Chapter 27, Problem 1RP

Summary Introduction

To discuss:

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

Case summary:

The nursing extern meets Ms. J a mother of one-year-old girl child who is diagnosed with failure to thrive and admitted in the well-child clinic. The girl child is being on the rehabilitation program and prescribed with a feeding program, since the child do have normal growth and seems to very small in size. When the student nurse visited the patient to take vital, the nurse extern could observe that the patient’s foot is hanging on the edge of the cot. After taking vitals, the nurse extern turned to wash her hands, the mother also turned to grab something from her bag, suddenly both of them hears a loud thud followed by crying. The child patient had fallen down from the bed and her mother is soothing her. The nurse extern felt guilty though it was not her fault, she is afraid to report this incident, though she wanted to inform it to her preceptor.

Explanation of Solution

The nurse extern should have informed the incident right away to her preceptor. The information about the incident will minimize the risk of potential complications for the patient as well as to the nurse who had acted on benefit of the patient.  

Summary Introduction

To discuss:

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

Case summary:

The nurse meets the 29-year-old female patient Ms. J, in the women’s shelter. The student nurse finds that Ms. J is a single woman and she is a drug addict, now she is 14 weeks pregnant and does not who is the father of her baby. While counselling, Ms. J states herself as a hopeless addict and tried to stop it more times. Currently, she was drug free, and in a dilemma to keep the baby or to abortion. The patient states she wants someone to love her and but she is not ready to be a mother. The student nurse, who is against abortion tires to counsel the patient.

Explanation of Solution

The nursing student still not a Registered Nurse (RN) to become a staff nurse or a pediatric nurse. The student nurse must know the institutional policies for the patient’s health and to maintain professional integrity.

Summary Introduction

To discuss:

Whether the nurse extern’s fear justification for the action.

Case summary:

The nurse meets the 29-year-old female patient Ms. J, in the women’s shelter. The student nurse finds that Ms. J is a single woman and she is a drug addict, now she is 14 weeks pregnant and does not who is the father of her baby. While counselling, Ms. J states herself as a hopeless addict and tried to stop it more times. Currently, she was drug free, and in a dilemma to keep the baby or to abortion. The patient states she wants someone to love her and but she is not ready to be a mother. The student nurse, who is against abortion tires to counsel the patient.

Explanation of Solution

Whatever the situation the nurse extern should have overcome and fear and report the incident to her preceptor. The reporting of the incident will avoid many complications to the nurse’s carrier as well as to health issue of the patient.

Summary Introduction

To discuss:

The ethical and legal principles, if any, were violated in this situation.

Case summary:

The nurse meets the 29-year-old female patient Ms. J, in the women’s shelter. The student nurse finds that Ms. J is a single woman and she is a drug addict, now she is 14 weeks pregnant and does not who is the father of her baby. While counselling, Ms. J states herself as a hopeless addict and tried to stop it more times. Currently, she was drug free, and in a dilemma to keep the baby or to abortion. The patient states she wants someone to love her and but she is not ready to be a mother. The student nurse, who is against abortion tires to counsel the patient.

Explanation of Solution

According to the institution policies the incident should be reported as soon as it had happen and it should be recorded. The nurse extern did not report the incident till that evening, which means she as violated the policy. Though no risk for the patient, the nurse extern have learnt the importance of the incident report.

Summary Introduction

To discuss:

The liability would the nurse extern be required to assume.

Case summary:

The nurse meets the 29-year-old female patient Ms. J, in the women’s shelter. The student nurse finds that Ms. J is a single woman and she is a drug addict, now she is 14 weeks pregnant and does not who is the father of her baby. While counselling, Ms. J states herself as a hopeless addict and tried to stop it more times. Currently, she was drug free, and in a dilemma to keep the baby or to abortion. The patient states she wants someone to love her and but she is not ready to be a mother. The student nurse, who is against abortion tires to counsel the patient.

Explanation of Solution

The nurse extern should assume the importance of incident that should be reported to the preceptor immediately. Moreover, delaying in reporting the incident or not reporting the incident is against the institutional policies.

Summary Introduction

To discuss:

Whether there are any other ways to respond this situation.

Case summary:

The nurse meets the 29-year-old female patient Ms. J, in the women’s shelter. The student nurse finds that Ms. J is a single woman and she is a drug addict, now she is 14 weeks pregnant and does not who is the father of her baby. While counselling, Ms. J states herself as a hopeless addict and tried to stop it more times. Currently, she was drug free, and in a dilemma to keep the baby or to abortion. The patient states she wants someone to love her and but she is not ready to be a mother. The student nurse, who is against abortion tires to counsel the patient.

Explanation of Solution

• The nurse extern could have called for a staff nurse and reported the incident to them and they would have reported the incident.
• The nurse extend could have gained courage and reported the incident straight away to her preceptor.
• The nurse extern should know that she should not compromised on her professional integrity or personal integrity and hence should have reported the incident. 

Summary Introduction

To discuss:

The knowledge, skills, and attitudes do you need to develop to continuously improve when caring for patients like Ms. J and her child.

Case summary:

The nurse meets the 29-year-old female patient Ms. J, in the women’s shelter. The student nurse finds that Ms. J is a single woman and she is a drug addict, now she is 14 weeks pregnant and does not who is the father of her baby. While counselling, Ms. J states herself as a hopeless addict and tried to stop it more times. Currently, she was drug free, and in a dilemma to keep the baby or to abortion. The patient states she wants someone to love her and but she is not ready to be a mother. The student nurse, who is against abortion tires to counsel the patient.

Explanation of Solution

• The nurse extern must know about the institutional polices about patient safety.
• The nurse extern should know how to provide safety for the child by placing side rails in the bed.
• The nurse extern should not compromise of professional integrity or personal integrity of the patient.
• The nurse extern should not violate the institutional polices.
• Incidents must be reported as soon as they to avoid further complication for the patient and also to the nurse.