Chapter 7, Problem 1RP

Summary Introduction

Case summary:

Person X worked in an emergency department of a reputed hospital. The hospital had a good relationship with the patients but one incident made the life of the patient at risk.

An 8 year old child patient called Person E came with a right forearm fracture. The ED protocol states that a person must always be there with the child to take care because of diazepam sedation. The assisted doctor was working for more than 14 hours, hence, he asked the nurse to do the procedures. The nurse is a fresh graduate and is not comfortable in giving drugs and also, she does not wish to disturb the doctor.

However, she went and gave dose against the protocol. The action of the nurse undermined the safety of the patient. This led to the act of negligence by both the doctor and the nurse.

Characters in the case:

• Person E: The patient
• Person X: The employee of the hospital.
• Doctor
• Nurse

To discuss:

The response of the given situation in the case by Person X.

Explanation of Solution

Responses to the situation are as follows:

Firstly, Person X must be aware of the condition of the patient before starting the protocol. Once the doctor asked to inject the dosage to the patient, shee must inform the doctor that shee is not aware of injecting the dosage and shee is new to the work or shee must go and ask for the help of the doctor before the injection.

Summary Introduction

Case summary:

Person X worked in an emergency department of a reputed hospital. The hospital had a good relationship with the patients but one incident made the life of the patient at risk.

An 8 year old child patient called Person E came with a right forearm fracture. The ED protocol states that a person must always be there with the child to take care because of diazepam sedation. The assisted doctor was working for more than 14 hours, hence, he asked the nurse to do the procedures. The nurse is a fresh graduate and is not comfortable in giving drugs and also, she does not wish to disturb the doctor.

However, she went and gave dose against the protocol. The action of the nurse undermined the safety of the patient. This led to the act of negligence by both the doctor and the nurse.

Characters in the case:

• Person E: The patient
• Person X: The employee of the hospital.
• Doctor
• Nurse

To discuss:

The professional knowledge, skill, and practice of Person X.

Explanation of Solution

The professional knowledge, skill, and practice of Person X under this situation are as follows:

The professional knowledge, skill, and practice of Person X were not up to the mark as she is new to this profession. Person X does not have any professional experience in this regard.

Summary Introduction

Case summary:

Person X worked in an emergency department of a reputed hospital. The hospital had a good relationship with the patients but one incident made the life of the patient at risk.

An 8 year old child patient called Person E came with a right forearm fracture. The ED protocol states that a person must always be there with the child to take care because of diazepam sedation. The assisted doctor was working for more than 14 hours, hence, he asked the nurse to do the procedures. The nurse is a fresh graduate and is not comfortable in giving drugs and also, she does not wish to disturb the doctor.

However, she went and gave dose against the protocol. The action of the nurse undermined the safety of the patient. This led to the act of negligence by both the doctor and the nurse.

Characters in the case:

• Person E: The patient
• Person X: The employee of the hospital.
• Doctor
• Nurse

To discuss:

The action of the nurse is legal and ethical.

Explanation of Solution

Whether the action of the nurse is legal and ethical:

No, the action of the nurse is not legal and ethical as she must have informed the doctor that she is not comfortable in the injection of dosage or she must have gone and asked for the help of the doctor before the injection because the life of the patient is at the hands of the nurse and the doctor. The life of the patient is at full risk because of the negligence of both.

Summary Introduction

Case summary:

Person X worked in an emergency department of a reputed hospital. The hospital had a good relationship with the patients but one incident made the life of the patient at risk.

An 8 year old child patient called Person E came with a right forearm fracture. The ED protocol states that a person must always be there with the child to take care because of diazepam sedation. The assisted doctor was working for more than 14 hours, hence, he asked the nurse to do the procedures. The nurse is a fresh graduate and is not comfortable in giving drugs and also, she does not wish to disturb the doctor.

However, she went and gave dose against the protocol. The action of the nurse undermined the safety of the patient. This led to the act of negligence by both the doctor and the nurse.

Characters in the case:

• Person E: The patient
• Person X: The employee of the hospital.
• Doctor
• Nurse

To discuss:

The knowledge, skill, and attitudes to be improved to have a quality and safety of the patients such as Person E.

Explanation of Solution

The knowledge, skill, and attitudes of Person X are as follows:

• Person X must have a good communication with both the patients and doctors
• Critical thinking is an important skill that a nurse must have.
• Adaptability to the current situation.