Question

In: Nursing

Clinical Judgment is the process of integrating evidence-based practice, critical-thought, the Nursing Process, knowledge, skills, and...

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.

Solutions

Expert Solution

RN with 12 years of Trauma ED experience is assigned to a 76-year-old client who was involved in a motor vehicle accident and has hematuria.

Reason:

The nursing staff has well experience in trauma ED so she is suitable to take care of this client. As the client is undergone the accident, all the emergency interventions should be done as soon as possible. The cause for haematuria should be diagnosed properly and immediate medical attention is needed.

New RN with 6 months ED experience is assigned to a 24-year-old diabetic client with an acute urinary tract infection who will require discharge teaching.

Reason:

The nursing staff has only 6 months experience so she is assigned to the client who doesn't need of much care. She can give the discharge advice and clarify the client doubts. Instruct the staff to take help or clear any doubts from charge nurse if she needed.

RN from the Medical Surgical floor with 8 years of experience is assigned to a 38-year-old client with kidney stones complaining of severe pain.

Reason:

Already, the staff has medical and surgical experience, so the staff will take care of the patient well. The patient has to be closely monitored for intake and output, vital signs, signs, and symptoms of infection. The nurse should also be carried out the necessary investigations. The medical management should be prioritized based on the type and size of the stone. If necessary, the nurse should prepare the patient for the surgical procedure. Improper care will lead to complication.

I (charge Nurse) will take care of An 80-year-old client that has not had a bowel movement for 4 days.

Reason:

The elderly client need support physically, psychologically, pharmacologically, mechanically, functionally. As because of old age, the nurse should assist in moving and other activities. Care to be taken to prevent falls. The client needs psychological support because of stress, depression, and confusion. The medications should be administered properly. Fluid and diet intake (fiber diet) should be changed according to the needs and wishes. Encourage for exercises and frequent changing of position is needed.


Related Solutions

Clinical Judgment is the process of integrating evidence-based practice, critical-thought, the Nursing Process, knowledge, skills, and...
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...
What is evidence based practice and how does critical thinking and nursing theories play a role...
What is evidence based practice and how does critical thinking and nursing theories play a role in the process of creating evidence based guidelines?
What is evidence based practice and how does critical thinking and nursing theories play a role...
What is evidence based practice and how does critical thinking and nursing theories play a role in the process of creating evidence based guidelines?
Why are critical thinking and clinical judgment to leadership skills important within the interdisciplinary health care...
Why are critical thinking and clinical judgment to leadership skills important within the interdisciplinary health care team? ? What is critical thinking? ? What are leadership skills and provide examples? ? Provide examples of an interdisciplinary health care team.
Nursing Research for Evidence-Based Practice chapter - 1 Connection Between Research and Evidence-Based Practice What is...
Nursing Research for Evidence-Based Practice chapter - 1 Connection Between Research and Evidence-Based Practice What is the difference between EBP vs EBR? What are some influential factors on EBP? Define research. How do these play a role in EBP: nursing confirmation, nursing expertise, decision-making process, and holistic patient care. Describe quantitative and qualitative research. What is the significance of generating evidence, provide some examples where EBR has impacted nursing practice. What are some possible obstacles that are found in nursing...
SPECIFIC OBJECTIVES: 1. Demonstrate ability to apply critical thinking and clinical judgment to leadership skills within...
SPECIFIC OBJECTIVES: 1. Demonstrate ability to apply critical thinking and clinical judgment to leadership skills within the interdisciplinary health care team. 2. Demonstrate knowledge of the significance of leadership theories as applied to health care organizations. 3. Demonstrate knowledge of the factors that affect the styles of leadership in an organization. 4. Demonstrate ability to assess and recognize own strengths and limitations as a leader. 5. Demonstrate knowledge and ability to practice in a variety of leadership roles. 6. Demonstrate...
Submit an evidence-based practice paper about cultural competency in mental health nursing. An evidence-based practice paper...
Submit an evidence-based practice paper about cultural competency in mental health nursing. An evidence-based practice paper allows you to explore best practice and help improve client outcomes on a psychiatric unit. Your paper should describe how you, as a nurse, will include - or have included - cultural awareness in a client diagnosed with a mental illness. The person you describe could be someone in your clinical setting, someone you have worked with in the past, or a theoretical client....
Submit an evidence-based practice paper about cultural competency in mental health nursing. An evidence-based practice paper...
Submit an evidence-based practice paper about cultural competency in mental health nursing. An evidence-based practice paper allows you to explore best practice and help improve client outcomes on a psychiatric unit. Your paper should describe how you, as a nurse, will include - or have included - cultural awareness in a client diagnosed with a mental illness. The person you describe could be someone in your clinical setting, someone you have worked with in the past, or a theoretical client....
how has evidence based practice changed the nursing profession and your practice
how has evidence based practice changed the nursing profession and your practice
Read the article "Thinking Like a Nurse: A Research-Based Model of Clinical Judgment in Nursing" by...
Read the article "Thinking Like a Nurse: A Research-Based Model of Clinical Judgment in Nursing" by Christine Tanner, In at least three pages, answer the following questions: using your own words What do you feel are the greatest influences on clinical judgment? Is it experience, knowledge, or a combination of those things? In your opinion, what part does intuition play in clinical judgment? How do you think you'll be able to develop nursing intuition? Additional sources are not required but...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT