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Decision Making In Nursing Essay

945 words - 4 pages

The work of RN is becoming increasingly complex. Every day nurses have to make many decisions involving patient’s needs, prioritizing patients’ treatments, delegating tasks, reporting results and changes of condition, etc. Most of these decisions influence directly or indirectly the outcome of the patients’ treatment. For us, as beginner nurses, it is very important to understand the decision making process, the variables that influence it and the steps involved in it “in order to develop our own decision making style” and be successful as nurses in the future (B. Kunkel, 2014). The New Jersey Board of Nursing provides a Seven Step Decision Making Model that “has been designed to assist ...view middle of the document...

He was stabilized on admission, but when the nurse went to administer his medications he appeared pretty agitated. The nurse made a fast call to the doctor and blood tests (CBC & ABG) were ordered stat. The tests revealed that the patient had gone into acute respiratory acidosis and he required immediate intubation to prevent him from sleeping into coma and even death. A note: the patient also had underlying conditions caused by his chronic alcoholism, as well as a history of abuse and a jail time. It’s worth mentioning that, based on the patient’s social history, the nurse could have given him a medication to calm him down without putting too much thought into his symptoms; some nurses might have done that. Instead, she made the right decision to call the doctor, the patient was intubated in timely manner and that saved his life.
The Board of Nursing gives a special place to the Decisions Making Model for Delegation of Selected Nursing Tasks. The nurse is supposed to do the patient’s assessment herself since she is professionally trained and competent to evaluate and make a further decision of whether to call the doctor if any abnormalities are noted. An example of a bad nursing practice in this regard is as follows: I and another student were in a hospital unit for observation. The 84-year old male patient was getting prepared for colonoscopy. The nurse was in his room flushing his NG tube. However, she never checked his bottom to make sure that he’s clean and ready for the procedure. Right before the colonoscopy team came, that same nurse went to lunch. The colonoscopy team came and they found that the patient hasn’t been washed for hours from his stool. Moreover, the patient had a second stage pressure ulcer which did not seem to have been addressed at all. In short, if the nurse...

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