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Original Question
Can someone help me with replying to this post? Thank You. “Critical Thinking and Competencies Critical thinking starts when we decided to become nurses, when making the decision about starting this profession that comes with a lot of responsibilities, a profession that is respected and trustworthy. Today we have experienced more critical care knowledge by providing the best care for patients with COVID, every day there was a different type of treatment or position to better the outcome of the patient with COVID. Hight patient acuity and rapidly changing environment require nurses to become skilled in higher-level thinking (Hundial, 2020). Critical thinking surrounds all patients’ care and safety starting from primary care, acute care, long-term care, palliative care, and so on (Rubenfeld, 2014). In my nursing career, I have been through situations that needed critical thinking as well as common sense. One that happens often and I teach the novice nurses is the use of insulin. When a patient is NPO for a procedure and has long-acting insulin order in the am, I make sure his or her sugars are more than 200 to give it, if not, I will hold it to prevent hypoglycemic episode and I will inform the provider, usually, they agree with my decision, or they give me orders to give a half dose, and if I do, I monitor the patient closely and I obtain orders for D5 and normal saline at 50ml/hr. Also, important to make sure patients are being discharged with the right medication, therefore when I see discharge orders, I review the provider’s notes to make sure everything was communicated. Last week I had a patient that was going to be sent to rehab, the attending put the orders early in the day. In the afternoon I saw the neurologist rounding and looked at the note and she stated she wanted to start the patient on a new medication and found she had a focal seizure from the EEG she had overnight. I proceed to look at the discharge summary from the attending and he did not add focal seizure or the medication. Therefore, before I sent the patient to rehab I made sure the new diagnosis was added and the medication was in her discharge instructions”.
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