Lastly, a comprehensive learning plan will be devised, including a “SMART” goal and three strategies, in order to express the author’s commitment to continuing competency and self-regulation in the first year of practice as a registered nurse (RN).
Self-Regulation of RN Practice In Ontario, the nursing profession refers to two legislations that intend to serve the best interest of the public and inform the nursing regulatory college, CNO’s self-regulation framework since its establishment in 1963 (CNO, 2012). The 1991 “umbrella” legislation called the Regulated Health Professions Act (RHPA) includes thirteen controlled acts, which pose risk to the public if not carried out by regulated health professionals. It further states that Ontario nurses’ health profession act, the 1991 Nursing Act, authorizes its members to perform a portion of the controlled acts. Therefore, the RHPA works in conjunction with the Nursing Act to articulate nurses’ scope of practice while stating the controlled acts CNO members are authorized to …show more content…
This highly specialized emergency medicine unit is intriguing to me mainly due to the infinite diversity it brings forth for the health care team in terms of clients’ clinical presentation, diagnoses, and interventions. Not only do clients vary based on contextual factors, but they also range in age, from newborn infants to older adults. All of this ambiguity adds to the complexity of emergency department nursing simply because the body of knowledge, communication skills, and clinical skills required of RNs is very broad and extensive in nature. Emergency medicine practice for an RN includes the accurate triage, comprehensive initial assessments, collaborating and coordinating care with the health care team to diagnose and treat clients, and reassessments based on vital signs and response to interventions, all in an exceptionally fast paced outpatient environment (ACEP, 2015). It also is a valuable window to the status of our current health care delivery system as it visually confirms common issues such as early discharges and high readmission rates, overcrowding, and low access of health care practitioners in the