Clinical Scenario in Nursing Name of the University: Author's Notes

Running head: Clinical scenario in nursing
Clinical scenario in nursing
Name of the student:
Name of the university:
Authors notes:

CLINICAL SCENARIO IN NURSING2
In health care, there may be adverse situations where there may be crisis in health
care. Such crisis can lead to damage that may have both long term and short-term affect.
Clinical situation
I faced a similar situation where a patient had been initially admitted to the general
ward after being diagnosed with community-acquired pneumonia following persistent
symptoms of cough, chest pain, fever, and dyspnea. After admission of the patient, he was
subjected to a thorough physical examination, chest X-ray and auscultation. Following his
admission, initially signs of high fever, concomitant with chills, sharp stabbing pain in the
chest, and nausea were observed. I was entitled with the task of administering quinolone, the
intravenous antibiotic that would kill the invading microorganism responsible for the
condition. However, his conditions soon started deteriorating, and he began demonstrating
signs of respiratory failure and sepsis. Nonetheless, there was a delay in transferring him to
the ICU owing to lack of adequate bed facilities. Hospital patients who necessitate transfer to
the ICU from other medical wards often demonstrate a great in-hospital mortality rate.
Researchers have also elaborated that while unplanned transfers to the ICU generally occur in
4% cases of hospitalisation, they have often been associated with increase in resource
utilisation (Gold et al., 2015). Lack of adequate beds in the ICU were accredited to the
admission of several critical patients that week that made it difficult to admit the patient X on
noticing signs of deterioration. Furthermore, during the entire duration when the patient had
to wait for ICU admission, he was left at the discretion of my supervisor. Being a novice, I
was not well equipped with the implementation of the Surviving Sepsis Campaign's
resuscitation bundles, and failed to perform any blood culture test. This delay in ICU
admission increased his risk of mortality and on assisting my supervisor in examining the
patient, we also found that abscess had developed in the lungs, and required immediate
clinical attention.

CLINICAL SCENARIO IN NURSING3
Short term and long term impact of this clinical situation on the staff
The staff members or the hospital staffs are mostly affected by such incidents. There
are many long-term effects like work related stress, burnout, and loss of interest in job and it
is has often been found that failure to effectively administer care services to patient takes an
emotional toll on the staff, involved in delivering critical care. The staff members may not be
in direct fault but due to negligence, there may be serious consequences. (Calder et al, 2016).
In such a situation, healthcare professionals along with the management members of the
hospital are held accountable for their actions, based on the health consequences of the
patient. These kinds of incidents harm the image of the staff members and the family
members of the patients develop apathy and resentment towards the former. Owing to the
preventable and avoidable nature of such incidents, healthcare professionals are also
subjected to mental trauma and often question their role as a healthcare staff. The staff also
becomes apprehensive of looking after any other patient who reports similar signs and
symptoms, and also takes all necessary efforts to ensure that all patients are treated with
utmost priority (Quillivan et al., 2016). They have to endure extreme mental and emotional
trauma while providing a justification for their actions as wel, owing to the fact that when left
untreated, sepsis and respiratory failure might also lead to patient death.
As an advanced practice nurse or nurse practitioner description of the role and
responsibilities of unit managers and senior clinicians who may be involved in
responding
to individual staff involved in an adverse event
These cases are difficult to handle, as there is no direct fault by any one particular
person. In the incident stated above it can be suggested that there was failure on the part of
the hospital authorities who failed to ensure the presence of adequate ICU beds. Thus, it was