Question

In: Nursing

Maria Perez is a patient arriving from the Emergency Department (ED) with acute heart failure and...

Maria Perez is a patient arriving from the Emergency Department (ED) with acute heart failure and confusion. Betty, the licensed practical nurse/licensed vocational nurse (LPN/LVN) who receives the call from the ED, recognizes the patient’s name and volunteers to take Maria as a patient. While getting Maria settled, Betty recognizes that this patient needs more care than she expected.  

SCENE 1: The cardiac care unit receives a call from the ED about a new admission: Maria Perez, a patient with heart failure. Betty, a LPN/LVN, answers the phone and volunteers to take this patient, as Ms. Perez has been admitted here before and Betty has cared for her previously. Betty then assesses the patient and finds that the patient is confused and her vitals are not stable.

1. What did Betty do that was correct? What could she change?

2. Should there be any liability to the charge nurse, who was not present when Betty answered the phone and accepted the patient?

SCENE 2: Betty goes to the RN, Samantha, who is about to see another patient, to express her concern. Betty is correctly notifying the RN of this urgent situation. Betty agrees to administer meds for Samantha so she can see Maria immediately.

3. How does Betty demonstrate a correct understanding of the principles of delegation in her conversation with Samantha?

4. What could happen if Samantha refused to see Maria because she was too busy?

SCENE 3: Samantha sees Maria and reviews orders and chart. She then calls the provider, giving an SBAR report that includes recommendations for priority actions.

5. Was Samantha’s SBAR call to Dr. Gonzalez appropriate?

6. If you were the manager of the cardiac unit, what reflection would you have on this scenario?

Solutions

Expert Solution

1.The correct done by Betty was attending the phone call.The incorrect thing done by her is the assessment of the patient because it has to be done by the RN. she has not called or informed the RN to assess the patient immediately upon receiving the patient .

2.There is no liability to charge because the RN was busy handling other patient .In these scenario the other professionals in the unit can attend the call. There is liability of taking a patient without the knowledge of a RN by a LPN .this can delay the treatment until the RN comes and assess the patient and report to the provider.

3.Betty has has correctly understood the principle of delegation by reporting the RN to assess the patient who was on critical situation.

4.This could have led to legal consequences by negligence or by malpractice for not ready to care for a patient .This can cause intentional harm to a patient and this pose both the staff for legal issues later.

5.The call was appropriate because the SBAR helps to provide information to the concerned provider and get the treatment order.

6.The reflection on this scenario are

  • The need for adequate number of staff in case of a busy ward
  • Protocols to be followed to receive a patient
  • Prevent legal concerns .

Nightingale answered 2 years ago
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