Chapter 38, Problem 1RP

Summary Introduction

To discuss:

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

Case summary:

Ms. A is a 55-year-old female patient, who had undergone abdominal surgery and had a sigmoid colostomy. A student nurse is assigned to care for her along a staff nurse, the nurse observes that she drains semisoft brown stool and her stoma is bright red color. After many observations of changing colostomy bag, the student nurses attempts to change the colostomy bag for the first time.

Explanation of Solution

The student nurse gives care of changing the colostomy bags for the first time and makes some small mistakes like cutting a large bag. The patient can see the student nurse is still needed experience. The best response of the nurse is to avoid discomfort in the patient is to observe the staff nurse performing the practice for one more time.

Summary Introduction

To discuss:

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

Case summary:

Ms. A is a 55-year-old female patient, who had undergone abdominal surgery and had a sigmoid colostomy. A student nurse is assigned to care for her along a staff nurse, the nurse observes that she drains semisoft brown stool and her stoma is bright red color. After many observations of changing colostomy bag, the student nurses attempts to change the colostomy bag for the first time.

Explanation of Solution

The student is still not a Registered Nurse (RN) to become a staff nurse to carry out the skills efficiently. The student nurse needs more practice before caring for the patient.

Summary Introduction

To discuss:

Whether to agree with the criteria of the nursing student to evaluate a successful outcome.

Case summary:

Ms. A is a 55-year-old female patient, who had undergone abdominal surgery and had a sigmoid colostomy. A student nurse is assigned to care for her along a staff nurse, the nurse observes that she drains semisoft brown stool and her stoma is bright red color. After many observations of changing colostomy bag, the student nurses attempts to change the colostomy bag for the first time.

Explanation of Solution

The student, though made some mistakes while providing a technical competent skill in changing the colostomy bag; the patient’s safety is not compromised. As long as the patient’s safety is not compromised, there are no issues in the criteria.

Summary Introduction

To discuss:

Whether there is any other criteria that is appropriate to use.

Case summary:

Ms. A is a 55-year-old female patient, who had undergone abdominal surgery and had a sigmoid colostomy. A student nurse is assigned to care for her along a staff nurse, the nurse observes that she drains semisoft brown stool and her stoma is bright red color. After many observations of changing colostomy bag, the student nurses attempts to change the colostomy bag for the first time.

Explanation of Solution

The alternative criteria that define success are the patient should receive a safe care, patient safety is not compromised, and the staff nurse can demonstrate the technical competency for one more time.

Summary Introduction

To discuss:

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

Case summary:

Ms. A is a 55-year-old female patient, who had undergone abdominal surgery and had a sigmoid colostomy. A student nurse is assigned to care for her along a staff nurse, the nurse observes that she drains semisoft brown stool and her stoma is bright red color. After many observations of changing colostomy bag, the student nurses attempts to change the colostomy bag for the first time.

Explanation of Solution

The student nurse certainly met her criteria, without compromising the patient’s safety the student nurse is able to change the colostomy bag with some difficulties.

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 Ms. A.

Case summary:

Ms. A is a 55-year-old female patient, who had undergone abdominal surgery and had a sigmoid colostomy. A student nurse is assigned to care for her along a staff nurse, the nurse observes that she drains semisoft brown stool and her stoma is bright red color. After many observations of changing colostomy bag, the student nurses attempts to change the colostomy bag for the first time.

Explanation of Solution

• The nurse should ensure the comfort of the patient all the time.
• The nurse should not compromise the safety of the patient.
• The nurse should show her inadequacy to the patient.
• The patient should think that the nurse still needs experience.