She puts this information together with the patient's medical history and starts to suspect renewed drug abuse.
Once the problem is recognized, the nurse must question whether or not the safety concern is valid.
It doesn’t come naturally and will require development and reinforcement.
Some nursing trainees need structure and lack a game plan for building critical thinking skills. As a new nurse, the expectation shouldn’t be that he or she will disclose their weaknesses. Recommend an action, then with approval, implement. Take independent action, and advise preceptor at once. Take independent action, and update preceptor as needed.
The patient admits that she has been seeking extra medication, and lab results confirm that the patient has too much medicine in her bloodstream and is once again in danger.
Now it's time for the nurse to take the fourth action: evaluation.It is an excellent article that breaks down five levels of initiation. With proper education and training, a four-month graduate nurse shouldn’t be waiting for instruction.This same concept can be applied to critical thinking. The goal is to nourish independent thinking and assist your trainee is building their critical thinking skills.In this case, the nurse might notice that a patient is behaving erratically, has dilated pupils, and is not speaking clearly.Recognizing these symptoms alerts the nurse that something out of the ordinary is happening.Yes, it can be a nerve-racking process, but the goal as a preceptor is to develop individuals.Being afraid to allow a person to independently think is a problem and usually involves a preceptor who doesn’t want to give up power.Experienced nurses often complain about new nurses lacking critical thinking skills.But as an observer, I’ve noticed many flaws in how some graduate nurses are being trained.The third action that the nurse must take is information gathering, looking for factual evidence that supports the issue or problem that you have recognized and questioned.The nurse talks to the patient about what is going on.