Case Study on Nursing

Running Head: CASE STUDY ON NURSING
Case Study on Nursing
Name of the Student:
Name of the University:
Author Note:

1
CASE STUDY ON NURSING
Question 1: Summarize the case and identify the related professional practice issues
associated with the case.
Answer: This case study discusses patient A, the death cause of the patient was septicemia
which is a reaction caused in the body due to a chemical form released to the blood stream to
fight an infection through trigger inflammation to the complete body. This approach can lead to
multiple organ damage, sometimes can also stop the body functioning and lead to a person’s
death. Patient A was having a lung related issue where she was having breathing problem which
was due to tough movement of air in her fine creps.Here as per the study, the major death cause
of the patient was the casual approach of the hospital and the on duty staff members who failed
to understand the actual conditions that the patient was facing and taking actions accordingly.
Question 2: What are the contributory factors? Identify the professional errors of the
following case.
Answer: According to NSW (New South Wales) as per the rules and regulation allowed for the
hospitals, it is stated that the hospitals need to maintain proper and systematic recording of
details that are associated with the patients. Health care record includes patient’s safety,
continuity of care across time and care setting, and support the transfer of information when the
care of patient/ client is transferred, for example clinical handover, during escalation of care for a
deteriorating patient and transfer of a patient/ client between settings. As per the mentioned
information about the rules and regulations that has to be followed by the hospitals according to
the guidelines of NSW Health Policy Document, (Williams, Hazelwood & Pang, 2014), the
hospital where patient A was admitted were not following the required norms and conditions that
has to be kept under consideration for every hospital on a particular patient.

2
CASE STUDY ON NURSING
In NSW Document it is stated that duty assigned to a particular staff must be performed
by the same and have no right of shifting responsibilities in the absence of other staff members
who can be an on duty doctor or a nurse. As in the case of patient A the doctor who is supposed
to conduct the treatment was not available and the complete process was done by the VMO
(Visiting Medical Officer), the hospital nurse and, the locum staff who use to be the part-time
nurse who visited the hospital every Friday and was not much aware about the medical norms
that has to be performed at the time of emergency to a patient, the same person was given the
responsibility of recording the medical reports of patient A which later came to know that the
reports were not recorded accordingly on the basis of scans performed on the chest part to check
the breath level. After performing several scans such as ECG, diarrhea the doctors failed to
understand the actual reason behind the critical condition of patient A.
NSW states that allocation of a planned admission should be based on the patient’s
clinical priority. The patients must be treated to ensure equity and access based on clinical need,
other factors that are based on the NSW norms that are related to the previous delays,
preadmission assessment requirements, resource availability (Special equipment), (Mirzaei et al.,
2013) . This is based on the management of patients who are not prepared for the treatment and
are not willing to get hospital assistance are to be remove from the hospital list. The particular
terms and condition as mentioned in the NSW Health systems are related to the case of patient A
where the hospital was not well equipped and there were no suitable technology and innovations
available from which it is understandable that there is no effective system available in the
hospital to overcome a case of emergency which was the major reason behind the death case of
patient A. The other factor that can be taken into consideration in the case of patient A is the time
factor which according to the NSW terms it states that of the 711,854 elective surgery