VS. The CAP reports that the patient has an increase in temperature of four degrees from the last reading three hours prior. The CAP thought this could be contributed to being swaddles in a couple extra blankets so they charted the temperature as within normal limits. This is not documenting in the medical record correctly. As primary care nurse for this patient, I should make sure VS and other important numbers is documented correctly. This increased temperature may indicate the baby does have an infection. As the nurse it is my responsibility to take action and accountability and notify the MD in case they want to continue antibiotics and not discharge the patient. Referencing provision four of the American Nurses Association code of ethics, “The nurse has authority, accountability, and responsibility for nursing practice; makes decisions; and takes action consistent with the obligation to promote health and to provide optimal care.” (American Nurses Association, 2015). I would check the patient’s rectal temperature and document the correct reading. Even though this is an appropriate task for the CAP, the follow up is my responsibility. I would first talk with the CAP about what happened to understand their thought process. I would make the charge nurse of this situation. I would call the MD back and report the fever and implement any new orders. Utilizing all members of this patient care team help us to reduce errors, protect the patient’s right for proper treatment. The patient does not meet the criteria for discharge and will need to stay until final culture results come back to determine the patient’s antibiotic course. This change in condition indicates the patient meets criteria for inpatient care. Provision eight of the American Nurses Association code of ethics, “The nurse collaborates with other health professionals and the public to protect human rights, promote health diplomacy, and reduce health disparities.” (ANA, 2015). H. Leadership Qualities
KEY CONCEPTS IN THE NURSING PROFESSION 15 One leadership quality that represents excellence in nursing is the ability to communicate. As Nursing Supervisor, communication between doctors, nurses, CAP’s, unit secretaries, Respiratory therapists and other healthcare team members is an ongoing challenge. A miscommunication could place a patient in the wrong room, have the wrong nurse take report on an incoming patient, or a family member not understanding their child’s plan of care. All of these situations could result in misunderstandings and added stress. Knowing how to communicate pertinent information to physicians, give clear and concise instructions to patients and coworkers is a necessity. When communication is effective, we can achieve positive patient and unit outcomes. As a team everyone needs to be working toward the same patient goals. An example would be a patient diagnosed with Asthma going home with the correct treatment plan and supplies. The Nurse helps coordinate the discharge process by ensuring the Respiratory therapists
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- Fall '15
- Nursing, Ana, Jacobs, Cherry, Nursing Profession, nursing supervisor