Define a critical thinking task that your staff performs frequently (examples: treating high blood sugar, treating low blood pressure, managing pain, treating fever, etc.). Create a concept map or flowchart of the critical thinking process that nurses should follow to determine the appropriate intervention. Include the degree of autonomy a nurse should have to apply personal wisdom to the process. If the critical thinking process has been automated, list two instances in which a nurse can use “wisdom” to override the suggested automated outcome. Note the risks and benefits of using clinical decision-making systems. A critical thinking task that our unit staff frequently encounter is the treatment of low blood sugar, which is considered a blood sugar level below 80 mg/dl. The following flowchart is what our diabetes educators would like to see nurses do to combat low blood sugar levels. Although the flow chart is simple and easy to follow, nurses often use nursing wisdom, which is based on their knowledge and experience (McGonigle and Mastrian, 2012). For example, rather than giving orange juice or a tube of glucose gel and rechecking a patient's blood sugar in 15 minutes, nurses can wait for a breakfast tray to arrive and recheck the a patient's blood sugar after breakfast. Possible risks include a patient not eating breakfast and a continued drop in blood sugar. Possible benefits are that a patient eats breakfast and their blood sugar levels return to normal. However, there are computer applications that allow a diabetic educator to see when a patient is experiencing hypoglycemia and it has not been rechecked in a timely manner to ensure the blood sugar has returned to normal. Diabetes educators often discuss with managers because nurses sometimes decide to use their own judgment when treating hypoglycemia rather than following hospital protocol and nurses are then forced to explain their decisions. Thus, the importance of documenting and ensuring that a patient's blood sugar has returned to normal, even if the flow chart has not been implemented, is often emphasized. Discussion BDescribe an ethical dilemma that might arise in your organization. Apply the ethical decision-making model. Using the detailed analysis of alternative actions (Chapter 5, Table 5-1), create a table analyzing potential alternative solutions to your dilemma..