Discussion on Delegation to Assistive Personnel
Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages to Order 5-10 Pages Description/Paper Instructions
Discussion of Delegation to Assistive Personnel
Scenario for the First Meeting:
Case Study of a Nurse:
The CNA was visiting a mutual patient and informed her that her gastrointestinal (GI) tube had come out during the night. The RN informed the CNA that the patient would need to go to the emergency room to have the tube re-inserted because she would not be able to see the patient for many hours. The patient’s family preferred not to take him to the emergency room, preferring instead to wait for the RN to see him. The CNA told the RN that she had re-inserted multiple GI tubes while working at a nursing home and that she felt confident doing so with this patient’s tube. The RN consented to allow the CNA put the tube in, but urged her not to resume feedings. The CNA contacted the RN 45 minutes later to confirm that the tube had been re-inserted without difficulty and that proper placement had been confirmed. The nurse noted that the patient was receiving tube feeding when she arrived at the patient’s home several hours later. When questioned, the daughter stated that she commenced tube feedings shortly after the CNA had departed and that she had not been advised to wait. The patient was complaining of abdominal pain and feeling sick, according to the RN. During physical examination, the patient’s abdomen was swollen and palpation revealed pain. The nurse called 911 once the feeding was stopped, and the patient was taken to the nearest hospital, where she was diagnosed with peritonitis as a result of the GI tube being mistakenly put in the peritoneal cavity. The RN and the home nursing agency were both sued by the family. The following were among the claims leveled against the RN:
Patient care is improperly delegated to unlicensed assistive employees (e.g., a CNA);
Failure to adhere to the agency’s policies and procedures regarding delegation, GI tube placement, and supervision of unlicensed assistance workers;
Failure to call the referring provider and acquire an order to reinsert the GI tube; and Failure to contact the referring provider and receive an order to reinsert the GI tube.
Failure to ensure that the patient and family were informed about the re-insertion of the GI tube and the holding of GI feedings.
Resolution:
Prior to a lawsuit coming to trial, a settlement was struck. The nurse was also reported to the National Practitioner Data Bank, as required by state law (NPDB). The overall cost of defending and settling this litigation on our insured nurse’s behalf surpassed $255,000.
Assignment:
1. What should the nurse have done to properly regulate the situation and reduce the risk of erroneous delegation? Provide a detailed response as well as a reference. There are two resources that are based on evidence.
2. Identify 3 to 4 risk control recommendations that may have been used in this scenario based on what you learned from the necessary video.
RUBRIC
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. 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