Evidence-Based Practice on Wound Packing

Evidence-Based Practice on Wound Packing Evidence-Based Practice on Wound Packing Following Incision and Drainage Arlena Davis The first article was related to MD’s not using any packing when it comes to treating I D’s. Many times packing is used to debride the wound and keep fluids from pooling under the skin as well as keep area free of infection. In order to understand the outcome we need to fully understand what is involved.An abscess is a collection of pus, surrounded by inflamed tissue and usually localized (Pfenninger Fowler, 2010).The reason we need the packing is related to having an abscess and we need to keep the area clean. Leinwand 2013states packing is thought to aid hemostasis, and prevent reorganization of the abscess, we sought to determine whether packing could be omitted with equal efficacy. The second article I chose was Alimov, V., Lovecchio, F., Sinha, M., Foster, K. N., Drachman, D. (2013)to the use ofa silver-containing hydrofiber dressing for filling abscess cavity following incision and drainage in the emergency department. Is using packing always effective? Can we have equal efficacy when there is no packing used? These are questions that were sought after and answered in this particular article. At the end of the trial the patients reported faster heling and les pain as it relates to traditional packing. In the research that was conducted in the first article entitled  Use of Silver-containing hydro fiber dressing in filling the cavity related after incision and drainage at the emergency department: a randomized controlled trial. Advances in skin wound care, (Alimov, Lovecchio, Sinha, Foster, Drachman, 2013), clinical study design was used. This study design took the form of prospective randomized control trial. The sample size in this case was ninety-two patients (Alimov, Lovecchio, Sinha, Foster, Drachman, 2013). These patients were more than 18 years of age and were suffering from cutaneous abscess. The ninety-two study participants had been randomly assigned into two groups. These are the intervention group (Skillman, Aquacel, New Jersey, and Convatec) and the iodoform group (Alimov, Lovecchio, Sinha, Foster, Drachman, 2013). The iodoform group is the control group in this case. Of these two groups, it was noted that there were no differences in terms of demography as well as their clinical characteristics. The weaknesses that are evident in data collection are that the researchers should have randomly selected the patients in two equal groups that is 46 persons per each group. The follow-up period is also not consistent. Inconsistency comes in whereby the study claims that patients were followed up in a span of the first two weeks (Alimov, Lovecchio, Sinha, Foster, Drachman, 2013), though the follow-up was not continuous. However, the strength of this study is that it had both the intervention group and the control group. The intervention group comprised of four subgroups depending on the intended intervention. These four groups were based on interventions such as Convatec, New Jersey, Aquacel, and Skillman) (Alimov, Lovecchio, Sinha, Foster, Drachman, 2013).The other strength of the study is that it was able to provide a comparison on the level of pain between the patients initial visit and the first follow-up. In relation to the second article that dealt with the incision and the drainage of the subcutaneous abscess without packing, (Leinwand, Downing, Slater, Beck, Burton, Moyer, 2013) clinical study design was also used. In this regard, the clinical study took the form of retrogressive randomized control trial. The sample size in this study was a hundred patients, who were reported to be suffering from subcutaneous abscesses back in between May 2008 and December 2010. These 100 patients were assigned into two groups namely, the packing and the non-packing groups (Leinwand, Downing, Slater, Beck, Burton, Moyer, 2013). In this case, there were some exceptions in that some patients portraying some given conditions could not be considered. Such conditions include; patients who are immunosuppressed, or rather those suffering from diabetes. The other exception was in case the patient had a perineal or a pilonidal abscess. Last but not least, the other exception was on whether the abscess is secondary to the previous operation. These exceptions can be used as a basis for comparison among the sample, to the patients who will be seeking treatment. There are several weaknesses of the study in terms of data collection, with one of them being that it was not age specific. Apart from that, the other weakness is that; the patients were only clinically evaluated, in case there was suspicion of recurrence in the follow-up calls on the day seven and thirty (Leinwand, Downing, Slater, Beck, Burton, Moyer, 2013). These two days were referred to as postoperative. The other weakness is that, of the 100 patients, only 85 patients managed to complete the study. The study does not indicate the whereabouts of the 15 patients. On the other hand, the strength of this study is that it omitted other patients who had some other conditions that could interfere with the results. Such exceptional cases were the diabetic, immunosuppressed (Leinwand, Downing, Slater, Beck, Burton, Moyer, 2013), among others. Identification, critical appraisal, and synthesis of evidence from research articles is an essential skill in evidence-based practice (EBP) (Titler, 2008). This paper will critique two primary research articles related to the issue of wound packing following incision and drainage. The first article is authored by Leinwand et al. (2013) and is entitled â€Å"Incision and drainage of subcutaneous abscesses without the use of packing†. The second article is authored by Alimov et al. (2013) and is entitled â€Å"Use of a silver-containing hydrofiber dressing for filling abscess cavity following incision and drainage in the emergency department: A randomized controlled trial†. The study by Leinwand et al. (2013) sought to determine whether omission of the wound packing component in the management of subcutaneous abscess has similar efficacy to wound packing. The study employed a prospective randomized controlled trial design whereby 100 participants were randomized to either the wound packing group or to the non-packing group. The study enrolled pediatric participants aged less than 18 years with subcutaneous abscesses. The sample size for the study was small (100). Consequently, the study did not have significant statistical power as a sample size of 4000 was required to gain power of 80%. The researchers, however, accepted the small sample size as it was practical for the purposes of the study. The selected sample is appropriate to the population of interest because the participants were experiencing the phenomenon of interest that is abscesses requiring incision and drainage. Regarding data collection, similar pre-intervention data was collected on the operative day for all participants. These data included age, gender, and location and size of the abscess. Post-intervention data was collected through follow-up telephone calls by a pediatric surgery nurse specialist. These calls were made on the 7th and 30th post-operative days and included information on general wound appearance, adherence with warm soaks and antibiotic therapy, presence of fever, and timing of pack removal. The reliance on self-reported information may have introduced information bias due socially desirable responding and problems with recall (Fadnes, Taube, Tylleskar, 2008). Of the 100 participants who enrolled for the study, only 85 completed the study. The study found that the packing group and non-packing groups did not vary statistically with respect to abscess recurrence rates, initial parameters, and incidence of methicillin-resistant staphylococcus aureus (MRSA). Only two abscess recurrences were reported, one for each group. In their discussion, the authors contextualize these findings in light of pre-existing evidence. They note that the findings of their study are identical to those of similar previous studies on both adults and children. The authors also compare the strengths and weaknesses and merits and demerits of their study and intervention with those of previous studies. They also discuss the two cases of treatment failure. Lastly, they provide recommendations for future studies. On the incorporation of evidence into treatment protocols, integration of research findings into treatment protocols/procedures occurs through the process of evidence-based practice. Research articles relevant to a clinical issue of concern are identified, appraised critically, and their findings used to make specific recommendations for practice on incision and drainage (Dontje, 2007). The Purpose of the Alimov et al. (2013) study was to investigate whether packing of abscess cavity with a silver-containing hydrofiber dressing instead of the standard iodoform dressing leads to less pain and faster wound healing. The study employed a prospective randomized controlled trial design whereby participants were randomized to the silver-containing hydrofiber or standard care groups. The study population consisted of adults aged more than 18 years who visited the emergency department of a teaching hospital with cutaneous abscesses >2cm in diameter that required incision and drainage. The selected sample consisted of 92 patients. The sample for the study is appropriate to the selected topic as it focuses on the issue of incision and drainage protocols. Data for the study was collected and documented on a standard form except for pain. The data collected included pertinent demographic and clinical variables. Pain was assessed using a self-report scale, the Wong-Baker FACES Pain Rating Scale. The use of a self-report scale for pain may have introduced social desirability bias. The findings of the study may have also been contaminated by bias due to the manual measurement of the dimensions of the abscess cavities. The primary outcome measures for the study were the proportion of patients with a reduction of 30% or > in the surface area of the abscess at the first follow up visit (between 48 and 72 hours). The other main outcome variable was proportion of patients with 30% or > decrease in the surrounding cellulites at the first visit. The secondary outcome measure was the change in self-reported pain intensity at primary and consequent visits. The study found that 82.6% of the patients in the silver-containing hydrofiber group had a reduction of 30% or > in the surface area of the abscess compared to the 26.1% of the subjects in the iodoform group (p In this article, the number of participating pediatric patients who had subcutaneous abscesses was one hundred. Patients who successfully completed the study were only 85: 43 packing group and 42 non-packing group. There existed an arithmetic variance between the two groups that concerned the initial parameters, recurring abscesses, (single in every group), or incidence of MRSA (81.4 packing groups over 85.7 non-packing group). Subcutaneous abscesses incision, as well as drainage without the utilization of packing, is an effective as well as a safe technique. This article should present the data in a more transparent way. In this article, there was a prospective enrollment of 92 patients and these patients. There was also random assignment of these patients to the iodoform groups or Aquacel Ag. The SD was 12.0, and the average age was 38. The patients in iodoform group were 43 while those in Aquacel group were 49. There two groups lacked disparity in clinical and demographic characteristics. The domino effect of the deterioration study pointed out that the Aquacel Ag was autonomously associated with over 30% abscesses’ surface area reduction. This, however excluded first follow-up cellulitis. The pain intensity also decreased significantly as perceived by the Aquacel group patients. In cutaneous abscesses patients, there was faster wood healing as well as pain reduction while using antimicrobial-hydro fiber ribbon form of dressing than while using iodoform dressing. This article is important as it offers information on which choice is best while dressing. It is recommended thatmore research on this subject as this will provide more information on subcutaneous abscesses treatment. These articles will help me in my career as a nurse practitioner because of the versatility of the procedures and the information provided. In summary, this paper has critiqued two research articles related to the issue of wound packing following incision and drainage. The articles by Leinwand et al. (2013) and Alimov et al. (2013) have been critiqued in terms of their purpose, design, sample, data collection procedures, results, and discussion. References Alimov, V., Lovecchio, F., Sinha, M., Foster, K. N., Drachman, D. (2013). Use of a silver- containing hydrofiber dressing for filling abscess cavity following incision and drainage in the emergency department: A randomised controlled trial. Advances in Skin and Wound Care, 26, 20-25. Dontje, K. J. (2007). Evidence-based practice: Understanding the process. Topics in Advanced Practice Nursing, 7(4). Fadnes, L., Taube, A., Tylleskar, T. (2008). How to identify information bias due to self-reporting in epidemiological research. The Internet Journal of Epidemiology, 7(2). Leinwand, M., Downing, M., Slater, D., Beck, M., Burton, K., Moyer, D. (2013). Incision and drainage of subcutaneous abscesses without the use of packing. Journal of Pediatric Surgery, 48(9), 1962-1965. Titler, M. G. (2008). The evidence for evidence-based practice implementation. Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK2659/

Freedom vs Happiness in Brave New World Essay

There are many things that people pursue, such as wealth, prestige, or the latest technology. Of our many pursuits, the most essential are happiness and freedom. However, a question arises: can we possess both happiness and freedom? Most people may not have a clear answer for that. Brave New World, through the actions of its characters, reveals that there exists a conflict between the possession of the two ideas. Lenina, having been conditioned to be happy, has unconsciously given up the ability to have freedoms. From birth, she was assigned the role of beta plus, trained to not seek art, science or relationships. All of her material needs and wants are met. Nothing can make her feel sadness or desire. Thus, her motive to pursue freedom is non existent. If something against her conditioning comes up, she will feel confused and uncomfortable. While on vacation at the Savage Reservation, she witnesses the savage society, where people have families, religion, and natural aging. She feels disgusted by it, â€Å"Too awful† (pg 116), so she goes on Soma holiday to forget about what she has seen. While over the roaring waves of the English Channel, Lenina cannot come to admire the beauty of nature, â€Å"She was appalled by the rushing emptiness†¦ among the hastening clouds† (pg. 90). When John professes his love to her, Lenina is unable to understand his feelings, she’s on ly familiar with physical/sexual relationships, â€Å"For Ford’s sake John, talk sense†¦ you’re driving me crazy† (pg. 191). Although her body is free, she lacks spiritual freedom, whether it be in terms of relationships, natural, or cultural beauty. Opposite to Lenina, John grew up sharing the values of the Indians and William Shakespeare, which are in opposition to those of the World State. Once he comes in contact with â€Å"civilization†, he realises that his values are rejected by the â€Å"civilized† people. For example, he loves Lenina very much, but gets angry and insulted when she doesn’t understand his motives and tries to initiate sex, â€Å"get out of my sight or I’ll kill you† (pg. 194). When his mother dies, he becomes upset with the death conditioning of the children and interferes with it, â€Å"The savage looked down at him†¦ did not even look round† (pg 207). Finally, frustrated with the â€Å"civilized† world, he tries to lead a group of Deltas by warning them on the negative effects

Essay on Gender Inequality at the Workplace - 2294 Words

CHAPTER-4 GENDER INEQUALITY AT WORK PLACE The old aphorism, â€Å"The consumer is not a moron; she is your wife has to be rephrased: The consumer is not a moron; she is your BOSS. How did this development take place? The single most significant reason for this development has been the dawn of the consumer era. Today, it is neither the industry nor the government sector that drives the economy. The expenditure and savings of the household sector have become the driving force of the urban industrial economy. The growing economic power and autonomy of the woman is giving her greater power in the boardrooms also. This is because she is the consumer and understands both the needs of the household as well as another woman†¦show more content†¦Their consumer expertise in a consumer-oriented economy places them in an enviable position where they are given priority at Management Institutes as well as in employment for executive positions. Companies are competing tooth and nail to employ the best female managers with women- friendly personnel policies. Even banks are looking definitely at consumer loans and often giving them importance. Ask any serious investor which businesses are worth capitalizing in today and the answer is; the sunrise industries such as software, health-care, drugs, Fast Moving Consumer Goods (FMCG), and customer banking. All these require more female executives at the helm of affairs than available. In pharmaceuticals, the Over the Counter (OTC) segment is being run by women executives. The moral (Prescription Drugs) will soon follow, because once talent and capability have been proven in a corporate setting, companies will work towards retentive and nurturing talent, regardless of gender. In fact, the personnel policies of some of the most successful companies in the growth sector, say Hindustan Lever, have develop so women friendly that the male executives may well face some embarrassment. 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The Poster, By Judith Giesberg - 1574 Words

The poster â€Å"We Can Do It† iconizes wartime female patriotism, encouraging women to work in defense industry left by enlisted males and suggesting that females are not isolated from total wars. However, women’s â€Å"intrusion† into the long-assumed male spaces began much earlier than the birth of that poster. Judith Giesberg’s Army at Home demonstrates that the Civil War allowed American women to traverse the social boundaries that reserved wars for males and home for females. Instead, marginalized working-class, rural, minority, or immigrant women actively defied such gender demarcation by replacing males in fields and arsenals, confronting state officials in acquiring resources, joining political activities on streets, or travelling to battlefields to retrieve their loved ones’ bodies (9-10). Challenging the established historiography assuming that only northern middle-class white had political influence and war protests or disruption of the authorities exclusively belonged to the lower class females in the Confederacy, Giesberg innovatively argued that despite spatially distant from battlefields, the long-ignored northern women were actively engaged in politics out of their wartime ordeals (12). She stresses that as the antebellum genderized spaces collapsed during the war, women â€Å"produced spaces where they ceased being the object of and became its subjects† (13). The marginalized northern females thus redefined the lines separating genders ---home versus politics and wars.

Essay The Burr Conspiracy - 948 Words

The Burr Conspiracy I. Introduction The events surrounding the â€Å"Burr Conspiracy† were among the first tests of the effectiveness of the United States democracy. II. Aaron Burr Aaron Burr was born in Newark New Jersey on February 6, 1756, and Burr was educated at what is now Princeton University. Burr joined the Continental Army in 1775, and rose to the rank of Lieutenant Colonel. Burr was appointed attorney general of New York in 1789 and served as a United States senator from 1791 to 1797 (Onager CD-ROM). In the Election of 1800, Aaron Burr was the running mate of Republican candidate Thomas Jefferson. Although Burr was running for vice-president, he received as many votes as Jefferson did, and the House of†¦show more content†¦In 1789, George Washington appointed Hamilton as the first Secretary of Treasury. 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Secretary Law and Legal Secretaries Free Essays

When people hear the word ‘Secretary’ – I’m pretty sure they picture someone behind a desk typing. Yes, this is pretty accurate but a Secretary in whatever field is so much more (and one can indeed spend much time running between their desk and any multitude of places! ). I remember learning a spelling mnemonic of sorts at school that Secretaries keep the secrets. We will write a custom essay sample on Secretary: Law and Legal Secretaries or any similar topic only for you Order Now Now I realise it’s perhaps more to do with the word’s derivatives but it’s stuck with me! Having finished a Legal Secretaries Level 3 Diploma course in which I have an overall grade of a Merit, I have found myself privy to these ‘secrets’ and the opportunity I wanted: to expand and specialise my skills in an administrative field. It has given me a goal, having not taken the most direct job path. It can be difficult to find the right next step to take in your working life. Law is a fascinating arena, even more so ‘backstage’. It might at times seem to be a far cry from the drama of the court room but without Legal Secretaries doing their part to make a difference with their input in the office, which affects the Solicitor who passes that effect onto the client, all aiming to reach the desired result, I’m not quite sure what would happen. Sometimes I think it takes an organiser, an administrator or a (Legal) Secretary to understand another – it takes one to know one. The day to day achievements can be small, but by getting a complex subject filed comprehensively, simply giving someone the assurance that their enquiry is being looked at correctly or preparing someone thoroughly for a meeting, you in turn ensure that the client is getting the best service possible (even though you may not be attending that meeting in person). These are things that I already do but in the sphere of law they become magnified – what starts as small, indirect input evolves into an integral part of the law process. That is quite something to be part of and I look forward to it. Within my reception role, I have had over 2 years of part-time work experience of dealing with clients and solicitors in an office environment. My role included answering the phone, getting personal details from callers and transferring to the appropriate member of staff. I learned to be patient, methodical and efficient. Flexibility is one of my strengths; I am also prepared to learn new skills. I have extensive experience of using computers. I have experience of Microsoft and Microsoft Excel in which I passed exams. I have used Word to produce documents such as letters, posters and minutes. I am able to prioritise my workload. Being flexible, I also have a positive attitude. This was particularly evident at The Broadcast Monitoring where I was able to concentrate all day even when working an early morning shift which began at 6. 30am. I also undertook nightshift to cover for staff on holiday. I work well under pressure. There were many deadlines throughout the day. This also involved good written and verbal communication skills which were required when report writing and dealing with colleagues. I have found that I am able to build up close working relationships with other members of staff; most recently at my time in Chipatiso Associates (I can appreciate client confidentiality). I am a good organiser and am able to work on my own initiative. I was efficient at delegating the department workload at the Solicitors firm. I have an editorial/press reader eye for detail. I am polite and reliable, trustworthy and conscientious. How to cite Secretary: Law and Legal Secretaries, Essay examples

Competence and Professionalism in Nursing †MyAssignmenthelp.com

Question: Discuss about the Competence and Professionalism in Nursing. Answer: Introduction Nurses in a clinic or hospital are expected to work according to the stipulated rules and regulation relevant to their profession. Additionally, it is important that they conform to codes of professional conduct, ethics, and standards in their activities. Therefore, failing to work within these principles may attract a punishment, or a charge leveled against them. The case study below is a similar situation that examines the conduct of a nurse towards a patient in a clinic. In so doing, the work of this paper is to come up with some of the breaches of conduct that the nurse addresses in this situation. The patient under the case study is an 81-year-old nurse who dies of septicemia, but the professional activities of the nurse before her death calls upon launching of an investigation. A thorough analysis of a case study in a situation where a nurse fails to follow professional code of conduct is essential in establishing various ways that a nurse should have conducted himself or herself and the lesson that one can draw from such the case study. Examination of the case study There are various ways that a nurse must behave given the case study at hand. To start with the first one, an ideal way that any nurse should act is first to consider the patient's treatment history. The data can help in deciding the best way of assessing the patient. Besides, appraisal of the patient is essential. The evaluation must be appropriately reported which will then shape the reason for detailing the correct purpose of activity (Chadwick, and Gallagher, 2016). It is worth noting that, the nurse gets data of the patient history; be that as it may, she evaluates the patient and neglects to record her assessment. Notwithstanding that, in spite of the nurse assessing the patient, there is no arrangement of activity that the nurse concocts (Dark, 2016). Then again, it is vital for nurses to report health status or conditions that call upon help. Be that as it may, the nurse neglects to report or ask for help. It is unacceptable for any nurse to behave as such (Schneider, and Whitehead, 2013). As indicated by the contextual analysis, the patient respiratory rate is at 89/53. In addition to that, documents uncover that her respiratory rate is 40-44 breaths for every minute. On further analysis, it turns out to be certain that the patient is experiencing diarrhea and abdominal pain. A competent ought to recognize that these are red flags that call upon for an emergency treatment. (Caricati et al., 2014). The surprising thing is that the nurse does not do anything, either calling for any intervention or acting in a manner that tries to help the patient. On the other hand, it is common for nurses to accept obligations that they are not capable. In such circumstance, it is vital to caution the doctors in charge of allocating as opposed to putting in danger the lives of patients (Choi et al., 2014). The nurse argues that she was being exhausted. The council concedes that rustic clinics risk facing such difficulties yet additionally prescribes the nurse to find a mentor who will manage her on abilities concerning emergency situations (Krautscheid, 2014). The contextual analysis brings into the consideration some of these professional standards and set of accepted rules that are abused. To begin with competency, for enrolled nurses, the attendant does not fit in with various them. Right off the bat is competency standard practice 1, which is to think critically and analyses nursing practice. This involves reflection on experience, information and keeping up an exact and opportune documentation of evaluation. For the situation think about, the advisory group discovers that the nurse does not archive her evaluation, or apply her vast experience to provide food for the patient. Besides, there is professional competency practice 7, which is evaluating outcome to inform nursing practice. In this practice, the nurse is expected to monitor or rather evaluate progress which is aimed at the expected outcome or objectives. Nonetheless, the committee builds up that the nurse does not treat the patient in a way that designed for recuperation. For example, she neglects to archive or convey the breaking down the state of the state of health of the patient. Lastly, there is professional competency statement 6, which is integrating nursing and health care knowledge, skills and attitude to provide safe and effective care. The attendant does not counsel or look for help for the patient notwithstanding her evaluation that the circumstance of the patient is compounding. In this manner, these are a portion of the professional competency or standard practice that the nurse abuses. Then again, there is professional code of conduct that the nurse violates. In the case study, the most relevant is, Code of professional conduct statement 2, stating that, nurses must practice by the standards of the profession and broader health system. As indicated by the contextual investigation, the nurse neglects to either record her evaluation or reports on the intensifying state of the patient despite the fact that the episode needs an emergency (Nurses and Midwifery Board of Australia, 2016). This is infringing upon proficient lead expressed by NMBA and which must not go on without serious consequences for a nurse of her abilities and experience. Various professional conducts can be used to either solve or make a positive impact on the situation under the case study. Above all else, the nurse must report her finding instantly after the evaluation. Likewise, in the wake of taking note of the intensifying health status of the patient, she should make a legitimate arrangement of getting help. Also, the nurse responsible for designating obligations must not allocate the medical attendant obligations in the wake of having worked in the morning as she asserts. It structures some portion of the claim that the medical attendant set forward to the committee investigating her conduct. Also, records uncover that the patient was encountering hypertension. It is a condition that the specialist may have managed, for example, by guiding or empowering her which as a result could turn out to be useful to the patient (Stone, Cooper, and Cant, 2013). Lastly, it was important for the nurse to inform the Unit Nurse Manager when calling her to mak e plans of medications for another patient. Given that the patient knew that the patient needed antibodies, she should have passed the same to the Unit Manager as opposed to staying silent (McCann et al., 2013). As anundergraduate nursing student who is anxious to act as a professional nurse, there are numerous lessons that this contextual investigation can teach me. To begin with competency, it is critical in nursing to apply knowledge and skills that one acquires in taking care of an issue. For example, the nurse, in spite of having tremendous experience, aptitude and learning procured in school, she neglects to do a portion of the essential errands like reporting after evaluation of the patient. By so doing, she neglects to mull over on the correct motivation of activity. It is a lesson that teaches me that documentation is a critical angle in defining a legitimate reason for the cause of action in nursing. Besides, I discover that it is vital to perceive the current issue and react properly. For example, the nurse requests for antibodies from a Unit Nurse Manager to offer it to a patient. Moreover, I gain from the nurse that it is important for one to acknowledge his or her errors since it can bring down the heaviness of the case, and as a result, the discipline that the Board may choose to pass on you. One reason that the nurse gets a somewhat indulgent discipline is that she concedes to being blameworthy of the greater part of the charges delivered. Then again, the contextual analysis teaches me that learning is a nonstop process and however much a person can be experienced; there might be some lacking in competency or knowledge in various areas. The nurse, despite being a registered nurse, with tremendous experience, the committee prescribes that she finds a mentor that is well knowledgeable and qualified on emergency issues to guide her before she ends up noticeably prepared or sufficiently fit to work autonomously (Nettina, Msn, and Nettina, 2013). Finally, I have additionally discovered that nursing professional bodies are there to help not to rebuff individuals . For this situation, however genuine the charges, still, the body is satisfied by the nurses acknowledgment of her errors and urges her to search for a guide. Conclusion In this way, ethics, competency and professional standards in nursing are pivotal and can make one be considered responsible for the infringement of the same. The nurses ought to report after evaluating patients, call for an emergency at whatever points the need emerges or utilize their involvement in thinking of the best possible reason for the activity. These incorporate yet are not constrained to not documenting, assessing and reporting the finding of the assessment. It is significant that the paper has adequately shown a portion of the sets of professional standards that the nurse abuses and practices that could have made the circumstance unique. 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