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Ineffective Communication In Nursing

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Ineffective Communication My patient, C.R., came into the hospital due to chronic renal failure (CRF). He was scheduled to have his second round of dialysis done on the intensive care unit (ICU). Dialysis nurse was present in the room, setting up the machine for continuous renal replacement therapy (CRRT) and noticed that the patient went into symptomatic supraventricular tachycardia (SVT). Being thrown into SVT causes the heart rate to speed up over 150 and can cause the patient to have pain in their chest, feeling lightheaded and fatigued, and have shortness of breath. At the same time, C.R.’s nurse walked into the room and the patient’s rhythm converted into ventricular tachycardia (VT). At the time the patient converted to VT, he became …show more content…

Psychosocial: The nurse could take verbal abuse from the doctor for questioning him/hers orders. The nurse should then become a patient advocate and inform the doctor that the patient does not wish to have life saving measures spent on him. If the doctor still wants the code team to resuscitate, the nurse can then call a form of Safe Harbor known as Request to Determine Medical Reasonableness of a Physician’s Order.
Social: The nurse could potentially become a target for ostracism with doctors and other nurses not wanting to work with her in fear of them being reported immediately if they make mistakes.
Financial: If doctors do not want the nurse to work with their patient’s then the nurse could potentially and unjustly be out of a job. Analysis: The risk the nurse can potentially be in is if the doctor wanted to sue her for defamation of character. The nurse should make sure that she had completed all of her charting and have done thorough documentation on the patient so that she has evidence for any peer review that may occur.

Chosen Option: The registered nurse (RN) chose option one, to proceed and code the …show more content…

This situation is just a good example of poor communication and lack of patient knowledge. The nurse received report from the off going nurse and was not told a code status of the patient. She then did not attempt to learn of the patient’s code status after receiving report, going about her daily tasks and med passes. Since she was uneducated about the patient’s status, she was unable to be a proper patient advocate and inform the code team that this patient did not want life saving measures

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