Health Care > ESSAY > Study level: Master (Assignment type; Essay, Subject; Health and Medicine, Language; US) (All)

Study level: Master (Assignment type; Essay, Subject; Health and Medicine, Language; US)

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Case Study: Malpractice Action Brought by Yolanda Pinellas Yolanda Pinellas is a 21-year-old female studying to be a music conductor. She was admitted for chemotherapy. The medication mitomycin was administered by intravenous infusion through an infusion pump. During the evening shift, the infusion pump began to beep. The RN found that the IV was dislodged, discontinued the infusion, notified the physician, and provided care to the infusion site. The patient testified that a nurse came in, pressed some buttons, and the pump stopped beeping. She was groggy and not sure who the nurse was or what was done. The documentation in the medical record indicates that there was an IV infiltration. Two weeks after the event, the patient developed necrosis of the hand, required multiple surgical procedures, skin grafting, and reconstruction. She had permanent loss of function and deformity in her third, fourth, and fifth fingers. The patient alleges that, because of this, she is no longer able to perform as a musical conductor. While reviewing charts, the risk manager had noted that during the 3 months prior to this incident, there were short-staffing issues with many nurses working double shifts (evenings plus nights) then coming back to work the evening shift again. The risk manager also noted a pattern of using float nurses among several units. Using the information from the case study, discuss the following issues from the perspective of an APN role: Practitioner • Standards of care – which standards of care were violated and who was responsible? Standard of Care Violation Pertaining to Practitioner. • In your role as an APRN practitioner, what risk management steps should be taken before or after the incident to alleviate the issue? 3 Risk Management Steps Before Incident to Alleviate Issue. Risk Management Steps After Incident to Alleviate Issue (3 steps). • Support your paper with a minimum of three scholarly references (within 5 years) . Introduction: 3-5 sentences identifying APRN role. 1. Ethical and legal decision-making dilemma involving an advanced practice nurse in the field of a nurse practitioner. 2. Applies at least three relevant codes of conduct that apply to the practice of nursing and the chosen APN field. 3. One ethical principle and one law that could be violated and whether the violation would constitute a civil or criminal act based on facts: Describes all of the following: one ethical principle, one law that could be violated, correct type of violation. 4. Construct a decision that includes all of the following: demonstrates integrity, prevents violation of the ethical principle, prevents the law from being violated. 5. Describes three or more recommendations that will resolve APN moral distress in the dilemma presented. 6. Conclusion. 7. minimum of three scholarly references (within 5 years) are required.

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