Discussion #1 – Review of Scenario A
Many factors would have to play into the part to note if this RPN is still capable of caring for the client.
We need to know if the CHF and diabetes is under control or maintained by this patient, if either is not well controlled then it would become and RN patient due to the increased complexity in care with a wound. Is the nurse educated in this area, venous stasis ulcers require special care, assessment and dressings to heal, if the nurse is not educated or comfortable with this skill then the patient needs to be transferred. Has the nurse consulted with an RN or other more educated coworker to talk about this patients condition and get information to better his care or to transfer his care if applicable.