Describe Adverse Clinical Explained for Students (Easy Guide)

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Original Question

Describe an adverse clinical event that occurred in your unit. What were some types of ethical dilemmas that can arise from or during this event? When I worked on a medical/surgical/telemetry unit, we had a nurse who started a potassium chloride drip at a rate of 100 milliliters per hour or 40 milliequivalent (mEq) per hour. On this unit, our protocol was to infuse 10 mEq per hour or a maximum of 20 mEq per hour if the patient is on telemetry. I was the charge nurse that day and entered that room to help the patient with something unrelated. I noticed the potassium chloride at that rate and quickly changed it. I noticed the bag was almost full and the patient had not received much of it. I spoke with the nurse who immediately realized what she had done. She was very at that time and had made a mistake. We had to document the incident, but fortunately, nothing happened to the patient or the nurse. We attended a meeting to explain the circumstances to our leadership and the risk management department became involved. Risk management analyzes the incidents and minimizes losses (Yoder-Wise & Sportsman, 2022). The ethical dilemma came when it was time to tell the nurse about the medication error. I had fixed the pump and could have left it at that. I knew she knew better and that we were having a particularly busy day. The next dilemma was when we both decided to write the incident report. We could have moved on from it easier than it was to reveal it. In your responses to peers, please discuss the role of the nurse as the case manager during the event discussed by your peers.

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