Chapter 27, Problem 4RP

Summary Introduction

To discuss:

How might the delay in the reporting the child’s fall have affected the outcome of this situation?

Case summary:

The nursing extern meets Ms. J a mother of one-year-old girl child who is diagnosed with failure to thrive and admitted in the well-child clinic. The girl child is being on the rehabilitation program and prescribed with a feeding program, since the child do have normal growth and seems to very small in size. When the student nurse visited the patient to take vital, the nurse extern could observe that the patient’s foot is hanging on the edge of the cot. After taking vitals, the nurse extern turned to wash her hands, the mother also turned to grab something from her bag, suddenly both of them hears a loud thud followed by crying. The child patient had fallen down from the bed and her mother is soothing her. The nurse extern felt guilty though it was not her fault, she is afraid to report this incident, though she wanted to inform it to her preceptor.

Summary Introduction

To discuss:

Whether the nurse extern should initiate a discussion with her preceptor to review personal accountability and reporting procedures in a timely manner for any safety violations or incidents.

Case summary:

The nursing extern meets Ms. J a mother of one-year-old girl child who is diagnosed with failure to thrive and admitted in the well-child clinic. The girl child is being on the rehabilitation program and prescribed with a feeding program, since the child do have normal growth and seems to very small in size. When the student nurse visited the patient to take vital, the nurse extern could observe that the patient’s foot is hanging on the edge of the cot. After taking vitals, the nurse extern turned to wash her hands, the mother also turned to grab something from her bag, suddenly both of them hears a loud thud followed by crying. The child patient had fallen down from the bed and her mother is soothing her. The nurse extern felt guilty though it was not her fault, she is afraid to report this incident, though she wanted to inform it to her preceptor.

Summary Introduction

To discuss:

The evidence in the nursing literature provides guidance for decision making regarding ensuring a safe patient care environment?

Case summary:

The nursing extern meets Ms. J a mother of one-year-old girl child who is diagnosed with failure to thrive and admitted in the well-child clinic. The girl child is being on the rehabilitation program and prescribed with a feeding program, since the child do have normal growth and seems to very small in size. When the student nurse visited the patient to take vital, the nurse extern could observe that the patient’s foot is hanging on the edge of the cot. After taking vitals, the nurse extern turned to wash her hands, the mother also turned to grab something from her bag, suddenly both of them hears a loud thud followed by crying. The child patient had fallen down from the bed and her mother is soothing her. The nurse extern felt guilty though it was not her fault, she is afraid to report this incident, though she wanted to inform it to her preceptor.

Summary Introduction

To discuss:

Whether the health care team should review on what went wrong to allow this incident to occur, rather than who let it happen?

Case summary:

The nursing extern meets Ms. J a mother of one-year-old girl child who is diagnosed with failure to thrive and admitted in the well-child clinic. The girl child is being on the rehabilitation program and prescribed with a feeding program, since the child do have normal growth and seems to very small in size. When the student nurse visited the patient to take vital, the nurse extern could observe that the patient’s foot is hanging on the edge of the cot. After taking vitals, the nurse extern turned to wash her hands, the mother also turned to grab something from her bag, suddenly both of them hears a loud thud followed by crying. The child patient had fallen down from the bed and her mother is soothing her. The nurse extern felt guilty though it was not her fault, she is afraid to report this incident, though she wanted to inform it to her preceptor.