Clinical Reasoning Video Challenge # 1 Part One
Name: Sorraya Gibson Date: January 23, 2021
Clinical Reasoning Video challenge # 1 Part One
Content Outcome: Discriminate uses of evidence to deliver safe and effective nursing care.
Course Outcome: Apply critical analyses and logical reasoning to clinical judgment and nursing de-
cision-making.
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Video Observations:
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1. Review the video challenge.
2. While watching put yourself in the nurses role
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3. Consider how you would respond
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Reflections:
1. In one or two paragraphs for this assignment.
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2. Describe your how you might handle this clinical interaction
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3. What were some strengths and/or weaknesses?
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Reflection
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If I were the primary nurse caring for Mr. Bates, there are several things I
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would have done differently during the SBAR interaction with his current
nurse, beginning with the report conversation. While it is important to
include patient’s in their care, I feel that because of the nature of the
conversation, it would have been more appropriate to discuss Mr. Bates care
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somewhere privately, away from the patient. I also found it very concerning
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that Mr. Bates current primary nurse made the decision to disregard hospital
policy for that particular unit regarding patients who are receiving vasoactive
IV infusions, because she assumed it would be more “stressful” to move him
to a more qualified unit, prior to being transferred to the Cath lab. Hospital
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policies are put in place to protect our patients and the medical staff and
disregarding those policies can sometimes lead to potentially life-threatening
situations for our patients. Because of this I would have consulted with Mr.
Bates physician regarding his current condition and explained the need for a
unit transfer until the patient could be moved to the Cath lab. Afterwards, I
would have rounded on the patient and provided an update regarding the
plan of care for him, so he is aware of what is going to occur and why.
©2013 University of Texas at Arlington
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