CLINICAL PROBLEMS IN NURSING

Clinical problems in nursing

Clinical problems in nursing

CaseCindy Black (fictitious name), a four-year-old progeny with wheezing, was conveyed into the crisis room by her mother for remedy at XYZ (fictitious name) clinic at 9:12 p.m. on Friday, May 13. Initial triage evaluation disclosed that Cindy was pain from a sore throat, wheezing bilaterally all through all lung areas, seal-like cough, shortness of wind, bilateral ear pain. Vital indications on admission were pulse rate 160, respiratory rate 28, and a warmth of 101.6 °Fahrenheit (F) (rectal). Cindy Black was accepted to the crisis department for treatment. Notes in writing by the crisis department doctor on primary examination read, "Croupy female; course wind noise with wheezing; gentle bilateral tympanic membrane hyperemia. Chest X-ray discloses bilateral infiltrates."

Medication prescribed encompassed Tylenol (acetaminophen) 325 mg orally for increased warmth, Bronkephrine (ethylnorepinephrine hydrochloride) 0.1 millimeter subcutaneous, and supervise results. Nurse Slighta Hand, RN (fictitious name) administered the medication as organized and the progeny was discerned for 30 minutes. Miss Hand's charting was short, nearly illegible, and read, "Medicines granted as prescribed. Cindy discerned without affirmative results. Physician notified." The doctor analyzed the child; remarks read that the progeny had "minimal clearing" in answer to the bronchodilator and prescribed complete rest without any hessle of attendents. But the visitors (three independent variables) frequently come to see Cindy which hinders nurse patient relationship regarding care and service which is mandatory for Cindy, owing to this situation Cindy`s conditions becomes precarious and need immediate further medication. Nurse Slighta Hand informs to crisis department for obersving the whole situation but no farther remarks were made considering Cindy's status on the crisis department record by the doctor. Thirty minutes after release from the crisis department, Cindy Black was conveyed back to the hospital. This time her crucial indications were missing, her skin was moderately hot without mottling, and the students of the eye were dilated but answered gradually to light. Cardiopulmonary resuscitation was instituted without achievement, and Cindy Black was spoke dead. Departure from professional measures of nursing care: In every nursing malpractice case the defendant nurse's perform is measured contrary to that of a sensibly careful doctor under the identical or similar circumstances. Departure from the expert measures of nursing care for the first admission to the crisis department encompassed the following deviations: Failure to consider Cindy Black comprehensively upon discharge failure to consider the persevering systematically ...