• Subject Name : Nursing

Professional Practice in Nursing

The incident was of a 14 month- old female patient named Olivia. She was diagnosed with symptoms of fever, cough, noisy breathing, runny nose, and poor appetite, with lethargy, feeling of restless as well as agitation, which makes it difficult to console the problem. Her medical history detects her as 32 weeks born by c-section who was immunized for six months although she missed out on the 12th-month immunizations.

The Assessment was made by the ABCDEFG approach. The priorities were in the direction of undertaking a Primary survey based on an A to G assessment as this is instrumental in continuing to monitor the vital signs, administration of O2 therapy, maintaining of optimal Sp02 level. Going further it also looks into the process of nebulising the adrenaline in 4.5mili liter associated with a 1:1000 ratio. If this type of symptom tends to persist then it is useful in managing the prevailing low fever. A repeat adrenaline dose is necessary if any further kind of deterioration is observed. These changes note as well as escalate in the direction of finding a senior staff considering the transfer of ICU (Cathala & Moorley, 2020).

A thorough assessment of the vital signs associated with her health condition was done taking into consideration the RR52 or the yellow zone. A detailed respiratory assessment was done which looked for a recession (chest), grunting, tachypnoea, and the use of muscles with auscultation of lungs sounds. Monitoring the SpO2 level as well as adjusting the O2 level aimed to reach 90% above here; the RR was also checked in between the flags (Stehlik et al., 2017).

The experience was very disturbing for any healthcare provider hence is important for me to follow the ABCDEFG approach immediately. My primary aim was to provide care and relaxation. Apart from ABCDEFG assessment, other interventions were also planned which include children’s as well as infant’s health reviewing. Acute management of croup guidelines to manage the Review-Recognition process was associated with a baby or child care guidelines. It is necessary to prepare prednisolone of 9mg orally and administer the use of nebulized Adrenaline (Cathala & Moorley, 2020).

The experience was good as a healthcare provider as we stayed focused only on Olivia while making some spontaneous decisions including her monitoring, using guidelines to determine the severity.

This I learned as a team leader to follow the drill appropriately and take control of a situation like this. All my technical and non-technical strengths helped me get fully skilled toward a situation assessment considering all the interventions as well as handling approaches toward this incident. It assisted in the development of Technical skills for both me and my team. To my knowledge the result being good, I think everything went very well like Non Pharmacological method to manage low-grade fever, Documentation, Provide appropriate family education (Knapp, Gottlieb & Handelsman, 2017).

Communication and decision making were the non-technical skills that were very important. In such a situation it becomes difficult to make quick decisions and communicate with people to understand the importance of emergency decisions (Müller et al., 2019).

I learned a lot about how to deal with emergencies. Olivia’s situation has forced me to apply my knowledge of plans and models, such as the ABCDEDFG approach. My action plan revolves around using this method in the most appropriate way as mentioned above. In the future, I would like to gain more knowledge on this subject and help my patients.

References for Performing AG Patient Assessment

Cathala, X., & Moorley, C. (2020). Performing an AG patient assessment: a practical step-by-step guide. Nursing Times [online]116(1), 53-5. From: https://www.nursingtimes.net/clinical-archive/assessment-skills/performing-an-a-g-patient-assessment-a-step-by-step-guide-06-01-2020/

Knapp, S., Gottlieb, M. C., & Handelsman, M. M. (2017). Enhancing professionalism through self-reflection. Professional Psychology: Research and Practice48(3), 167. https://doi.org/10.1037/pro0000135

Müller, E., Diesing, A., Rosahl, A., Scholl, I., Härter, M., & Buchholz, A. (2019). Evaluation of a shared decision-making communication skills training for physicians treating patients with asthma: a mixed methods study using simulated patients. BMC health services research19(1), 1-10. https://doi.org/10.1186/s12913-019-4445-y

Stehlik, J., Rodriguez-Correa, C., Spertus, J. A., Biber, J., Nativi-Nicolau, J., Zickmund, S., ... & Drakos, S. G. (2017). Implementation of real-time assessment of patient-reported outcomes in a heart failure clinic: a feasibility study. Journal of Cardiac Failure23(11), 813-816. https://doi.org/10.1016/j.cardfail.2017.09.009.

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