Read the case study presented at the end of Chapter 11 (Guido, p. 222) Did the facility have sufficient evidence to suspend the nurse? How should the testimony of the other nurses in the unit affect the outcome of this case? What additional questions should the institution address before the court rules in this case? How would you have ruled in this case? Read the case study presented at the end of Chapter 12 (Guido, p. 238) Did the ANP have a duty to consult with the child’s physician or another emergency center physician regarding the possibility of child abuse before she reported her findings to the case worker? What questions would you anticipate might be asked regarding the injury itself and the possibility that the child had caused her own injury? Did the ANP have a duty to report the injury, even though the diagnosis was not absolutely conclusive at the point that the child was initially examined? How would you determine liability in this case, assuming that the trial court found liability against any of the three defendants? Read the case study presented at the end of Chapter 16 (Guido, p. 329) Did the nurse manager have a responsibility to supervise the care of the patient? Was the care of this patient appropriately assigned to the LPN by the charge nurse, or could the charge nurse have delegated this patient’s care more appropriately? If the charge nurse assigned the care of the patient to the LPN, did she retain any supervisory responsibility that would result in her liability in this case? How do the principles associated with delegation and supervision figure into this case? How would you decide this case? e your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling. Assignment: Professional Development Exercises : Read the case study presented at the end of Chapter 11 (Guido, p. 222) A nurse had been working in a critical care unit for more than 25 years, gaining respect for her competence and dedication before suspicions began to gather that she was diverting narcotics for her own use. The acute care hospital had recently installed a “computerized medicine cabinet” for enhanced distribution and better monitoring of narcotics. The cabinet recorded the nurse’s per 222 Part 4 • Impact of the Law on the Professional Practice of Nursing nurses testified that they often deviated from the physician’s order for an IM injection, electing to give the medication by an IV route. Finally, there was testimony that the hospital had no formal policy for which nurse was to document narcotics in the paper record when two nurses, such as a preceptor and a mentee, both had responsibility for the patient. The nurse who was suspended testified that she, too, frequently entered data into the paper record long after she had administered the medication and, in some rare instances, entered the data on the following day. QUESTIONS 1. D id the facility have sufficient evidence to suspend the nurse from their employee? 2. How should the testimony of the other nurses in the unit affect the outcome of this case? 3. What additional questions should the institution address before the court rules in this case? 4. How would you have ruled in this case? sonal keypad code and the patient’s data before it could be unlocked and narcotics dispensed. The nurses were also required to document the narcotic usage by handwriting the patient’s name, medication, time, route, and dosage on a more traditional paper medication administration record (MAR). D iscrepancies were noted between this nurse’s patients’ electronic data for narcotic administration and the handwritten notations made on the paper record. The nurse was first questioned by her supervisors and then she was suspended, as they did not find her explanations credible. Her grievance was upheld by the arbitrator assigned to the case and the hospital appealed. A t trial, other nurses from the same unit testifi…
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