FOCUS ON THE JOB Mrs. Loughman works in a busy suburban emergency room (ER) as a geriatric clinical nurse specialist (GCNS). She has a master’s degree in medical-surgical nursing. She has been in thi
FOCUS ON THE JOB Mrs. Loughman works in a busy suburban emergency room (ER) as a geriatric clinical nurse specialist (GCNS). She has a master’s degree in medical-surgical nursing. She has been in thi
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FOCUS ON THE JOB
Mrs. Loughman works in a busy suburban emergency room (ER) as a geriatric clinical nurse specialist (GCNS). She has a master’s degree in medical-surgical nursing. She has been in this position for three and a half years. Generally, forty thousand patients are seen in this ER with 30% composed of people 65 and older. As this ER is associated with a Health Maintenance Organization (HMO) all of the health care recipients are insured. Thus, the poor and very poor are not part of this nurse’s population and less than 2% consist of any ethnic mix. The ER cares for medical and surgical emergencies and 20% non-emergent problems.
Education is a large of part of Mrs. Loughman s role. She educates client and family, nursing personnel and ER staff and teaches in the community as well. Her practice is limited to those home-going elders, 65 and older. A good part of her care stems from her assessment of the client and family. Her assessment is comprehensive using a theoretical nursing framework. She does not do any hands-on care such as the technical duties often now