Question

Clinical Judgment is the process of integrating evidence-based practice, critical-thought, the Nursing Process, knowledge, skills, and attitudes, as well as application of theory to practice in order to promote safe, quality care to clients in all settings.

Keeping that in mind, answer the following scenario:

You are the Charge Nurse in a large Urban Emergency Department (ED). You nursing staff include:

RN with 12 years of Trauma ED experience

New RN with 6 months ED experience

RN from the Medical Surgical floor with 8 years of experience

The following patients are in the ED, which patient will you give to each of the nurses and why?

A 76-year-old client who was involved in a motor vehicle accident and has hematuria.

A 38-year-old client with kidney stones complaining of severe pain.

A 24-year-old diabetic client with an acute urinary tract infection who will require discharge teaching.

An 80-year-old client that has not had a bowel movement for 4 days.

Please make an initial post by midweek, and respond to at least two other student's posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.

Answer 1

·         A 76-year-old client who was involved in a motor vehicle accident and has hematuria. - RN with 12 years of Trauma ED experience (because the patient underwent trauma)

·         A 38-year-old client with kidney stones complaining of severe pain. - New RN with 6 months ED experience (can assess the pain using a pain scale)

·         A 24-year-old diabetic client with an acute urinary tract infection who will require discharge teaching. - RN from the Medical Surgical floor with 8 years of experience (can include all the teachings necessary for the client based on the clinical history)

·         An 80-year-old client that has not had a bowel movement for 4 days. - RN from the Medical Surgical floor with 8 years of experience (can better communicate with the elderly and provide the immediate comforts needed)