Reference no: EM133861012

Assignment:

Imagine yourself as a new nurse working on the medical-surgical unit of a large hospital. You are

recently (2 weeks) off orientation and have been taking care of 4 to 5 patients per day. Today is July 2, 2020, and you are waiting to receive a patient from PACU (Post-Anesthesia Care Unit), post-surgical procedure. You currently have 2 patients. The new patient is a 50 year old female with a medical history consisting of post-back injury from a fall and HTN, which is controlled with Losartan 50 mg daily. Post-procedure the patient has an epidural catheter for pain control. The medication being delivered through the catheter is Morphine.

When the patient arrives she is complaining of a headache and nausea. You call the on-call physician and update him on her arrival and complaints. He gives you a verbal order to administer Demerol 75 mg IV every 4 hours for breakthrough pain. You enter the order into the computer and finish checkoff all orders from the surgeon and anesthesiologist. It was written by anesthesia to not administer any "narcotics, sedatives, or any other respiratory depression medications during the infusion of the Morphine epidural medication and for at least 12 hours post removal of the epidural catheter".You go back to the patient's room after retrieving the Demerol 75 mg IV medication and scan the medication prior to administering and find a message that states medication on hold. You override the

medication and administer it to the patient. After 20 minutes you go in to reassess your patient's pain level and find her unresponsive, CPR is started and a code blue called. The patient was intubated and moved to ICU. After 24 hours it was determined that there was no brain activity and the family requested the patient be removed from the ventilator. The patient expired approximately 5 minutes later. You, as the nurse who administered the Demerol, are very upset and go to your social media page and post the entire situation leaving out the patient's name, but posted a picture of yourself from that day where you are seen in the nurse's station and the patients name was in the background on a chart. You also state on this page that you were tired that day because you had went to a concert the night before your scheduled work day and did not get home until 0100 am and had to be at work at 0645 am. The family seen your post and immediately called an attorney.

Questions

Investigate safeguards and decision-making support tools embedded in patient care technologies and information systems to support a safe practice environment for both patients and healthcare workers. What the principles of data integrity, professional ethics, and legal requirements related to data security, regulatory requirements, confidentiality, and client's right to privacy. : what the value of best evidence as a driving force to institute change in the delivery of nursing care.