Assignment Task:
Task:
Type of Assessment: This summative assessment will enable your assessor to make a judgement of competency based on the submission of your completed work against the requirements of this unit of competency.
Assessment type: [Choose an item]Assessor guideline
The Assessment Benchmark developed for each unit of competency is the evidence criteria used to judge the quality of performance (i.e. the assessment decision-making rules). Assessors must use these benchmarks to make a judgement on whether competency has been achieved and to determine if the participant has performed to the standard expected to meet the unit requirements and learning outcomes. Competency results for each assessment are recorded in VLE. Overall unit outcomes are recorded in Axcelerate.
Reasonable adjustment
We will allow flexibility in relation to the way in which each unit is delivered and assessed based on the student’s pre-identified requirement/s.
Has reasonable adjustment been applied to this assessment? YES / NO (circle one please)
If yes, provide details for the requirements and provisions for adjustment of assessment below:
Examples of reasonable adjustment include: Learning Support Teacher assistance with LLN issues, physical environment modification and course design adjustment.
Assessment coding
Assessment of this program of study is based on competency-based principles.
S= SatisfactoryNYS= Not Yet Satisfactory
All criteria must be answered correctly or performed correctly to attain a satisfactory result. Students who fail to perform satisfactorily for the assessment in the prescribed date may be assessed as ‘Not Yet Satisfactory’. You are required to be assessed as ‘Satisfactory’ on completion of Assessments assigned by your assessor for this unit of competency.
Re-assessment
Any re-assessment is conducted as soon as practicable after you have been informed of the requirement to be re-assessed and have been given the opportunity to be re-trained and assimilate the training. You are re-assessed in only the areas deemed NYS. It is at the assessor/s discretion to re-assess the entire assessment should it be demonstrated an overall understanding of this unit has not been achieved. Students assessed ‘satisfactory’ after re-assessment of areas deemed NYS will achieve competency for this assignment.
Results and Feedback
1st and 2nd (if necessary) attempt results and assessor feedback are located at the end of this assessment.
STUDENT DECLARATION:
I acknowledge the assessment process has been explained and agree to undertake the assessment. I am aware of the appeals process, should the need arise. I also understand I must be assessed as ‘satisfactory’ in all parts of the assessment to gain a satisfactory result for this assessment and I must be satisfactory in all assessments to gain a competent result in the unit of competency. I declare the work contained in this assessment is my own, except where acknowledgement of sources is made. I understand a person found responsible for academic misconduct will be subject to disciplinary action (refer to student rules).
Student Signature: Date: Assessor Use Only – see specific feedback and signatures at the end of this document
Assessor Name: Assessor Signature: ATTEMPT 1 Result: ? Satisfactory ? Not Satisfactory Date: ATTEMPT 2 Result: ? Satisfactory ? Not Satisfactory Date: Results entered into VLE by: Date:
STUDENT INSTRUCTION: This case study is based upon one (1) scenario and fifteen (15) associated questions. Please read the scenario carefully and answer ALL of the questions. Word counts are provided as a guide only (+/- 10% is usually acceptable).
Due Dates: as per Schedule
Word Limit: Minimum 1000 words
The assessment will be completed by the student enrolled in the course
This assessment is to be submitted in accordance to Student Rules and must meet the following criteria –
Typed, Word document, using either Arial, calibre, Centenary Gothic font, size 12, 1.5 line spacing.
Use appropriate medical terminology and ensure your work is written in the third person in essay style.
We recommend referencing using APA 6th edition to support your answers, both in-text and end of paragraph referencing must be evident and a reference list included at end of the assessment on a separate page.
Of the references used no more than 50% must originate from the internet, i.e.: at least half the references used must be from textbooks and journals.
You need to download a copy of the workbook and type your answers.
Submit as a PDF document using the
To submit, click the Browse button below and find the file on your computer. Then click Upload.
*Students MUST keep a separate copy of their assignment for their own records
This case study will be submitted by the specified due date as a PDF document via the Virtual Learning Environment (VLE) submission portal in the assessment section of the CN2 unit.
This assessment will be marked by your educators and feedback will be provided to you.
This case study will receive an S: Satisfactory or NYS: Not Yet Satisfactory result.
All questions must be marked as correct to achieve a satisfactory result.
A Satisfactory result must be attained in this assessment to pass this unit.
Reference text:
Gray, S, Ferris, L., White, L., Duncan, G, & Baumle, W., 2018, Foundations of Nursing: Enrolled Nurses, Cengage Learning: Melbourne.
Nursing and Midwifery Board of Australia 2015, ‘Professional standards’, viewed 5 January, 2016, http://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx
Scenario 1
On 15th April 2015, EN Rose Baxter is working on the day surgical ward alongside RN Simone Jones. EN Baxter has been allocated the following two clients, both of whom are booked for surgery today.
Client 1.
Mr John Smith DOB 6/9/1945
Mr Smith is a diabetic – type 1, fasting from midnight for surgery at 0800 for removal of skin lesions. As Mr Smith is diabetic, his treating doctor has ordered an antibiotic (intra venous Cephalexin 500mg), to be delivered during his surgery as a prophylactic. (He has an increased risk of wound infection associated with his diabetes).
Client 2.
Mr John Smythe DOB 6/9/1945
Mr Smythe has been fasting from 0200 for surgery to remove polyps from his bowel. Culturally, Mr Smythe is a practicing Buddhist and has requested no narcotic analgesia, preferring to meditate to relieve any pain. Mr Smythe is partially deaf and with poor hearing, unless he has his hearing aids in place. He has a medication alert on his chart as he has an allergy to Cephalexin. When EN Baxter admits him, she notes this in his chart and she places an allergy alert band on Mr Smythe’s wrist.
Actions
Neither of the clients has been flagged during the admission process as having similar names and identical dates of birth. EN Baxter reports this to RN Jones and places an alert band on each client and an alert notation in their medical record, to notify all staff.
At 0800 Mr Smith is called for theatre and EN Baxter checks his blood glucose level (BGL) before his transfer to theatre. As she approaches him with the BGL kit Mr Smith holds out his hand ready for the finger prick test for his BGL. EN Baxter hands over his diabetic status and BGL to theatre staff.
At 0810, the theatre staff called for Mr Smythe to come down to theatre. The doctor handed EN Baxter a pathology slip for skin lesions, and a medication order to start an IV antibiotic, Cephalexin. When EN Baxter looks at the documentation she was given, she notices it has Mr Smith’s details on the pathology request and on the Medication order, and that it is incorrect for Mr Smythe to have this order.
QUESTION 1
As an Enrolled Nurse, your practice is guided by legislation. The Standards for Practice: Enrolled Nurses are an element of the legislation. Access the Standards for Practice: Enrolled Nurses, and identify what these standards are generally used for. (min. 50 words)
QUESTION 2
The Enrolled Nurse had a duty of care in caring for Mr Smith and Mr Smythe. Identify if there was a breach or a potential breach of duty of care during this scenario. Use any actions or evidence from the scenario to discuss the answer. (min. 100 words)
QUESTION 3
In regard to Mr Smith having his BGL taken before transfer to theatre, briefly explain how he consented to the BGL procedure and what type of consent does this represent. (min. 50 words)
QUESTION 4
Conduct Statement 1, from the Code of Professional Conduct for Nurses states;
“Nurses practice in a safe and competent manner.”
Identify at least three (3) ways EN Baxter applied Conduct statement 1 in the scenario. (min. 100 words)
QUESTION 5
Explain what EN Baxter should do when she realises the pathology slip and medication order is for the wrong client, including who must be notified of this error. (min. 100 words)
QUESTION 6
Identify if EN Baxter was working within her scope of practice during this scenario. Explain how you came to this conclusion, based on her actions. (min. 100 words)
Remember the scope of practice for an Enrolled Nurse includes:
Implementing planned nursing care to achieve identified outcomes
Recognising and reporting changes in the health and functional status of individuals/ groups to the registered nurse
Ensuring communication, reporting and documentation are timely and accurate
Organising work load to facilitate planned nursing care for groups and individuals
QUESTION 7
The Standards for Practice: Enrolled Nurses, Standard 1, states;
“Functions in accordance with the law, policies and procedure affecting EN practice”
Identify how the Enrolled Nurse applied the Standards for Practice: Enrolled Nurses, Standard 1 in the scenario. Include at least three (3) of the relevant indicators in your response. (min. 100 words)
QUESTION 8
From the International Council of Nurses (ICN) Code of Ethics for Nurses, Element1 is ‘Nurses and People’.
In addition to the information given in the scenario, you are also aware that recovery staffs in the healthcare facility regularly administer narcotic analgesia as part of their pain management protocol.
Provide two (2) examples of how EN Baxter can apply Element 1 in this scenario. In your response, include reference to Mr Smythe’s cultural beliefs about analgesia. (min. 100 words)
QUESTION 9
EN Baxter should advocate for Mr Smythes needs and rights when in theatre, in order to address any ethical issues. Within the scope of practice of the Enrolled Nurse, outline three (3) examples of the actions and strategies that would be implemented when handing over Mr Smythe to the theatre staff. (min. 100 words)
QUESTION 10
As the error/s of pathology and medication were intercepted before the clients were in theatre, discuss: (150 words or less)
The benefits or harm of practicing open disclosure in this instance.
If Mr Smythe would benefit from knowing the near-miss mistake.
Under the Open Disclosure Framework would EN Baxter discuss the near-miss error with Mr Smythe if RN Jones was a trained senior clinician?
QUESTION 11
Nurses work in environments where several events can happen at once. In the scenario, discuss how EN Baxter demonstrates that she can complete her usual tasks whilst managing a circumstance which could not have been predicted. (min. 100 words)
QUESTION 12
Nurses are required to demonstrate ethical practice in all their interactions with clients, and their families. In the above scenario, consider the example of Mr Smythe’s wife arriving at the end of the day to take him home and asking if everything went well.
Taking into account the client’s rights and open disclosure principles, explain how you would apply the ethical principles of veracity, autonomy and confidentiality that would lead you to the decision of not alerting Mrs Smythe to the near-miss (regarding medication orders).
Ethical principle Application to the scenario
Veracity Confidentiality Autonomy QUESTION 13
Regarding the recording of incidents as given in the case study, identify at least five (5) aspects of nursing documentation that ensure legislative requirements are met.
QUESTION 14
Document the incident regarding Mr Smythe on a clinical incident form (provided below). Include all of the issues that have led to the error, and your actions.
CLINICAL INCIDENT REPORT
Client Name: DOB:
Incident type (Circle appropriate type) Actual Potential
Date Time Location Description Reported to: Signature and role: QUESTION 15
Reflect on the scenario and the legal and ethical concerns raised in it and how they could impact your practice. Identify two (2) ways in which you would identify and monitor your own actions and abilities to stay within your scope of practice and maintaining your legal obligations and requirements. (min. 50 words)
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