Applications of ANA Provisions I realized while writing this paper that I use the provision of Respect for Human Dignity daily in my nursing practice. I remembered advice from a nursing instructor many years ago. She told me always treat your patient with respect, treat your patient how you would want your family
10 PROFESSIONAL NURSING PRACTICE managed. Shortly after I graduated from nursing school my father had a stroke, our lives completely changed overnight. I quickly learned what it was like on the other side of health care. When speaking with my patients and their families, I think of my dad. All patients should be respected and shown dignity. It can be hard when parents are yelling at you. Parents that lack sleep and are concerned for their children can often be cranky. The next provision that influenced me is Relationship with Patients. As a nurse, I establish a relationship of trust with my patient. If I say I will return in an hour with pain medication, I keep my promise. I set aside my beliefs if they are different from my patient. I once had a pediatric patient who needed a blood transfusion. She was fifteen years old and a Jehovah Witness. Many nurses refused to care for her, I took the assignment. She was well informed of her disease and understood the risk of not receiving a blood transfusion. She communicated with me her concerns regarding a blood transfusion. We develop trust throughout the day with our patients. It is essential to listen and understand their religious beliefs and treat them with respect. Clinical Practice Error As a pediatric nurse, I always double check medication before administering it to the patient. Once I received a report from a new pediatric nurse, she stated that the patient had a three-kilo weight loss. I asked the nurse if she had rechecked that weight. She said no, but she did change the code sheet. I explained that policy requires us to inform the doctor. It is important to double check the weights of our patients. In that sense we avoid a medication error. The patient had not lost three kilos, which meant the next dose of medication did not be need to change. I had been caring for this patient for the last two days and had developed trust with the family. I explained that we needed to reweigh the baby. I told them that infants medication doses are calculated on weight. The parents understood and allowed me to weigh the baby. The baby had gained one
11 PROFESSIONAL NURSING PRACTICE kilo. At shift change, I talked to the new nurse and explained in great detail the importance of the patient’s weights and calling the doctor if the patient gained more or lost 2 kilos. When I discovered the error above I was respectful. Learning from the mistake is important as well as being respectful to your co-worker.
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- Fall '15
- Nursing, professional nursing practice