Chapter 17, Problem 1RP

Summary Introduction

To discuss:

How and why would the student nurse respond to this situation?

Case summary:

The nursing student is caring for a 62-year-old adult male patient Mr. M along with the nursing staff. The patient is admitted in the intensive care unit due to hepatic failure and the patient is very ill and being monitored continuously. The patient is being intravenous fluids and medication through numerous central and peripheral IV catheters. The nursing staff asks the student nurse to change the new IV bag of medication. The student nurse who still not experienced with the IV’s and technological devices feels incompetent of her skills.   

Explanation of Solution

The nursing student should admit her uncomfortable in finding the IV lines as they are all tangled up and she does not want to put a wrong connection and compromise the patient safety.  

Summary Introduction

To discuss:

The adequacy of the skills for professional practice and what that is tell about the student nurse?

Case summary:

The nursing student is caring for a 62-year-old adult male patient Mr. M along with the nursing staff. The patient is admitted in the intensive care unit due to hepatic failure and the patient is very ill and being monitored continuously. The patient is being intravenous fluids and medication through numerous central and peripheral IV catheters. The nursing staff asks the student nurse to change the new IV bag of medication. The student nurse who still not experienced with the IV’s and technological devices feels incompetent of her skills.

Explanation of Solution

The student nurse is still not a Registered Nurse (RN) to become a nursing staff, who can handle an ICU patient. The student nurse still needs experience about the IV lines and critical care devices.

Summary Introduction

To discuss:

Whether to agree with the criteria that the nursing student used to evaluate a successful outcome? Why or why not?

Case summary:

The nursing student is caring for a 62-year-old adult male patient Mr. M along with the nursing staff. The patient is admitted in the intensive care unit due to hepatic failure and the patient is very ill and being monitored continuously. The patient is being intravenous fluids and medication through numerous central and peripheral IV catheters. The nursing staff asks the student nurse to change the new IV bag of medication. The student nurse who still not experienced with the IV’s and technological devices feels incompetent of her skills.

Explanation of Solution

The nursing student made a correct decision by asking the nursing staff about her insufficient knowledge over the IV lines; hence the patient’s safety is not compromised.

Summary Introduction

To discuss:

The knowledge, skills, and attitudes do you need to develop to continuously improve quality and safety when caring for the patients like Mr. M?

Case summary:

The nursing student is caring for a 62-year-old adult male patient Mr. M along with the nursing staff. The patient is admitted in the intensive care unit due to hepatic failure and the patient is very ill and being monitored continuously. The patient is being intravenous fluids and medication through numerous central and peripheral IV catheters. The nursing staff asks the student nurse to change the new IV bag of medication. The student nurse who still not experienced with the IV’s and technological devices feels incompetent of her skills.

Explanation of Solution

• The nursing student should have interpersonal skills to effectively communicate with the nursing staff.
• The nursing student should develop her knowledge and skill regarding the IV lines and critical care monitors.
• The nursing student should not compromise the patient safety.

Summary Introduction

To discuss:

The factors might have influenced the nurse in assigning this task to the student?

Case summary:

The nursing student is caring for a 62-year-old adult male patient Mr. M along with the nursing staff. The patient is admitted in the intensive care unit due to hepatic failure and the patient is very ill and being monitored continuously. The patient is being intravenous fluids and medication through numerous central and peripheral IV catheters. The nursing staff asks the student nurse to change the new IV bag of medication. The student nurse who still not experienced with the IV’s and technological devices feels incompetent of her skills.

Explanation of Solution

The nursing staff a very busy schedule and also caring for the critically ill patient and thought the student nurse might have experienced in the IV lines.

Summary Introduction

To discuss:

Whether the nurse effectively delegates this intervention? Why or why not?

Case summary:

The nursing student is caring for a 62-year-old adult male patient Mr. M along with the nursing staff. The patient is admitted in the intensive care unit due to hepatic failure and the patient is very ill and being monitored continuously. The patient is being intravenous fluids and medication through numerous central and peripheral IV catheters. The nursing staff asks the student nurse to change the new IV bag of medication. The student nurse who still not experienced with the IV’s and technological devices feels incompetent of her skills.

Explanation of Solution

When the nursing student told about her uncomfortable over the IV lines, the nursing staff noticed the IV lines are tangled and some lines are unlabeled. The nursing staff then intervened by untangling the IV lines and labeling them. She also spent time with the student nurse in educating about the IV lines. The nursing staff knows that wrong connection og medications to the IV line will compromise patient safety.

Summary Introduction

To discuss:

Did the student adhere to ethical and legal guidelines with the response? Explain why or why not and issues present?

Case summary:

The nursing student is caring for a 62-year-old adult male patient Mr. M along with the nursing staff. The patient is admitted in the intensive care unit due to hepatic failure and the patient is very ill and being monitored continuously. The patient is being intravenous fluids and medication through numerous central and peripheral IV catheters. The nursing staff asks the student nurse to change the new IV bag of medication. The student nurse who still not experienced with the IV’s and technological devices feels incompetent of her skills.

Explanation of Solution

The nursing student did adhere to the ethical and legal guidelines as she accepted her insufficient skill to the nursing staff; hence the patient safety is not compromised.