This is the video describing the case of Elaine Bromiley who was a 37-year-old mother who was done elective sinus surgery on 29th March 2005. The consultants involved in her case were an ENT surgeon and an anesthetic consultant. In this case, airway management was done by the anesthetist after routine anesthetic induction. Anesthetist surgeon was incapable to locate either laryngeal airway (sizes 3 and 4) and by that time her oxygenation began to decline. Her oxygen saturation at this period was 75% and sustained to droplet to 40% over the subsequent 4 minutes though the anesthetist strained to air with 100% oxygen. Intubation was consequently endeavored at 6–9 minutes and additional adviser anesthetist from a contiguous theatre combined the situation. At 10 minutes the oxygen saturations were motionless at 40% and tracheal intubation was tried, but the evaluation of the laryngeal anatomy indicated it was expected to be challenging if not unbearable to intubate (Youtube, 2020).
This is a known source of 'can't intubate, can't ventilate' and anesthesia professionals are ready in this trauma, wherever regulations are accessible. The anesthetists continued to try to intubate Mrs. Bromiley. After 35 minutes, the ruling was forced to wake Mrs. Bromiley. For over 20 minutes Mrs. Bromiley’s oxygen saturation remained at or less than 40%. Mrs. Bromiley had endured noticeable brain damage and she certainly not recaptured mindfulness. The patient deceased 13 days later (Youtube, 2020).
Looking after this video I felt that there the patient care was not provided with the best quality as the patient at the end died because the consultants did not take care of the patient. Before the starting of this video, I felt that the video must be containing the content that will relate to the optimal utilization of resources and giving the best possible care to patients. But this scenario was the opposite. The patient died because of a lack of communication between the consultants, loss of awareness, and no shared decision-making by the consultants. This gave me disappointment about the negligence of doctors in inpatient care. Others of my classmates felt the same thing that patient care was not appropriately provided in a healthcare setting (Kutney, 2016).
My good and bad experience relate in a way that patient health was not given priority. This reveals a bad impression on me and my colleagues watching videos. The good part was only this that the nursing professionals acted professionally. One nurse arranged a tracheostomy set immediately and the other arranged a bed in the Intensive Care Unit. The consultants presented their part in a highly negative manner, they were unprofessional being an experienced one. They did not focus on patient’s needs and preferences, but only let that situation go, which was poor on their part (The Australian Institute of Health and Welfare, 2020).
The things went well in nursing concern because they knew all the standards of care and were trained in a good manner. They know the NMBA standards set by the Australian government. These standards ensure that quality of care is provided to the patients with safety and security. Doctors performed their duty in an unprofessional manner, and they didn’t realize the importance of the Hippocratic Oath. The Australian Institute of Health and Welfare is the recognizing body that looks after the duties and responsibilities of staff and ensures that whether the staff complies with the rules and regulations (The Australian Bureau of Statistics, 2020).
From this situation, this could be learned that patient care should be provided with the best care so that no negligent act could be done by the staff. This will help the patient in the improvement of health care practices and thus improve patient outcomes. This could have been a positive situation if everyone follows the code of conduct in performance. The nursing professionals must have coordinated with doctors and helped the consultants by maintaining the doctor-nurse relationship for the betterment of patient condition (Kreitzer, 2015).
If the nurses had to do the same thing then they should follow all the principles of nursing care such as collaboration, communication, well prepared, honesty, empathy, compassion, and care. They can do regular monitoring of the patient's condition to know that vitals are normal in range. Next time, nurses should look after these points and behave perfectly to save the life of the patient.
The Australian Bureau of Statistics. (2020). Causes of death. Retrieved from: https://www.abs.gov.au/Causes-of-Death
Kreitzer, M. J. (2015). Integrative nursing: Application of principles across clinical settings. Rambam Maimonides Medical Journal, 6(2).
Kutney-Lee, A., Germack, H., Hatfield, L., Kelly, M. S., Maguire, M. P., Dierkes, A., & Aiken, L. H. (2016). Nurse engagement in shared governance and patient and nurse outcomes. The Journal of nursing administration, 46(11), 605.
The Australian Institute of Health and Welfare, (2020). Retrieved from: https://www.aihw.gov.au/
Youtube, (2020), Just a routine operation. Retrieved from: https://www.youtube.com/watch?v=VndU2zap_Rg&feature=youtu.be
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