ORGSYS6.docx A2. Application of the RCA process to the scenario is as follows. 1.(What H

ORGSYS6.docx  A2. Application of the RCA process to the scenario is as follows.  1.(What Happened) – A patient named Mr. B enters the ED with a fall injury and complaints of pain in his hip and leg area. The patient is assessed by Nurse J and the physician and a treatment plan is created. Mr. B is given pain and sedation medications via IV push so that the physician can perform a reduction of the patients hip. The pain and sedation meds are not working as the doctor had hoped so he orders Nurse J to give more doses via IV push. After a review of the patients chart, it is determined that Mr. B may not have responded to the initial amount of meds given because of his history of taking oxycodone and his weight. The procedure is performed successfully after Mr. B has been sedated. The ED then receives notice that a patient will be arriving via EMS that is in acute respiratory distress. Nurse J places Mr. B on continuous blood pressure monitoring and a pulse oximeter while Mr. B appears to rest comfortably. Nurse J then leaves the room and allows Mr. Bs son to sit in the room. Mr. Bs blood pressure and O2 are stable when Nurse J leaves the room. Nurse J and the LPN then heads to care for the patient who has just arrived via EMS. While Nurse J and the LPN are busy with the EMS patient, Mr. Bs pulse ox alarm starts sounding because his oxygen saturation levels are deteriorating. The LPN silences the alarm instead of alerting Nurse J. Mr. Bs son comes out of the room and alerts Nurse J after the