Unprofessional Conduct in Nursing Documentation

Case study

Table of Contents
INTRODUCTION...........................................................................................................................1
MAIN BODY...................................................................................................................................1
Describing 5 example of unprofessional conduct in relation to documentation committed by
nurse............................................................................................................................................1
Describing 5 professionals/ department which who could be impacted by these acts of
unprofessional conduct................................................................................................................3
CONCLUSION................................................................................................................................5
REFERENCES................................................................................................................................6

INTRODUCTION
The health care professionals have the scope of practice in which they are operate in.
while on the other side, there are many areas where these health care professionals follow
unprofessional conduct. In the same way, current report is also based upon the case study of
CARNA Member where the nurse perform different unethical work. That is why, the report
describe five different example of unprofessional conduct in relation to documentation
committed by nurse. Further, it also explain 5 professionals/ department which who could be
impacted by these acts of unprofessional conduct as per the case study.
MAIN BODY
Describing 5 example of unprofessional conduct in relation to documentation committed by
nurse
As per the case study, there are different unprofessional conduct done by the nurse with
relation to documentation. The first is, she failed to document vital signs q4h as she was already
instructed by the doctor to perform the same. Therefore, it is quite essential for the nurse to have
critical care of the patient even it was a day or a night, especially it is required to take proper
documentation of vital signs q4h because ill patients may have a life- threatening changes and
that is why, it is necessary to jote down the pulse rate, temperature of the body, respiratory rate
and blood pressure of the body (Komolaf and Porterfield 2018). It is so because having a proper
documentation of these vital signs q4h will help to provide proper medication for the same. As
every patient have different pulse rate, BP and respiratory rate and for that doctor also prescribe
different medicine after monitoring the whole.
Second unprofessional conduct is that nurse failed to document pain assessments such
that it Is regraded as a fifth vital sign of the healthcare because it is accepted in the healthcare
sector that the pain is like the other vital sign. That is why, it is quite necessary for the nurse to
done proper pain assessment so that it will help to determine the actual condition of the patient
(Escolar and Magpantay, 2019). As per the case study, the nurse missed to have a proper
documentation of the pain assessment and as a result, the doctor did not prescribe proper
medicines to the patients and as a result, the chances of error increases. Therefore, pain
assessment is mainly involves the clinical judgment which is based upon the observation of the
type and in the context of a patient's pain experience.
1