To complete this discussion, you will be logging into The Neighborhood.

1. Click on Accessing and Using The Neighborhood for directions to enter the virtual community.
2. Select the link watch the video for further instruction on The Neighborhood
3. Click on “Neighborhood” to access the neighborhood simulation.
   

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Step 1 Read the following Neighborhood episodes about Bobby Schofield, Pat Richman, and Zaniah Kattan.

• Pat Richman, Season 2: Episodes 11–15
• Bobby Schofield, Season 2: Episodes 1–15
• • This tells the story of his increasing drug use at work.
• Bobby Schofield, Season 3: Episodes 1–15
• • This tells the story of his struggle to stay in a treatment program and how things are managed with the board of nursing.
• Zaniah Kattan:
• • Season 2: Episode 4 (Pain meds questionably given.)
  • Season 2: Episode 11 (She observes Bobby’s behavior at work and suspects drug use.)
  • Season 2: Episode 14 (Bobby is clearly impaired, and she notifies her Nurse Manager, Pat Richman.)

Step 2 Respond to the following questions in your post to the discussion board.

• Does Bobby’s behavior indicate negligence? Why or why not?
• Was Zaniah Kattan correct in reporting her concerns to the nurse manager, Pat Richman? Why or why not?
• What, if any, action should be taken by the nurse manager, Pat Richman? Explain your response. NUR 435 DSN Week 2 Leaders vs Managers Ethics Neighborhood Scenario Discussion

Step 3 Read other students’ posts and respond to at least two of them by Friday at 11:59pm Mountain Time.

Read and respond to at least two other students’ posts.

• Indicate whether you agree or disagree with your peers regarding Bobby’s behavior and Zaniah’s action. Discuss your reasoning.
• Do you agree with your peers’ assessments of whether any action(s) should be taken by the nurse manger? Explain. Include an alternative action that might be appropriate for Pat to take and explain why.
  

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Peer Discussion 1 (Alicia)

Nursing negligence includes four elements: duty, breach of duty, damages, and causation. When a nurse owes a duty to a patient and they breach this duty which results in measurable damage to the patient, they may be held liable for negligence (Griffith, 2020).

In the case of Bobby, his behavior did indicate negligence because he breached his duty as a nurse to administer appropriate pain medication which resulted in patients not having adequate pain control. Severe pain can cause vasoconstriction and low-grade hypoxia which can lead to impaired wound healing. Pain also causes stress which also slows down the healing process (Bilodeau, 2019). Many times, when my patients come back to the floor after a procedure, there are orders to ambulate the patient as early as four hours post-surgery. Most times, I will administer pain medication just minutes prior to the patient working with physical therapy to encourage them to get up and move.

Zaniah was correct in reporting her concerns to the manager; this is a duty as a nurse and patients’ best interest should always be the focus. If she suspected something and did not report it, she may face disciplinary action if one were to find out she suspected care that harmed a patient. The manager took the right approach in asking his resources what to do in the situation and by bringing it to the appropriate officials’ attention. NUR 435 DSN Week 2 Leaders vs Managers Ethics Neighborhood Scenario Discussion

Reference:

Bilodeau, K. (2019). Managing pain after surgery. Harvard. Retrieved from

https://www.health.harvard.edu/blog/managing-pain-…

Griffith, R. (2020). The elements of negligence liability in nursing. NIH. Retrieved from

https://pubmed.ncbi.nlm.nih.gov/32053442/

Peer Discussion 2 (Kristen)

I do believe that Bobby’s behavior indicates negligence. “Nursing negligence is when a nurse does not provide care and as a result the patient suffers unnecessarily” (Ausmed, 2017). Bobby was saying that he was adequately giving his patients the needed pain medication for their pain relief but, was keeping it for himself and only adequately medicating the patients at the end of his shift. Zaniah Kattan was correct in reporting her concerns to the nurse manager Pat because Bobby is causing harm to his patients. Many states require nurses to speak up when something is not right. Otherwise known as mandatory reporting, “nurses who observe a violation of the state’s Nurse Practice Act must report it” (Esposito, 2020). Pat Richman, the nurse manager, on that unit should take action. He could observe Bobby to see his behavior and monitor his patient care. If suspected, he should report it to his leadership who may require Bobby to take a drug test. NUR 435 DSN Week 2 Leaders vs Managers Ethics Neighborhood Scenario Discussion

Reference:

Ausmed. (2017, October 17). What is Negligence? Retrieved July 13, 2020, from https://www.ausmed.com/cpd/articles/what-is-negligence

Esposito, L. (2020, May 6). How Nurses Can Safely Report Workplace Issues. Retrieved July 13, 2020, from https://health.usnews.com/conditions/articles/how-nurses-can-safely-report-workplace-issues