Chapter 19, Problem 1RP

Summary Introduction

To discuss:

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

Case summary:

The nursing student was experiencing a situation for a time when a patient J, a 15-year-old boy is admitted to the emergency department by the police. The police concluded that the boy swallowed 30 wrapped individual rocks to avoid arrest. The boy refuses to get treated as he denies that he have not possessed any drug, the hospital staffs worried that the boy will not survive if the wrapped cocaine opens up. The hospital attorney told the physician that they can force the treatment if it necessary to save his life. The boy’s mother told that she will sue anyone who touches her boy. The nursing student and her preceptor tried to explain the situation to his mother and calmed down and seemed o understand. The nasogastirc tube is inserted and the bowel preparation solution is sent through the tube. The patient passed out a bag of intact cocaine.   

Explanation of Solution

The nursing student assists her preceptor in inserting the nasogastric tube, even the patient showed some resistance. Since, it was a life saving situation and the patient will die, if the drug have opened inside is stomach, the hospital staff go against the wishes of the patient.  

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 was experiencing a situation for a time when a patient J, a 15-year-old boy is admitted to the emergency department by the police. The police concluded that the boy swallowed 30 wrapped individual rocks to avoid arrest. The boy refuses to get treated as he denies that he have not possessed any drug, the hospital staffs worried that the boy will not survive if the wrapped cocaine opens up. The hospital attorney told the physician that they can force the treatment if it necessary to save his life. The boy’s mother told that she will sue anyone who touches her boy. The nursing student and her preceptor tried to explain the situation to his mother and calmed down and seemed o understand. The nasogastirc tube is inserted and the bowel preparation solution is sent through the tube. The patient passed out a bag of intact cocaine.

Explanation of Solution

The student nurse is still not an Advanced Practice Registered Nurse (APRN) to become a nurse counselor, who counsels the patients and their family members. This situation is faced by the student nurse for the first time and life learning experience that she needs to know more about legal issues in nursing practice.

Summary Introduction

To discuss:

Any alternative ways to respond in this situation?

Case summary:

The nursing student was experiencing a situation for a time when a patient J, a 15-year-old boy is admitted to the emergency department by the police. The police concluded that the boy swallowed 30 wrapped individual rocks to avoid arrest. The boy refuses to get treated as he denies that he have not possessed any drug, the hospital staffs worried that the boy will not survive if the wrapped cocaine opens up. The hospital attorney told the physician that they can force the treatment if it necessary to save his life. The boy’s mother told that she will sue anyone who touches her boy. The nursing student and her preceptor tried to explain the situation to his mother and calmed down and seemed o understand. The nasogastirc tube is inserted and the bowel preparation solution is sent through the tube. The patient passed out a bag of intact cocaine.

Explanation of Solution

The nursing student or her preceptor could have counseled the patient that his life situation is in danger and he should be treated immediately. They could have convinced that the lawsuit will pardon or send reformation to the school and he will not be arrested as he still underage.

Summary Introduction

To discuss:

The legal and ethical principles were involved in this situation?

Case summary:

The nursing student was experiencing a situation for a time when a patient J, a 15-year-old boy is admitted to the emergency department by the police. The police concluded that the boy swallowed 30 wrapped individual rocks to avoid arrest. The boy refuses to get treated as he denies that he have not possessed any drug, the hospital staffs worried that the boy will not survive if the wrapped cocaine opens up. The hospital attorney told the physician that they can force the treatment if it necessary to save his life. The boy’s mother told that she will sue anyone who touches her boy. The nursing student and her preceptor tried to explain the situation to his mother and calmed down and seemed o understand. The nasogastirc tube is inserted and the bowel preparation solution is sent through the tube. The patient passed out a bag of intact cocaine.

Explanation of Solution

The patient’s confidentiality is followed as per Health Insurance Privacy and Portability and Accountability Act (HIPAA). Moreover, the patient is minor and consent should be followed to implement treatment.

Summary Introduction

To discuss:

Which ones had the potential to be violated?

Case summary:

The nursing student was experiencing a situation for a time when a patient J, a 15-year-old boy is admitted to the emergency department by the police. The police concluded that the boy swallowed 30 wrapped individual rocks to avoid arrest. The boy refuses to get treated as he denies that he have not possessed any drug, the hospital staffs worried that the boy will not survive if the wrapped cocaine opens up. The hospital attorney told the physician that they can force the treatment if it necessary to save his life. The boy’s mother told that she will sue anyone who touches her boy. The nursing student and her preceptor tried to explain the situation to his mother and calmed down and seemed o understand. The nasogastirc tube is inserted and the bowel preparation solution is sent through the tube. The patient passed out a bag of intact cocaine.

Explanation of Solution

As per the hospital attorney, the hospital staffs can force treatment without obtaining consent as it is a life saving situations. Starting treatment without the patient’s consent can be violated during these situations.

Summary Introduction

To discuss:

Whether the preceptor and the nursing student ensure the patient’s rights?

Case summary:

The nursing student was experiencing a situation for a time when a patient J, a 15-year-old boy is admitted to the emergency department by the police. The police concluded that the boy swallowed 30 wrapped individual rocks to avoid arrest. The boy refuses to get treated as he denies that he have not possessed any drug, the hospital staffs worried that the boy will not survive if the wrapped cocaine opens up. The hospital attorney told the physician that they can force the treatment if it necessary to save his life. The boy’s mother told that she will sue anyone who touches her boy. The nursing student and her preceptor tried to explain the situation to his mother and calmed down and seemed o understand. The nasogastirc tube is inserted and the bowel preparation solution is sent through the tube. The patient passed out a bag of intact cocaine.

Explanation of Solution

The patient’s confidentiality is followed as per HIPAA regulations, but the hospital staffs as to go against the patient’s right of being treated. Since, there is a potential danger if the patient is not treated immediately.

Summary Introduction

To discuss:

Whether the situation will be different when the patient is over 18 years of age?

Case summary:

The nursing student was experiencing a situation for a time when a patient J, a 15-year-old boy is admitted to the emergency department by the police. The police concluded that the boy swallowed 30 wrapped individual rocks to avoid arrest. The boy refuses to get treated as he denies that he have not possessed any drug, the hospital staffs worried that the boy will not survive if the wrapped cocaine opens up. The hospital attorney told the physician that they can force the treatment if it necessary to save his life. The boy’s mother told that she will sue anyone who touches her boy. The nursing student and her preceptor tried to explain the situation to his mother and calmed down and seemed o understand. The nasogastirc tube is inserted and the bowel preparation solution is sent through the tube. The patient passed out a bag of intact cocaine.

Explanation of Solution

When the patient is over 18-years, the law suit is different for them; the patient is forced for the treatment as he is under the possession of drugs.

Summary Introduction

To discuss:

The knowledge, skills, and attitudes do you need to develop to continuously improve quality and safety when caring for child patients like J?

Case summary:

The nursing student was experiencing a situation for a time when a patient J, a 15-year-old boy is admitted to the emergency department by the police. The police concluded that the boy swallowed 30 wrapped individual rocks to avoid arrest. The boy refuses to get treated as he denies that he have not possessed any drug, the hospital staffs worried that the boy will not survive if the wrapped cocaine opens up. The hospital attorney told the physician that they can force the treatment if it necessary to save his life. The boy’s mother told that she will sue anyone who touches her boy. The nursing student and her preceptor tried to explain the situation to his mother and calmed down and seemed o understand. The nasogastirc tube is inserted and the bowel preparation solution is sent through the tube. The patient passed out a bag of intact cocaine.

Explanation of Solution

• The student nurse must obtain more knowledge in the legal and ethical issues in the nursing practise.
• The student nurse must need a good communication skill to communicate effectively with a patient and his mother.
• The student nurse should know the patient’s safety is important and she can force the treatment under life saving situations.
• The student nurse should know that the patient’s confidentiality should maintain under HIPAA regulations.