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NUR 601 Week 3 Blog Post 1: Autonomy and You NUR 601 Week 3 Blog Post 1: Autonomy and You NUR 601 Week 3 Blog Post 1: Autonomy and You As a nurse in a pediatric Cardiac ICU, my role requires a great deal of autonomy. While there are always attending physicians and fellows on the floor, nurses are required to monitor patients and use critical thinking to care for patient in the immediate post-operative period. Any given day I have autonomy to order labs, x-rays, ekg’s, and titrate inotropic medications. As nurses, we would report changes in patient’s condition but the autonomy created an environment that fostered critical thinking predicated on deep understanding of congenital heart defects. This kind of responsibility motivated me to learn more about my patient population and grow and learn as a nurse every day. Instructions As a CNS, Dr. Matteis had to assert to a psychiatrist that a psychiatric patient needed to be hospitalized. Was there a time when your autonomy as a nurse was important? Why might autonomy be of interest to you in your current work? Please explain in a blog post that is three to five sentences long. Please refer to this Grading Rubric for details on how this activity will be graded. To Create a blog entry: Select the Add a New Topic button. Create your blog entry Select Post to Blog. With experience comes better instincts and critical thinking skills continue to grow. When I first started my nursing career, having autonomy once I was off orientation was intimidating. Now with two years of experience, I find that having more autonomy as a nurse is rewarding and often allows for better patient care. As nurses, we are on the very frontline and see any minor acute changes in patients’ conditions that alert us to proceed in a particular way. I often find myself thinking that if it was in my scope of practice to write certain orders, I could help the patient more. When I had hit that point, I determined that become a FNP was the right next step for me. Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NUR 601 Week 3 Blog Post 1: Autonomy and You As a nurse, autonomy in our practice is one of our most prized qualities. Our ability to demonstrate autonomy is what differentiates us NUR 601 Week 3 Blog Post 1 Autonomy and You from being non-critically thinking robots carrying out orders. Our ability to be autonomous and think critically is the reason we are sent to nursing school in the first place instead of just being trained on the job to carry out orders. Nursing judgement and assessment skills save lives daily. One example of a time when my autonomy as a nurse was important to me was when a provider ordered an incorrect medication dose for a patient. After reviewing the order, a non-autonomous individual would have simply administered the medication as prescribed. However, because I am autonomous, I carefully review all orders before medication administration to prevent medical errors. This autonomy is what allowed me to call the provider and clarify the order before administration, which may have saved the patient’s life that day. As a psychiatric nurse, I exercise autonomy routinely in my day to day work. I am responsible for maintaining the safety of the patient, my coworkers, and myself. While most patients are calm, cooperative, and appreciative of treatment, many times patients who are held against their will become aggressive and violent, requiring me to exercise my autonomy as a nurse and implement safety measures such as restraints or PRN medications for agitation to keep everyone safe, then brief the doctor on the situation once everyone is safe from harm. While the doctors provide orders for restraints, they rely on us to use our autonomy and implement them when we determine it is necessary to keep everyone safe. Restraining aggressive individuals is never the highlight of my day, but it is a great example of how exercising autonomy helps maintain a safe environment. I believe that autonomy grows as your confidence as a nurse increases. In my early years as a nurse, I did not always trust my instincts. There were so many factors that went into my decision making, that with out the experience to back up my choices I felt overwhelmed with the idea of independently providing my patients with the best care. I asked a LOT of questions, and paid attention to scenarios all around me as best I could. However, eventually your instincts do kick in. I realized that not every lesson would be learned because I got it wrong, in fact the opposite happened…I learned that when I trusted my gut, I got it right. I learned to trust the facts that informed my decisions and then I began to trust my critical thinking, resulting in my growing autonomy. Order Now