Historical Case Study: Restraints Gone Awry
Student’s Name
Institution
Course
Date
Historical Case Study: Restraints Gone Awry
Q1
In Nurse Jones’s case, I could have robustly oriented the new graduate nurse, Mr. Phillip, before the initiation of any emergency care procedure. In a sensitive procedure like Cardiopulmonary resuscitation, evaluating the subordinates’ competency as the preceptor nurse and prioritizing the patient care would be essential in this case (Powers et al., 2019). The preceptor nurse would provide the guidelines for the management of the patient.
Additionally, as the experienced nurse, I could have taken full charge of the patient and applied the protocols to manage the aggressive behavior displayed by Mr. X. Such protocols would involve staying as calm as possible and respecting the patient’s grievances instead of restraining them. The majority of the correctional departments lack procedures like CPR since emergency cases demanding such procedures are minimal.
Q2
Majorly, the patient died from a self-inflicted injury following the suicide and as opposed to the restraint and positional asphyxia. The inmate’s ultimate death was the self-inflicted injury arising from the suicide attempt because such resulted in constant pressure to the jugular, which contributed to oxygen deprivation to the brain. Additionally, the patient’s autopsy indicates that he suffered a hemorrhage to the soft tissues anterior to the larynx such also contributed to the asphyxia. The autopsy suggests severe lung congestion resulting majorly from the suicide as opposed to positional asphyxia. Heart congestion occurred due to the constant lack of adequate aeration of the lungs. The injury attributed to the suicide also culminated into the petechiae in the heart’s epicardial. Petechiae results from the capillaries bleeding into the skin majorly due to prolonged straining from the inmate.
References
Powers, K., Herron, E. K., & Pagel, J. (2019). Nurse preceptor role in new graduate nurses’ transition to practice. Dimensions of Critical Care Nursing, 38(3), 131-136.