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After reading the nursing legal case on failure to report nursing changes, I have decided
to be on the prosecution's side. The nurse on shift has failed to report appropriately on the patient
changes to the relevant ICU practitioner. In the first incidence, the nurse admits to noting
changes in the patient hemoglobin and hematocrit, however, he/she fails to inform the ICU
practitioner in the assumption that he was returning to access the patient's condition (Failure to
report changes in the patient’s medical condition | NSO, 2012). Again, after the delay of the
ordered blood, the nurse did not bother to call the relevant authorities for the blood location and
at the same time, he/she does not report to the ICU practitioner on the delay. In this case, the
attendance nurse reports to the ICU practitioner when the patient goes into respiratory distress.
However, if I was the nurse on shift I would ensure that I embrace responsibility and
accountability in monitoring the patient's health condition (Failure to report changes in the
patient’s medical condition | NSO, 2012). This would involve the relevant recording of the
patient changes and immediate reporting to the ICU practitioner. This would ensure that
immediate measures are put in place to ensure the patient's health is restored and that she
About the nurse's code of ethics, provision 4 demands nurses bear the primary
responsibility for their nursing practices. Also, the provision requires nurses to adhere to the
scope and the standards of practice. This provision demands nurses take responsibility for the
good and poor decisions they make in service delivery (American Nurses Association, 2015). In
this case study, the nurse failed to accept the responsibility and accountability required in his/her
nursing job and therefore should be held responsible for the death of the patient.
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References
Failure to report changes in the patient’s medical condition | NSO. (2012). Nso.com.
https://www.nso.com/Learning/Artifacts/Legal-Cases/Failure-to-report-changes-in-the-
patients-medical-condition-to-practitioner
American Nurses Association. (2015). Code of Ethics for Nurses with Interpretive Statements.
excellence/ethics/code-of-ethics-for-nurses/coe-view-only/