case 23

 

Answer the questions following the case study.   

Don't use plagiarized sources. Get Your Custom Essay on
case 23
Just from $13/Page
Order Essay

CASE 23
Dialysis Access
Dale Buchbinder
Metropolitan Hospital has a large dialysis program. Many patients have dialysis access issues where they need to have their access sites fixed on an urgent or emergent basis. These access sites are catheters, arterial venous fistulas, or arterial venous grafts that have been placed in the patient for connection to the dialysis machine. Dialysis is life sustaining for patients in renal failure; access sites are literally lifelines.
Mr. Cavanaugh presented to the hospital dialysis center with a clotted dialysis graft. The surgeon was contacted and the patient was sent to the preoperative area. The patient had not been dialyzed in four days and the patient had not eaten that day. When the nurse received the results of the required routine blood work, she noted that the potassium was quite elevated. The nurse called the operating room and stated the case had to be canceled.
Dr. Jones, the surgeon, was outraged. He phoned the operating room and the nurse. An argument ensued, and words were exchanged. The nurse stated that it was unsafe to send the patient to the operating room with a high potassium level, because the patient could arrest. The surgeon stated the patient needed dialysis in order to lower the potassium. If Dr. Jones did not fix the dialysis access, the patient’s potassium would only get higher, which could be life threatening.
Finally, after a lengthy discussion with the anesthesiologist, the patient, and the nurse, reason prevailed and the dialysis access was appropriately repaired. The patient was monitored throughout the procedure by an anesthesiologist with no adverse outcome.
Discussion Questions
1.    What are the facts in this situation?
2.    What could have been done to avoid this confrontation?
3.    What are three organizational issues this case illustrates?
4.    Should the nurse have attempted to cancel the surgery without speaking to the surgeon?
5.    What steps should be taken in the future to prevent this problem from occurring again?
6.    Should other people have been involved in resolving this dispute? If yes, what roles could they have played in this resolution?
7.    Have you ever been involved in an ugly confrontation with a coworker? Looking back at that incident, knowing what you now know, what might you have done differently? Provide your reflections and personal opinions as well as your recommendations and rationale for your responses.
ADDITIONAL RESOURCES
Borkowski, N. (2011). Organizational behavior in health care (2nd ed.). Sudbury, MA: Jones and Bartlett.
Buchbinder, S. B., & Shanks, N. H. (Eds.). (2012). Introduction to health care management (2nd ed.). Burlington, MA: Jones & Bartlett.
Fallon, L. F., & McConnell, C. R. (2007). Human resource management in healthcare: Principles and practices. Sudbury, MA: Jones and Bartlett.
Morrison, E. E. (2011). Ethics in health administration: A practical approach for decision makers (2nd ed.). Sudbury, MA: Jones and Bartlett.
Ricci, M. A., & Brumstead, J. R. (2012, April). Crew resource management: Using aviation techniques to improve operating room safety. Aviation Space and Environmental Medicine, 83(4), 441–444.
Rogers, D., Lingard, L., Boehler, M. L., Espin, S., Klingensmith, M., Mellinger, J. D., & Schindler, N. (2011). Teaching operating room conflict management to surgeons: Clarifying the optimal approach. Medical Education, 45(9), 939–945.
Siu, H., Spence Laschinger, H., & Finegan, J. (2008). Nursing professional practice environments: Setting the stage for constructive conflict resolution and work effectiveness. The Journal of Nursing Administration, 38(5), 250–257.

Place your order
(550 words)

Approximate price: $22

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
$26
The price is based on these factors:
Academic level
Number of pages
Urgency
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more

Order your essay today and save 20% with the discount code WELCOME