Cailtin Leggro is a 27 year-old female who presented to the outpatient oncology clinic at Mount Carmen Hospital for treatment. She is being treated for anal cancer with IV chemotherapy. Her diagnosis of anal cancer is new, and this is her first scheduled treatment. She is currently enrolled in nursing school to become a nurse and works as a patient care assistant at a local hospital. One of the outpatient oncology nurses, Zack Snider, was assigned to be Caitlin’s nurse for the day. He was scheduled to administer her chemotherapy at 0930. Another nurse, Austin Lennord, started Caitlin’s IV in her right hand at 0800 so that she could receive her chemotherapy. The oncology clinic was understaffed, so the nursing staff were assigned …show more content…
The quality of nursing care is reliable upon many factors. When nurses accept assignments and responsibility of patient care, individual characteristics such as knowledge, competency, years of experience, fatigue, time management, the availability of resources and support and the culture and working conditions of the unit, can either aid or impede the safety and clinical outcomes of patient care. These all contribute to the quality of care a patient receives and sheer imbalance can lead to poor or deadly patient …show more content…
During her care, Ms. Leggro had several care providers who checked in on her. It was a team approach, from Austin Lennord, starting her IV to Zack Snider who hung the infusion and, Sarah Albright who addressed her pump when it was alarming. Her care was not independently provided by nurse Snider. Second, the patient must establish the scope of the duty that was owed by the nurse (Westrick, 2014), in this case Zack, the RN who was assigned to her. This would require expert testimony to define what Zack’s specific duty was to Ms. Leggro, including all of the circumstances that existed in the unit. The unit was short-staffed and more than one nurse could have been assigned to Ms. Leggro’s care, especially since she was receiving chemotherapeutic agents, which requires certified nursing personnel. Third, the patient must establish there was a departure from “good and accepted practice” (Stanley, 2011), which is defined as the care that would have been provided by the ordinary prudent nurse. There are many accepted and recognized ways of providing patient care. A nurse will not be deemed negligent if an approved method was chosen, even if that method turned out to be the wrong choice (Institute of Medicine, 2009). Lastly, there has to be a relationship established that if the care or lack of by Zack RN had not been negligent, then Ms. Leggro would have maintained usage of her hand. This has to be