Chris, a registered nurse (RN), arrives for work on the day shift on an acute ca

Question

Chris, a registered nurse (RN), arrives for work on the day shift on an acute care medical unit and receives a patient assignment for the shift. The assignment includes care of five medical patients. After receiving the night shift report, the nurse makes rounds on the five patients, does a head-to-toe assessment of each, lists each patient's problems, sets patient goals, and plans their care for the day. During the shift Chris administers intravenous (IV) medications to all five patients; ensures that all oral medications are given by the licensed practical nurse (LPN); asks the unlicensed assistive personnel (UAP) to bathe two of the patients who need assistance; assists a patient with ambulation; provides education to a patient who will be discharged on a new medication; evaluates the plan of care for each patient, with updates as necessary; and notifies the primary care providers of critically abnormal blood work results for two patients.

One patient's friend comes to visit and stops Chris in the hallway to ask detailed questions about the patient's condition. Chris states that patient information is protected and cannot be shared without the consent of the patient.

At a recent continuing education conference, Chris learned that current evidence showed that aspirating the syringe after the needle is inserted into the muscle before administering deltoid intramuscular (IM) injections was no longer recommended. He remembers this new information while preparing to give a patient an IM immunization before discharge. Chris believes that self-care maintains wholeness, and meets patients' self-care needs by doing for, guiding, teaching, supporting, or providing the environment to promote self-care abilities.

Questions for Discussion:

Which roles of the nurse are exhibited by Chris, and when were these displayed?

Which of Chris’ actions uphold HIPPA?

Which of the ANA standards of Nursing Practice is Chris exhibiting during the shift?

Explanation / Answer

Following are the roles played by chris

Firstly he is acting as a caregiver by himself administering medicine as well as asssissting patients in self care.

Secondly he is a keen observer provided the fact he have done a head to toe examination of five patients assigned to him and also assessing nursing diagnosis and care plan

Thirdly he is acting as a team leader by properly guiding trained and less trained personnels.

Fourthly he has good co ordination with all health team members including primary health caregivers.So we can assume he has good team spirit.

Fifthly chris is a good health educator to patients where he is seen explaining discharge details to a patient on a new medication

Sixthy chris also knows the professional ethics as he refused to indulge in patient health details other than family health members.

Seventhly chris is also updated according to new changes that is he aso has the quaities of a good reasearcher when he remembers aspiration of needle no longer needed while giving IM injections.

Chris is also a good comforter who takes care of the well being of patients by providing good

HIPPA provides safety of medical information .By not disclosing patient details to his friend who is not a family member chris have acted according to HIPPA.

According to ANA standards chris have done all major practises like assessing,diagnosing,planning care plan,implementing and evaluation of the care plan along with other standards mentioned above.

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