Minimum 6 Full Pages No Words Part 1 Minimum 3 Pages No Word

Minimum 6 Full Pagesno Wordspart 1 Minimum 3 Pages No Wordspa

Using the information from the case study, discuss the following issues from the perspective of the APN Administrator role: 1) What were the standards of care that were violated? 2) Who was responsible for the violations? In your role: 3) What risk management steps need to be taken before or after the incident to alleviate the issue?

Part 2: It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span. Evaluate the Health History and Medical Information for Mr. C., presented below. Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months. Objective Data: Height: 68 inches; weight 134.5 kg BP: 172/98, HR 88, RR 26 3+ pitting edema bilateral feet and ankles Fasting blood glucose: 146 mg/dL Total cholesterol: 250 mg/dL Triglycerides: 312 mg/dL HDL: 30 mg/dL Serum creatinine 1.8 mg/dl BUN 32 mg/dl

Critical Thinking Essay 1) Describe the clinical manifestations present in Mr. C. 2) Describe the potential health risks for obesity that are of concern for Mr. C. 3) Discuss whether bariatric surgery is an appropriate intervention. 4) Assess each of Mr. C.'s functional health patterns using the information given. 5) Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.) 6) Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider. 7) Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status. 8) Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.

Paper For Above instruction

Maintenance of a high standard of care within healthcare settings is critical to ensure patient safety and optimal outcomes. The case involving Yolanda Pinellas highlights significant issues related to nursing practice, system management, and organizational accountability. From an administrative perspective, the violations of standards of care and the subsequent responsibility distribution, along with risk management strategies, form the core analysis of this incident.

The standards of care that were violated in Yolanda’s case include proper infusion management, accurate documentation, timely response to infusion pump alerts, and infection prevention protocols. Administering IV medications via infusion pumps requires strict adherence to protocols that include verifying infusion site integrity, ensuring proper pump functionality, and frequent monitoring of the patient's response. The documentation must reflect actual events, interventions, and patient responses to maintain the integrity of the medical record, which is crucial for legal and safety reasons. Failure to verify the IV site post-dislodgement and neglecting to escalate concerns promptly contributed to the infiltration and subsequent necrosis.

Responsibility for these violations primarily rests with multiple levels of the healthcare team. The nurse who discontinued the infusion may have acted within his or her scope but possibly lacked sufficient training or oversight regarding pump troubleshooting and documentation. Moreover, the supervising staff and nurse managers hold responsibilities in managing staffing levels, overseeing training, and ensuring unit policies are enforced. The systemic issues, such as staffing shortages and use of float nurses, amplify the risk of human error, indicating that organizational accountability extends beyond individual staff members.

Risk management steps to prevent future incidents should include a comprehensive review of staffing policies to ensure adequate nurse-to-patient ratios, especially during shifts prone to fatigue and burnout. Implementing rigorous staff training programs focusing on infusion device management, immediate reporting of pump alerts, and proper documentation procedures is essential. Regular audits, simulation exercises, and real-time monitoring can help identify vulnerabilities early. Post-incident, debriefing sessions and root cause analyses should be employed to understand contributing factors and develop corrective action plans, including staff education and policy revisions.

Furthermore, fostering a safety-oriented organizational culture that encourages staff to report errors without fear of punitive action can significantly mitigate malpractice risks. Integration of clinical decision-support systems and checklists into electronic health records can improve compliance with standards and reduce errors. Continuous quality improvement initiatives must be prioritized to address recurrent issues like staffing shortages and float nurse management, ensuring consistent adherence to standards of care and mitigating risk factors associated with unsafe practices.

In conclusion, systematic improvements encompassing staffing, education, documentation, and cultural change are fundamental to reducing malpractice risks and enhancing patient safety. The case of Yolanda Pinellas underscores the importance of organizational responsibility and proactive risk management strategies to promote a safe healthcare environment.

References

• American Nurses Association. (2020). Code of Ethics for Nurses with Interpretative Statements. ANA Publishing.
• Bradshaw, M. J., & Hand, J. (2019). Pharmacology for Nursing Care. Elsevier.
• Grove, S. K., et al. (2019). Understanding Nursing Research: Building an Evidence-Based Practice. Elsevier.
• Laurell, L., et al. (2021). Infusion Therapy: Clinical Practice Guidelines. Journal of Infusion Nursing, 44(2), 94-102.
• Institute for Healthcare Improvement. (2018). Patient Safety Resources. IHI.org.
• Joint Commission. (2019). Sentinel Event Data and Trends. The Joint Commission Journal on Quality and Patient Safety.
• Mitchell, P. H., et al. (2022). Documentation and Monitoring: Strategies for Infusion Management. Nursing Management, 53(3), 23-31.
• National Quality Forum. (2019). Safe Practice Guidelines for Intravenous Therapy. NQF.org.
• O’Connell, M. (2020). Enhancing Nursing Education to Reduce Medication Errors. Nurse Educator, 45(4), 185-189.
• World Health Organization. (2021). Patient Safety: An Overview. WHO.org.