Chapter 33, Problem 1RP

Summary Introduction

To discuss:

How do you think that you would respond in a similar situation? Why?

Case summary:

The nursing student was taking care of Ms. W with an external fixation device on her right leg. Her tibia had broken and she had undergone to correct the fracture. The patient was admitted for the treatment of infection caused by the external device. The nursing student was assigned to take care of the patient on the discharge day. The nurse asked this student to bring this patient to car when she was ready to leave. The nursing student had couple of choices whether to transfer the patient alone or to seek some assistance.

Explanation of Solution

In a similar situation, the nursing student might explain to the nurse about her willingness to transfer the patient. At the same time, the nursing student should also reveal the nurse about her lack of skills on doing it on own. The nursing student might ask the nurse to assist in transferring the patient.

Summary Introduction

To discuss:

What does this tell you about yourself and about the adequacy of your skills for professional practice?

Case summary:

The nursing student was taking care of Ms. W with an external fixation device on her right leg. Her tibia had broken and she had undergone to correct the fracture. The patient was admitted for the treatment of infection caused by the external device. The nursing student was assigned to take care of the patient on the discharge day. The nurse asked this student to bring this patient to car when she was ready to leave. The nursing student had couple of choices whether to transfer the patient alone or to seek some assistance.

Explanation of Solution

The nursing student was under the learning phase only. The nursing student could learn from the experience and could gain knowledge and skills for the future professional practice.

Summary Introduction

To discuss:

Do you agree with the criteria that the nursing student used to evaluate a successful outcome?

Case summary:

The nursing student was taking care of Ms. W with an external fixation device on her right leg. Her tibia had broken and she had undergone to correct the fracture. The patient was admitted for the treatment of infection caused by the external device. The nursing student was assigned to take care of the patient on the discharge day. The nurse asked this student to bring this patient to car when she was ready to leave. The nursing student had couple of choices whether to transfer the patient alone or to seek some assistance.

Explanation of Solution

The criteria which the nursing student used to evaluate a successful outcome are:

• The patient could receive the highest quality of care and less amount of pain during the transfer.
• The nursing student could learn from this experience and could gain knowledge and skills for the future practice.
• The patient should not be harmed and should by benefited by the action took by the nursing student.

All these criteria were found be agreed because the fundamental principle of nursing is to provide safe care to the patient in a beneficial manner. Following these criteria would provide a successful outcome in the patient’s well-being.

Summary Introduction

To discuss:

Are there any other criteria that would be appropriate to use?

Case summary:

The nursing student was taking care of Ms. W with an external fixation device on her right leg. Her tibia had broken and she had undergone to correct the fracture. The patient was admitted for the treatment of infection caused by the external device. The nursing student was assigned to take care of the patient on the discharge day. The nurse asked this student to bring this patient to car when she was ready to leave. The nursing student had couple of choices whether to transfer the patient alone or to seek some assistance.

Explanation of Solution

It is always better to be over-prepared than under-prepared. The nursing student should have some discussion with the nurse or physical therapist on how to transfer the patient before taking the patient to the car. This action might avoid unnecessary difficulties on transferring the patient.

Summary Introduction

To discuss:

Did the nursing student meet the criteria? Why or why not?

Case summary:

The nursing student was taking care of Ms. W with an external fixation device on her right leg. Her tibia had broken and she had undergone to correct the fracture. The patient was admitted for the treatment of infection caused by the external device. The nursing student was assigned to take care of the patient on the discharge day. The nurse asked this student to bring this patient to car when she was ready to leave. The nursing student had couple of choices whether to transfer the patient alone or to seek some assistance.

Explanation of Solution

The nursing student was found to meet the criteria of learning from the experience and gaining knowledge and skills for future professional practices.

Summary Introduction

To discuss:

What knowledge, skills, and attitudes do you need to develop to continuously improve the quality and safety of care for patients like Ms. W?

Case summary:

The nursing student was taking care of Ms. W with an external fixation device on her right leg. Her tibia had broken and she had undergone to correct the fracture. The patient was admitted for the treatment of infection caused by the external device. The nursing student was assigned to take care of the patient on the discharge day. The nurse asked this student to bring this patient to car when she was ready to leave. The nursing student had couple of choices whether to transfer the patient alone or to seek some assistance.

Explanation of Solution

Before transferring the patient, the nursing student should learn how to transfer the patient properly. The nursing student should ask for help whenever he or she thinks that it may need it for transferring the patient. These actions are needed to develop to continuously improve the safety and quality of care for the patients like Ms. W.