Nursing Practices - Essay

Nursing

Table of Contents
Table of Contents.............................................................................................................................2
INTRODUCTION...........................................................................................................................3
Comprehensive description....................................................................................................3
Explanation about the event on I feel and why it made feel..................................................3
Evaluation of all consequences of this critical incident for the health consumer..................4
Analysis of implications to this critical incident for your future nursing practice.................5
Identify and discuss new knowledge gained from this incident.............................................5
Action plan to increase learning.............................................................................................6
CONCLUSION................................................................................................................................7
REFERENCES................................................................................................................................8

INTRODUCTION
Nursing is encompassing as autonomous and collaborative treatment of patient and
individual of every age, families and dying people. This project report is all about providing
specific information about “Coroner recommends changes after blood mix-up patient death”.
Analyzing of the incident is being effectively and related consequences to them.
Comprehensive description
According to the mentioned case, it has been seen that a senior patient who was 71 years of
age died because she received a transfusion of wrong blood types. The cause of death is basically
improper behaviour of the carer and relatives that to be encouraged to accompany heart patients
to pre-surgery process. Prior to the surgery, “Ruth Stoll” was needed to go through Clinical-path
laboratories to provide sample of their blood so that it could be tested during the time of
transfusion. At the same time, another patient named “Martha Kovendy” has also present for the
giving their sample. The nurse that took the samples mislabelled the two test tubes. During the
transfusion process, she did required blood and received the wrong blood. Because of this, after
six days later she died (ABC News, 2018).
Explanation about the event on I feel and why it made feel
After gone through entire case scenario, it has been establishing that various unethical
dilemma or mistakes is being happen during the time of blood sample process. The one which is
noticeable is the presence of relatives such as sister-in-law and Ms Kovendy’s husband remain
outside in waiting premises while the blood samples were taken the patient. From my point of
view, I found that the entire mistake is done from the nurse side. Because of their causal
behaviour or not focused on their entire job, such kind of problems got arises. The relatives must
be aware about the condition and all the tests that should be done with Stoll. They must be
3

always there with the patient to check all the situation on the personal perspectives. The casual
behaviour of nurse has made me feel that how could she did such kind of mistakes. Because as a
she must have checked after labelling the samples. This particular reason made her died.
The main reason I think it made feel miserable for the clients because of irresponsible
skills and casual performance of Nurse that has taken the blood. Because of her mistake Stoll get
wrong blood that causes her death. Some mistakes are also from the relative or carer side
because they are not present with her while taking the blood samples.
Evaluation of all consequences of this critical incident for the health consumer
There are various educational programs associated with NSQHS (National safety and
Quality Health services) is being organised. According to the standard 2 which is related with
partnering with consumers. The main intention of this is to create health services that is
responsive to their patient and carer inputs, requirement and priorities. This act provides health
framework for all active partnership among consumers, clinicians and health sector organisations
etc. There are certain consequences those are related with the patient and family under this
incident are mentioned underneath:
Patient: It is serious and undesired, such as death or unusual extension of hospital staff as
seen in the case of Ruth Stoll. She died because of not having original blood transfusion. She
need to suffers from underlying health condition or form a risk inherent in delivery health
services.
Family: This is basically related with how much care do you delivering to your relatives or
patients. In the case of Ruth stall, her family was always remaining outside while the test and
checks-ups. This is wrong from their side, as they need to always present with the patient which
was not there.
4

Analysis of implications to this critical incident for your future nursing practice
As a nurse, I have to face various implication that are arises because of Ruth Stall case.
The degree of nursing practices can be banned from me. It would spoil my entire career of
becoming a well reported doctors. It was the primary duty of mine is to take care of all essential
aspects while taking the sample of Ruth or Martha. Because of this, the patient Ruth died. It is
not only affect the medical side, but at the same time all the things which can be essential for
overall career can got eliminated. To work with any kind of issues, it is essential for us to
understand specific information about the disease, medication and process while treating the
patient. It is basically, related with doing and documenting all the activities that are particularly
related with nursing actions in order to carry out any kind of interventions. Brand image of the
health care organisation get affected because of unethical practices. That can have huge influence
on my career as I now possess with more experience and will be able to deal with circumstances
in an improved manner (Nursing and Midwifery Board of Australia, 2018).
Identify and discuss new knowledge gained from this incident
From this particular case, there are various positive points I taken into account. Every
time, a particular issue can be the primary reason for learning something new. As Ruth stall case
is similarly the one which would be reliable base for gaining valuable knowledge. I have learned
various skills and experience for solving incidents. It will be helpful for the pointed out certain
disadvantage presently faced by me. It was based on certain conceptual framework that used to
provide preliminary description of some decisions that are helpful for resolving any kind of
matters. The use of technology can be more effective in testing any kind of samples that has been
related with growth or stability of the patient. Identification of patients and carers that might
have certain skills and aspiration to proper quality modification at your health services.
5

Improving patients and carers as per the accessibility data through inviting and enabling all
necessary information that can be helpful for getting better response from the patient. There are
various considerable education and learning resources available to assist clinicians and patient in
joining with customers.
Action plan to increase learning
Goal statement:
 To provide more concern about the patient health.
 To attain proper knowledge about nursing while resolving consumer health condition
Dept. responsibility: As a nurse I have to take care of all my patient with full pledge.
List of resources and desired outcomes:
 Use of latest technology to make separation among two samples.
 Proper awareness regarding any medical treatment.
 Take an individual approach
 Keep proper education patient-centred.
 Use of patient interaction as an opportunity to teach them effectively.
 Take actions that consists a mandatory or voluntary notification to AHPRA, if a nurse
knows or reasonably suspects that they or a colleague have a health situation of the
patients (NMBA, 2018)
Dept. responsibility:
 Lab testing department should work in this process.
 Medical department must be aware of the values and ethical consideration for aboriginal
and Torres strait islander communities during taking research work.
6

CONCLUSION
From this essay, it has been concluded nursing practices is an essential factor that would
help them an individual to learn vital fact about the patient care of other incident. For this
purpose, analysis of the condition, evaluation of impacts and consequences that are faced by
patient and consumer is taken into account in proper manner.
7

REFERENCES
Books and Journal:
Blegen, M. A., & et. al., (2013). Baccalaureate education in nursing and patient outcomes.
Journal of Nursing Administration. 43(2). 89-94.
Fain, J. A. (2017). Reading, understanding, and applying nursing research. FA Davis.
Henderson, A., & et. al., (2012). Nursing students' perceptions of learning in practice
environments: a review. Nurse education today. 32(3). 299-302.
Kitson, A., & et. al., (2013). What are the core elements of patient‐centred care? A narrative
review and synthesis of the literature from health policy, medicine and nursing. Journal
of advanced nursing. 69(1). 4-15.
Tourangeau, A. E, & et. al., (2016). Nursing-related determinants of 30-day mortality for
hospitalized patients. Canadian Journal of Nursing Research Archive. 33(4).
You, L. M., & et. al., (2013). Hospital nursing, care quality, and patient satisfaction: cross-
sectional surveys of nurses and patients in hospitals in China and Europe. International
journal of nursing studies. 50(2). 154-161.
Online
ABC News, (2018). [Online]. Retrieve from http://www.abc.net.au/news/2003-03-12/coroner-
recommends-changes-after-blood-mix-up/1816102
Nursing and Midwifery Board of Australia. (2018). Code of conduct for nurse. Retrieve from
http://www.abc.net.au/news/2003-03-12/coroner-recommends-changes-after-blood-mix-
up/1816102
8