Читать книгу The Nursing Associate's Handbook of Clinical Skills - Группа авторов - Страница 110

Jane, a 28‐year‐old lady struggles with lower abdominal pain for three days. As the pain is becoming increasingly worse, she goes to see her GP. The GP diagnoses appendicitis and recommends that Jane goes to Accident and Emergency (A&E) department. As Jane’s friend can drive her there, the GP does not call an ambulance but stresses the importance of attending that day and gives Jane a letter to present on arrival. The GP advises Jane to take an overnight bag with her should she be admitted.

Jane goes to A&E 2 hours later and is seen by a triage nurse who takes a history and does some clinical observations. The nurse associate takes the required blood tests, performs an electrocardiogram and cannulates Jane.

Jane is reviewed by the A&E specialist registrar and referred for surgery. In theatre, Jane is looked after by the theatre team of healthcare professionals, including the nurse associate, the associate practitioner, the nurse, the operating department practitioner, the anaesthetist, the surgeon and then the recovery team.

Post‐surgery, Jane is admitted to a surgical ward where she stays for one night. While there, she receives care from the ward nursing team consisting of the healthcare assistant, the nurse associate, the nurse and the ward sister. The pharmacology team reviews her medication. She is also reviewed by the surgical team consisting of the junior doctor, the specialist registrar and the consultant.

The next day, Jane is discharged home under the care of her GP. As she is mobile, she sees her practice nurse to monitor her wound the next day.

Consider

In the space of three days, Jane was under the care of eight different healthcare teams.

Where could errors in care provision have occurred?

What was important for ensuring no errors in care provision occurred?

How can a nurse associate act to ensure no errors in care provision occur?