Stress and Nursing Practice
Order Instructions
Write a 550 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet p550-wordoint. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least two (2) sources in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count toward the minimum word amount.
• Describe the case that defined you as a nurse. (I am a compassionate nurse; I also am proactive I try to anticipation action before it is too late, and I am a team player)
• What happened, how were you involved?
• How does this case still affect you and your practice?
• What steps have you taken to overcome the stress of this event? (Remember to protect patient privacy).
• Explain the importance of debriefings.
• If a debriding would happen in your workplace who would be involved, what would be discussed, who would lead the debriefing, and where would it take place?
***Description of the case:
About a year ago I had a 64-year-old female patient who had an End-Stage-Liver-Disease (ESLD) and she had ascites, her stomach was really distended. My shift starts at 7 pm. Earlier that day the patient had thoracentesis and they took 8 liters of fluids. After getting handoff report from the day shift nurse, I assessed the patient she was lethargic, Vital signs were stable Blood pressure in low systolic in the low 100s. Around midnight patient’s BP started to drop, systolic in the 60s. rechecked it and it was still low in systolic in the 70s. patients oxygen was low and put patient on 2L NC, Called the night hospitalist and did the SBAR. MD came to the room assessed the patient, ordered 500 ml Normal saline, IV albumin x2. Kept rechecking patients BP every 15 minutes, not change noted. Patient was full code, and I asked the hospitalist if patient should be transferred to ICU, with BPs that low patient was not appropriate Med-surge/Tele floor. However, the hospitalist was not ready to transfer patient yet. I was so stresses out about the patient’s situation yet I was reassuring the patient. I also had three other patient that were assigned to me, thank God they were stable. I stayed with that patient most of the night and kept calling the hospitalist. The hospitalist came and spoke with patient about her disease process the situation and patient code status switched to DNR Labs CBC and BMP done and the hemoglobin was 5.5. It was around 0530 am and notified the hospitalist, finally patient transferred to ICU and I was relieved. In this situation I tried to stay calm even though I was very stressed. I did not want to show it to the patient.
PLEASE USE INTRODUCTION AND CONCLUSION.
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