- Response Posts
- Explain why you agree or disagree with at least two other classmates’ responses
- Provide at least two examples and one credible resource to support each response
- Nurses can fulfill many different roles in the team’s treatment of clients. When evaluating the nursing interventions in the case study, I recalled something vital that I had learned in the first quarter of nursing school, the nursing process. The nursing process requires nurses to implicate critical thinking, evidence-based practice, a client-centered approach, and goal-orientated tasks (Toney-Butler, Thayer JM, 2022). When caring for clients, the nurse in Texas could have used critical thinking skills to evaluate the client further to identify that they should not have a stat or continue Pitocin when there are non-reassuring fetal heart tracings. The nurse should have used goal-orientated tasks; patient safety is always a priority. That nurse should have monitored the uterine contractions or delegated this task to another nurse. When the nursing process is followed, the patient is put first and cared for in a multidimensional approach. An example of leadership in a critical care setting is the nurse in Mississippi who managed the client appropriately. A nurse should understand the components of delegation: responsibility, authority, and delegation. These components help communication by advising team members to contribute to client-centered care (Barrow JM, Sharma S. 2021). The nurse in Mississippi had identified that the client was not in labor during her ER visit related to labor pains. Once the nurse placed no fetal heart tones, she delegated the task of monitoring the fetal heart tones while she updated the medical provider. As nurses, there are learning experiences every day in the care setting; it is important to follow the nursing process and place client safety first in practice.
- second post
- The reason why the nurses in Texas were rightfully sued for negligence which caused an infant to be born with brain damage was because they were responsible for maintaining reassuring heart tracings when administering Pitocin. Pitocin is an oxytocin used to help with contraction, but there are some side effects that can occur which is why nurses are responsible for monitoring the patient and fetus. Fetal bradycardia or tachycardia can occur therefore nurses are responsible for monitoring the heart rate for signs of distress (Silbert-Flagg & Pillitteri, 2017). There were numerous intervals of non-reassuring tones that should have been reported to the provider so that Pitocin could be stopped, and delivery can be made using a cesarean method.
The nurses in Mississippi on the other hand applied appropriate nursing interventions for the patient and fetus. Although the patient was a high-risk pregnancy due to numerous comorbidities and previous pregnancies. The nurse monitored the fetal heart and contractions as well as performed a vaginal exam to assess for dilation. Both the nurse and physician found no dilation. The nurse continues monitoring appropriately and when they noticed no reassuring tones, they immediately paged the physician and notated the chart. Patient safety is paramount during delivery and fetal heart monitoring can prevent adverse effects during delivery if nurses follow the prescribed protocol of ensuing reassuring tones for vaginal birth and notifying the provider of any non-reassuring tones (Clark et al., 2015). This nurse did everything right they could within their scope and the court agreed.
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