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Case Study: Malpractice Action Brought by Yolanda Pinellas 4 page – 2025 Using the information from the case study below discuss the following issues from the
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Case Study: Malpractice Action Brought by Yolanda Pinellas 4 page – 2025
Using the information from the case study below, discuss the following issues from the perspective of an APN role:
Standards of care – what were the standards of care that were violated? Who was responsible for the violations?
In your role as an educator, administrator, or practitioner, what risk management steps needs to be taken before or after the incident to alleviate the issue?
Page length should be 3-4 pages exclusive of cover page and references.
Support your paper with a minimum of three scholarly references.
Case Study: Malpractice Action Brought by Yolanda Pinellas
Yolanda Pinellas is a 21-year-old female student studying to be a music conductor. She was admitted for chemotherapy. The medication Mitomycin was administered by intravenous infusion through an infusion pump.
During the evening shift the infusion pump began to beep. The RN found that the IV was dislodged and discontinued the infusion, notified the physician and provided care to the infusion site. The patient testified that a nurse came in and pressed some buttons and the pump stopped beeping. She was groggy and not sure who the nurse was or what was done. The documentation in the medical record indicates that there was an infiltration to the IV.
Two weeks after the event, the patient developed necrosis of the hand and required multiple surgical procedures, skin grafting, and reconstruction. She had permanent loss of function and deformity in her third, fourth, and fifth fingers. The patient is alleging that because of this, she is no longer able to perform as a musical conductor.
The risk manager had noted when doing chart reviews over the last 3 months prior to this incident that there were issues of short staffing and that many nurses were working double shifts, evenings, and nights then coming back and working the evening shift. The risk manager also noted a pattern of using float nurses to several units.
To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.
Assignment Requirements:
Before finalizing your work, you should:
Capstone Project Change Proposal Presentation – 2025 Capstone Project Change Proposal Presentation Review the feedback on the change proposal professional presentation and make required adjustments to the
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Capstone Project Change Proposal Presentation – 2025
Capstone Project Change Proposal Presentation
Review the feedback on the change proposal professional presentation and make required adjustments to the presentation. Present your evidence-based intervention and change proposal to an interprofessional audience of leaders and stakeholders. Be prepared to answer questions and accept feedback.
After presenting your capstone project change proposal, write a 250-350 word summary of the presentation. Include a description of the changes that were suggested by your preceptor before your presentation and how you incorporated that feedback. Describe how this interprofessional collaboration improved the effectiveness of your presentation. Include a description of the feedback and questions from your audience after your presentation, and how this experience will affect your professional practice in the future.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
You are not required to submit this assignment to LopesWrite.
Medical surgical – 2025 PLEASE ANSWER ALL QUESTIONS AND PROVIDE REFERENCES LATE ASSIGNMENTS WILL NOT BE ACEPTED
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Medical surgical – 2025
PLEASE ANSWER ALL QUESTIONS AND PROVIDE REFERENCES. LATE ASSIGNMENTS WILL NOT BE ACEPTED. UPLOAD ASSIGNMENT TO CANVAS.
1.The nurse working in the cardiac procedures area receives a patient who has undergone a cardiac catheterization via the right femoral artery for evaluation of unstable angina. Prior to the procedure, the patient was NPO for 12 hours, and received a sedative. An IV catheter was placed for administration of the contrast agents and for access in case of an emergency situation. (Learning Objective 6)
2.What other assessments should the nurse perform to check for arterial insufficiency?
3.The patient asks why he needs to stay in bed with the leg extended for 2 to 6 hours. How should the nurse respond?
4 After the procedure, why is it important to assess the patient’s BUN, creatinine, and fluid volume status?
respondo thatina – 2025 Respectfully agree and disagree with your peers responses and explain your reasoning by including your rationales in your
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respondo thatina – 2025
Respectfully agree and disagree with your peers’ responses and explain your reasoning by including your rationales in your explanation. Atleast 2 APA refernces each
Response 1
The purpose of this week’s discussion is to create a treatment plan for V.S. based off the given case study information. V.S. has conjunctivitis of the left eye. The specific goals of treatment for conjunctivitis is to relieve symptoms and to clear the infection (Woo & Robinson, 2020). There are numerous forms of conjunctivitis but given the information the symptoms this is more than likely a form on bacterial conjunctivitis. The discharge color, age of the patient, being immunocompromised with a cold prior, and only one eye being infected suggests this is a bacterial infection (Watson et al., 2018). Treatment therefore would be a broad spectrum ophthalmic antibiotic. I would suggest bacitracin which should not affect the patient’s sulfa allergy (Nguyen, 2020). To monitor success the patient should be seen by his pediatrician within a week to see if symptoms have resolved.
Education to include for this patient would be that the ointment can cause blurred vision directly after administration but should clear soon after (Woo & Robinson, 2020). If symptoms worsen in the affected eye or spread to the unaffected eye the patient should contact his pediatrician for reassessment to see if this condition is viral. If this occurs treatment should be stopped due to risk for a drug resistance (Nguyen, 2020). Another adverse reaction that would cause me to change treatment would be any sign of hypersensitivity such as swelling, hives, nausea, or vomiting. If this occurs I would recommend a medication such as erythromycin in ophthalmic form.
An over the counter method for treating bacterial conjunctivitis would be artificial tears for relief of dryness symptoms and saline flushes to wash out the pus (CDC, 2019). Lifestyle changes would include proper hand hygiene, avoiding touching the eye in general, not sharing things such as glasses, and not rubbing the eye. This is the medication I would choose for this patient due to its low risk of interactions to other drugs and/or foods.
Response 2
V.S., age 12 Hispanic male, presents with a feeling that there is sand in his eye. He had a cold a week ago and woke up this morning with his left eye crusted with yellowish drainage. On physical examination, he has injected conjunctiva on the left side, no adenopathy, and no vision changes. His vision is 20/20. Fluorescein staining reveals no abrasion. He is allergic to sulfa.
Diagnosis: Conjunctivitis
The goal of treatment for V.S. would be to clear his infection and make sure he doesn’t rub his eyes because that can cause the infection to get worse and spread to other individuals. According to Azari and Arabi (2020), “bacterial conjunctivitis can spread from person to person, from hand-to-eye contact or via eye contact with contaminated objects. Alternatively, changes in the usual bacteria that live on the conjunctiva can cause conjunctivitis. Bacteria can also spread by large respiratory tract droplets” (p. 374). Bacterial conjunctivitis is most often treated with ophthalmic antibiotic eyedrops and ointments. Since V.S. is allergic to sulfa, Bleph or antibiotics with similar derivatives would not be utilized because they are sulfacetamide sodium. Ophthalmic fluoroquinolones can be prescribed such as Moxeza (moxifloxacin), Zymar (gatifloxacin), or Romycin (erythromycin).
The parameters for monitoring success would be to see the alleviation of redness and itchiness in the patient’s eyes. According to Saher et al. (2016), most cases of viral or bacterial conjunctivitis are mild. The infection will usually clear up in 7 to 14 days without treatment and without any long-term consequences. However, in some cases, viral conjunctivitis can take 2 to 3 weeks or more to clear up. I would educate the parents to administer the drug as prescribed. I would urge the parents to continue giving the antibiotics even if the infection seems to subside. According to Shetty et al. (2020), it has been widely accepted that stopping antibiotic treatment early encourages bacteria to develop antibiotic resistance. As a result, current medical advice is to finish taking a prescribed course of antibiotics as recommended by a healthcare professional, even if you start to feel better.
I would educate the parents to assist in alleviating some discomfort V.S. can take ibuprofen or another over-the-counter pain killer. He can also use over-the-counter lubricating eye drops (artificial tears) if his eyes feel excessively dry. In addition, a warm, damp washcloth over your eyes for a few minutes. Nausea, diarrhea, and headaches can be adverse effects seen in the agents mentioned above. A second line treatment would be Bacticin (bacitracin). V.S. should be encouraged to drink plenty of water and take his antibiotics with water. According to Azari and Arabi (2020), moxifloxacin should not be taken with dairy products such as milk or yogurt, or with calcium-fortified juice. They could make the medication less effective.