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Chapter 20 – Assignment

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Chapter 20 – Assignment

Chapter 20 – Nursing Management – Staffing Staffing Table Your job is to fill in the following chart or at least

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describe what assignments each person will have during the day shift today. This is normally Mary’s job, but you are helping her out since she will probably be pretty busy today. The charge nurse usually only takes one or two patients along with the rest of their duties, but since she will be with a new grad and an LPN, you are anticipating that she will be busy. Is her being busy sound like a reasonable projection? It will be your choice what type of staffing model you utilize such as primary, team or modular nursing. Mary, RN (Charge Nurse) John, RN (New grad) Sarah, LPN (LPN) Mary has been an RN for 7 years and has worked in several different units throughout the hospital. John has been a nurse for only one month. Sarah has been an LPN for the past 3 years and has not done her IV certification course. Amy, CNA (CNA) Amy has been an assistant for the past 5 years. Patient #1: A 47-year-old woman admitted from the recovery room at 2:15am after an emergency open cholecystectomy. Vital signs are stable; she is experiencing postoperative nausea and vomiting. She is receiving intravenous morphine on a PCA pump and antibiotics IV every 6 hours. She is also on a maintenance IV drip. The T-tube is draining a moderate amount. Patient #2: A 20-year-old woman admitted two days ago with abdominal pain, fever and nausea. She had a endoscopic cholecystectomy last night and is due for her first bandage change this afternoon. | Mary, RN John, RN Sarah, LPN Amy, CNA Patient #3: A 76-year-old man in respiratory isolation to rule out tuberculosis. Third morning sputum for AFB is needed. Vitals are stable; and he is independent of his iADL’s but has some physical limitations that he is appreciative of help. Patient #4: An 60-year-old man with congestive heart failure (CHF). This patient is a DNR. Family is present with the client. Respirations are shallow; blood pressure is beginning to decline at the end of the last shift. Patient #5: A 60-year-old woman admitted 3 days ago with left lower lobe pneumonia. She is receiving intravenous antibiotics, oxygen at 3 Liters N/C. She spiked a fever to 39.5 C. overnight; acetaminophen was administered. She receives piggyback antibiotic every 6 hours. Patient #6: An 82-year-old man admitted 10 days ago with a urinary tract infection. The infection resolved. He is now waiting for long-term care placement. He requires assistance with ADL’s and ambulates with assistance also. | Mary, RN John, RN Sarah, LPN Amy, CNA Patient #7: A 36-year-old woman scheduled for a bowel resection at 10:00am She is NPO and has an intravenous maintenance infusion running. Bowel preparation is complete and preoperative teaching is done. The consent needs to be signed and the operating room checklist must be completed. Her pre-medications must also be administered when called by the OR. Patient #8: A 55-year-old man in the cardiac interventional lab having an angiography done. He will be prescribed bed rest on return and will have a sandbag on his groin to prevent bleeding while his heparin level is monitored during the day. His vital signs and groin site will be checked frequently when he returns. |
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chapter 20 assignment

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chapter 20 assignment

Ms. B was told that she had a brain aneurysm. She made an advance statement of wishes saying that she did not

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want surgery if the aneurysm burst. However, shortly after she made this statement of wishes, the aneurysm burst and a team of surgeons took her to surgery believing that if not treated with surgery she would surely die. The hospital (Hospital #1) backed the decision of the surgeons thinking if there was no intervention the hospital would be liable for her death. This all happened as the family were alerted to the emergency and were making travel arrangements as they were all from out-of-town.

Unfortunately, the outcome of the surgery was that she became ventilator-dependent paralyzed from the neck down and needing 24-hour care. Once the family was in the hospital, they held a family conference agreeing that Ms. B would not want to continue on in this state, and they petitioned the hospital to remove her from the ventilator. The hospital refused still believing the potential for legal ramifications. The family was distraught; but eventually, with the guidance of a lawyer they retained, they were able to have her transferred to another facility (Hospital #2) that was willing to take her off the ventilator knowing that the chances of her making it were slim. The felt that they were honoring her wishes along with her families’ wishes.

A day later Ms. B was taken off the ventilator and she expired within the hour. The family felt like they had done the right thing and they retained the lawyer to sue the initial hospital stating that they had not honored the wishes of their loved ones. In the trial, the hospital claimed that there was not enough evidence that Ms. B wished to not be placed on machines as the family claimed, even though it was witnessed by a nurse that the anesthesiologist for the care engaged her in a conversation about this very topic before her aneurysm burst. The hospital maintained that without documentation to that claim, they could not honor her wishes.

In a surprising turn of events, the family filed suit in the Court of Appeals and won. The appellate court agreed with the family stating that any conversation, whether it be personal or professional could be used to reach a conclusion about one’s desire about the nature of their own death.

Instructions:

Read the Ms. B’s case study above.
Answer the following questions:
Do you agree with the original court or the court of appeals? Why?
What kind of ethical theories was hospital #1 acting upon (beneficence, malfeasance, etc.)?
What kind of ethical theories was hospital #2 acting upon (beneficence, malfeasance, etc.)?
How did the family act in this ethical realm?
Did you find that the result of this case was fair to Mrs. B and her family?
Why is it so important that one put in writing their exact wishes to the nature of their death and how they envision it should be?
APA style and sources cited

Chapter 20 – Assignment

/in /by

Chapter 20 – Assignment

Ms. B was told that she had a brain aneurysm. She made an advance statement of wishes saying that she did not

ORDER A PLAGIARISM FREE PAPER NOW

want surgery if the aneurysm burst. However, shortly after she made this statement of wishes, the aneurysm burst and a team of surgeons took her to surgery believing that if not treated with surgery she would surely die. The hospital (Hospital #1) backed the decision of the surgeons thinking if there was no intervention the hospital would be liable for her death. This all happened as the family were alerted to the emergency and were making travel arrangements as they were all from out-of-town.

Unfortunately, the outcome of the surgery was that she became ventilator-dependent paralyzed from the neck down and needing 24-hour care. Once the family was in the hospital, they held a family conference agreeing that Ms. B would not want to continue on in this state, and they petitioned the hospital to remove her from the ventilator. The hospital refused still believing the potential for legal ramifications. The family was distraught; but eventually, with the guidance of a lawyer they retained, they were able to have her transferred to another facility (Hospital #2) that was willing to take her off the ventilator knowing that the chances of her making it were slim. The felt that they were honoring her wishes along with her families’ wishes.

A day later Ms. B was taken off the ventilator and she expired within the hour. The family felt like they had done the right thing and they retained the lawyer to sue the initial hospital stating that they had not honored the wishes of their loved ones. In the trial, the hospital claimed that there was not enough evidence that Ms. B wished to not be placed on machines as the family claimed, even though it was witnessed by a nurse that the anesthesiologist for the care engaged her in a conversation about this very topic before her aneurysm burst. The hospital maintained that without documentation to that claim, they could not honor her wishes.

In a surprising turn of events, the family filed suit in the Court of Appeals and won. The appellate court agreed with the family stating that any conversation, whether it be personal or professional could be used to reach a conclusion about one’s desire about the nature of their own death.

Instructions:

Read the Ms. B’s case study above.
Answer the following questions:
Do you agree with the original court or the court of appeals? Why?
What kind of ethical theories was hospital #1 acting upon (beneficence, malfeasance, etc.)?
What kind of ethical theories was hospital #2 acting upon (beneficence, malfeasance, etc.)?
How did the family act in this ethical realm?
Did you find that the result of this case was fair to Mrs. B and her family?
Why is it so important that one put in writing their exact wishes to the nature of their death and how they envision it should be?
Your paper should be:
One (1) page or more.
Use factual information from the textbook and/or appropriate articles and websites.
Cite your sources – type references according to the APA Style Guide.
At least three references not older than three years.
Tags: nursing NUR3289 – Fundamentals of Gerontology