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Everyday around the world, nurses use their knowledge that they
best decision that they can. The more experience and knowledge a
nurse has at his or her disposal, the better the outcome will be.
take care of the patients. Sometimes nurses have to use their own
discretion to decide what is best for a patient. It is the nurses job and
positive effect on the patient. Also it is the nurses job to make sure the
of during a shift.
and must also be on the page as the doctors. This may be difficult with
decision making between nurses and doctors. The author talks about
how doctors tend to use technical cues where as nurses use interactive
cues (2001). This is true in the sense that nurses primarily interact
directly with the patient and the doctor is able to separate themselves
Clinical Nursing Judgment 2
from the patient and look at only the information on the patient. The
that the goal for the patient is shared by everyone on the healthcare
team taking care of the patient. Everyone on the team must also use
control and also making informed decisions that alines with that
making care decisions. The nurse must assess the knowledge and
would not be able to. The experience level can separate one nurse
making process used by expert nurses that have the past experience
when a nurse has seen something before and can act on it. There are
intuition is one of them. The nurse does not act on hard evidence,
nurse.
back on and use intuition. There are times as a student that I have
unable to take any new orders from the doctors but I have talked to
doctors over the phone about patient status and procedures that were
done on the patient. A specific time where I was able to use nursing
judgment was when a patient was experiencing back pain that was
severe. The patient was due for pain medicine but also had to go and
get an MRI done that day. I was able to call down to MRI and ask when
the patient would be going down for medication reasons. The patient
would have to wait for two hours until MRI and had IV pain medication
that would not last from then until the MRI was finished. So I was able
to work with the patient into using a heating pad so we could hold off
on the medication until the patient was going down for the MRI. The
patient was very satisfied with the heating pad and was able to be
Clinical Nursing Judgment 4
medicated just prior to MRI. The patient was able to get the MRI done
with minimal pain. Although that was just a couple hours out of the day
of taking care of the patient, I could tell that the patient was
appreciative of the care and attention that she had received. Clinical
References