Read the case study Guido (7th ed) (Guido, p. 328-329)presented beginning with, "A licensed practical nurse..."and provide a PowerPoint presentation to answer the following questions: Provide references of less than 5 years

Case Study

A licensed practical nurse (LPN) who worked for a nursing personnel agency worked one evening shift at the Veterans Administration Hospital in a major city. She cared for a patient who had recently undergone hip replacement surgery. Since his surgery, the patient had consistently spiked significant temperatures, but his temperature generally responded well to oral Tylenol, 500 mg, tabs ii, every four hours as needed. The change nurse explained to the LPN that the patient was to continue on every-four-hour vital signs, including temperatures, and that he was to be medicated if his fever increased, even if only at low-grade levels. During the evening that she worked, the LPN obtained the patient's temperature at 4 P.M. and again at 8 P.M. He had a low-grade fever at the 4 P.M. hour, and his temperature had risen to 102 degrees orally at 8 P.M. At both intervals, the LPN administered Tylenol as ordered. The charge nurse did not assess the patient during the evening, nor did she inquire about the patient's condition. The nurse caring for the patient at midnight noted that his temperature was still elevated (102.4F orally). When notified the attending physician ordered blood cultures, additional treatment for his ever-increasing fever, and a change in antibiotic therapy. Despite this aggressive therapy, the patient developed a fatal septicemia, and the patient's family sued for wrongful death. At trial, the court determined that the charge nurse had been derelict in her duty to supervise this patient and assessed partial liability against the LPN and the charge nurse.

Question

• Did the nurse manager have a responsibility to supervise the care of the patient?
• Was the care of this patient appropriately assigned to the LPN by the charge nurse, or could the charge nurse have delegated this patient's care more appropriately?
• If the charge nurse assigned the care of the patient to the LPN, did she retain any supervisory responsibility that would result in her liability in this case?
• How do the principles associated with delegation and supervision figure into this case?
• How would you decide this case?