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Nursing is based on the effectiveness of communication and the quality of patient safety Nursing communication is the way health care team members communicate the patients needs by maintaining accuracy of patient-centered decisions and patient safety by minimizing harm Potter2013 This essay will focus on a case of ineffective nursing communication and poor patient safety To guide the summary of this case American Nurses Association ANA standards of practice and performance and ANA code of ethics will be used to determine what guidelines were not followed The Institute of Medicine guidelines recommended practices and I-SBAR will be used to determine the guidelines that could have changed this case for the better Case of Ineffective Nursing and Poor Patient SafetyIn November of 2000 a 15 year old boy Lewis Blackman came to Medical University in South CarolinaMUSC to fix his condition pectus excavatum Postoperatively Lewis is placed on Toradol for pain which can cause stomach ulcers and needs close monitoring but due to inefficient assessment and communication Lewis dies from a perforated ulcer Monk 2002 The ANA standards of practice and performance and the ANA code of ethics will be used to further discuss what guidelines were not met that would have prevented future patient harmANA Standards of Practice and PerfomanceLewis Blackmans case identifies ANA standard assessment of practice and standard of communication performance guidelines not met Assessment is how the registered nurse collects comprehensive data of the patient ANA 2010 Efficient assessment was not met in Blackmans case because the nurses did not take early accurate data and communicate data to the doctor The nurses needed to implement early assessment to improve patient care Voepel-Lewis 2006 The nurses failed to communicate information to the healthcare consumers and professional team ANA 2010 During Blackmans assessment the nurses documented a heart rate of 126 while the doctor documented 80 this miscommunication was fatal Doctor-nurse communication provides patient positive outcomes which was unaccomplished
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