.536 Advanced Health Assessment and Measurement: |Advanced history taking and clinical assessment skills; clinical competency to |
| |Adult/Geriatric variations |identify abnormal findings; relate findings of diagnostic investigation; utilize |
| | |clinical reasoning and critical thinking to form differential diagnoses; and devise |
| |Clinical Practicum |plan of care. |
| |NR110.549 Advanced Health Assessment and Measurement |Conducted detailed assessment and history of 7 patients and completed two |
| | |comprehensive and one episodic history and physical examination. Completed formal |
| | |write-up of each with differential diagnosis and detailed plan of care. |
| | | |
| | |Demonstrated skills as an advanced practice nurse in the management of |
| | |acutely/critically ill patients by utilizing knowledge of advanced health assessment|
| | |skills; disease management; and pharmacology to plan and implement evidence based |
| | |care intervention and evaluate the care outcomes. |
| | | |
| | |Provided consultation to the nursing staff while managing acutely/critically ill |
| |NR110.520 CNS role practicum I |patients by utilizing advanced clinical knowledge and clinical expertise. |
| | | |
| | |Integrated knowledge of complex diseases, multisystem pathophysiology, advanced |
| | |physical assessment and evidence base knowledge to identify plan to care for |
| | |symptom management. |
| | | |
| | | |
| |NR 110.521 CNS expert practicum II | |
| | | |
| | | |
| | | |
| |NR 110. 524 Clinical judgment, acute and critical care II | |
| | | |
| | | |
|Design, implement, and evaluate innovative |Didactic course |Developed mini business plan to commission hypothetical JHUSON primary care clinic |
|individual and/or population-based programs of care |NR 110-504 Context of health care for advanced practice nursing |for high‐risk population in East Baltimore. Our group worked on problem |
|to achieve desired quality, cost-effective, and | |identification and need justification component of the business plan. I also |
|nurse-sensitive outcomes. | |critiqued other components of the business plan developed by other groups that |
| | |included service recommendations, resource allocation and budget planning. |
| | |Established quality and safety outcome indicators to evaluate the care outcomes of |
| | |above mentioned primary care clinic. |
| | |Reviewed various health care models and the role of advanced practice nurses in |
| | |these care delivery systems to target health concerns and population specific care |
| | |needs. |
| | |Issues manuscript: Virtual ICU care model, a remedy to prevent adverse event in |
| | |adult intensive care unit. |
| | | |
| | |Enhanced understanding of health promotion and disease prevention as they relate to |
| | |individuals, families and communities. Explored psychosocial, economical, behavioral|
| | |and ecological factors that affect health care behaviors of individuals and |
| | |communities at large, utilization of health care services and care outcomes. |
| | | |
| |NR 110.546 Health promotion and disease prevention |Developed hospital based therapeutic hypothermia protocol to improve neurological |
| | |and survival outcomes of adult post cardiac arrest patients. |
| | | |
| | |Assisting in development of sepsis protocol to guide early identification of septic |
| | |patient and related management in oncology population. |
| | | |
| |Clinical course |Reviewed JACHO standards on alarm safety and attended Webinar on medical alarm |
| |NR110.520 CNS role practicum I |safety and medical management. |
| | | |
| | |Devised a logic model to guide institution wide implementation of “rapid response |
| | |team program” in order to reduce mortality and morbidity. Detailed program planning |
| |NR 110.521 CNS expert practicum II |is in progress. |
| | | |
| | |Conducted outcome analysis to evaluate the impact of comprehensive unit based safety|
| | |program (CUSP) on safety culture of non-critical care units at Johns Hopkins |
| | |Hospital. |
| | |Developed a database on SPSS to assess the correlation of safety culture score with |
| | |falls rate at Johns Hopkins Hospital. |
| | |Attended five days patient safety certification program to acquire knowledge of |
| |NR110.560 Program Development and Evaluation in Health Care |tools and structured approaches to design, implement and evaluate the quality |
| | |initiatives. |
| | | |
| | | |
| |NR 110.522 CNS outcomes practicum III | |
| | | |
| | | |
| | | |
|Serve as educator/leader/consultant/mentor/change |Clinical practicum |Conducted restraint competency recertification of nursing staff of care center. |
|agent in advancing the practice of nursing among |NR110.520 CNS role practicum I (3 credits) |Assisted novice nurses in management of acutely ill patients as an expert nurse and |
|other nurses and across organizations to achieve | |consultant. |
|outcomes. | |Developed educational module for nursing staff on therapeutic hypothermia as a part |
| | |of clinical project activity and conducted series of educational session. |
| | |Lead the clinical project of therapeutic hypothermia and facilitated the change |
| | |process through collaboration, collegiality, team building and staff training. |
| | | |
| | |Revising the content of critical care training program offered at Sidney Kimmel |
| | |Cancer Center (SKCC) based on current references and the scope of critical care |
| | |practice in the unit. |
| |NR 110.521 CNS expert practicum II |Comparing the efficacy of ECG module drafted by CNS versus ECG course offered by |
| | |ECCO through survey questionnaire and analysis of the post test results from both |
| | |program, to propose most suitable and cost effective option for teaching ECG for the|
| | |nurses at SKCC. |
| | | |
| | |Shadowed the preceptor in facilitating implementation of evidence based |
| | |comprehensive unit based safety program by unit champions to improve safety culture |
| | |and clinical outcomes of the units. |
| | |Presented the findings of the project to the group of CNS students to educate. |
| | | |
| | |Devised detailed educational plan utilizing teaching learning principles. |
| |NR 110.522 CNS outcomes practicum III |Conducted and evaluated the educational session on novel device called “subcutaneous|
| | |implantable cardioverter device” |
| | | |
| | | |
| | | |
| | | |
| | | |
| |Pending courses | |
| |NR.110.540 Teaching Strategies in Nursing | |
|Advance nursing practice through innovative |Didactic course work | |
|evidence-based interventions, best-practice |110.507 Statistical literacy and reasoning in nursing research. |Developed skills and knowledge to interpret and critically appraise the findings of |
|guidelines, and modification of professional | |descriptive and inferential statistical analysis presented in the research articles |
|standards and organizational policies that direct | |to draw conclusion for practice implication. |
|the care of nursing personnel and other providers of| |Critiqued statistical methodology of 10 articles during systematic review. |
|healthcare to improve outcomes. | | |
| | |Developed skills to review and critique research and non‐research evidences through |
| | |research appraisal process. Acquired understanding of process to synthesize |
| |NR 110.503 Application of research to practice. |knowledge to address practice concern and recommend evidence based strategies for |
| | |practice improvement. |
| | |Conducted systematic review entitled “ Is therapeutic hypothermia beneficial to |
| | |improve neurological and survival outcomes in adult post cardiac arrest patients” |
| | |Described detailed individual evidence summaries of 10 research articles to |
| | |determine level and quality of evidence. |
| | |Research critique: Performed two research articles critiqued based on established |
| | |criteria. |
| | | |
| | |Groomed to act as a moral agent in care delivery process and to utilize ethical |
| | |principles and theoretical premises to address and discern ethical conflicts and |
| | |dilemmas in patient care management. |
| | |PPT: Peaceful end of life care. |
| | |Ethics debate: Should health care professionals be authorized to unilaterally |
| | |discontinue life sustaining therapies they consider futile. |
| |NR. 110.500 | |
| |Philosophical, theoretical and ethical basis for nursing |Devised evidenced based therapeutic hypothermia protocol on the basis of |
| | |aforementioned systemic review to guide practice of medical and nursing staff to |
| | |improve neurological outcomes of adult post cardiac arrest patients. |
| | |Assisted in review of restraint documentation tool used at care center to improve |
| | |documentation compliance of nursing staff as per institutional policy and JACHO |
| | |standards. |
| | | |
| |Clinical practicum |Modified intra-abdominal pressure monitoring policy. |
| |NR110.520 CNS role practicum I (3 credits) |Reviewing oral chemotherapy protocol at SKCC based on new recommendations from |
| | |American Society of Clinical Oncology (ASCO). |
| | |Reviewing VTE prophylaxis assessment and management guidelines at SKCC to propose |
| | |recommendations based on 2013 guidelines from ASCO and other recent references. |
| | |Developing a fact sheet to re-enforce recommendations related to manual compression |
| | |devices. |
| | | |
| | | |
| |NR 110.521 CNS expert practicum II | |
|Lead multidisciplinary groups to facilitate |Didactic course work |Describe strategies to leadership, management and consultative skills to improve |
|collaboration with other disciplines in the |NR110.523 Clinical Judgment in Acute and Critical care I |services in acute and critical care health care systems. |
|attainment of outcomes across the continuum of care.| | |
| |Clinical practicum |Enhanced leadership skills toward continuous improvement of patient outcomes and |
| |NR110.520 CNS role practicum I |nursing care in diverse health care systems. |
| | | |
| | |Leading the project called “therapeutic hypothermia in adult post cardiac arrest |
| | |patients”, in collaboration with chair of CPR committee, medical lead of ICU |
| | |committee and nursing management of intensive care unit. |
| | | |
| | |Refer description in goal number 2 |
| | | |
| | |Refer description in goal number 2 |
| |NR 110.521 CNS expert practicum II | |
| | | |
| |NR 110.522 CNS outcomes practicum III | |
| Interpret the dimensions of nursing care requiring |Didactic course work |Learned to analyze the influence of social, economic and health policy on health |
|resources at the system level, and provide |NR 110-504 Context of health care for advanced practice nursing |care delivery and scope of advanced nursing practice in various care models. |
|leadership to assure that the system adequately | | |
|supports the delivery of nursing care. | |Issues manuscript: Advanced practice nursing issues |
| |Clinical Practicum | |
| |NR110.520 CNS role practicum I |Clinical project of therapeutic hypothermia has anticipated the need of material |
| | |resources and clinical training to ensure that nursing staff receive adequate |
| | |support to execute change process. |
| | | |
|Expand the practice of nursing through ongoing |Didactic course work | |
|generation and acquisition of scientific knowledge |110.507 Statistical literacy and reasoning in nursing research. |Refer description in goal number 4. |
|and skills to maintain expert clinical competencies | | |
|that leads to desired outcomes. |NR 110.503 Application of research to practice. | |
| | |Refer description in goal number 4. |
| |NR 110.523 Clinical Judgment in advanced acute care nursing I | |
| | | |
| | |Enabled to acquire and relate advanced clinical knowledge in management of acute and|
| |Clinical Practicum |critically ill patients that incorporates evidence based strategies. |
| |NR110.520 CNS role practicum I | |
| | |Enhanced skills in the management of patients on Left ventricle assisting device. |
| | | |
| | |Reviewed literature on management of various cardiopulmonary disorders encountered |
| | |in acute care setting and expanded knowledge on the management of acute MI, cardiac |
| | |failure, ARDS and pulmonary embolism in lieu of current evidence based guidelines. |
| | | |
| | |Enriched my knowledge on the management on oncological emergencies/complications |
| | |requiring acute/critical care. |
| |NR 110.521 CNS expert practicum II | |
| | |Manuscript submitted for publication in Journal of Clinical Nurse Specialist: |
| | |“Implementing therapeutic hypothermia in post cardiac arrest patients: clinical |
| | |nurse specialist’s initiative in a developing world”. Conducting a first review |
| | |based on editors’ feedback. |
| | | |
| | |Writing a manuscript on the “The impact of comprehensive unit based safety program |
| | |on safety culture of non-critical care units at Johns Hopkins Hospital” |
| | | |
| | | |
| |NR 110.522 CNS outcomes practicum III | |
|Demonstrate professional citizenship and fiscal |Didactic course work |Issue paper: Transition from traditional to evidence based practice, is it feasible |
|responsibility in the health care system by focusing|NR 110-504 Context of health care for advanced practice nursing |to utilize evidences from developed countries to ameliorate health care practices in|
|on health policy and/or resource management to | |developing countries. |
|ensure quality, cost-effective outcomes of nursing | | |
|care. | |Contributed to mini business plan to commission JHUSON primary care clinic. |
| | | |
| |Clinical Practicum |Developing capital and operational budget plan to implement therapeutic hypothermia |
| |NR110.520 CNS role practicum I |project. (In progress) |
| | | |
| | |Developed a logic model to identity resources needed to execute rapid response team |
| | |program. And, working on detailed budget report to guide resource planning and |
| |NR110.560 Program Development and Evaluation in Health Care |allocation for the said project. |
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- spectrum project implementation manual strategies 1 and 2
- summary of seclusion and restraint statutes regulations
- model guidance for positive and preventive code of student
- list of core documents for
- facilitators guide for basic dementia care competencies
- set up a table of contents
- competency examples with performance statements
- diabetes medical assistant curriculum
- home alberta health services
- ministry of health nz
Related searches
- how to set up a resume
- how to set up a small business
- how to set up a business
- set up a new email account
- how to set up a mla paper
- how to set up a consulting business
- set up a stock portfolio
- set up a business email
- set up a portfolio
- set up a yahoo email account
- set up a microsoft account
- how to set up a reference page