Introduction
The school may sometimes be a place of increased risk for students. Therefore, it must be the presence of special equipment that can be useful to save a life. However, in some cases, its presence is not enough since it is located in the wrong place, which complicates the procedure for assisting. Due to the lack of a defector, it is essential to analyze the situation in the necessary accessibility to determine the causes and nature of the problem.
The Issue
The problem is that the school does not have quick access to an automatic emergency defibrillator. This could lead to a severe tragedy during the cardiac arrest of one of the students at a sporting event. The defibrillator was locked in the pantry of the caretaker and was not available to the coach who followed him to assist the viewer with heart problems. This situation can potentially lead to fatal consequences, making it relevant to consider and search for an immediate solution.
Determining Responsibility and Solutions
The issue under consideration is in the jurisdiction of the school nurse since it directly concerns the security and well-being of students and the school community. At school, it is the nurse who is responsible for the location and availability of medical equipment for emergency cases (Mason et al., 2020); thus, since this item belongs to the emergency equipment, the nurse in the right to demand that the defibrillator is always within the availability of all teachers and students.
A Real Issue or a Symptom
Lack of access to AED is not a particular problem torn from the context of the whole situation. In it, it can be traced signs of a more serious problem without a clear policy or protocol to respond to emergencies at school. The absence of such standards can significantly complicate access to the necessary equipment during school sessions for the health of hazardous students in emergencies (Mason et al., 2020). In this case, the necessary promotion of the correct location of the subjects of assistance at the school by the nurse can help to solve a more significant problem since she will be in her jurisdiction. The school nurse should also advocate developing a clear policy or protocol for responding to emergency situations at the school to take away children in the future.
The Degree of Urgency
At the same time, considering the situation and a potential death output, we can say that the problem requires an immediate solution and cannot be postponed. This problem directly concerns the safety of students in schools and, accordingly, should have a high-priority of solution. Processing actions can potentially lead to fatal consequences, so solving the problem as soon as possible is extremely important.
Self -Realization of the Problem and its Ignoring
The problem with the absence of AED in the place is that it cannot go through it until it affects it. Accordingly, this issue cannot be ignored since it directly concerns the security of students. The expectation that the problem is resolved by itself can not lead to anything and, in addition, cause negative consequences if the incident is repeated (Loschiavo, 2020). Ignoring the problem aspect, respectively, will not give results since the risks will be too high. In the case of a fatal case, the school will fall on the nurse who could not provide the proper arrangement for emergency assistance.
The Possible Solutions
Possible solutions to the problem may be a nurse’s performance and the requirement to move the AED to a more affordable place where it can be easily obtained if necessary. In addition, the requirement of the preparation and approval of the necessary policy in relation to the arrangement of emergency assistance at school will also be a practical action. In addition, a good option would be to conduct an introductory lesson for all staff and school students with a story about how to use AED (Mason et al., 2020). Nevertheless, for these solutions, there are certain risks, such as the cost of acquiring and servicing AEDs, the possibility of improper use of AED, and the need for constant training and teaching AED.
Specific Steps
Specific steps are to be taken to solve the current problem of school nurses. First of all, the nurse should meet with the school administration to talk in detail about the problem and promote creating a school policy for storing emergency medical equipment. The nurse must constantly cooperate with the administration to ensure the availability of AED at all events at school and make the environment safer for everyone (Loschiavo, 2020). Another step will be the training of everyone who is involved in the school to use the defibrillator to make sure they do it right.
Personal Involvement in the Problem
Not only the nurse but also the school administration should participate in the decision. In addition, it will be helpful to involve coaches and service personnel in the process as they can help promote the decision and maintain further rules (Pannag et al., 2021). This will guarantee that the changes will not be made just like that and will receive real support in their implementation and compliance. A school nurse needs to work with all stakeholders in order to develop the right policy regarding the storage of the necessary equipment.
The Power Leverage
The lever of power at the school to achieve the necessary solution is in the administration since it is it that is responsible for the introduction of new stands. This governing body has the right to distribute resources and manage the provisions of the proper use of equipment. Thus, acting on them, the nurse can achieve positive changes in school policy in order to ensure the safety of all those who are in the institution. The reaction policy to emergency situations can only be adopted after approval by the administration.
The Use of Power
In this situation, the school nurse has several types of influence and powers. First of all, it is a legitimate power that comes from the provision of a school nurse as a medical worker responsible for the health and safety of the school community (Loschiavo, 2020). This provision is based on an official position and obliges the employee to obey specific regulations and manage the healthcare spheres at school (Mason et al., 2020). In addition to this, the nurse also has an expert force, which means that this specialist is unique in the workplace and can make appropriate decisions. The school nurse also has a referent power that provides them with appropriate respect and a certain level of trust as a medical worker who can help (Loschiavo, 2020). Using these types of powers, the nurse will be able to achieve the correct decision and eliminate the problem.
Conclusion
It is worth saying that the life of students may depend on the storage and location of the provision of emergency assistance at school. Therefore, much attention should be paid to this as correct. It is and immediately solves the problem in the case of its bait. In the opposite case, the demonstration of the rules of medical security may lead to the death of someone. It is imperative for a nurse to determine the problem and begin to act because the correct location of AED is their direct responsibility.
References
Loschiavo, J. (2020). School nursing: The essential reference. Springer Publishing Company.
Mason, D., Perez, A., McLemore, M. & Dickson, E. (2020). Policy & politics in nursing and health care. (8th ed.). Saunders.
Pannag, J., Martin, L., Yost, J., McGillion, M., & Carroll, S. L. (2021). Testing a nurse-led, pre-implantation educational intervention for primary prevention implantable cardioverter-defibrillator candidates: a randomized feasibility trial. European Journal of Cardiovascular Nursing, 20(4), 367-375. Web.