Topic > Callaghan et al. 2018). He was also found to have overdosed on drugs with a patient instead of giving him the amount prescribed by doctors. He was not aware of the emergency actions to be taken for the patient in cardiac arrest. Because of his action, the NSW authority was facing legal problems and their organization's reputation was being degraded. After a thorough investigation it was discovered that Mr. Ramirez was suffering from a mental illness namely paranoid personality disorder and due to this his mental capacity was reduced. Eventually, his registration was canceled and he was currently undergoing treatment. The organization where Mr. Ramirez worked is an organization renowned for providing the best treatment to patients. They ensure that every patient is provided with proper and effective treatment so that they can recover soon. However, Mr. Ramirez's case contradicts the organization's goals. The investigation report states that once a cardiac arrest patient was admitted to this organization, doctors quickly conducted various tests and administered the necessary drug as primary treatment. Subsequently, the doctor gave responsibility for that patient to Mr. Ramirez and asked him to monitor him properly and regularly report his health status to the doctor. The doctor asked Mr. Ramirez to place the patient on cardiac monitoring. However, instead of following the doctor's instructions, Mr. Ramirez took the patient off the cardiac monitor. For this reason, Mr. Ramirez did not report the patient's health condition to the doctor and this caused a delay in providing the necessary medications and other clinical facilities to the patient. As a result, the patient took a long time to recover. There are many other cases related to Mr. Ramirez that justify the court's action to cancel his registration. In one case Mr. Ramirez was asked to administer 1.25 mg of Ramipril to a patient. Instead of following the instructions given to him, he had given that patient 12.5 mg of the drug Ramipril. As a result, the patient suffered from serious health problems. This shows that Mr. Ramirez has a communication gap and is unable to collaborate with others working within the organization. In another case, Mr. Ramirez had administered the drug Parvolex to a patient who had already taken the drug once, then as a result of taking the drug twice, the patient had to suffer the consequences. The drug Parvolex is generally administered to the patient as a treatment for paracetamol overdose. Paracetamol overdose negatively affects a person's liver, and the drug parvolex is administered as a remedy. This patient to whom Mr. Ramirez had administered the drug parvolex twice suffered from liver problems. This shows that Mr. Ramirez was very negligent during his hours of duty and paid less attention to the patients who were under his responsibility (Campbell, Coyer, & Osborne, 2016). In another case, Mr. Ramirez failed to continue IV heparin on a patient and failed to secure an adequate medical review. This shows that Mr. Ramirez does not have enough skill, knowledge and patience to treat a patient. As a result the patient suffered from an acute blood clotting problem. An anticoagulant drug such as heparin is given to patients who have had surgery or to prevent blood clots from forming inside the blood vessels. Mr. Ramirez was later found to be mentally unstable and suffering from paranoid personality disorder. ThePeople suffering from paranoid personality disorder develop a feeling of distrust and suspicion towards others. This type of person usually does not trust other people and does things that seem justified according to that person. The same happened in the case of Mr. Ramirez, where he thought that the instructions given to him by doctors or any superiors were wrong. In response to this, he performed the task that he thought was right and this resulted in negative health problems for the patient. The patient's family also said that Mr. Ramirez did not provide medicine to patients in time and that such delay in healthcare service affects the patient's condition. People who suffer from paranoid personality problems are very stubborn, hostile and argumentative; like Mr. Ramirez. He was reluctant to follow the instructions given to him and continually argues with his superior regarding their decision. Furthermore, he lacked adequate communication skills and for this reason was unable to establish a healthy bond with either the patient or his colleagues. He also lacks quick thinking in response to an urgent situation. This causes delays in providing healthcare to patients who urgently need it. The negligence was not only on the part of Mr. Ramirez, but also on the part of the authorities. Authorities should also question how to hire such a flawed candidate to provide healthcare to patients. Before hiring, the company did not check Mr. Ramirez's physical and mental condition, but only checked whether he has a valid registration or not. This may be due to two reasons, the first is that during the registration period, the authorities did not examine Mr. Ramirez's potential, skills and knowledge (Bennett and Johnson, 2017). The second could be that the healthcare organization needed more nurses during that time and therefore they hastily conducted the recruitment process and did not properly verify Mr. Ramirez's credentials. In the opinion of Runciman, Merry, and Walton (2017), every healthcare unit must maintain safety and ethics within its organization and only then can provide efficient and adequate service to those who seek it. That organization failed to ensure patient safety because of Mr. Ramirez. In the future, to avoid the recurrence of such situations, it is necessary to carefully recruit employees so that we can provide efficient healthcare services to patients. To provide adequate healthcare, NSW has developed certain policies that must be followed by every nurse. Following these guidelines helped nurses provide appropriate healthcare services to patients. Mr. Ramirez possessed little knowledge of the nursing profession and therefore should have applied the techniques provided to him during training. He should have listened to the instructions given to him by the more senior doctors or nurses (Maier and Aiken, 2016). By giving too much Parvolex to the patient, the entire situation could have been avoided if he had listened carefully to the doctor and followed his instructions. As for the case of the cardiac arrest patient, he should have monitored him more carefully and reported his condition to the doctor. regularly. He should not have removed it from the heart monitor as it would have helped him monitor the patient's heart rate. Under NSW policy, a nurse should monitor the patient regularly and should act promptly in response to the situation. This helps prevent negative health problems of patients. NSW policies also mention that every nurse must develop effective communicationwith their colleagues and patients. Ramirez should have been more careful when injecting the drug into the patient and made sure of the amount of drug that was administered. He should have administered the right drug with the right dose as per the doctor's instructions and if in doubt he should have consulted the doctor. As for when he was given 12.5 mg of Ramipril instead of 1.25 mg, the patient later had to suffer from serious health problems. This situation could have easily been avoided if Mr. Ramirez had been more careful in his task and respected his 5 drug rights. In this way the cancellation of his registration could have been avoided. Please note: this is just an example. Get a custom paper from our expert writers now. Get a Custom Essay As per the discussion mentioned above, the healthcare unit needs to be very careful while recruiting employees. The reputation of an organization depends entirely on the employees who work within it (Gill et al. 2017). As for the organization where Mr. Ramirez worked, they hired him without knowing that he was mentally disabled. Mr. Ramirez's activities had increased the patient's health problems as he did not possess the appropriate skills and knowledge required for the nursing profession. There were many cases where Mr. Ramirez had given the wrong medicine to the patient or had given an overdose of medicine. He was unable to act timely in an emergency and this causes delays in providing healthcare services to the patient. Subsequently, for these reasons, the court had canceled his registration. From this case study, it can be said that nurses should possess sufficient skills and knowledge to deal with the patient, but at the same time they must develop proper communication with the patient so that they can identify the problem areas of the patient very easily. 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