Sample Assignment on Nursing (DOC)
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Added on 2021-04-16
Sample Assignment on Nursing (DOC)
Added on 2021-04-16
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Running head: NURSING Nursing Name of student:Name of university:Author note:
1NURSING Code Blue is the term used by medical institutions across the globe for indicating that apatient has suffered a cardiopulmonary arrest and is in immediate need of resuscitation. Theresuscitation is carried out by the ‘code team’ present at the healthcare unit. However, the initialefforts for resuscitation are to be carried out by the nurses on duty. It is therefore crucial fornursing professionals to have a thorough knowledge regarding resuscitation process and theessential skills in this regard. Communication between the nurse and the code team is also ofcrucial importance to ensure that the desired patient outcomes are achieved. An amalgamation oftechnical and non-technical skills ensures that nurses deliver optimal quality care through safeapproaches in resuscitation. The present paper is a media annotation that is based on the reviewof a video titled “Code Blue”. The video is on an arrest scenario associated with resuscitation,and the analysis is done for quality of identified practice and performance. Preference toAustralian Resuscitation council guidelines and other scholarly papers is done for identifying thestrengths and weaknesses of the performance. Recommendations for practice change are outlinedthereafter. A deep insight into the video brings into notice that after the nurse entered the patient’sroom and understood the need of emergency care to the provided she called out to the fellownurse for contacting the Code Blue. It would have been desirable if she had pressed theemergency button instead. According to Massey et al., (2014) medical emergency situations areto be addressed by pressing the emergency button as an acute illness might pose a threat to thepatient’s life. Any response in the emergency situation would depend strongly on the situation,the condition of the patient and the availability of resources. As highlighted by Ebert et al.,(2017) the role of the health professionals acting as the first responders is critical as resuscitationefforts are to be started at the earliest. The second issue that arose was that the nurses did not
2NURSING consider assessing the airway of the patient. As per the Australian Resuscitation Councilguidelines (2016) the initial steps of resuscitation involves the initial steps of DRS ABCD(dangers, responsiveness, send, airway, breathing, CPR, defibrillation). Assessment of thepatient’s airway along with unresponsiveness is required for identification of the need ofresuscitation. In case of an unconscious patient, care of airway takes precedence over any pooroutcomes (Maconochie et aal., 2015). Further into the video, the nurses did not take the pillowout for enabling the patient in a proper position. In addition, the nurses checked the breathingpattern of the patient from distant height. Patients who are breathing in an abnormal manner orare unresponsive require assessment of breathing (Piegeler et al., 2016). Australian ResuscitationCouncil Guidelines (2016) outline that while assessing the breathing pattern of the patientneeding resuscitation, professionals must look for movement of the lower chest or upperabdomen, listen for the escape of air from the mouth and nose, and feel for the movement of airat the nose and mouth. This process of breathing assessment was not followed by the nurse as theheight of the bed was too low to carry out the assessment in an appropriate manner. Coming to the section of the video where compressions were provided to the patient, anumber of key weaknesses were identified. Firstly, the nurse stood and stressed on the back ofthe patient while giving compressions. The compressions were also not rhythmic. The Codecaptain asked to stop the compressions for a second for checking the heart rhythm of the patient.Further, the nurses did not count appropriately for understanding the point of time in whichairway management was required. Moreover, no professional engaged in carrying out thecompressions, and the same had to be stopped while delivering the shock to the patient. A lookinto the Australian Resuscitation Council guidelines (2016) reveals that all professionals mustcarry out chest compressions for patients with minimal interruptions. The professional delivering
3NURSING the compression must do so in a rhythmic manner with the focus on equal time for compressionand relaxation. Further, attention is to be given to the aspect that the chest of the patient iscompletely recoiled after every compression. The professional is also supposed to avoid usingthumps or rocking back and forth while compressing. In this regard, the depth of compressiondelivered is to be analyzed which was in appropriate. As per the Australian ResuscitationCouncil guidelines (2016), the lower portion of the sternum must be depressed to at least onethird of the depth of the chest in case of each compression. This is equal to more than 5 cm inadults. Idris et al., (2015) placed focus on the utmost need of sufficient compression depth.Inadequacy in compression depth has a strong relation with poor patient outcomes (Perkins et al.,2015). The Code Captain was found to prescribe medication that is epinephrine, prior tochecking for any allergic reactions that the patient might have had. There was a possibility thatthe condition of the patient would have deteriorated if the patient was allergic to epinephrine.According to Belkin et al., (2017) epinephrine is a strong adrenaline medication that acts acardiac stimulant. The adverse effects of epinephrine include hypertension, palpitation, tremor,respiratory difficulty. Another concern regarding the practice of the Code Captain was that herequested for a briefing of the situation much later into the care process of the patient. It wouldhave been appropriate if the nurse had engaged in a proper handover at the initial stage in aproactive manner. The need of safe and timely handover has been mentioned by a number ofresearchers (Barry et al., 2018). Continuity of information is crucial for safety of patients.Relevant and sufficient information is to be exchanged between care professionals at the initialstage when teams work in collaboration so that approaches taken fit the needs of the patient.
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