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Nursing and White House LegislationEssay

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¶ … nurse who attends to patients in the ICU (Intensive Care Unit) section of a health facility. It is a highlight of the contribution of the nurse in the ICU department, their present job description and status.

Different

Current Work

I think being an ICU nurse provides sufficient experience to motivate nurses working in the section. In my case, I observe the response to medications by patients in the ICU unit and monitor the prescriptions that are recommended for them. In addition, I extend help to doctors in the physical assessment processes. I also oversee processes relating to treatment procedures, functionality of equipment and response to patient needs. Although my portfolio suggests being preoccupied with attending to ICU patients, I also prefer to attend patients from other units including operation rooms and discharge sections; where I lend my expertise in their treatment and what I consider essential for effective delivery of nursing and general health service delivery. My work transcends the immediate patient needs. I also provide counseling to families of the patients who are, or have been, under the healthcare units. The overall motivation in my engagement at the health facility is the fact that I am able to help many people feel better; whether they are actually relieved of their ailment or not. The mere fact that patients look up to me for some kind of solution to their health situation is a prime motivation for me. Therefore, I continuously think over the positive contribution I may possibly deliver to the patients and the health facility. The acknowledgment from the people I have helped boosts my spirit and my zeal to pursue my cause. Therefore, I would not be willing to change my job.

C. Significant Accomplishment

My consistent efforts to spruce up people's health and their general well-being (including checking on inequality tendencies of the system) are the hallmark of my activities in the public service arena. In particular, I happen to work in a health care facility that endeavors to mobilize community resources in pursuit of better healthcare in communities.

I am privileged to be the chief of the ICU unit. Many a times I often have to go beyond the call of duty. In addition, the fact that I am responsible for planning and implementation of policies that go towards the alleviation of patient problems, provision of solutions to patient concerns and community problems satisfies me.

My position is privileged to view matters from a more objective vintage point. Regardless of the many institutional efforts in the health sector, many areas still need improvement and even overhaul. If a nurse contributes towards enabling communities get equal access to medical care; they have already succeeded in the central call of the nursing profession; whether they do it voluntarily or otherwise. I am presently engaged in the pursuit of objective identification of community concerns that inhibit access to medical care in my locality. Though it is not part of my job description, I do it assiduously. I am also engaged in the determination of the goals and the requisite strategies for the implementation of such goals. I set the criteria for determining the success of our missions in this regard too. There is a concerted effort by many members to push lobbyists affiliated with the American Nursing association in Congress to legislate in favor of the needs of nurses and the public in general. I am part and parcel of this mission of creating legislative awareness. One might ask what objectives I wish to achieve with the advocacy I pursue! I intend to achieve several goals thereby. The effort is aimed at achieving a higher level of healthcare access for patients, improved healthcare, human power and improving the quality of health care services. Overall, it is an effort aimed at creating a vocal opportunity for nurses to share their experiences and contribute towards the development and improvement of nursing and general health care provision. The essence of my efforts lies in the power of many voices raising uniform concerns about common issues that affect healthcare service. In the end, it is more likely that when nurses raise their voice in unison, it is more likely to hit the sensitive chords of administration at all relevant levels. I aspire to take my efforts and campaigns to higher levels with the consistent objective of getting the voice of the nurses heard in an area that affects their career and the lives of the patients and the communities they serve. My long-term goal is to see the dream of providing quality health care, as determined by the nurses and relevant stakeholders, come true through legislation and general societal awareness and involvement across the globe.

D. Memorandum for the President

This memorandum is meant for president Obama's eyes and ears.

From: Melanie Scott (an ICU nurse at Mountain Hill Health Center)

The Heroin and Prescription Opioid Abuse Prevention, Education, and Enforcement Act of 2015 (S.1134)

My proposal

I am aware that your government, through the White House, recently made public the various efforts in the private sector to cut down the blatant and excessive prescription of pain alleviation medicines along with other drugs categorized as 'legal' under state laws. Indeed, the unregulated prescription of these medications can lead to (and often does) abuse (Panda 2015). In addition, I realize that the government is making efforts to control the abuse of heroin by taming the level of fatal overdoses. These efforts, I am aware, are incorporated in the general effort to enhance access to treatment by all and sundry. My proposal is in line with the one you may be aware of

i. It is critical for all health professionals to get advanced training with regard to pain medication prescription. The reason for this is that there are varying dynamics relating to tolerance from patient to patient.

ii. There is need for sterner restrictions relating to the prescriptions of drugs as opioids, i.e. hydrocodone, Morphine, methadone and oxycodone. Most drug abusers started with the abuse of these drugs before they turned to more potent alternatives such as heroin. This will reduce incidents of addiction, overdosing, or death resulting from these drugs.

Your message concerning the need to increase health experts certified for the prescription of buprenorphine for the disorder treatment of opioid usage from the current 30-000 to 60-000 in a span of 3 years is clear. The need to double the numbers of qualified personnel to prescribe naloxone is also equally resonant. My call is to involve nurses in these efforts. (Panda, 2015)

The recent study by 'Monitoring the Future' prescription drugs are the most abused drugs after marijuana among the young population. The National Survey on Drug Use conducted in the recent past indicates that over 70% of those who abused prescription pain medicines accessed them through close associates and relatives. Of the number reported, 5% of the abusers of such drugs accessed them from either the internet or the drug dealers. The study shows that opiate overdose incidents emanates mostly from the abuse of prescription medication (Prescription Drug Abuse).

It has also been shown that drug abuse among our military personnel has increased from 5% to 12% in the period spanning 2006 to 2008. The reason for this is the use of these medicines outside the realms of prescription. Opioid, the most potent in the category, has been prescribed more in the recent past. In particular, statistical data shows that the usage of opioids in USA increased from 74 mgs per person to 369 mgs. The percentage increase stands at 402% from 1997 to 2007; a period of only 10 years. Moreover, in 2002 alone, 174 million prescription opioids were dispensed by local pharmacies. It is noted that 254 million prescriptions of this potent class of drugs was dispensed by 2009. This was an increase of approximately 48%. The chart below illustrates that the increments stated are similar to the increments in the abuse of prescription drugs in the same period (Prescription Drug Abuse). There is a public misnomer that abusing this class of drugs is safer than the use of illicit drugs. The reason is obvious; they are prescribed by health care professionals and accessed through pharmacists. Therefore, I strongly propose that addressing drug abuse, particularly prescription drugs, will go a long way in improving public health and boosting communities resolve the problem of drug abuse in their midst. In the end, those who abuse drugs are likely to lead a healthier and more productive life.

E. My Motivation in Pursuing Whitehouse Fellowship

The White House Fellowship Program allows me to get the experience of what it is like to serve the public at national level while in government. Since the White House Fellowship Program is obviously in the limelight, it provides me with the opportunity to represent the health care sector in the limelight. Health care is an important sector that should be considered by all; including those in government and top leadership. What better opportunity… [END OF PREVIEW]

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