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One of the primary goals of nursing is safe and efficient patient care which can be achieved by skilled assessment and communication Lewis Blackmans case illustrates the effects of ineffective nursing communication and poor patient safety by violating American Nurses Association ANA Standards of Practice and Performance and ANA Code of Ethics The Institute of Medicine IOM has provided guidelines in 3 reports that along with recommended practices and I-SBAR will provide guidelines to improve patient safety A15 year-old- boy Lewis Blackman came to Medical University in South Carolina MUSC to receive an elective surgery for a chest condition Monk 2002 Postoperatively Blackman was placed on Toradol for pain which can cause stomach ulcers and needs close monitoring Due to inefficient assessment and communication Blackman dies from a perforated ulcer The ANA Standards of Practice and Performance and the ANA code of ethics will provide guidelines to analyze the mistakes made by the nurses in Blackmans case Blackmans case illustrates guidelines in ANA standard of practice of assessment and standard of performance of communication that were not met Assessment is how the registered nurse collects comprehensive data of the patient ANA 2010 Efficient assessment was not achieved in Blackmans case because early accurate vital signs were not assessed Nurses are required to incorporate patient assessment data collection helping and recognizing symptoms to make decisions in an ongoing assessment to improve patient care Voepel-Lewis 2006 Nursing communication has to be efficient for patient care to be achieved which was a downfall in Blackmans case ANA 2010 Blackmans case showed poor communication between nurses and the doctors due to differences in data and poor handover communication along with poor communication between the nurse and the patient due to misguided information In Blackmans assessment the nurses documented a heart rate of 126 while the doctor documented 80 this miscommunication led to the death of Blackman Doctor-nurse communication and collaboration provides positive
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