3Case study of Albert Eric Bruce Biffinthe situation; therefore did not call for the doctors or the family members. The family shouldhave been notified of his health status before calling a doctor. It can be understood from the casestudy that, the registered nurse would only attend Jacaranda, if called specially for urgent orspecific reasons, since she had a patient load somewhere else. It was not before the nextmorning when the staff reported the pain in Mr. Biffins hernia. Dr. Lambia was busy with otherpatients and did not find it of that much important; therefore it is clear from the given scenariothat there has been negligence from the staffs of the health care setting, both the healthpractitioner and the registered nurse. The registered nurse in charge of Mr. Biffin did not find itnecessary to call his family as she found that his vital signs were all within the limits, for acertain time. The registered nurse found it essential to inform the doctor, until an offensivedischarge was coming out through the wound in his lower leg. It was until then that Dr. Lambiewas unaware of Mr. Bruce’s hernia. It was also reported that doctor did not go through anymedical history, and did not instruct the nurses about the treatment regimen for Mr. Biffin. Hedid not clearly document what the nurses would do after he had performed the procedure. It isthe duty of the nurses to measure the quality of care systematically. Many residential care centersdo not have public funding, managerial support to introduce new technologies to monitorimprovement in their services (McKenna, Hasson & Keeney, 2014). The conversation betweenthe doctor and the patient was very brief, therefore could not assess the problems faced by thepatient, properly. After the surgery, Dr. Lambia did not instruct the nurses to identify thepatient’s vital signs. The registered nurse reported that since she had patient load else where itwas not possible for her to keep an eye on anything and everything. The clinical nurse reportedthat Mr. Biffin was suffering from short term memory loss, as per the cognitive test performedon Mr. Biffin. The nurse had a very brief entry records and she also admitted that Mr. Biffin was

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