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Patient safety in nursing

Nurses   (725 Views 18 Comments)
by winkiebob winkiebob, BSN, MSN, RN (New Member) New Member Nurse

winkiebob is a BSN, MSN, RN and specializes in Family, primary care.

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You are reading page 2 of Patient safety in nursing. If you want to start from the beginning Go to First Page.

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1. there are a lot of strange parts in this story, top one for me, sounds like its really about Nurse A being too freaked out about a patient's LOC change to be able to handle the situation. Why is it so important about how Nurse A was feeling. The appropriate professional focus of nurse A rather than wanting to "get out of there" would be "ensure the patient is as safe as possible". Claustrophobia is a serious psychiatric diagnosis and sounds like it would be very limiting for a nurse expected to care for any patient in enclosed spaces. I certainly wouldnt toss around the words "feeling claustrophobic" anywhere in front of management if it were me. If I were a manager, and my staff member said that word to me, as to why they made several seemingly poor decisions during a potential patient emergency, I would be watching that nurse's practice very closely in the future.

.." At this point Nurse A is getting overwhelmed, all she wants is to get out there... another minute goes by, now we are getting closer to 4 minutes or more.... Nurse A, gets claustrophobic as "  

2. Nurse A could have lowered patient to the floor. If patient is on the floor, they can't fall any further. Then go get a pillow, and some VS equipment and see what's going on. Yes the floor is dirty. Its also safe...

3. The tech did exactly as ordered to do by the nurse, as is the tech's job. The nurse should explain, why she didnt tell the tech to either get a gait belt and a wheelchair, or a pillow and a VS cart. 

 

 

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winkiebob is a BSN, MSN, RN and specializes in Family, primary care.

1 Article; 34 Posts; 1,264 Profile Views

Well said! 

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winkiebob is a BSN, MSN, RN and specializes in Family, primary care.

1 Article; 34 Posts; 1,264 Profile Views

27 minutes ago, ashagreyjoy said:

1. there are a lot of strange parts in this story, top one for me, sounds like its really about Nurse A being too freaked out about a patient's LOC change to be able to handle the situation. Why is it so important about how Nurse A was feeling. The appropriate professional focus of nurse A rather than wanting to "get out of there" would be "ensure the patient is as safe as possible". Claustrophobia is a serious psychiatric diagnosis and sounds like it would be very limiting for a nurse expected to care for any patient in enclosed spaces. I certainly wouldnt toss around the words "feeling claustrophobic" anywhere in front of management if it were me. If I were a manager, and my staff member said that word to me, as to why they made several seemingly poor decisions during a potential patient emergency, I would be watching that nurse's practice very closely in the future.

.." At this point Nurse A is getting overwhelmed, all she wants is to get out there... another minute goes by, now we are getting closer to 4 minutes or more.... Nurse A, gets claustrophobic as "  

2. Nurse A could have lowered patient to the floor. If patient is on the floor, they can't fall any further. Then go get a pillow, and some VS equipment and see what's going on. Yes the floor is dirty. Its also safe...

3. The tech did exactly as ordered to do by the nurse, as is the tech's job. The nurse should explain, why she didnt tell the tech to either get a gait belt and a wheelchair, or a pillow and a VS cart. 

 

 

Good points! 

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winkiebob is a BSN, MSN, RN and specializes in Family, primary care.

1 Article; 34 Posts; 1,264 Profile Views

This case was a fictional story provided by one of my students. The assignment Is called: what’s wrong with this picture?

Thank you all for your participation and feedback. 

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organichombre has 32 years experience and specializes in critical care, med/surg.

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As RN perdiem said, get the patient back in bed with the first person who showed up. Stabilize the patient and then write up the entire floor. Along with filing an incident report and documenting what happened. If you pull that cord you have announced to the unit that you need help immediately. Then give your two weeks notice.

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MunoRN has 10 years experience as a RN and specializes in Critical Care.

6,235 Posts; 64,615 Profile Views

It sounds as though 'nurse A' freaked out unnecessarily, to the point where she couldn't even effectively communicate what is was she felt she needed in terms of help.

I'm not really clear on what supposedly occurred, she "blacked out" but while that was occurring 'nurse A' was "trying to calm the patient down" which doesn't sound very unconscious.  

I think the nurse became overwhelmed and instead of evaluating that situation and how she could have handled differently, she is assigning blame for her feeling overwhelmed in what should have been a manageable situation on other staff.

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