Question

Please read the following case study and answer the questions posted. Please ensure you are reflective in your answers: answer thoughtfully and completely as senior nursing students.

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?

Answer 1

1, LPN work under the supervision of RN. LPN can not legally assess the patient initial condition when they get admitted. they can make an assessment under the supervision of RNs. LPNs should inform to RN about admission.
2, It will not cause any liability to the charge nurse. charge nurse works for inpatient care. a charge of negligence against a charge nurse arises from any action that facing to act that results in patient harm and poor adherence to a standard of clinical practice that may lead to a malpractice lawsuit.
3, Patient is confused and vitals are not stable, so betty understands the patient's critical needs she needs RN support to evaluate and assess the patient condition. so she can approach Samantha and agree to administer meds for other patients, so the patient can do their routine work immediately who is very sick.
4, when the RN refused to see maria because she was too busy this negligence act harm the patient and the patient will be at risk.nurse negligence cause patient injury and death, she will be under malpractice lawsuit and there will negligence work that cause legal action under RN.