Adn Vs Bsn Essay

893 words - 4 pages

Healthcare has been changing so much the last few years that patients have become consumers. As consumers, they are educating themselves trying to get the best medical treatment for their healthcare dollars. Hospitals find themselves in a position of proving they are the better choice than the hospital down the street. To do this many hospitals are looking at how nurses are prepared whether it be Associate degree in nursing (ADN) or Bachelor degree in nursing (BSN) and how this affects patient outcomes.
According to Hood, L. J., & Leddy, S. K. (2006) the ADN degree in nursing is a concentrated study of clinical skills at the community college level, while the BSN degree is completed at ...view middle of the document...

Hood, L. J., & Leddy, S. K. (2006).

Medicine has become more and more advanced to the point that a more rounded education is required to produce a safe competitive nurse. The programs that best produce such a nurse are the BSN. However, let us not forget that there is a place for the ADN prepared nurse as long as they are assigned within settings where they can practice within their scope of care including the legal parameters set by the Board of Nursing for that state. Hood, L. J., & Leddy, S. K. (2006).
When comparing the BSN to ADN you need only review this incident. A patient receiving a blood transfusion for hemoglobin of 7.6 and hematocrit 23.2 was being cared for by and ADN prepared nurse who was so task oriented, making sure the IV was patent, and that the blood would infuse within the allotted time that she failed to notice the slight change in the patient’s respiratory status. The BSN prepared nurse noticed right away the patient was in the early stages of respiratory distress related to fluid overload, notified the doctor and anticipated orders for Lasix and to decrease the rate on the blood infusing. This improved the patient outcome by preventing a severe case of respiratory distress, which could have lengthend the patients stay consideralbly. This is a case of the ADN prepared nurse focused more on the skill of administering the blood then assessing how the patients tolerating it. This is known as failure to rescue by the ADN nurse as detailed in the Journal of the American Medical Association September 24, 2003. It is situations like this that strengthens the case for hospitals and patients (consumers) to increase the number of BSN...

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