Routine cesarean section delivery in the operating room

Assignment Help Biology

Reference no: EM133912951

Case study

A Surgical Mishap

An attending physician was performing a routine cesarean section delivery in the operating room (OR). During the c-section the physician nicked the patient's uterine artery. The physician did not immediately report a problem in the OR. The scrub nurse had been trained to scrub a c-section but was inexperienced so did not know what was going on. The physician repeatedly asked for more and more sutures but did not indicate that additional help was needed. The physician was trying to repair the nicked artery on her own but was ultimately unsuccessful. The circulating nurse asked the physician if she needed help several times since she knew this procedure was taking too long. Eventually the physician requested that the on-call Gynecology-oncology physician be called to assist with the repair. The assisting doctor was unable to repair the artery and ultimately a hysterectomy was performed. The patient lost a lot of blood and received multiple blood transfusions. The patient was young and this was her first pregnancy.

Although all surgical procedures incur risks and patients are counseled to that fact during the process of obtaining informed consent; the physician covered up the fact that artery was damaged in the surgery. After the patient was out of the OR, the physician spoke with the patient and told the patient that she hemorrhaged to the point where the only option was to remove her uterus in an effort to stop the bleeding. Furthermore, the physician told the patient that her life was saved by performing a hysterectomy. The patient had no idea that the hemorrhage occurred because of the nicked uterine artery. Consequently the lack of disclosure by the physician put all the nurses in a difficult position and stained the relationship between the nurses and this particular doctor.

1. Who are the key individuals involved?

2. If you were the nurse involved . . . what did you do or would you do?

3. What guidance can be provided by the application of ethical principles/theory and the nursing code of ethics to this specific situation?

4. Identify resources available to nurses to assist and support them through this type of situation.

Reference no: EM133912951

Questions Cloud

Describe pathophysiology of pain that madison initially felt : Describe the pathophysiology of the pain that Madison initially felt. What is an acceptable pain rating scale that could be used to assess Madison's pain?

What interventions do you anticipate performing for patient : What interventions do you anticipate performing for this patient? What interprofessional team members do you anticipate collaborating with in care of patient

Major blunt abdominal trauma : The older adult male patient was admitted to the hospital emergency center with major blunt abdominal trauma following a car crash.

Synthroid for hormone replacement : A patient with hypothyroidism is receiving Synthroid for hormone replacement. What are the education needs of patients requiring corticosteroid therapy?

Routine cesarean section delivery in the operating room : An attending physician was performing a routine cesarean section delivery in the operating room (OR).

How is antibody used to eliminate pathogen : How is an antibody used to eliminate a pathogen? Why is it beneficial to have Fc receptors on phagocytic cells?

What types of nursing care will this client require : You are the intake PN for a home care agency and have been assigned a new client. What types of nursing care will this client require?

Clinical manifestations associated with acute appendicitis : A 10-year-old boy who has just had an appendectomy and his mother is the caregiver. Identify the clinical manifestations associated with acute appendicitis.

Additional knowledge do you need before beginning to care : What additional knowledge do you need before beginning to care for Mrs Jones, David and Mark?

User Account

All Pages