HSNS 206: Nursing Practices - Case Study Analysis and Evaluation

This case study presents a scenario involving a 72-year-old woman admitted to a medical ward for rheumatoid arthritis, where medication errors and failures in patient care occurred. The analysis focuses on the responsibilities of registered nurses, the violation of NMBA standards, and the impact on patient safety. The case highlights issues such as improper medication administration, lack of patient consent, and inadequate assessment, leading to adverse effects. The report emphasizes the importance of patient-centered care, effective communication, and adherence to established medical protocols and guidelines to prevent medication errors and ensure patient well-being. The study references relevant literature and discusses the consequences of not following the established standards of nursing practice, including those related to medication administration and patient monitoring. The document includes a detailed discussion of the roles and responsibilities of the RN and the student nurse, focusing on accountability and medication administration.

Running head: NURSING PRACTICES
Nursing practices
Name of the student:
Name of the university:
Author note:

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NURSING PRACTICES
The case study represents health issues of 72 years old woman who was admitted to the
medical ward for three days due to pain and swelling of rheumatoid arthritis, which hindered her
mobility. The next morning a registered nurse called the medical officer and informed about her
urinary frequency. After, Diagnosis, the UTI infection was detected and trimethoprim was
administrated which further deteriorated her condition and she was feeling nauseous and
confused. The next medical officer changed her medication with co-amoxiclav in order to
improve her UTI symptoms. In this context, the health professionals failed to recognize and
manage the health issues, which further led to more medication error. There are certain rules,
regulation, medical protocols, and policies need to be followed by nurse
. According to Sluggett et al. (2017), the first objective of the medication policy is to
ensure the immediate long-term safety of the patient. In the above case study, the registered
nurses failed to provide comfort and accurate patient-centered care. The registered nurse
administrate medication twice without checking interactions which further made the patient
nauseous (Peeters et al., 2017). Moreover, Food and Drug Administration approved
medication guidelines suggested that certain information is necessary for preventing serious
adverse effect and in this context; health professionals lacked that knowledge which further
questioned patient’s safety (Bobo et al., 2016). Moreover, patient decision-making should be
taken into account before administrating any medication, which has a side effect (Peeters et al.,
2017). In this context, no consent had been taken which further questioned the patient’s safety
and violated outright for the patient.
According to Sluggett et al. (2017), registered nurses, practice is patient-centered and
evidence-based with preventive curative and informative care (Gattinoni & Marini, 2015). In
order to be an efficient registered nurse, every nurse should communicate effectively and

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NURSING PRACTICES
priorities the need of the patients by being respectful to the patient. Applying appropriate
knowledge before administrating any medication and taking the right decision for the situation is
also a crucial part of the nursing job (Gray,Rowe & Barnes, 2015). Considering the above
context, three NMBA standards were violated. Standard four stated that comprehensive conduct
and assessments are crucial for patient-centric care. Here, register nurses failed to analyze and
asses the information, which resulted in improper practice. According to standard six, every
registered nurse should provide safe, appropriate and responsive quality nursing practice
(Gattinoni & Marini, 2015). In this context, registered nurses failed to use the appropriate
process for identifying and reporting actual risk related to the issue (Gray,Rowe & Barnes,
2015). Consequently, the patient received poor patient-centered care. Standard seven suggested
highlighted the importance of the evaluation of outcome to inform nursing practices. It suggested
that register nurses should take the responsibility to evaluate the outcome of any interventions,
especially for the administration of any medication in order to ensure that the patients receive
standard patient-centered care (Gray,Rowe & Barnes, 2015). In this context, the registered nurse
did not evaluate which led to an adverse effect (Gattinoni & Marini, 2015). Thus, it can be
concluded that the in order to provide the care these standards should be followed.

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NURSING PRACTICES
References:
Bobo, D., Robinson, K. J., Islam, J., Thurecht, K. J., & Corrie, S. R. (2016). Nanoparticle-based
medicines: a review of FDA-approved materials and clinical trials to
date. Pharmaceutical research, 33(10), 2373-2387.
Gattinoni, L., & Marini, J. J. (2015). Prone positioning and neuromuscular blocking agents are
part of standard care in severe ARDS patients: we are not sure.
Gray, M., Rowe, J., & Barnes, M. (2015). Australian midwives' interpretation of the re-
registration, recency of practice standard. Australian Health Review, 39(4), 462.
Peeters, G., Tett, S. E., Duncan, E. L., Mishra, G. D., & Dobson, A. J. (2014). Osteoporosis
medication dispensing for older Australian women from 2002 to 2010: influences of
publications, guidelines, marketing activities and policy. Pharmacoepidemiology and
drug safety, 23(12), 1303-1311.
Sluggett, J. K., Ilomäki, J., Seaman, K. L., Corlis, M., & Bell, J. S. (2017). Medication
management policy, practice and research in Australian residential aged care: current and
future directions. Pharmacological research, 116, 20-28.