Evidenced-based practice enables the healthcare environment to constantly evolve in the goal to enhance patient quality care, reduce clinical errors, and overall improve the work environment. Hence, “nurses who base their clinical decisions on current, scientifically obtained evidence are being professionally accountable” (Kozier, Erb, Berman, Snyder, Buck, Yiu & Stamler, 2013, p.41). A current and legal nursing issue that was observed in the clinical setting encompassed nursing negligence to clarify and carry out subordinate physician orders, resulting in an order being omitted. The intent of this proposal will centralize on justifying a nurse’s legal liability to clarify and follow a physician's orders while also exploring possible motives that instigate a nurse to omit an order. More specifically, it
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When the student nurse approached the assigned nurse about the matter, she insisted to only keep the D5NS and didn’t investigate further into the matter. The physician was notified and demanded that an incident report was to be filled out because he had purposely ordered two IV fluids to run concurrently as a mechanism to dilute Mr. N’s hypernatremia and resolve her progressive dehydration. The night nurse who seized the NS at 80ml/h furiously argued to the student nurse that her assessment finding, edema plus one, precipitated her decision to stop the NS without consulting the physician. This situation reflects a legal misconduct because neglecting physician isn’t within a nurse’s scope of practice, nurses must contact the physician if an order is questionable or irrelevant. It’s also a professional issue because nurses are highly educated on how to conduct a rigorous head-to-toe assessment and, therefore, the nurses should have picked up the patient’s missing NS solution in their head-to-toe by reflecting back to the physician’s
When the student nurse approached the assigned nurse about the matter, she insisted to only keep the D5NS and didn’t investigate further into the matter. The physician was notified and demanded that an incident report was to be filled out because he had purposely ordered two IV fluids to run concurrently as a mechanism to dilute Mr. N’s hypernatremia and resolve her progressive dehydration. The night nurse who seized the NS at 80ml/h furiously argued to the student nurse that her assessment finding, edema plus one, precipitated her decision to stop the NS without consulting the physician. This situation reflects a legal misconduct because neglecting physician isn’t within a nurse’s scope of practice, nurses must contact the physician if an order is questionable or irrelevant. It’s also a professional issue because nurses are highly educated on how to conduct a rigorous head-to-toe assessment and, therefore, the nurses should have picked up the patient’s missing NS solution in their head-to-toe by reflecting back to the physician’s