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Running head: VULNERABILITY1VulnerabilityStudent’s NameUniversity Affiliation
VULNERABILITY2VulnerabilityI have learned through classroom theories and clinical practice that nursing leadersshould be confident, convicted, and strong. Nonetheless, I appreciated the value of vulnerableleadership while working medical surgical unit as a medical-surgical nurse. I took over the careof Mrs. B at 6:30 pm. The 67-year-old Caucasian female had undergone Open Reduction InternalFixation (ORIF) surgery the previous night, and she was admitted for continuous observation.The outgoing nurse highlighted the need for effective pain management. The doctor hadrecommended Fentanyl 50-100mcg IV for alleviating pain. The patient started to complain aboutintense pain, which she rated at 8 based on the Numeric Rating Scale (NRS). I administered therecommended dosage of fentanyl but she vomited and continued to complain about intense pain.The second NSR reading was ten. I paged the on-call doctor but he did not respond. Anothernurse answered the call and notified me that the doctors were attending to an emergency surgery.The patient’s persisting pain exposed my vulnerability because I felt helpless anddefeated. On the one hand, the patient was experiencing intense pain even after I increased thedosage of fentanyl to 100mcg. On the other hand, the doctor on-call was not available to provideappropriate direction. As such, I decided to take a risk by administering morphine and anantiemetic to manage the pain and vomiting respectively. The patient fell asleep after taking bothmedications. I checked on Mrs. B after 30 minutes and found her lethargic although she could bearoused. I checked her vital signs and realized that her oxygen saturation was 61%. I consideredMrs. B a critical case and I developed an action plan to optimize the care process. This plan

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Term
Fall
Professor
NoProfessor
Tags
Nursing, Morphine, Fentanyl, Mrs B

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