Preview

Critical Incident In Nursing

Good Essays
Open Document
Open Document
792 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Critical Incident In Nursing
A critical incident is an incident that an individual believes an intervention made a difference in the patients care whether that be directly or indirectly, a situation that went well, a situation that in which there was some type of breakdown or unplanned even that occurred, a situation that was demanding for an individual, or a situation that shows what nursing is about. The incident that occurred on October 29, 2017, was an incident that something did not go as planned putting the patients’ health at risk. The incident started after assessment of my patient when I questioned the nurse about basic nursing care. The incident continued throughout the shift and after receiving report from the previous shift it seems like that shift as well and possibly others. The nurse giving report to my nurse mentioned that the family was extremely defensive of excessive touching of their loved one. Therefore, touching was kept to a minimum and only done on an as need basis. The nurse I was paired with did not question and simply agreed with the other nurse. My nurse entered the room and performed a condensed assessment quickly including, listening to heart and lung sounds, checking pupil reflex, and assessing for edema, all with …show more content…
My concerns for the patient at the time were the possibility of this patient developing a possible hospital-acquired infection and delayed healing. Throughout the shift I could not help but think about the risks that this posed to the patient and their possibility of an extended stay in the hospital. After clinical I felt a great concern for the patient, concern that this patient could possibly not heal properly or could develop infections due to the decision a nurse or multiple nurses from previous shifts had chosen to continue to

You May Also Find These Documents Helpful

  • Satisfactory Essays

    Nursing Case Summary

    • 317 Words
    • 2 Pages

    DOI: 8/16/2015. Patient is a 34-year-old female cabin cleaning supervisor who sustained injury while she was going up jet bridge stairs when she tripped and landed on her left knee. Per OMNI, she was initially diagnosed with left knee sprain/strain.…

    • 317 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Nightingale Community Hospital (NCH) is committed to upholding the core values of safety, accountability, teamwork, and community. In preparation for the upcoming readiness audit, NCH will be launching a corrective action plan in direct response to the recent findings in the tracer patient. Background information on the tracer patient is as follows: 67 year old female postoperative patient recovering from a planned laparoscopic hysterectomy turned open due to complications. Patient developed infection that formed an abscess and was readmitted to the hospital for surgical abscess removal and central line placement for long term IV antibiotics. The tracer methodology was employed when auditors reviewed this patient’s course. Many things were done well and right with this patient and NCH is pleased to know that the majority of items analyzed with this patient proved that NCH was in compliance with regulatory standards; however, there were some troublesome areas that we need to focus on. The primary focus area that we will put our energies into will be the fact that there was not a history and physical completed on the patient within 24 hours of admission, and in fact it was greater than 72 hours before one was completed. The Joint Commission mandates standards that are to be met in order to maintain compliance. Standard PC.01.02.03 states that history and physicals must be documented and placed in the patient’s medical record within 24 hours of admission and prior to procedures involving conscious sedation or anesthesia. History and physicals are also considered in compliance if documented 30 days prior to procedures as long as there are no changes documented or the changes in status are specifically noted. (Joint Commission Update, n.d.)…

    • 592 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    Unit 4222 232

    • 313 Words
    • 2 Pages

    All identified risks should be reported to the nurse or the manager on duty that day so they can be corrected and a new risk assessment can be in…

    • 313 Words
    • 2 Pages
    Satisfactory Essays
  • Better Essays

    During the initial pre-op assessment, the nurse reviewed the patients past surgical history, medical chart, lab test results, and physical report as well as performing a physical assessment on the patient of her own. The nurse also performed duties such as: taking vitals, starting the IV, ensuring consent forms and all necessary paper work is filled out; making sure the patient has all belongings and jewelry taken off and put in a belongings bag, keeping the patient calm and comfortable, assisting the patient to the bathroom, and perform the blood sugar check. The patient had a history of an appendectomy for a ruptured appendix in 2002, a bowel resection in 2002, and a ventral hernia repair in 2010. None of these past surgeries will affect the current…

    • 2162 Words
    • 6 Pages
    Better Essays
  • Satisfactory Essays

    I chose this topic because the required article was suppose to be related to our case protocol in our nursing elective: critical care nursing. Other than that, we all know that family involvement in patient care is very crucial in managing the illness. They serve as the support system or the backbone of the patient in difficult times. From the start of the diagnosis to end of life care the family or caregiver is always there. This article though, talks from the perspective of the caregiver itself. School taught us about holistic and competent patient-centered care, so I’m curious about the side of the ones who are around the patient, who also act like nurses, in times of disease, like heart failure.…

    • 122 Words
    • 1 Page
    Satisfactory Essays
  • Powerful Essays

    Before applying this section, the nurse’s role is to undertake a thorough assessment including a risk evaluation. However, in urgent cases the Code of Practice of the Act backs up the sectioning without carrying out appropriate assessment (DH, 1999). The nurse should consider the expected time of the doctor against how eager the patients wants to leave. Nevertheless, the majorities in those situation nurses bring into play their good communication and persuasion skills and succeed in convincing the patient to wait until the doctor arrives for their treatment (Dickinson, 2007). However, when not feasible the nurse should predict the effect it could have on the patient. For example, if the patient is demonstrating signs of anxiety or distress nurses should consider the consequences (see appendix 1b) to them and others if leaving the hospital (Dickinson, 2007).…

    • 1023 Words
    • 5 Pages
    Powerful Essays
  • Satisfactory Essays

    Clustering nursing activities and providing uninterrupted rest periods will minimize sleepcycle disruption. Sedative and opioid medications tend to decrease the amount of rapid eye…

    • 5818 Words
    • 28 Pages
    Satisfactory Essays
  • Powerful Essays

    The aim of this assignment is to analyse the legal and professional issues involved within a critical incident observed whilst in clinical practice and to discuss the interprofessional workings of the professionals involved. A critical incident is an event which has left either a negative or positive impact on the observer or participant, this information can then be used to inform future practice (Flanagan 1954). This assignment will first describe the critical incident witnessed, the legal and professional issues will be briefly discussed and advocacy explored in depth. Interprofessional working surrounding the incident will be discussed focusing on the importance of interprofessional…

    • 4020 Words
    • 17 Pages
    Powerful Essays
  • Good Essays

    Clinical Journal Entry

    • 687 Words
    • 3 Pages

    During the first day of my clinical, I had the opportunity to shadow my preceptor because of some technical problem I did not have my login, so I couldn’t have access to the patient records and all the information’s I needed. Consequently, I shadowed my preceptor. In fact, it was a learning since I did observe how she does her charting, reporting, how to start, organize and prioritizes during a shift. The culminant point of the day was the admission of a patient from the PACU. Before the patient came to our unit, there was a great communication between the nurses who took care of the patient before his admission to our unit. The patient had a surgery on his neck and he looked fine at first glance. We assessed him and followed all the protocol…

    • 687 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Case Study: Floating

    • 1085 Words
    • 5 Pages

    As a nurse, Sally has the obligation to provide safe and effective care. Sally will potentially be exposed to medications, vasoactive drips, and monitoring equipment that she has never seen before and she should have some concerns. Sally is accountable for using informed judgement to decide whether to accept the assignment. She needs a clear understanding of what the assignment requires to act on this accountability. Nurses have the professional obligation to raise concerns regarding patient assignments that put themselves or patients at risk for harm.…

    • 1085 Words
    • 5 Pages
    Good Essays
  • Good Essays

    When she began to cough I was slightly alarmed and tried to explain that I would come back with some water. I felt anxious and uncertain I could properly care for a person who I did not have any background information on. Evaluation The task was challenging for me as I felt concerned for a patient which I did not know past history on.…

    • 573 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    I was on my third day of residential care placement; the staff had just started to take turns for their morning tea break so I took the time to catch up on my case study patient’s medical history in the nurses’ station. Within a few minutes the Manager of the rest home ran in to gather the blood pressure machine and bandages. She informed another student nurse and myself to “take these to Max’s (pseudonym) room NOW, while I call an ambulance”.…

    • 2088 Words
    • 9 Pages
    Powerful Essays
  • Good Essays

    Nursing Observation Paper

    • 371 Words
    • 2 Pages

    I currently work in a Mother/Baby Labor and Postpartum Unit at a military treatment facility located in Hawaii. The majority of all our patients request an epidural to assist with the pain of childbirth. Since the patients are numb from the waist down, we insert a urinary catheter to monitor output of all patients. The majority of our patients have increased swelling from the vaginal deliver and must keep the urinary catheter in place for additional days. Any of our patients receiving a cesarean section to deliver their baby, usually require hair removal. Due to the lack of funding, we often have to shave our patients instead of using surgical clippers.…

    • 371 Words
    • 2 Pages
    Good Essays
  • Good Essays

    My Head To Toe Assessment

    • 634 Words
    • 3 Pages

    After spending one month in the female medical ward it was finally time to rotate to another ward. I was placed in the female surgical ward which barely had patients and was extremely quiet that day. The objective for that week was health assessment and physical examination so, therefore, I had to do a head to toe assessment on one of the patients under the supervision of a registered nurse. My patient was a forty-year-old woman who had a foot fungal infection called tinea pedis which caused her feet to swell, therefore she was unable to walk. Before I began the head to toe assessment on my patient I provided privacy, inspected her while I introduced myself and informed her what I am about to do.…

    • 634 Words
    • 3 Pages
    Good Essays
  • Good Essays

    The experienced on that day was very disappointing since I did not have time to gather all the information that I needed, and the medications were late. In fact, the other student nurse also felt disappointed since she too had some late medicines. Despite of the stress on the floor, I was glad that the other nurse came to me and advised me that as a student nurse and being on that floor is indeed stressful, especially when you must cover the late assessment about the patient’s discomfort and since I could not start the scheduled IV medications without reassessing the patient’s pain level and vital signs. Because of that experienced, it helps me to understand the priorities and the importance of managing the time to make sure that I have all the information that I need to assess the client while catching up with the scheduled medications especially the IV medications which it cannot be administered at the same…

    • 667 Words
    • 3 Pages
    Good Essays