Case Study - Olivia - Case Study Assessment Help

Internal Code : 1IGBD

Case Study Assessment Help

TASK Olivia is a nurse working in a surgical ward. During the lunch break with two work colleagues (Charlotte and Isla), Olivia mentioned that she was running late that day. Olivia added, “I have four patients due for intravenous cannulas (IVCs) change today, with one admission AND I will be receiving three patients from the theatre. It is too much work! Why do we have to change IVCs on daily basis?” Isla said, “I have been working here for five years, and this is our routine practice. So, we have to do it”. Charlotte, surprised said, “it is just wasting of time and resources! Why changing the IVCs daily? I was working in another hospital in which the IVC could stay as long as it is working. If I were you Olivia, I would not change IVCs if they are working. Olivia accepted Charlotte’s suggestion saying, “Good, I am very busy today~! Receiving three post?surgical patients with a new admission is a huge work for a newly graduated nurse. I will not change the cannulas, I just used them to give the 12:00 hours injections and they were fine”. The next day, the ward manager called Olivia for a meeting, and asked her to clarify the senior nurse’s comments that IVCs had not been changed for four patients. Olivia admitted that she had not changed the IVCs because they were working with no evidence of infection. The ward manager ended the meeting by advising Olivia to go back to her work, and keep an eye on her email. The manager added our policy advises to change IVCs on daily basis to reduce the infection rates. This comment concerned Olivia who was in her probation period. Olivia consulted a friend in another ward of the same hospital. The friend reassured Olivia, and suggested that she might argue that she was not aware of the policy, and that her patients were not harmed because of not changing the cannulas. She also suggested that it might be timely to review hospital policy as other hospitals have different recommended time frames for intravenous cannula changes. The situation concerned the ward manager who called the senior nurse for a meeting. The ward manager commented, “What is happening to nurses in this hospital? They do not apply the hospital policies. This morning I interviewed another nurse who was supervising a nursing student. The student walked a patient with chest pain to the X?ray department, and the nurse was not aware of that. Yet, the hospital policy advises that patients with chest pain should be on complete bed rest. The patient was 39 years of age with a chest pain. The patient had family health history of heart problems with evidence of type 2 diabetes. This should be reported to the nurse manager for appropriate action”. Provide your answerable question with the changes made as per the feedback given in assignment 1 Document the databases or search engines you have used to search for literature that would answer your question. A search of the databases: CINAHL, Medline, Scopus was conducted in June 2011 for the purpose of locating published research about whether hospital bath basins and soap and water bathing contribute to cross infection in hospitals.