Unsatisfactory Professional Conduct In Nursing
In article by Johnson et al. (2015) delegation is “the transfer of responsibility for the performance of an activity from one individual to another while retaining accountability for the outcome”. The intervention, observations and assessments were delegated to the EN but the responsibility of care remains with the nurse.
Standard 4.3 of the NMBA (2016) stated that the nurse should work in collaboration team and other staff that affects the health of the patient and to determine priorities of care. This standard was not met in the case study when the nurse contacted the CNM though telephone to obtained a medication and was available during the evening but no issues raised concerning the condition of the patient. Any concerns and issues such as difficulties arranging an appointment with a doctor should be escalated to seniors and managers. …show more content…
First, there is disengagement between the nurse and the patient and the relationship is dominated by pure routine actions (Dempsey, 2014). The nurse was not actively engaging with the patient as when the nurse was advised of the condition of the patient and by the EN, the nurse decided to wait for the locum to arrive for a review and delayed for several hours rather than attending and intervening immediately. A fully engaged nurse would straight away go to the patient and assess and do something about any pain or discomfort and inform a doctor without a delay. Second, the nurse willingness to learn about the patient’s condition and solving the problem when the patient was experiencing dizziness, pain and low blood pressure. Dempsey (2014) mentioned that problem solving and reflection helps nurses to have better clinical reasoning. For instance, the nurse would think why would a patient having a low blood pressure and pain of 8/10 and what would be the things the nurse would do to eliminate the problem. Third, the nurse assumes that the vital signs would improve through the continuous administration of antibiotics. Assumption affects reasoning by creating premature conclusions that may be incorrect (Dempsey, 2014). If the nurse did not assume that everything will be okay because of the antibiotics, the outcome may have been