Ways of Knowing

Please refer to rubic and reading material.  Also, base this on my unprepared, uncomfortable situation.  I was given an order to reduce the patient’s potassium level using an IV dose of insulin , 10 units of insulin and dextrose.  This is noted to lower the potassiumlevel in 10-20 minutes, but has a lasting effect of 4-6 hours.  This procedure is dangerous and should be done in the presence of the following: extensive nursing staff (rapid response nurses should be on stand-by), Patient should have telemetry monitoring and the blood suger level should be check throughout procedure.  This task was given to me as I was  unexperienced ( new nurse under 6 months experience).   I felt very uncomfortable.  Please explain the dangers of this procedure in the paper and follow the questions. 

1. Think of a surprising or challenging practice situation in which you felt underprepared, unprepared, or uncomfortable.
2. Select an important nursing issue/topic that was inherent to the identified situation.
3. Brieflyexplain the situation
4. Identify the nursing issue inherent in the identified situation
   1. As a method of refection, use Carper’s Patterns of Knowing to analyze the situation. In your discussion, address ONE of the following Patterns of Knowing:
      1. What do you think was the underlying reason for the situation? (Esthetics)
      2. What were your thoughts and feeling in the situation? (Personal)
      3. What was one personal belief that impacted your actions? (Ethics)
      4. What evidence in nursing literature supports the nursing importance of the identified issue? (Empirical)
5. What new insights did you gain through this reflective practice opportunity? How will this apply to your practice as a nurse practitioner? Be sure to use scholarly literature to support your position.