The Doctor of Nursing Practice-Free-Samples -Myassignmenthelp.com

Question: Describe a situation in which you performed nursing within the scope of practice and sought support for activities outside your scope as an enrolled nursing student. Answer: As an enrolled nursing student in clinical setting, I had the responsibility to assist clinician during performing a surgery. This was within my scope of nursing practice as nurse have professional duty to set up the operation room and support the clinician during the operation. This was in accordance with my professional responsibility of collaborating with other medical professionals during care (Chism 2015). However, I faced a challenging situation as I was asked to insert a nasogastric tube inside patients nostril. As a student nurse, I had only learnt about the procedure that it is a clinical procedure of inserting tube through nasogastric tube for diagnostic and therapeutic purpose (Ghatak et al. 2013). However, seeing the equipment made me nervous as I had no idea about the precautions needed while carrying out the procedure and the technique of inserting the tube. Finally, I sought help from my senior nurse regarding the correct procedure and technique for it. I got to know that before inserting nasogastric tube it is necessary to assess patient if nasogastric feeding is appropriate for them or not. This step is crucial because patients with craniofacial surgery or incidence of trauma may face problem during insertion. The senior nurse also demonstrated me the need to maintain correct position of patient before nasogastric tube placement. This included placing the patient in semi-upright position. I got to know that this position enables easy passage of tube without any obstruction. The sen ior nurse also enlightened with me other knowledge such as estimating the length of tube, checking the patency, inspecting nostrils, lubricating tip before insertion and finally safely securing the tube to the nostril (Salerno and Robinson 2015). This method of seeking support for clinical activities enhanced my confidence in carrying out the procedure. References Chism, L.A., 2015.The doctor of nursing practice. Jones Bartlett Publishers. Ghatak, T., Samanta, S. and Baronia, A.K., 2013. A new technique to insert nasogastric tube in an unconscious intubated patient.North American journal of medical sciences,5(1), p.68.