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Potential Complications (list of)
I do not know of a book that gives these options but you are on the right track. Think of high risk populations, medical HX, treatments for example medications, opioid, chemotherapy, diuretics the side effects like respiratory depression. Another thing to consider is signs and symptoms for example Dehydration r/t N/V diarrhea for days or electrolyte imbalances r/t n/v or ^NGT out put
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Should this be reported??
I am sorry you looked into this and are now faced with this dilemma. However, diversion programs are taken very seriously as a way to protect the public from impaired nurses and to help impaired nurses retain thier licenses and get help with recovery be it forced through random drug screenings, strict supervision and mandatory 12 step program attendance. The diversion program in my state lasts five years. It is a rigorous program. Usually confidential unless other circumstances. If one is not compliant with the program then it becomes public and the name of the offender will go into a notification to all BONs in the nation and the license could be revoked or suspended. If you are activley aware of an impaired nurse, in my state, it is the law through the nurse practice act to notify the board. But I have always been of the mind in any conflict situation one should approach the person first and call the kettle black try to work things out and move from there. Once again these diversion programs are rigorous and cut no slack they mess with your life... I'm talking about having to attend 12 step meetings up to six times a week for years no cut backs, random drug screenings 1-6 a month that could cost up to $38 per screen with a $27 a month processing fee. The goal is the nurse gets clean, stays in recovery, and is a safe practitioner. But with all of this it is understandable that it is hard to be compliant and want to continue the diversion program...
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Potential Complications (list of)
One Nursing diagnosis book that offers Potential complications author is Lynda Juall Carpenito-Moyet. AKA Carpenito. However, one way to think this through to connect potential complication to your nursing diagnosis is to think about your nursing diagnosis and your patient. for example if you have ineffective airway clearance or impaired gas exchange what is going to happen if you do not intervene and help this patient?? most likely hypoxia or even respiratory failure. Another way to figure out potential complications is to consider your patients medical diagnosis and look in your medical surgical book and look for the complications listed that could occur with the medical diagnosis... Diabetes has several complications besides hyper and hypoglycemia. usually the post operative surgical patient has a lot of potential complications check your post op chapter of your books Potter and Perry has a great list of complications dealing with immobility such as pneumonia, UTI, DVT... what could happen if the DVT becomes an embolism? What could happen if your patient has a fluid volume deficit not treated? Just think about it a little deeper and use your books and resources they should have some lists of complications I hope this helps...