Scenario Discussion
Question
Discussion Board.
Health Care Law
Essay has to be APA format, Resources needs to be peer
reviewed 2017-2022.
Scenario
Review the scenario below and delegate appropriately using all roles
RN, LPN, and UAP. Include your rationale for your decision
You
are an RN working on a busy Women’s Unit with an experienced UAP and an
experienced LPN (Licensed Practical Nurse). Based on what you have learned
about delegation, which patients will you keep as your assignment and which
patients will you delegate to the LPN and how will you delegate to the
UAP?
- Patient 1-28 year old new
admission with Bartholin Gland Cyst and Abscess with an elevated temp,
labs abnormal, alert, oriented
- Patient 2-21 year old
status-post C-section day 2 who is stable, no active bleeding. Incision is
open to air.
- Patient 3-34 year old
primigravida ready for discharge who needs teaching and education on
breast feeding and has questions regarding birth control methods.
answer the assigned questions.
To demonstrate learning and enhance understanding all
discussions must be supported with professional literature. Without literature
support a discussion is only your opinion.
Faculty will review your post for understanding of the scenario and the
use of professional support
You must cite at least 2 professional resources, your course
textbook (s) must be included as one of your professional resources. You are
welcome to use more than 2 resources.
Initial Post
• Engage in serious reflection on reading material and
discussion prompts.
• Paraphrase/Summarize with support citations from the
required reading material and new evidence from peer reviewed journal articles
(within the last 5 years)
• Provide specific examples of applying this
interpretation
• Ask a question of your peers prompting additional
dialogue
• Meets minimum 300 word count
Reply Posts
Respond to two peers whose scenario was different from
your own. Keep in mind, discussion boards mimic classroom discussions
thus it is required that you address your responses to the peer to whom you are
speaking (i.e. Janet). Responses should also consist of substantial
feedback. "I agree" or "you are correct" is not
acceptable.
Note: Two response posts (min. 250 words each) to
classmates.
Scenario
3 Review the following prompt on AHRQ and answer the scenario
questions.
"The Agency for Healthcare Research and Quality's
(AHRQ) mission is to produce evidence to make healthcare safer, higher quality,
more accessible, equitable, and affordable, and to work within the U.S. Department
of Health and Human Services and with other partners to make sure that the
evidence is understood and used" (AHRQ, 2022).
- Identify
AHRQs Core
Competencies (Links to an external site.) and discuss
their importance in HealthCare Research and Quality
Scenario
1 Review and complete the scenario by choosing a case of
revocation, suspension, or probation and completing the attached questions. Be
clear which type of case you will be discussing.
- Use
this link to visit the Florida Board of Nursing Discipline and
Administrative Actions Website. Fill in the blanks to select a
case. https://mqa-internet.doh.state.fl.us/MQASearchServices/Home
- https://appsmqa.doh.state.fl.us/MQASearchServices/Home (Links
to an external site.)(Links to an external site.) (Links to an external
site.).
- Once
you have selected a case, answer the assigned questions and post an
initial response on the discussion board. You must state the case number.
- Select
Registered Nurse for profession
- Select
Action taken: choose revoked, probation or suspension
- A
table of cases will pop up go to the "Case number" and click on
the link
- This
will take you to the write up of the case for discussion
- There
is no specific case assigned, pick one that interests you with the case #
Answer the following questions related to your
case:
- What
behaviors was the RN accused of in the report? Be clear regarding the
behavior and how it impacted patient care.
- What
is the definition of a Sentinel Event? Does this case qualify as a
Sentinel Event?
- What
is the difference between probation, revocation, and suspension
- What is the Florida Board of Nursing: Intervention Process for Nurses? Would this apply in the case chosen why or why not?


Solution
Scenario Discussion
Scenario 2:
Delegation
Registered nurses (RN) owe a duty of care to patients in a
wide range of healthcare settings, including nursing care effectiveness, among
other elements. This team includes the patient and licensed professionals and
paraprofessionals who are there to assist the patient in their daily
activities. As an R.N. working on a busy women’s unit with an experienced UAP
and LPN, I will keep patient 3 as my assignment. This is because patient 3
involves clinical reasoning, nursing judgment, critical decision making, and
patient education regarding breastfeeding and birth control methods, which
neither LPN nor UAP can detailly give (Reiner, 2020).
Delegation is the practice of entrusting the performance of
patient care activities and duties to unlicensed assistants while yet
maintaining responsibility for the results. Making nursing decisions cannot be
delegated by a qualified nurse. The essential principles of protecting the
public’s health, safety, and well-being guide all decisions about delegation
and assignment (Barrow & Sharma, 2018). Nursing and healthcare decisions
should represent the nurse’s primary dedication to the patient, an individual,
a family, a group, or a community.
To help registered nurses practice in situations when they
delegate responsibilities to unlicensed helpers, the American Nurses
Association has published Principles for Delegation to Unlicensed Assistive
Personnel (UAP) (Bakr, 2021). R.N.s should verify with their state
board of nursing to see any discrepancies in delegation policies between their
state and the federal government. The registered nurse is ultimately
responsible for deciding whether or not to delegate to unlicensed helpers. As
such, I will give patient 2 to the UAP based on the above factors. Simple,
basic activities like making vacant beds, assisting patients with cleanliness,
and feeding meals fall under their purview. Because patient 2 is stable, there
is no current bleeding, and the incision is open to the air, I will work
closely with UAP to ensure that the patient receives the best possible care.
Finally, under the direction of an R.N. or another
healthcare professional, LPNs offer primary nursing care such as feeding,
dressing, or bathing patients and monitoring patients’ vital signs, such as
their blood pressure and body temperature. Therefore, these make them ideal for
patient 1, which involves new admission in which the patient has Bartholin
Gland cyst and Abscess with an elevated temperature, abnormal labs, alert, and
oriented. I will task the LPN to supervise the patient’s vital signs and monitor
any complications such as cyst enlargement that will make one side of the labia
majora hang lower than the other and manage fever and chills.
Scenario 3: Competencies
of AHRQ
Healthcare Research and Quality (AHRQ) is the primary
federal agency responsible for enhancing the quality and safety of the United
States’ healthcare infrastructure. AHRQ aims to assist healthcare providers and
systems in providing high-quality, safe, and cost-effective care (AHRQ, n.d.). The
three primary competencies, including health systems research, practice
improvement, and data and analytics, help AHRQ achieve its purpose.
It is possible to make healthcare more economical, safe,
effective, and patient-centered by utilizing findings from health systems
research. Health care systems and professionals’ benefit from AHRQ’s research
investments by gaining access to fresh evidence (AHRQ, n.d.). It is possible to
develop healthcare benefits and drive policy using findings from health systems
research, for example. This research helps frontline clinicians and patients
make better decisions and supports health care delivery systems.
Concerning improving practice, AHRQ aims to enable health
systems and frontline clinicians to provide safe, high-quality treatment at a
reasonable cost (AHRQ, n.d.). People in the healthcare industry want to use
tried-and-true ways to better the lives of the patients they serve, so they
research, develop, test, and disseminate tools and tactics to make this happen.
AHRQ statistics and analysis enable healthcare decision-makers to comprehend
how the operation of the American healthcare system and available chances for
improvement.
Scenario 1: Case
Study
The case study that interested me was Ashcraft Jill, whose
profession was put on probation. According to the case study, Jill committed
two accounts of violation. First, Jill did not attain the required standards of
satisfactory and prevailing nursing practice by giving Ativan to K.S. within an
hour apart when the order was for every 4 hours as needed; administering 5mg
Ativan to K.S. over 7 hours above the ‘prescribed amount—of 1mg every 4 hours;
administering Precedex to K.S. in a 0.7 mcg/kg drip per hour when the order was
for a 0.3mcg/kg drip per hour; and administering Precedex two additional times
with bolus within one hour when there was no physician order. On the second
account, Jill committed unprofessional conduct due to inaccurate recording by
failing to record any administration of Precedex or Precedex with bolus to
patient K.S on or about May 17, 2015. In layman, I can sum up these accounts in
one word: Medication error. Errors in the patient’s treatment can result in a
new condition, such as itching, rashes, or scarring of the skin. Medication
errors can cause severe harm or even death to patients, despite how rare they
are.
A sentinel event is a patient safety incident that results
in death, long-term harm, or severe temporary harm (Lippincott NursingCenter,
2004). Patients and medical professionals alike suffer when a sentinel event
occurs. Based on this case, the two accounts of violation graduate it to
sentinel event due to medication error that harmed the patient.
For the most part, suspensions are only for a few months.
However, if your license is revoked, it will be permanently removed from your
hands. If you have had your license revoked, you cannot apply for a new one for
at least one year and, in some cases, more than a year, depending on the
severity of the infraction. If someone is put on probation, they may continue
working as a registered nurse under the BRN’s supervision and guidance. The
following are only required for a set period of time; nevertheless, their
license might be suspended or revoked if they do not adhere to them within that
timeframe.
Licensing and monitoring licensed nurses in Florida are the
responsibility of the Florida Board of Nursing (FBON), which also provides
education, discipline, and rehabilitative services when necessary. This would
apply to the case chosen since it is responsible for issuing licenses to
healthcare personnel.
References
AHRQ.
(n.d.). AHRQ’s core competencies. Agency for Healthcare Research and
Quality. Retrieved May 23, 2022, from https://www.ahrq.gov/cpi/corecompetencies/index.html
Barrow, J. M., &
Sharma, S. (2018). Five rights of nursing
delegation.
Lippincott
NursingCenter. (2004, November). Clinical rounds: 10 most common
Sentinel events. Lippincott NursingCenter | Professional Development for
Nurses. https://www.nursingcenter.com/journalarticle?Article_ID=531210&Journal_ID=54016&Issue_ID=531132
Reiner, G. (2020). Nurse
Legal Case Study: Wrongful delegation of patient care. Tennessee
Nurse, 83(2), 13-14.




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