The Planned Closing of Hospital - Case Study - Nursing Assignment Help

Assignment Task:

Task

The planned closing of hospital A has led to a huge influx of patients into the EC of hospital B. Dr. P is an emergency medicine physician practicing in the EC, and he has voiced concerns regarding the staff levels and fatigue on numerous occasions. On a busy nightshift, a 37-year-old obese male patient is brought into the unit via ambulance. Presenting complaint: severe abdominal pain. The patient has consumed a large amount of alcohol. On arrival, the patient is awake and cooperative. He is anxious and rates his pain as 10/10.

The patient is handed over to the triage nurse. During handover the paramedic states that they performed a breathalyzer test and that the level read high. The result printout is attached to the patient report form (PRF). After handover, the PRF is taken to reception to open a file, where due to a backlog, it takes 3 hours before the PRF and patient file is available. Dr. P is attending to another patient in the resus room; a nurse reports the triage score and severity of the pain (10/10) to him. Dr. P verbally orders an intravenous morphine titration; and to maintain a systolic blood pressure above 100mmHg.

Questions
1. The patient was placed in the overnight ward where the staff (enrolled) nurse was working. She administered intravenous Morphine, an action that falls outside of her scope of practice. During the investigation, the staff (enrolled) nurse states that she knew that she is practicing outside of her scope of practice, and that the order came from her direct supervisor, she feels that she was simply following the orders. She states that as she has 20 years of experience, and she has administered intravenous medication on numerous occasions and despite it falling outside of her scope, she deems herself competent.

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