Chapter 36, Problem 1RP

Summary Introduction

To discuss:

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

Case summary:

The nursing student cares for 85-year-old female adult patient Ms. A, who had numerous medical problems and had been in a long-term facility. Along with other patients, Ms. A is also given toilet regimen until a new charge arrived and placed all the patients with indwelling catheters. The nursing student considered this situation is for convenience for the nursing staff, but will it really give comfort to the patients and how she is going to challenge the charge nurse.

Explanation of Solution

The nursing student must ask for an appointment with the charge nurse and tells her their concern over the catheter issue and infections to the patients. The student nurse also tells that she will go to a higher authority if the charge nurse does not respond or justify for the indwelling catheter.  

Summary Introduction

To discuss:

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

Case summary:

The nursing student cares for 85-year-old female adult patient Ms. A, who had numerous medical problems and had been in a long-term facility. Along with other patients, Ms. A is also given toilet regimen until a new charge arrived and placed all the patients with indwelling catheters. The nursing student considered this situation is for convenience for the nursing staff, but will it really give comfort to the patients and how she is going to challenge the charge nurse.

Explanation of Solution

The student nurse is still not an Advanced Practice Registered Nurse (APRN) to become a nurse advocate, who advocates on behalf of the patients and obtain their rights and demands. The nursing student still needs more information and communication skills before advocating for her patients.

Summary Introduction

To discuss:

Whether to agree with the criteria of the nursing student to evaluate a successful outcome?

Case summary:

The nursing student cares for 85-year-old female adult patient Ms. A, who had numerous medical problems and had been in a long-term facility. Along with other patients, Ms. A is also given toilet regimen until a new charge arrived and placed all the patients with indwelling catheters. The nursing student considered this situation is for convenience for the nursing staff, but will it really give comfort to the patients and how she is going to challenge the charge nurse.

Explanation of Solution

The nursing student knows that the patient’s safety and comfort is the quality care, hence she advocated to the charge nurse on behalf of the patients.

Summary Introduction

To discuss:

Whether there is any other criteria that is appropriate to use?

Case summary:

The nursing student cares for 85-year-old female adult patient Ms. A, who had numerous medical problems and had been in a long-term facility. Along with other patients, Ms. A is also given toilet regimen until a new charge arrived and placed all the patients with indwelling catheters. The nursing student considered this situation is for convenience for the nursing staff, but will it really give comfort to the patients and how she is going to challenge the charge nurse.

Explanation of Solution

• The nursing student could have brought the issue to their clinical instructor, who is talk about the issue to charge nurse behalf of the student nurse.
• The nursing student could have taught the patients and their family members about rights, demand, comfort, and safety. The patients could raise the issue to the authorities. 

Summary Introduction

To discuss:

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

Case summary:

The nursing student cares for 85-year-old female adult patient Ms. A, who had numerous medical problems and had been in a long-term facility. Along with other patients, Ms. A is also given toilet regimen until a new charge arrived and placed all the patients with indwelling catheters. The nursing student considered this situation is for convenience for the nursing staff, but will it really give comfort to the patients and how she is going to challenge the charge nurse.

Explanation of Solution

The student nurse certainly met her criteria; she thought the safety of her patient and reported it to the charge nurse. Even though she was threatened by the charge nurse, the nursing student complained the issue to the authorities, so that patient’s safety is not compromised.

Summary Introduction

To discuss:

The knowledge, skills, and attitudes do you need to develop to continuously improve quality and safety when caring for child patients like Ms. A?

Case summary:

The nursing student cares for 85-year-old female adult patient Ms. A, who had numerous medical problems and had been in a long-term facility. Along with other patients, Ms. A is also given toilet regimen until a new charge arrived and placed all the patients with indwelling catheters. The nursing student considered this situation is for convenience for the nursing staff, but will it really give comfort to the patients and how she is going to challenge the charge nurse.

Explanation of Solution

• The nursing student should ensure the comfort of the patient all the time.
• The nursing student should not compromise the safety of the patient.
• The nursing student needs evidence based literature, knowledge, and communication skills to advocate for her patients.