Lani, a 28 year old woman went to see her attending physician who is an obstetrician because of a foul smelling vaginal discharge which happened a few days after a normal spontaneous delivery (NSD). She gave birth to a baby boy ten (10) days earlier. Episiotomy was done during the delivery. The attending physician prescribed antibiotics for five (7) days since she suspected a urine infection. She was able to complete the antibiotic therapy since vaginal examination revealed tenderness and swelling on the episiotomy site. She also complained of pain and itchiness on the site. The attending physician also noted other laboratory examinations to be done since the patient still had the foul vaginal discharge even after completing the course of antibiotics. In spite of the medications given, foul vaginal odor still persisted. Therefore, Lani sought a second opinion from another obstetrician. An evaluation was done and she was asked to have another admission for possible dilatation and curettage (D&C). The obstetrician then informed the first physician of the findings that a sponge was left during the delivery. She also suggested that the case should be further investigated.
1. Based on the scenario, what are the nursing actions that might have prevented the problem?
2. What standard of nursing practice was not observed? 3. Why is it important to adhere to patient safety standards?
3. Why is it important to adhere to patient safety standards?
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Expert Chegg Question Answer:
The nursing action which is very important in before, during and after the process of delivering.
- It is the responsibility of the nurse to make sure that the uterus has been evacuated properly after the delivery process before suturing the insicion of episiotomy.
- Make sure that all the nursing actions which has been implimented for the patient was safe and secure.
- The nurses must count the number of sponges used during the process and make sure that no sponges are missing.
The Implimentation of these two nursing actions would have prevented this complication in this patient.
The standard of nursing practice which was not observed quring this case is assessment. Assessment is an important nursing standards. It helps the nurse in various manners such as,
- To Findout wheather this patient has any dyscomfort or not.
- To understand the current health status of the patient.
- Proper assessment of the patient before the suturing of the episiotomy wound might be helps the nurse to understand the presence of sponge in the patient vaginal region.
- And also the observation regarding the number of sponges used and makes sure about all the sponges are disposed properly is also comes under the nursing standards which is known as an assessment.
It is very important to adhere the patient’s safety practice,
- To prevent the risk of complications
- To reduce the further consequences
- To minimise the adverse reactions
- To safeguard the patient from errors and medical negligence.
- To provide a safe and secure care to the patient.