You are a new graduate nurse just finishing your 3-month probation…

Question Answered step-by-step You are a new graduate nurse just finishing your 3-month probation… You are a new graduate nurse just finishing your 3-month probation period at your first job in acute care nursing. Your usual assignment is to be a team leader for eight patients, with one licensed practical nurse/licensed vocational nurse and one nursing assistant on your team. Today, your assignment included an elderly confused patient. You requested, during work assignments with your team, that the nursing assistant pay attention to this patient’s intake and output (I & O) as you feel he may need some intravenous fluids if his I & O remain poor. You asked the nursing assistant to notify you if there was significant change, so you could notify the physician. It was a very busy day, and you have barely had a moment to reorganize and collect your thoughts. It is now 2:30 PM, and you are preparing your end-of-shift report. When you review the patient’s 2:00 PM I & O sheet, you note a significant drop in intake and the total output for the shift is only 90 mL. You meant to check the I & O sheet during the day but kept getting sidetracked by problems with other patients. However, you are also upset that the nursing assistant did not keep you informed of this condition. You now go to the patient’s room and assess the patient and find his vital signs and other findings similar to this morning’s assessment. You check with the nursing assistant to make sure the I & O recorded for the day is accurate, and you call the physician to obtain an order to begin intravenous fluids. When you ask the nursing assistant why she did not report the significant drop in output to you, she said, “I forgot.” At this point, you are not sure what you should do next. You feel you should handle this yourself and not go to the charge nurse. You are a new nurse and do want to get started on the wrong foot by speaking too harshly to the nursing assistant, yet you feel this lack of following instructions cannot go unanswered. The reality is that if you do nothing, it is likely that no one else will ever know about the problem. The doctor did not seem upset when you called him about the drop in output, he just ordered the fluids, but the need to start the intravenous line and give report caused you to work overtime. By the time you finished your shift, the nursing assistant had gone home and you are left to spend your evening at home pondering what, if anything, you should do to follow up on this tomorrow.ASSIGNMENT: Decide how you will proceed.Determine whether you will use a systematic problem-solving model, intuition, or both in making your choices.How did your values, preferences, life experiences, willingness to take risks, and individual ways of thinking influence your decision? Health Science Science Nursing Share QuestionEmailCopy link Comments (0)