26 Sep Case Study The Nurse Navigator or CNL functions as
Case Study The Nurse Navigator or CNL functions as a care coordinator either at the unit level or in a practice. For example, Ms. Apple heads up a busy practice in a cancer institute. As a CNL, she acts as a mentor to novice nurses while coordinating care and helping patients navigate the healthcare maze. In one patient’s case, she identified the need for transportation to and from radiation appointments. She also recognized financial counseling needs because the patient was no longer able to work, and her husband was on disability. Treatment plans needed to be explained, and teaching the patient about medications was necessary. A referral had been made to a radiation interventionist. The family needed much teaching and explanation about all aspects of care. The CNL pulled the interprofessional team together to ensure clear communication and the creation of an interdisciplinary plan of care. In some institutions, these positions are called nurse navigators, and in others, CNLs, depending on the organization’s structure and needs. The CNL, having expertise in interprofessional communication, financial management, and human relations, serves the patient and family well to protect and ensure patient-focused care and promote safety. Case Questions 1. Search the Internet to find HCOs that have CNL positions. Describe what you learned about this new position. 2. Find nursing programs on the Internet that offer the CNL master’s degree. Compare and contrast them. 3. Analyze how this new position applies or does not apply to the IOM Core Competencies. 4. Explain how having a CNL would impact your practice area.
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