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SCENARIO 1 Theo, an EEN on the medical ward, was working with an RN named May on early shift. May ha

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SCENARIO 1

Theo, an EEN on the medical ward, was working with an RN named May on early shift. May has prepared IV Amoxicillin which was due to be administered at 10:00 am. It was her turn to go on morning break and she asked Theo to check and administer the medication while she is on her break.

1. What nursing malpractice or negligence occurred in this scenario?

2. State the rules of the nurses should follow to prepare medication in this scenario

   

SCENARIO 

 

Mr Howard, a 69 year old gentleman, is day 1 post right total knee replacement (TKR). He has patient controlled analgesia (PCA) in situ with Morphine Sulphate available 1mg every 5 minutes. He has been complaining of pain 7/10 despite the infusion.

 

6. Explain briefly what PCA is and what advantages and disadvantages it can bring to Mr Howard.

  

7. How often do you do observations on Mr Howard to check the effectiveness of PCA?

   

 

8. Provide a response to the following.
a. What pain assessment tools do you use to assess the pain in Mr Howard, considering his old age

that may influence his perception of pain?

  

b. How do you ensure consistency in evaluating Mr Howard’s pain using the pain assessment scales?

  

9. How is PCA prepared and managed for Mr Howard?

   

 

  

10. What education do you need to give to Mr Howard? List at least two (2) things you want him to know.

  

11.As you are assessing his vital signs he complains of nausea. What kind of medications he may have prescribed PRN (pro re nata)?

 

12. What is your scope of practice as an EN in managing PCA in accordance with nurse regulatory authority codes and guidelines?

 

SCIENCE
HEALTH SCIENCE
NURSING
5216 MISC

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