1. read the narrative below decribing a scenario that occurred in a hospital emergency room<\/p>\n
James \u201cHi \u201cHi. Charles \u201cOk, \u201cNurse, \u201cI Just \u201cHey Rushed, \u201cHey \u201cMr. James \u201cWait,\u201d \u201cAn \u201cAcetaminophen James After Melissa \u201cWhat Melissa \u201cIf \u201cOkay, \u201cHe\u2019s Melissa Just 1. read the narrative below decribing a scenario that occurred in a hospital emergency room 2. identify the incidents\/problems that occurred in the narrative on the following levels: individual error workplace environment\/culture institutional\/systemic problems 3. explain to your group mates why and how you think it is an incident\/problem. then, offer suggestions on how to […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"closed","template":"","meta":[],"disciplines":[706],"paper_types":[],"tagged":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/questions\/23060"}],"collection":[{"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/questions"}],"about":[{"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/types\/questions"}],"author":[{"embeddable":true,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/comments?post=23060"}],"version-history":[{"count":0,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/questions\/23060\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/media?parent=23060"}],"wp:term":[{"taxonomy":"disciplines","embeddable":true,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/disciplines?post=23060"},{"taxonomy":"paper_types","embeddable":true,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/paper_types?post=23060"},{"taxonomy":"tagged","embeddable":true,"href":"https:\/\/www.goodacademic.com\/blog\/wp-json\/wp\/v2\/tagged?post=23060"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\nis an ER triage nurse at a local hospital. On Monday January 4<\/span>th<\/span><\/sup>, 2021, James reported to work as usual at 7:00am. On this
\nparticular, he was working with his RN colleague Melissa, who had to take a double
\nshift because Richard (the RN who typically works Mondays) was ill. At roughly
\n8:30am, a patient by the name of Charles Becker entered the ER, grasping his
\nright shoulder. He approached James\u2019 desk.<\/span><\/p>\n
\nthere,\u201d remarked Charles, who was seemingly in pain.<\/span><\/p>\n
\nWhat brings you to the ER?\u201d asked James.<\/span><\/p>\n
\nexplained that he was involved in an accident at home whereby he fell from his
\nporch and landed on his shoulder, which he thinks is now dislocated or broken.<\/span><\/p>\n
\nlet me take your temperature and blood pressure,\u201d said James, preparing the
\ninstruments.<\/span><\/p>\n
\ncan I please have some Tylenol or something. It really hurts,\u201d inquired
\nCharles.<\/span><\/p>\n
\nwill go double check with the doctor,\u201d assured James. \u201cNo fever, so that\u2019s
\ngood. Your blood pressure will show in a second\u201d<\/span><\/p>\n
\nthen, Melissa joins them in the room, hunting intently for her eyeglasses that
\nshe left there earlier.<\/span><\/p>\n
\nMelissa,\u201d says James, \u201cdo me a favour and record Charles\u2019 blood pressure. I
\nhave to quickly ask the doctor something.\u201d<\/span><\/p>\n
\nMelissa notes 133\/88. It actually read, 188\/98. Normal blood pressure is
\nroughly 120\/80. She then remembers leaving her glasses in the bathroom when she
\nwashed her face.<\/span><\/p>\n
\nDoctor Fleming,\u201d says James. \u201cQuick question for you. There\u2019s a-\u201c<\/span><\/p>\n
\nJames,\u201d Doctor Fleming interrupts, \u201cdo you not see that I am reading an MRI
\nreport? As a nurse, you should recognize the importance of not distracting us
\nphysicians when doing important duties such as these.\u201d<\/span><\/p>\n
\nis furious and embarrassed at the same time. He remains silent and begins to
\nwalk away.<\/span><\/p>\n
\nDoctor Fleming remarks. \u201cWhat is it now that you are here?\u201d<\/span><\/p>\n
\nER patient is requesting medication for pain. Looks like he dislocated his
\nshoulder. Can I give him anything in the meantime?\u201d<\/span><\/p>\n
\nis fine James,\u201d responded the doctor. \u201cI am going to go speak with the
\nradiologist upstairs for a minute. I\u2019ll be back in a few.\u201d<\/span><\/p>\n
\nreturned to the triage area. He gave Charles two extra strength Tylenol caplets
\nand a bottle of water. Charles returned to the waiting room.<\/span><\/p>\n
\n15 minutes, Melissa calls out, \u201cCharles, you are next.\u201d Charles rises from his
\nchair and quickly collapses to the ground. He begins to violently seizure.<\/span><\/p>\n
\nruns towards Charles, calling out \u201cJames, get over here please.\u201d James joins
\nMelissa with some medical instruments to attempt to settle Charles.<\/span><\/p>\n
\nthe hell happened?\u201d James claims, as he straps the blood pressure machine cuff
\non Charles. \u201c195\/125! He is in hypertensive crisis! How can this be? Melissa,
\nwhat was his bp earlier?\u201d<\/span><\/p>\n
\nresponds, \u201cI don\u2019t remember exactly, but something stable like 130\/85. Wait,
\nlet me just check the machine\u2019s memory data.\u201d 188\/98.<\/span><\/p>\n
\nit was that high to begin with, then\u2026 oh no\u2026 the Tylenol! Acetaminophen will
\nincrease blood pressure,\u201d James stated with fear in his voice. James and
\nMelissa knew that Charles needed medication to quickly lower his blood pressure
\nbefore any organ damage began.<\/span><\/p>\n
\nI\u2019ll get Doctor Fleming in the back,\u201d Melissa remarked.<\/span><\/p>\n
\nnot there. He went upstairs to radiology. We don\u2019t have time Melissa. Just get
\nthe clonidine and captopril now!\u201d yelled James.<\/span><\/p>\n
\nstuttered, \u201cB-b-b-but James\u2026 we can\u2019t. You know that\u2026 I mean, look what just
\nhappened because we didn\u2019t double-check.\u201d<\/span><\/p>\n
\nthen, Doctor Fleming turned the corner from the elevator exit. He ordered the
\nadministration of clonidine and captopril. Charles came out of the seizure and
\nwas immediately admitted for continued care.<\/span><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"