NURSING 450-Sally Jones is a 36-year-old new registered nurse (RN) who graduated 6 months ago

Homework Instructions

Sally Jones is a 36-year-old new registered nurse (RN) who graduated 6 months ago from a community college with an associate degree in nursing. Sally worked her way through school as a licensed practical nurse in a pediatric unit of a local hospital.

After passing her RN exams, she moved to a larger city and was hired to work the evening shift on the pediatric unit as a primary care nurse. Her patient load is usually six pediatric patients, and she has a nursing assistant working under her supervision. Sally has been bothered recently by discrepancies regarding the credits of intravenous (IV) solutions given in handoff report.

For example, she was told at report yesterday that 150 mL remained in one patient’s bag of IV solution, but upon making initial patient rounds, she found the IV machine beeping and had to hurriedly replace the bag.

At the previous hospital where she had worked, it was a unit policy that all pediatric patients have their IV solutions observed by both oncoming and outgoing primary nurse at shift change so such discrepancies could be discovered and corrected prior to departure of the outgoing shift. She feels this was a good policy and would like to see a similar policy implemented at her new place of employment.

Sample Answer


NUR 201

Grand Canyon University

Dr. Danis


Policy Implementation

All children who are receiving IV fluids need to have their fluid balance monitoredThis includes their body weight (which should be evaluated at the beginning of treatment and subsequently daily) as well as their fluid intake and output. It is necessary for all patients to receive maintenance fluids since they are administered to compensate for continuous fluid losses. 
It is common practice to administer maintenance fluids through an intravenous line; however, patients who are able to tolerate oral therapy may have the option of taking their fluids orally instead. 
Sensible losses, which can include urine output and fecal water, account for the vast majority of ongoing losses. Respiration and sweat, on the other hand, are examples of insensible losses that can make contribution.


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