Reference no: EM133582183
Case Study: This case involved a registered nurse (RN), who worked for a home healthcare agency On the day of the incident, she was with another patient when she received a telephone call from a certified nursing assistant (CNA) who was also employed by the same agency.
The CNA was at the home of a mutual patient and reported that the patient's gastrointestinal (GI) tube had come out sometime during the night The RN informed the CNA that the patient would need to go to the emergency department (ED) to have the tube re-inserted as it would be several hours before she could see the patient The patient's family did not want to take the patient to the ED but instead opted to wait for the RN.
The CNA informed the RN that she had re-inserted several GI tubes while employed at a nursing home, so she felt comfortable re-inserting this patient's tube The RN agreed to let the CNA insert the tube but advised her to not restart the feedings.
Approximately 45 minutes later, the CNA contacted the RN and affirmed that the tube was re-inserted without difficulty and confirmed proper placement.
When the nurse arrived at the patient's home several hours later, she noticed that the patient was receiving tube feeding When questioned, the daughter confirmed that she resumed the tube feedings shortly after the CNA left and denied being told to wait The RN noted that the patient was complaining of abdominal pain and reported feeling nauseous.
On physical assessment, the patient's abdomen was distended and positive for pain with abdominal palpation After stopping the feeding, the nurse called 911 The patient was transferred to the nearest hospital, where she was diagnosed with peritonitis due to the GI tube being accidentally placed in the peritoneal space.
The family filed a lawsuit against the RN and the home healthcare agency.
Question: Look at each person/agency involved in this scenario: Patient - Family - RN - CA - Home Health Agency - Primary physician (not mentioned) and Answer the following questions with further citation and references.
A) What are the steps for proper delegation.
B) Explain the reason this delegation led to a lawsuit. Describe how each person/agency contributed to this scenario resulting in a lawsuit.
Example - The RN failed to notify the primary physician and receive orders.
C) Which delegation rule is being applied to this situation?
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