Being a Professional Nurse or Midwife Case Study 2022

Running Head: CASE STUDY 1
Case Study
Students’ Name
University Affiliation
Course Title
Date

CASE STUDY 2
401021 Being a Professional Nurse or Midwife – Assessment 2
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Criteria 1. Case Summary: Summarizes the case and presenting professional practice
issues.
The nursing case study involves patient A who reports to the nursing staff at 1720 hours
that she has abdominal pain and is feeling dizzy. The nursing staff observed the patient and
found that she has very low blood pressure (89/53) and a heart rate of 88. Furthermore, her
respiratory rate was between 40-44/min. The respondent is advised about patient A's condition
by an enrolled nurse but says the patient will be reviewed after locum arrives. A few minutes
later, the patient respondent is notified about the patient’s continual diarrhea but still insists on
review after locum comes. However, the respondent checks the patient by herself but fails to
document her observations.
At around 1910 hours, the respondent arranges for an extra ECG to be done. One hour ten
minutes later, the nurse manager in the clinical setting makes a call to the respondent regarding
an arrangement for one else (other than A) medication to be acquired from the drug safe. Ten
minutes later, the manager arrived at signed the medication upon arriving at the hospital.
However, the respondent failed to present any concerns regarding patient A. The locum arrived
at 10:00 pm when the patient’s condition had significantly deteriorated. The emergency doctor
arrived one hour later to insert a large bore IV cannula for the management of the patient's
adverse dehydration. More efforts were made to transfer the patient to a rural referral hospital,
but eventually, patient A died.

CASE STUDY 3
Patient's A case is complicated, and the death of the patient was as a result of the
ignorance of the respondents that ought to have been responsible. The authority that is Ms
Catherine Jones, the Clinical Nurse Manager, totally ignored her responsibility by not giving the
required attention to the patient. It was noted that the patient's family was supposed to be
contacted. This means that the condition of the patient was drastically deteriorating. This is
legitimate to prove that the responsible authority ignored the patient's case willingly.
The responsible doctors take more concern about addressing or rather knowing the condition of
the patient rather than diagnosing her. The actions of the competent authorities were
unprofessional. Also, the respondent acts unprofessionally when she fails to record the
observations of the patient. Furthermore, she fails to discuss the patient’s condition with the
manager despite the fact that the patient’s condition was deteriorating. The respondent also
ignores the patient’s diarrhea on the basis that the patient shall be reviewed when locum arrives.
The patient would have been diagnosed immediately on her arrival at the hospital.
Initially, patient A appeared to have abdominal pains, low blood pressure (89/53) and also dizzy.
Any qualified medical practitioner would have been able to know that the patient required a
specific diagnosis.
Criteria 2. Contributory factors: Identify relevant professional errors that potentially
contributed to the incident happening?
Misdiagnosis is one of the significant medical errors (Phillips, Hall, Pearce, Travaglia,
Lusignan, Love & Kijakovic, 2017). Sometimes professional medical caregivers commit this
error while doing their work, whereby they fail to give their patients the required diagnosis
(Klein, 2018). Misdiagnosis is contributed by factors such as errors during lab test experiments,