State and describe how you feel the RN can implement your peer’s actions in a patient-centered manner. Explain your evaluation and reasoning.
After reading the text, I feel that it is clear to me that the skills required for an RN in the community setting are the same as those in a true hospital setting. My reasoning for this is because the majority of community care facilities have the same governing agencies that oversee their operations, i.e. Joint Commission and the DEA just to name two. I feel the only true differences between the community RN and those in an acute care setting would be the ease of access to certain healthcare team members. Some instances that happen in a community facility require the need of 9-1-1 for facility transfers. In the book, it says that most surgical procedures are now done in private community based offices (Treas & Wilkinson, 2014). The only difference I can think of between community nursing and acute care nursing, would be in the areas that have a version of the community nursing that visits households of patients to ensure they are current with medications as well as making sure they understand their conditions. In these settings, I feel that infection control practices would be more difficult. What makes this particularly difficult in a patients home, is that you really have no control over the cleanliness of the patients house. You yourself can insure that you are practicing the appropriate infection control measures, by carrying your own supplies, such as hand sanitizer, gloves, gowns, masks, and soap for hand washing prior to leaving the residence. You can only encourage the patient to maintain a clean environment but that doesn’t mean that they will listen to your suggestions.