Critical Reflection on Unprofessional Nursing Conduct
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Added on 2023/06/05
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This essay critically reflects upon the unprofessional nursing conduct in a case study scenario, its impact on professionals and departments, and the role of the hospital unit clerk.
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Running head: NURSING ASSIGNMENT NURSING ASSIGNMENT Name of the Student: Name of the University: Author Note:
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1NURSING ASSIGNMENT Reflection has been considered to be a pivotal tool for nursing professionals to learn from their clinical experience (Moon, 2013). To a great extent, reflection helps in the process of self-assessment and at the same time also provides an opportunity to modify the faulty elements in the course of professional practice (Paterson & Chapman, 2013). The provided case study reports a series of documentation errors caused by a nursing professional. This essay would critically reflect upon three important aspects which include, the identification of instances of unprofessional practice, the impact on the corresponding professionals and departments and the role of the hospital unit clerk with regard to the evaluation of the unprofessional conduct. Five critical incidencesof unprofessional nursing conduct can be identified from the provided case-study scenario. It should be mentioned here that the nurse missed out on documenting appropriate nursing progress notes. The professional did not record the fact that the patient had not been administered a dose of Septra. Further, it has also been stated that on the following day, the nurse did not record the q4h vital signs as per the recommendation of the physician. Hence, these instances can collectively be counted as thefirst incidence of unprofessional nursing practice. Thesecond instancecan be identified as the incorrect application of the VAC dressing to the patient by the nurse. Thethird instancecan be identified as the incorrect communication intimidated by the professional to the HCA. The patient was supposed to undergo a surgery and was advised to be NPO. However, the nurse informed the HCA to serve breakfast to the patient prior to the surgery. Moreover, the nurse did not document on the pre-operative checklist that the patient has already been given breakfast.Thefourthinstancecanbeexplainedastheinefficiencyofthenursing professional to apply correct dressing to the CVC line. At the same time, it should further be mentioned that the nurse missed out on documenting the fact that the jugular CVC line had been removed and proceeded with the removal of the CVC line at the incorrect time using an
2NURSING ASSIGNMENT incorrectmethod.Thefifthinstancecanbeidentifiedasthefailureofthenursing professional in correctly documenting prior medical history of another patient. Also, the professional did not document the vital signs of the patient or any other physiological assessments and was unable to insert the NG tube with accuracy. These incidents present examples of unprofessional nursing conduct in compliance with the ethical guidelines of the nursing professionals. On thoroughly evaluating the unprofessional conduct displayed by the nurse, it can be said that the major failures lack critical evaluationand would subsequently affect other professionals to a great extent (Redmond, 2017). The nursing progress notes did not mention that the pharmaceutical drug Septra had not been administered to the patient before and hence, this would affect the nurse who would be in charge of taking care of the patient in the surgical unit after the shift hours of the previous nurse. This would increase the chances of the patient to develop microbial infections. The member also did not administer Colyte to the patient and prepare the patient appropriately for a colonoscopy (Serper et al., 2014). This would affect the surgeon performing the surgery to a great extent. It should be noted here that Colyte has been defined as a class of osmotic laxative that leads to the softening of the colon and promotes easy bowel movement (Romero & Mahadeva, 2013). This further helps in the maintenance of a clean colon which is essential for the surgical procedure to take place in an effectivemanner(Prakashetal.,2013);(Terryetal.,2013).Thememberwrongly communicated with an HCA to arrange a breakfast for the patient, when the patient was supposed to be NPO. This would invite strict actions to be taken against the HCA. In addition to this, the member also did not record the assessment of the patient’s new CVC insertion site. This would directly affect the nurse who is in charge of placing the intravenous catheter and this would directly elicit a negative impact on the course of surgery. The case study mentions that the member missed out on documenting the vital signs of the patient, as well as
3NURSING ASSIGNMENT the glucose level in the blood, pain assessment and other physiological assessments. This would affect the ability of the general physician to adequately prescribe drugs. This is because based on the patient documentation the physicians formulate an intervention plan and prescribe medication that can help in the recovery process of the patient. Therefore, it can be said that that the five professionals who would be affected because of the unprofessional attitude of the nurse would comprise of the nursing professional in charge (next shift), the surgeon, the HCA, the nurse managing catheter insertion and the general physician. The hospital unit clerk work in partnership with the physician, nursing professionals and clinicians and ensure the smooth functioning of the administrative department (Tashiro et al., 2013). On thoroughly evaluating the unprofessional standard of nursing practice exhibited by the member the hospital clerk would be entitled to carry out the following tasks: The first task would comprise of reporting the unprofessional conduct of the member The second task would comprise of collecting patient feedback about the service quality offered by the nurse The third task would constitute of a formal invitation through official mail to the higher authorities in order to evaluate the scenario The fourth task would be evaluating the level of unprofessional conduct shown by the nursing professional and the assessment of the level to which the ethical guidelines had been violated The fifth task would comprise of obtaining a justification from the nurse followedbyintimidatingawarningandthearrangementofatraining procedure so as to make the professional aware about the stringent ethical standards in order to avoid any further episodes of unprofessionalism.
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4NURSING ASSIGNMENT Hence, to conclude it can be said that complying with the ethical guidelines of the nursing profession is extremely important. This helps in delivering quality services and attaining positive patient outcomes.
5NURSING ASSIGNMENT References: Moon, J. A. (2013).Reflection in learning and professional development: Theory and practice. Routledge. Paterson, C., & Chapman, J. (2013). Enhancing skills of critical reflection to evidence learning in professional practice.Physical Therapy in Sport,14(3), 133-138. Prakash, S. R., Verma, S., McGowan, J., Smith, B. E., Shroff, A., Gibson, G. H., ... & Mohanty, S. R. (2013). Improving the quality of colonoscopy bowel preparation using an educational video.Canadian Journal of Gastroenterology and Hepatology,27(12), 696-700. Redmond, B. (2017).Reflection in action: Developing reflective practice in health and social services. Routledge. Romero, R. V., & Mahadeva, S. (2013). Factors influencing quality of bowel preparation for colonoscopy.World journal of gastrointestinal endoscopy,5(2), 39. Serper, M., Gawron, A. J., Smith, S. G., Pandit, A. A., Dahlke, A. R., Bojarski, E. A., ... & Wolf,M.S.(2014).Patientfactorsthataffectqualityofcolonoscopy preparation.Clinical Gastroenterology and Hepatology,12(3), 451-457. Tashiro, J., Shimpuku, Y., Naruse, K., & Matsutani, M. (2013). Concept analysis of reflectioninnursingprofessionaldevelopment.JapanJournalofNursing Science,10(2), 170-179. Terry, N. A., Chen-Lim, M. L., Ely, E., Jatla, M., Ciavardone, D., Esch, S., ... & Mamula, P. (2013). Polyethylene glycol powder solution versus senna for bowel preparation for
6NURSING ASSIGNMENT colonoscopy in children.Journal of pediatric gastroenterology and nutrition,56(2), 215-219.