Chapter 26, 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 assigned to follow a nurse in labor and delivery. They met Ms. B, who was expecting her first child. On entering the patient’s room, they found that the room was dark and extremely cluttered with candy wrappers, food, and trash overflowing onto the floor. The patient’s partner was found to be sleeping in the room. After leaving the room, the nurse told the nursing student that this couple had a history of drug use. The nurse also told that they had to get a urine sample from the patient to do a dipstick test and drug screening. The patient was not going to be informed about this. The nursing student was shocked and confused by this action.

Explanation of Solution

In a similar situation, the nursing student would follow the same action of the nursing student which has mentioned in the scenario. The nursing student would go along with the nurse’s decision because the patient is found to be a drug addict, and performing the drug test would actually not going to harm the mother and the baby. In spite, it was going to be beneficial in providing adequate care for the patient and the baby.

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 assigned to follow a nurse in labor and delivery. They met Ms. B, who was expecting her first child. On entering the patient’s room, they found that the room was dark and extremely cluttered with candy wrappers, food, and trash overflowing onto the floor. The patient’s partner was found to be sleeping in the room. After leaving the room, the nurse told the nursing student that this couple had a history of drug use. The nurse also told that they had to get a urine sample from the patient to do a dipstick test and drug screening. The patient was not going to be informed about this. The nursing student was shocked and confused by this action.

Explanation of Solution

The nursing student might have left with the thought that they are violating the patient’s privacy. Through this experience, the nursing student could learn more about the legal aspects of nursing. The nursing student must be required to be skilled as well as to be competent both legally and medically. With this knowledge, the nursing student could also found to be a better advocate for the patients.

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 assigned to follow a nurse in labor and delivery. They met Ms. B, who was expecting her first child. On entering the patient’s room, they found that the room was dark and extremely cluttered with candy wrappers, food, and trash overflowing onto the floor. The patient’s partner was found to be sleeping in the room. After leaving the room, the nurse told the nursing student that this couple had a history of drug use. The nurse also told that they had to get a urine sample from the patient to do a dipstick test and drug screening. The patient was not going to be informed about this. The nursing student was shocked and confused by this action.

Explanation of Solution

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

• Ensuring the safety of the patient and the neonate.
• Both the patient and the baby should be benefited from the decided on-course of action.
• No harm of breach of duty should be done.
• Respect for the patient should be maintained.
• The patient must receive proper care and treatment regardless of her past drug use as well as the results of the drug tests.

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 well-being of both the mother and the child.

Summary Introduction

To discuss:

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

Case summary:

The nursing student was assigned to follow a nurse in labor and delivery. They met Ms. B, who was expecting her first child. On entering the patient’s room, they found that the room was dark and extremely cluttered with candy wrappers, food, and trash overflowing onto the floor. The patient’s partner was found to be sleeping in the room. After leaving the room, the nurse told the nursing student that this couple had a history of drug use. The nurse also told that they had to get a urine sample from the patient to do a dipstick test and drug screening. The patient was not going to be informed about this. The nursing student was shocked and confused by this action.

Explanation of Solution

The criteria provided in the scenario to evaluate the successful outcome is found to be more enough. Apart from this, the occurrence of complications that might arise during the delivery could be prevented. This criterion might found to be appropriate to use in this situation.

Summary Introduction

To discuss:

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

Case summary:

The nursing student was assigned to follow a nurse in labor and delivery. They met Ms. B, who was expecting her first child. On entering the patient’s room, they found that the room was dark and extremely cluttered with candy wrappers, food, and trash overflowing onto the floor. The patient’s partner was found to be sleeping in the room. After leaving the room, the nurse told the nursing student that this couple had a history of drug use. The nurse also told that they had to get a urine sample from the patient to do a dipstick test and drug screening. The patient was not going to be informed about this. The nursing student was shocked and confused by this action.

Explanation of Solution

On the basis of the given scenario, the nursing student was found to be met the criteria. The basic role of nursing is to provide care for the patient and the neonate in a safe and beneficial manner. The occurrence of complications during delivery would also be prevented.

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. B?

Case summary:

The nursing student was assigned to follow a nurse in labor and delivery. They met Ms. B, who was expecting her first child. On entering the patient’s room, they found that the room was dark and extremely cluttered with candy wrappers, food, and trash overflowing onto the floor. The patient’s partner was found to be sleeping in the room. After leaving the room, the nurse told the nursing student that this couple had a history of drug use. The nurse also told that they had to get a urine sample from the patient to do a dipstick test and drug screening. The patient was not going to be informed about this. The nursing student was shocked and confused by this action.

Explanation of Solution

The nursing student could include an assessment of past and current use of alcohol and drugs as a part of the patient’s admission in the health care. The patient’s mental status also might be evaluated for clues suggesting the recent use of drugs. Before obtaining the specimen, the student might need to know the facility’s legal status and policies of the area regarding consent for drug testing. The nursing student could clarify the doubts regarding this issue with the clinical instructor and the senior nurse.