Nurse Jane Surgeon Explained for Students (Easy Guide)
This type of question evaluates analytical and critical thinking skills.
What This Question Is About
This question relates to nurse jane surgeon and requires a structured academic response.
How to Approach This Question
Use appropriate theories and support your answer with clear reasoning.
Key Explanation
This topic involves nurse jane surgeon. A strong answer should include explanation, application, and examples.
Original Question
3-2: Nurse Jane and the Surgeon Ms. Bell, aged 65 years, is under the care of Registered Nurse Jane. Ms. Bell had a total hip replacement yesterday. She told Jane that her pain was intolerable, and then she groaned loudly and said, “Oh, I hurt worse than I have ever hurt before in my life. Please help me, please, please, I can’t stand it anymore! Please give me something for pain now.” When Jane assessed her level of pain, Ms. Bell described her pain as the highest level, 10 on a 10-point pain scale. Her blood pressure and pulse were slightly elevated as compared to her last documented vital signs. Jane proceeded to check Ms. Bell’s orders but discovered something very unusual. The surgeon had ordered her IV pain medication for only every 6 hours instead of the typical 3-hour frequency for patients with 1-day postoperative hip replacements. Ms. Bell would have to wait 3 more hours for her next IV pain medication. Jane returned to Ms. Bell’s room to explain her current pain order and inform her that she would call the surgeon now. By that time, Ms. Bell was crying out with pain and moving her head from side to side. Jane felt such empathy and concern for her. She briefly tried to comfort her with words and acts of kindness, but she needed to return quickly to the unit to call the surgeon for a new order. When he answered, she began informing him of her assessment of Ms. Bell and the 6-hour interval order, but he abruptly and loudly interrupted her and stated, “I meant to order that medication every 6 hours. She does not need more frequent pain medication, because of some past problems with prescription pain medications. Please do not call me unless you have critical information that needs my attention.” Jane was shocked, and many conflicting thoughts rushed through her mind. Why did he not want Ms. Bell to have more frequent pain medication, like other postoperative patients in his care? Was it really about her past use of prescription medications? Ms. Bell had a total hip replacement less than 24 hours ago and was in excruciating pain! Jane asked herself what she should do. After some reflection, she notified the nursing supervisor, who then reviewed the case and decided to call the surgeon. The supervisor stated the surgeon seemed approachable and decided to order a one-time dose of IV pain medication to relieve her immediate pain. By that time, another hour had passed, so Jane administered the medication as quickly as she could in an effort to relieve Ms. Bell’s pain. Questions Review the chapter content. 1. In the relationship between Jane and the surgeon, what ethical issues are going on between them? To answer, explore the history and research on the nurse-physician relationship in the chapter. What bioethical principles did the surgeon violate with Jane and his patient, Ms. Bell? 2. Of the ethical competencies presented in the chapter, which ones did Jane demonstrate with Ms. Bell during the process? 3. Did Jane do the right thing by calling her supervisor? What other actions, if any, should she have taken?
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