Sheila, an RPN has been working at

Sheila, an RPN has been working at the Victoria General Hospital for the last 15 years. The first seven years she worked on a busy medical unit where she was part- time and worked both days and nights and the equivalent of full time hours because she went in more or less whenever she was called. She really enjoyed the work on this unit but when a full time posting came up on the Palliative Unit she really felt she should apply as she was getting married, saving to buy a house and thought it was very important to have more stable work. Sheila was the successful applicant in competing for this position. She was thrilled and eager to work in another area of nursing; Palliative Care. Sheila has been working on this unit for 8 years now. She has really found the work on the Palliative Unit to be very rewarding; supporting families as they deal with the end stages of life; losing a loved one. Recently, she is beginning to find 12 hour days, nights and weekends and the intensity of the care along with having two young children at home to be difficult. She has been considering looking at what other employment options she may have within the institution. She frequently checks the on- line posting board. One day on her lunch, she notices a new posting for the Post-op Day Unit. The shifts are 8 hours and primarily days and may be required to work one weekend a month. She discussed the opportunity with her husband. They both feel that this would be a very positive change for their family. He inquires if that would be the type of unit that his colleague, Ed’s wife would be going to have her colonoscopy and Sheila tells him yes. Sheila feels confident in her skill set because of her experience. She begins to feel excited and wonders what it would be like. She wants to find out what a typical nurse’s shift would include. She does not want to ask a lot of questions because she really does not want any of her colleagues or her manager to know she is interested in this position. One night she ponders about how she could find out more information. She remembers that her husband’s colleague’s wife was going there for a colonoscopy and she decides to go into her chart on her break to view what the nursing care requirements involved. At the same time, she accesses personal information about Ed’s wife. When one of her colleagues enters the nursing station, she quickly closes the screen. 1. Write up a draft summary of the discussion of CNO practice standards and how it relates to the case study? 2. Write up a draft summary of the discussion of the CNO practice standard, Ethics, and how it relates to the case study2. 3. Write up a draft summary of three of the recommendations?

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