Accountability is another important characteristic of com-munity-based nurses. In a hospital, the nurse generally works a shift and then reports to the next shift nurse, whocontinues to care for the patient. Nurses seeing patients intheir homes generally are not followed by a next shift butinstead rely on family or other caregivers to continue thecare. If there is no caregiver in the home, the nurse returns to face the same issues at the next visit. The nurse is account-able to the patient, the family, and the primary health care provider. Community-based nurses must consider questionssuch as the following: Whom do I call if the patient’s physician or nurse practi-tioner is not available? What should I do if a family member becomes acutely ill? How do I learn to perform advanced procedures? How do I document the patient’s decisions about treatment? How do I ensure that other providers know about anddocument the plan of care?
Accountability is another important characteristic of com-
munity-based nurses. In a hospital, the nurse generally
works a shift and then reports to the next shift nurse, who
continues to care for the patient. Nurses seeing patients in
their homes generally are not followed by a next shift but
instead rely on family or other caregivers to continue the
care. If there is no caregiver in the home, the nurse returns to
face the same issues at the next visit. The nurse is account-
able to the patient, the family, and the primary health care
provider. Community-based nurses must consider questions
such as the following:
Whom do I call if the patient’s physician or nurse practi-
tioner is not available?
What should I do if a family member becomes acutely ill?
How do I learn to perform advanced procedures?
How do I document the patient’s decisions about treatment?
How do I ensure that other providers know about and
document the plan of care?
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