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The staff on the oncology unit for the day shift (7 am to 3:30 pm) for nine pati

ID: 238992 • Letter: T

Question

The staff on the oncology unit for the day shift (7 am to 3:30 pm) for nine patients includes Sherry Trader, the charge nurse; James Fair, a recently hired staff nurse; and Julie Coggeshall, one of the NAP, who is in nursing school.

A 78-year-old woman admitted with the diagnosis of breast cancer is scheduled for a radical mastectomy at 8:30 am. The patient is nonverbal to James, the nurse assigned to the patient. James tells the charge nurse that he has never prepared a patient who was to go to surgery for a mastectomy. The charge nurse indicates to James that the forms are no different from those for any other surgery.

1. What are the key issues to consider about when to delegate and assign care to this patient?

2. What are the problems presented in this case?

3. What are the possible solutions?

4. To whom and what tasks should be delegated to facilitate the patient's progression to surgery?

Explanation / Answer

First of all patient is female and she is getting prepared for radical mastectomy.
James is new hired staff and not so experienced in dealing with surgical patients.
As patient is female , is better to allocate female nurse so that the patient feels better and privacy maintained.

As surgical patient she has to get prepared for surgery like part preparation , betadine washing etc. so if the male nurse is allocated patient will feel discomfort so better to allocate female nurse.

As charge nurse available to take care other patients so better to allocate for the female nurse who is experienced so that its facilitate the patients progresion to surgery.

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