Definition of “Recognizing Inconsistencies” Recognizing inconsistencies refers

Definition of “Recognizing Inconsistencies” Recognizing inconsistencies refers to identifying information that lacks harmony or agreement. The data should go together in a situation, but they do not. For example, an occasional inconsistency occurring in nature is when it rains while the sun is out. The commonly held opinion is that when it is raining the sun is not shining. The two phenomena lack harmony; they should not co-exist. The beginning point of the Caputi Clinical Judgment Framework is “Getting the Information.” This aligns to the assessing step in the nursing pro- cess. As discussed in Chapter 3, when assessing (“Getting the Information”) both subjective and objective data are collected. In Step 2 “Making Meaning of the Information,” the data are reviewed and the nurse identifies inconsisten- cies between the two types of data that may indicate additional problems that are not readily apparent. Consider situations where subjective data indicate one issue, but the objective data do not support the presence of that issue. For example, the patient states he feels he is “burning up” and feels he must have a high fever. The nurse takes the patient’s temperature which is 99.0 degrees Fahrenheit (37.2 degrees Celsius). These two pieces of information are inconsistent. This is also true when gathering information about the healthcare environ- ment. For example, a nursing assistant is responsible for taking and recording vital signs for 10 patients. Within 20 minutes after starting this task the nursing assistant states he has taken all the patients’ vital signs and they are all recorded. The nurse would suspect a possible inconsistency with that infor mation because the amount of time in which the vital signs were taken and recorded is inconsistent with the time expected to complete the task III. Clinical Judgment Competency: Recognizing Inconsistencies Describe what this clinical judgment competency means in daily life Give at least one example of how you use this clinical judgment competency in your everyday life.

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