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Critical Thinking in Emergency Departments: A Case Study

   

Added on  2020-03-16

9 Pages2182 Words60 Views
Running head: CRITICALTHINKING Critical Thinking Name of the student:Name of the university:Author note:

2CRITICALTHINKING The issue that is being discussed by the authors in this article is that the enrolled nursehanded over medication to the patient without consulting the medical officer. 1.In this case, the nurse did not use proper critical thinking skills to analyze the situation inan effective manner while working in an Emergency department. She gave themedications to the patient without taking permission from the medical officer. She musthave followed safe and appropriate medication practice. This is against the nursing ethicsand legal principles of nursing as the medication might have led to serious health issuesand ultimately death of the patient (Cherry and Jacob 2016). She must havecommunicated in an effective manner with the medical officer while handing over theantibiotics to the patient. Nurses are considered as unregulated staffs who work under theguidance of the doctors and the clinicians. They play a significant role in providingquality care to the patients .The enrolled nurse should have taken permission from thedoctor to meet the patient instead of discussing verbally with him. She must have takenthe order of the medication from the supervising physician in written before giving it tothe patient. The medication order should be documented in a proper manner and shouldhave all the details of the client including the date of visit, name of the medicine, dosage,frequency of administration. It must have also contained the name and the signature ofthe prescriber. Nurse breached the ethical principles of nursing as she made a false entryin the record (Cherry and Jacob 2016). 2.The two main reasons cited in this issue are that this act of the enrolled nurse must havelead to serious health effects in the patient. She must have taken the advice of the medicalofficer before prescribing the pack of antibiotics to the patient. The nurse acted in her

3CRITICALTHINKING scope of practice because the patient was not ready to wait for a longer time to consultthe doctor and it was an emergency situation (Raingruber 2016). She also made enquiriesabout the allergies that the patient was suffering from and the response of certain drugs.The enrolled nurse ten consulted the doctor verbally as the department was very busyduring that time. This situation can be considered acceptable because if there was a delayin the treatment, it must have lead to adverse health conditions in the patient. Verbalcommunication in this case is considered as a means of miscommunication because awritten piece of information is considered as more effective in nursing practice. 3.The nurse failed to apply contemporary nursing practice because she did not meet theethical obligations of nursing and provided medications to the patient without theapproval of the patient. She must have behaved in a professional manner and should havegiven the prescription of medications in written. She should have worked in accordanceto standards of nursing practice that are being accepted and must not have made a wrongentry (Alligood 2013). 4.The three significant conduct statements from the Code of Professional Conduct fornurses that were breached in this situation are that the nurse did not practice in a safe andcompetent manner. The enrolled nurse did not work according to the standards of thenursing profession. The nurse did not promote the trust in the patient by not providing awritten medication prescription. She did not behave in a professional manner andperformed a unlawful and unethical practice (Kangasniemi, Pakkanen and Korhonen2015). The nurse should have followed the principles of the code of professional conductto build confidence and trust in the patient.

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