Conflict Resolution in Nursing: Managing Disputes between Ward Nurse and Recovery Nurse

Section 1 Self-Reflection
The Dementia Care Program will provide Australia's first degree in dementia care. I found that
both national and international students, from carers to health professionals can undertake the
course. The course will help me in developing the expert knowledge in dementia field so that I
can make a difference in the lives of demented people. The course is flexible as it can be studied
part-time and full-time per semester. I will be expected to devote around 10 hours of study per
week per unit of study. There will be no formal examinations, knowledge can be gained through
all assessments through the entire semester. More than 400,000 people in Australia have
dementia and the number is up for increase. The healthcare professionals are not well-equipped
for service provision to the huge population which will have dementia by 2050. If I will graduate
from this course, I can find work in various career paths like in the aged care sector in private as
well as public domain. It can also serve as a pathway to undertake higher study in health
programs. Because of these several opportunities, it is very advantageous. In the aged care
industry, leadership opportunities and expert positions demand tertiary level qualifications like
this Dementia Care Program. Currently, diploma degrees are especially suitable to Aged Care
Workers and health practitioners who want to build skills and competence in dementia. On
completing the diploma, I will have greater knowledge and skills in dementia care which can act
as a valuable guide in offering increased capability to a sector which is experiencing a huge
challenge currently and in future.
Section 2 Clinical question
Clinical Assessment:
The immediate action of nurse will be to check level of consciousness and if he had a loss of
consciousness of the male patient. The nurse must not assume that he did not get injured. If he is
conscious, the nurse can ask him what the cause of his fall was and investigate for any associated
symptoms. The nurse will assess him for any signs of injury. Then the nurse will perform a
comprehensive assessment. It will include checking of the vital signs, the pulses (apical and
radial) and cranial nerve (Smith, Wagner, & Edwards, 2015). The nurse will next check male

patient’s skin for pallor, trauma, circulation, bruising, and sensation. Nurse must also check for
subtle cognitive changes. In addition, his pupils and orientation must also checked. Then nurse
will check the patient for any pain and points of tenderness. The nurse must be aware of certain
warning signs such tingling in the limbs, back pain, rib pain, etc. These symptoms indicate spinal
cord injury, or head injury. If patient is unconscious or unable to tell, nurse will assume that he
had an episode of seizure, nurse will examine for limb displacement which is an indication of
occurrence of fracture. If the male patient is conscious, his behavior may change so, the nurse
will also take care of her own personal safety (Johnson, 2014). In case the patient is conscious,
nurse must use a calm and reassuring voice. If he starts getting up from the floor and walk off
before the automatisms begin, nurse must go along as well. If the nurse feels that he is likely to
remove his personal clothing, use a blanket or towel to save embarrassment to the patient.
Hypothesis:
If the male patient is conscious and oriented, nurse can ask him about the conditions of fall, if the
patient is conscious but disoriented nurse will ensure her safety and use the approach of
reassurance and if he is unconscious and disoriented nurse must call for help and continue with
immediate investigations.
Actions and Rationale:
It is required that nurse notifies the physician and the family member. It is essential as most of
the facilities have such organizational policy. The organization may also require a notification to
the risk manager or patient safety officer. After immediate assessment, monitoring and
reassessment including regular neurologic and vital sign investigation, must be done after the
patient returns to bed, as patients who fell and seemed fine have been found dead in their beds a
few hours after a fall. It is essential to reorient the patient (if fell because of seizure), as he may
be confused and need assistance to regain control. Documentation of the fall as per the
organizational policy is essential to make sure that suitable nursing and medical care are
delivered. Records of fall must include all the observations, statement of the patient, assessment,
notifications, interventions and evaluation. Lastly, a collaborative effort from medical and
nursing care is required as drug therapy may prevent occurrence of seizure.

Section 3 Prioritization
The orders will be addressed in the following order:
Patient 3, Patient 1, Patient 2 and Patient 4
Comprehensive rational for the chosen priority order based on evidence for best practice
Mr. Young’s demands will be addresses first as his infusion pump alarm is already sounding and
the nurse is not aware of the speed of the infusion, if the speed is fast, the flask will get empty in
no time. When a pressure gradient which favours the entry of gas into blood circulation is
present, air embolism may take place. Small quantity of air is stopped at the lungs and usually
does not develop any symptoms however, if a large gas bubble gets lodged in the heart
obstructing the blood flow from right ventricle to the lungs, death may occur. The maximum safe
quantity of air is not known. In some cases even 20 ml/sec of air may develop symptoms and
about 70-150 ml/sec of air may prove to be lethal (Pant, Narani, & Sood, 2010). Since, it can
become a matter of life and death of the patient, it is essential to address his request with topmost
priority. Moreover, it is also essential to find out the reason of his pain.
After, Mr. Young’s request, patient 1 Mrs. Peterson’s request will be addressed. Mrs. Peterson
wants assistance in going to the bathroom to use her bowels. If Mrs. Peterson’s need is urgent
she will get up herself to go to the bathroom without assistance, but she has a moderate left
hemiplegia and needs assistance to move. She is categorized under high falls risk. So, if she does
not wait for any assistance due to urgency, it is highly likely that she will fall. Fall may lead to
serious injuries which will deteriorate her condition further and may stop or delay her recovery
or may even lead to irreversible damages. Therefore, after changing the IV flask of Mr. Young in
few minutes, it is essential to cater to the needs of Mr. Young.
Next priority will be given to patient 2 Mrs. Walters. She has to go to theatre at 0800 and her
perioperative checklist is misplaced. The procedure cannot initiate until the list is found. If a
surgery is planned, then all the preparations must have been done and the surgeons and
anesthesiologist also must have arrived. Delay in the finding of perioperative list would be waste