Case Study #2: Managing Care for Multiple Patients

Sadiq, a Capstone preceptor on a Medical-Surgical unit is assigned 5 patients for the day.

Michaela, a Capstone student, will manage the care of these two patients:

  • Ronald Black was admitted last night with diabetic ketoacidosis.
  • Patty Malloy has had a total hysterectomy. This is her second post-operative day.

As Michaela starts her day she knows that:

  • Patty Malloy needs intravenous antibiotics at 8 a.m.
  • Ronald Black needs his blood sugar assessed and the information called to the doctor before breakfast is served at 8:30 a.m.

Michaela decided to start on the 8 a.m. antibiotic. An unlicensed assistive personnel helped Michaela with the patients. Someone interrupted Michaela and told her that both patients needed pain medicine. About that same time, the light in another patient's room came on. Michaela answered the light. That patient requested to have her bath. Michaela decided to assist the patient with her bath. By 9 a.m., Michaela does not have the 8 a.m. antibiotic done; breakfast trays have been served; and Ronald Black does not yet have his insulin.

After considering the facts presented, complete the learning activity below.

What Do You Think?

  • Which outcome competencies are problems in this incident?
  • What do you think of the Sadiq's actions?
  • What do you think of Michaela's responses in this situation?

After considering your response, check ours.