Legal Issues Case Study For Nursing Essay -- essays research papers

Legal Issues Case Study for NursingCase 2Nursing SituationCindy disconsolate (fictitious name), a four-year-old child with wheezing, wasbrought into the emergency room by her mother for treatment at XYZ (fictitiousname) hospital at 912 p.m. on Friday, May 13.initial triage assessment revealed that Cindy was suffering from a sorethroat, wheezing bilaterally throughout all lung fields, seal-like cough,shortness of breath (SOB), bilateral ear pain. Vital signs on entryway werepulse rate 160, respiratory rate 28, and a temperature of 101.6 Fahrenheit (F)(rectal). Cindy Black was admitted to the emergency department for treatment.Notes written by the emergency department physician on initial examinationread, "Croupy female course breath sounds with wheezing mild bilateraltympanic membrane hyperemia. Chest X-ray reveals bilateral infiltrates." medicinal drug prescribed included Tylenol (acetaminophen) 325 mg orally forelevated temperature, Bronkephrine (ethylnorepinephrine hydro chloride) 0.1millimeter subcutaneous, and monitor results.Nurse Slighta Hand, RN (fictitious name) administered the medication asordered and the child was observed for thirty proceedings. Miss Hands charting wasbrief, almost illegible, and read, "Medicines given(p) as prescribed. Cindyobserved without positive results. Physician notified."The physician examined the child notes read that the child had "minimalclearing" in response to the bronchodilator. The following medications werethen prescribed Elixir of turpenhydrate with codeine one milliliter by mouth,Gantrinsin (sulfisoxazole) 10Case 3milliliters, and Quibron (theophylline-glycerol guaiacolate) 10 milliliters.Nurse Slighta Hand, RN charted the medications were given as prescribed.Her note at 1108 p.m. read, "Vomiting unable to retain medicine. Respirationincreased (54), temperature 101.4F (rectal) wheezing with increased difficultybreathing." No further notes were made regarding Cindys condition on theemergency department record by the nurse, except to state that at 1204 am,"child released from emergency department."Thirty minutes after discharge from the emergency department, Cindy Blackwas brought back to the hospital. This time her vital signs were absent, herskin was warm without mottling, and the pupils of the eye were dilated butreacted slowl... ...30 minutes) Pulse rate, rhythm, quality (every 15 minutes) respiratory rate, rhythm, character (every 15 minutes) Patency of the airway (at least every 15 minutes, more if in distress) Blood pressure (every 30 to 60 minutes) Skin food colouring and temperature (every 15 minutes) Level of consciousness (every 15 minutes) Emesis amount, character, and frequencySummaryCommunication throughout the nursing process is crucial for the provisionof safe persevering care consistent with the prevailing professional standard.Spoken communication among all members of the health-care team, and especiallybetween nurse and physici an for clarifying orders, planning patient care, and insurance coverage significant patient observations is vital to the nursing process.Equally important is written communication by the nurse in the form of promptand accurate entries in the medical record.ReferencesBernzweig, E. (1996). The nurses liability for malpractice. (6th ed.). St.Louis MosbyCreasia, J. and Parker, B. (1991). Conceptual foundations of professionalnursing practice. St. Louis MosbyEarnest, V. (1993). Clinical skills in nursing practice. (2nd ed.).Philadelphia J. B. Lippincott