Basic Nursing Study Guide: Critical Thinking #7
You receive reports no your patient assignment for the day. You have 6 patients who require assessment & have orders for treatments & medications.
a. How can you use critical thinking to approach this multiple patient assignment?
Prioritized the care! In approaching a multiple patient assignment, you may benefit from doing the following:
*Looking at the patients' backgrounds: diagnoses, baseline data, etc.
*Determining the current sttus of each patient
*Identifying the priorty assessments & interventions
*Making sure that what you need is available: equipment, medications, etc.
Organizing actions to maximize efficiency & patient safety & satisfaction
*Writing specific notes for each patient, w/patients & other staff members
*Documenting actions as soon as possible
As a home care nurse, you have been assigned to visit a patient requires dressing changes for a foot ulceration. When you arrive in the home, you see that the patient does not have any commercially packaged dressings or saline solution. You have used the last of your supplies & the drive to the office will take more than 1hr. The dressing that the patient has on her foot is saturated w/purulent drainage.
a. What options are available to you in this situation?
b. What further investigation about the patient & her living situation may be necessary?
a. The nurse may choose to return to the office to obtain supplies & then make a later visit to this patient. This option is possible if the nurse has other patients to visit or if there is work to be done at the office. This option will, however, take time away from the nurse & extend visiting hours. The nurse may choose to purchase necessary items from a local pharmacy, but the nurse may not have the necessary funds or be able to be reimbursed for the purchase. It may be most appropriate for the nurse to investigate what alternative resources are available in the patient's home, such as clean cloth, boiled water, salt, and tongs (all to be used only w/patient permission).
b. The nurse should determine what resources the patient has in the home, including running water, waste disposal, & methods for heating & refrigeration. In addition, a financial screening may be needed if indicatied for the determination of available funds and/or insurance coverage for supplies & equipment.
Process of recalling an event to determine its meaning & purpose
Series of clinical judgments that result in informal for diagnoses
End point of critical thinking that leads to problem resolution
Inner sensing that something is so
Process that moves from observable facts from an experience to a reasonable explanation of those facts
Identify one example of how critical thinking is used in each of the following steps of the nursing process:
b. Nursing diagnosis-
a. Collecting data
b. Identifying correct problem
d. Being creative & performing interventions safely
e. Determing how goals are met
Identify the level of critical thinking demonstrated by each of the following:
a. Trusting experts to have the right answers for every problem
b. Analyzing & examining problems more independently
c. Making choices without assistance & accepting
I dentify the attitude of critical thinking demonstrated for each of the follwoing:
a. Performing a skill safely & effectively
b. Questioning an order that appears incorrect
c. Performing a systematic & thorough pain assessment
d. Developing a unique way to teach the patient how to change a dressing
e. Admitting to the nurse manager that a medication was given in error
b. Thinking independently