Chapter 23, 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 offered to catheterize Mrs. B, a 72-year-old patient. The student reviewed the procedure and went to the patient’s room accompanied by the clinical instructor along with the catheterization supplies. After introducing themselves to the patient, the nursing student started to open the sterile package, prepared the sterile field, and cleansed the meatus. The nursing student has contaminated the catheter in one quick moment as the patient asked a question and diverts the instructor’s eye. Considering the importance of sterility and nosocomial infections, the nursing student told the instructor what happened, obtained a new kit and started proceeding.

Explanation of Solution

In a similar situation, the nursing student should follow the same thing what the nursing student did in the given scenario. In this situation, the patient has undergone abdominal surgery and would have already developed a wound infection. Insertion of the contaminated catheter would increase her risk for an additional infection. Thus, the contaminated catheter should not be used for this patient in this situation. The nursing student must admit the fault and report it to the instructor and should request for another new catheter.

Summary Introduction

To discuss:

Do you agree with the criteria that the nursing student used to evaluate a successful outcome? Why or why not?

Case summary:

The nursing student was offered to catheterize Mrs. B, a 72-year-old patient. The student reviewed the procedure and went to the patient’s room accompanied by the clinical instructor along with the catheterization supplies. After introducing themselves to the patient, the nursing student started to open the sterile package, prepared the sterile field, and cleansed the meatus. The nursing student has contaminated the catheter in one quick moment as the patient asked a question and diverts the instructor’s eye. Considering the importance of sterility and nosocomial infections, the nursing student told the instructor what happened, obtained a new kit and started proceeding.

Explanation of Solution

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

• The patient should be benefited from the nurse’s action or at the very least should not be harmed.
• No one’s integrity should be sacrificed or harmed.
• The standards of nursing practice or the American Nurses Association Code of Ethics should not be violated.

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. The patient should not be harmed; the integrity of the nursing student should be maintained; and the ethical values should not be violated.

Summary Introduction

To discuss:

What knowledge, skill, and attitude do you need to develop to continuously improve quality and safety when caring for patients like Mrs. B?

Case summary:

The nursing student was offered to catheterize Mrs. B, a 72-year-old patient. The student reviewed the procedure and went to the patient’s room accompanied by the clinical instructor along with the catheterization supplies. After introducing themselves to the patient, the nursing student started to open the sterile package, prepared the sterile field, and cleansed the meatus. The nursing student has contaminated the catheter in one quick moment as the patient asked a question and diverts the instructor’s eye. Considering the importance of sterility and nosocomial infections, the nursing student told the instructor what happened, obtained a new kit and started proceeding.

Explanation of Solution

The nursing student should be alert and careful while proceeding catheterization. Before performing the procedure the nursing student should explain this procedure to the patient. The nursing student should avoid distractions and conversations while doing the catheterization. The nursing student should follow the safety instructions before starting the procedure and should stay confident while doing the procedure.