Most patients who enter the hospital for care have some form of intravenous therapy during their stay, whether it is in the emergency room or on inpatient floors. IV catheters are vital and are the fastest way to administer life saving medications. At times inserting or replacing a peripheral IV catheter can be challenging especially when the patient has poor circulation or poor venous access. In healthcare today Peripheral IV insertion lawsuits are on the rise due to its invasive character and unanticipated outcomes. In a lawsuit by Sheivia Graves against Brookwood Medical Center in Birmingham “alleges that a difficult and painful IV start performed by a nurse at Brookwood Medical Corner caused permanent Nerve damages.” (Steinriede (2010) Steinriede (2010) found the following: The nurse who started the infusion first tried the left arm, then the left hand and finally the back of the right hand. As soon as the infusion started, Ms. Graves "began experiencing severe pain in her right hand and [it] caused her to start crying," according to court documents. When Ms. Graves complained to the physician who began infusing anesthetics through the IV, he told her "they were already behind and that she would just have to endure it. Just after the GI exam, Ms. Graves looked at her hand and noticed that it was swollen "like a boxing glove,"(Steinriede, 2010) The hospital was able to argue effectively that other factors that the patient was experiencing at the time such as iron deficiency anemia, ulcerative colitis and fact that patient had received blood transfusions could have also cause nerve damage. (Steinriede, 2010) Also documented by the nurse was that the right arm was swollen prior to the peripheral IV insertion and that she ... ... middle of paper ... ...ws, the awards are based on the determination of the percentage of fault of both parties.” (Evan, M. & Aiken, T., 2009, pp 184) Works Cited Evan, M. & Aiken, T., (2009): Nursing Law and Liability. J.T. Catalano (5th ed.) Nursing Now! Today’s Issues Tomorrows Trends .Philadelphia, PA: F.A.Davis Masoorli, S., (2008) Extravasation: Prevention is the Best Treatment. Nursing Spectrum retrieved from http://news.nurse.com/apps/pbcs.dll/article?AID=2008304080015 Spader, C., (2006, May 8) IV Insertion-Still a Special Skill. Nursing Spectrum retrieved from http://news.nurse.com/apps/pbcs.dll/article?AID=2006605080330 Steinriede, K., (2010, November 5) Lawsuit: Did a Painful IV Start Cause Nerve Damage? Patient’s hand was swollen like a boxing glove during GI procedure. Outpatient surgery Magazine retrieved from http://www.outpatientsurgery.net/news/2010/11/5
This case study examines a case of an LPN who became ill while about halfway through her shift and chose to go home. This LPN was assigned to care for five patients in an obstetrical ward, four of which were considered stable. The fifth patient was awaiting an obstetrical consultation when the LPN became ill and vomited. At this time, she notified the other nurses and, subsequently, the charge nurse that she needed to leave due to illness. The charge nurse instructed her to notify her supervisor prior to leaving the facility; however, the LPN chose not to do so and went home. Her reasoning in not notifying her supervisor as she was instructed was that she feared that the supervisor would ask her to go to the emergency room for care. The LPN testified that she did not want to pay for an emergency visit and that she intended to make an appointment with her family doctor early that same day. The facility terminated the LPN’s contract and also reported her to the state board of nursing for patient abandonment. As a judgment, the board of nursing suspended here nursing license pending a psychological examination and fined her $1000 for abandoning her patients. In this paper, we will examine the viewpoints of the LPN, the charge nurse, and the nursing supervisor as they relate to the Nurse Practice Act and the board of nursing.
Then after threading a catheter through the needle, the anesthesiologist will withdraw the needle and leave the catheter i...
What? The patient is 65-year-old man Mr. John Douglas who is suffering from dysphagia and have been admitted to the surgical ward for insertion of a percutaneous endoscopic gastrostomy (PEG). Apart from that, he is a Type 1 diabetes patient and has weakness in his right leg and arm because of right-sided hemiplegia. He is thin in appearance and has stage 1 pressure sore on his right heel.
Rockwell, P.E.,M.D. Director of Anesthesiology, Leonard Hospital, Troy, NY, U.S. Supreme Court, Markle vs. Abele, 72-56, 72-730, 1972. P.11
First, you must obtain all of the necessary supplies: gloves, alcohol or Betadine preps, a tourniquet, tape, an appropriately sized IV catheter, a bag of IV solution, the IV tubing, and gauze pads. While obtaining the supplies, you should inform the patient that IV catheter placement is necessary, and why. Do not lie to the patient and tell him or her that it is a painless procedure. Instead, be honest with them and explain that the initial puncture feels like a sharp pinch on the skin and that the pain and discomfort associated with the IV placement is only temporary. You may find it helpful to demonstrate to the patient the amount of pain to expect by pinching the skin on the back of their hand. This is especially helpful for younger patients or patients who are more concrete in their thinking.
...iation. (2009). ANA Position Statement: Patient Safety: Rights of Registered Nurses When Considering a Patient Assignment. Washington, DC: Author.
Rockwell, P.E.,M.D. Director of Anesthesiology, Leonard Hospital, Troy, NY, U.S. Supreme Court, Markle vs. Abele, 72-56, 72-730, 1972. P.11
Furthermore, nursing action guided by the theory and principles of moral and legal rights complements excellent nursing care. Nurse’s awareness of moral and legal codes helps them control the complicated scenarios encountered and direct the nurses in the best possible action answerable by law (Lachman, 2006). In this essay, the author will rationalize the relevance of professional, ethical and legal regulations in the practice of nursing. The author will discuss and analyze the chosen scenario and critically review the action taken at the expense of the patient and the care workers. In addition, the author will also evaluate the strength and limitations of the scenario in a broader issue with reasonable judgement supported by theories and principles of ethical and legal standards.
In conclusion, the author’s practice of administering depot intramuscular injections was good considering what the evidence outlined. From evaluating my practice, I should have assisted the patient into the prone position to help reduce the pain they experienced. In light of current best evidence regarding injection sites, this is an area that needs to be looked at in the mental health setting that the author attended. Although the ventrogluteal site has been endorsed, many nurses are not embracing the latest research findings due to their lack of familiarity with locating the site correctly and safely. Therefore, training sessions on administration into the ventrogluteal site should be organised for qualified nurses’ within their services.
Burkhardt, M. A., & Nathaniel, A. K. (2014). Ethics & issues in contemporary nursing (4th ed.). Stephan Helbra.
Dr. Murray, the chief resident who arrived around 8:00pm, charted Lewis’ heart rate as normal and noteds a probable ileus; however, nursing documentation at the same time recorded a heart rate of 126 beats per minute (Monk, 2002). Subsequent heart rates at midnight and 4:00am arewere charted as 142 and 140 beats per minute respectively without documented intervention (Monk, 2002 ). On Monday morning Lewis noted that his pain suddenly stopped after being very constant and staff charted that they were unable to get a blood pressure recording in either arm or leg from 8:30-10:15am despite trying multiple machines (Monk, 2002; Solidline Media, 2010).
I also plan on taking a course after graduating from the nursing program specific to IV therapy because I feel this is a skill that takes practice and not having the hands-on experience through the nursing program at Niagara College is unfortunate. The IV therapy course is offered at Niagara College for a six-week period. I feel by taking this course I will become more comfortable with IV’s and will meet the expectations of the CNO when providing care to patients as a future nurse. I will also use the CNO standards of medication when administering an IV solution because it is a medication and the 10 rights need to be applied (CNO,
Burkhardt, M. A., & Nathaniel, A. K. (2014). Ethics & issues in contemporary nursing (4th ed.). Stamford, CT: Cengage Learning.
Giordano, K. (2010). Examining nursing malpractice: a defense attorney's perspective. (Legal Counsel). Critical Care Nurse 23.2 104(4). Nursing Resource Center. Gale. 12 Mar. 2014. Retrieved from http://go.galegroup.com/
In every nurse's career, he or she will face with legal and ethical dilemmas. One of the professional competencies for nursing states that nurses should "integrate knowledge of ethical and legal aspects of health care and professional values into nursing practice". It is important to know what types of dilemmas nurses may face