Situation: The chief executive officer at the Canadian Nurses Association, Villeneuve shared his experience about near-fatal medication error which had happened 30 years ago. The incident occurred two years post-graduation from nursing school, when Villeneuve transitioned from a ward unit to a neurosurgical intensive care unit. Within the professional industry of the time, the presence of a male nurse was still considered relatively uncommon, and Villeneuve was determined to demonstrate his competence. On that day, Villeneuve was responsible for the treatment of two patients, one presenting with high levels of potassium and the other with low levels of potassium. The nurse received a phone call from a physician instructing that potassium should be given to a specific patient. She wrote down the order, then called Villeneuve and, displaying the order sheet, directed him to administer medication A to patient B. Some strange feelings were triggering him, however, in that sequence of events, a partially written order sheet and the mention of one patient's name over another led Villeneuve to the incorrect bedside and administered medication to wrong and he knew that after seconds. He owned up his mistakes and informed senior doctors and they took over him. Patient himself was a senior physician, which makes him panicked more. With time, however, it became evident that the patient would survive. Only at that moment did Villeneuve get the opportunity to have a supportive conversation with his head nurse. For him, it was a crucial lesson when little man on your shoulder telling you to stop, you need to slow down instead of speeding up. a. Employ the nursing literature and resources to critique why the highest-quality patient care was not achieved in this situation. Compare and contrast different PPMs. What are the strengths/limitations? b.How does this relate to PPM and governance of practice? Consider relevant governance/regulatory/policy requirements related to the issues raised in the video scenario and Evaluate what professional practice and governance areas contribute to or hinder patient care/safety. Please include genuine citation and references.
Situation:
The chief executive officer at the Canadian Nurses Association, Villeneuve shared his experience about near-fatal medication error which had happened 30 years ago. The incident occurred two years post-graduation from nursing school, when Villeneuve transitioned from a ward unit to a neurosurgical intensive care unit. Within the professional industry of the time, the presence of a male nurse was still considered relatively uncommon, and Villeneuve was determined to demonstrate his competence. On that day, Villeneuve was responsible for the treatment of two patients, one presenting with high levels of potassium and the other with low levels of potassium. The nurse received a phone call from a physician instructing that potassium should be given to a specific patient. She wrote down the order, then called Villeneuve and, displaying the order sheet, directed him to administer medication A to patient B. Some strange feelings were triggering him, however, in that sequence of events, a partially written order sheet and the mention of one patient's name over another led Villeneuve to the incorrect bedside and administered medication to wrong and he knew that after seconds. He owned up his mistakes and informed senior doctors and they took over him. Patient himself was a senior physician, which makes him panicked more. With time, however, it became evident that the patient would survive. Only at that moment did Villeneuve get the opportunity to have a supportive conversation with his head nurse. For him, it was a crucial lesson when little man on your shoulder telling you to stop, you need to slow down instead of speeding up.
a. Employ the nursing literature and resources to critique why the highest-quality patient care was not achieved in this situation. Compare and contrast different PPMs. What are the strengths/limitations?
b.How does this relate to PPM and governance of practice? Consider relevant governance/regulatory/policy requirements related to the issues raised in the video scenario and Evaluate what professional practice and governance areas contribute to or hinder patient care/safety.
Please include genuine citation and references.
Trending now
This is a popular solution!
Step by step
Solved in 4 steps
