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NURS5098 Nursing Error Essay

The essay covers the story of a Nursing error that took place in Tumut Hospital where a patient died because proper and appropriate care was not provided.

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The essay covers the story of a Nursing error that took place in Tumut Hospital where a patient died because proper and appropriate care was not provided. Though some vital signs of patient disease were observed in the initial assessment, however the same observation was not done after giving Panadol to the patient. Nurses initially thought that the patient condition is not severe; hence the attending physician was not called upon. According to her autopsy report, the cause of her death was Neisseria meningitides Septicemia that could have been avoided if proper investigation was conducted. Pregnancy nausea and vomiting masked the real cause of vomiting which was the increased intracranial tension due to meningitides. 

  1. Anchoring 
Naomi Williams was 6 months pregnant visited the hospital 18 times over 8 months with vomiting and anther symptoms that are similar to drugs withdraw symptoms. During her last visit to the hospital, nurses missed out on diagnosing her properly, as in terms of appearance the patient appeared to be fine. 
  1. Ascertainment bias 
After the doctor has issued the final diagnosis report declaring that Naomi is clear from Marijuana withdrawer symptoms, however being an indigenous person, nurses considered that Naomi is more susceptible to be an addict. She felt that she doesn’t want to go the hospital because they always treat her like a junkie.

   

  1. Diagnostic momentum 
Nurses insisted that they consider Naomi will suffer from addiction of marijuana. Nurses also believed that she was still addicted and insisted that the cause of her vomiting symptoms were due to hyperemesis gravidarum.
  1. Premature closure
Nurses did Premature closure of the diagnostic decision, as having long history of ill, general pain, losing weight of accepted the diagnosis before fully confirmation or complete nursing assessment.
  1. Unpacking principle 
Nurses failed to established differential diagnosis, and excluded other medical conditions that might lead to similar symptoms or complaint specially when Naomi was at high risk according to the last doctor diagnoses report. 

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