E-Portfolio assessment Essay
E-Portfolio assessment Essay
E-Portfolio assessment- Module 1
Tasks that I would undertake in order of priority
According to the Nursing code of professional conduct (2008), conduct statement 1, ‘‘nurses practice in a safe and competent manner’’. This means that nurses are held personally accountable for the provision of competent nursing care. In the event that registered nurses delegate any aspect of their work, they should ensure that such delegation doesn’t in any way compromise the safety of patients or the quality of patient care. This scenario tests on the ability to prioritize and delegate in a clinical setup, given limited assistance from the available staff. In this scenario, the following would be my order of action based on my assessment of what is more of an emergency. These are the activities I would undertake as a registered nurse.
- The first activity would be to attend to the elderly female post-operative patient that has had a facial surgery and collapsed on the floor. This takes prominence due to the delicate nature of that surgery and the resulting unconsciousness. None of the other available helpers is qualified enough to address this issue.
- The second in my line of priorities would be handling Mrs. Chews IV infusion that has tissued and who is running behind schedule and has already missed some of her scheduled antibiotics. As the only qualified person with advanced knowledge in cannulation, I have to fix this as the antibiotics are important.
- Once I am done and satisfied that everything is in control in the ward, I can now see the surgical consultant who would want to discuss a medical error that happened the previous week. Being a week old error, it means that it’s not life-threatening and therefore can be addressed once emergency issues have been resolved.
- Activities to Delegate
The AIN is best suited to help with the checking of the blocked staff toilet that is already overflowing and pouring out fast as cleanliness and hygiene forms part of AIN’s work (Department of Health, 2013). She is not only the most qualified for that particular task in this scenario, but he is also the least qualified to help with the nursing tasks at hand.
The ward clerk, on the other hand, would be helpful in attending to Mr. Smith’s visitor who has fainted. He will be useful in taking their vitals, blood pressure, pulse rate etc. just to ascertain if there are any alarming numbers before notifying the RN for action.
The enrolled nurse would help administer medication to Mr. Esposito the patient who is due to leave the ward for his cardiac catheterization but has not received his preoperative medication. As an enrolled nurse, she should have the capacity to administer this medication to the patient before they are wheeled into surgery (Australian nursing and midwifery federation, 2015).
e-Portfolio Assessment Re-cap- Module 2
Identify factors that determine which healthcare professionals are required to be involved in a healthcare team?
The nature of the Motor Neurone Disease (MND) determines the healthcare professionals that are required to be involved in a healthcare team.
Any other problems associated with the patient, such as breathing or chest problems also determine the involvement of these professionals in the healthcare team
Where one lives in Australia
Availability of local health and community care services
The professional interests of individual’s health and community care professionals in a particular area
2. Who should lead the healthcare, team?
The healthcare team should be led by the key worker/ case manager, as this is the person who has regular contact with the patient and is able to advice in case of changes in patient needs. He also has more in-depth knowledge of the patient by virtue of closer association.
3. Who is the most important member of the healthcare team?
The most important member of the healthcare team is the key worker (WEB MND Australia Fact Sheet EB3, 2012-02). This is someone who maintains regular contact with you, initiates the required responses in a timely manner when need be, liaises with all other team members and services and also organizes regular case conferences and team meetings.
CASE STUDY 5 – Answers
Key issues in this scenario include
- Case reviews after every four weeks is a rather long time, a lot of issues could happen in between and may need attention. Weekly basis would be advised
- Domination of meetings by medical staff, marginalizing and frustrating the other staff members
- Exclusion of other staff members in decision making especially on clinical care decisions
Strategies to address this scenario
One of the most effective strategies to sort out this issue is to communicate clearly to all, that the input of every one of the team members was important, and needed to be considered in decision making. This will create an understanding among the team members on the importance of respecting and accommodating views from others (Johansen, 2012)
As the head, I would ensure that meetings were well moderated so that the input of everyone counts and is included in the final decisions
* e-Portfolio Assessment Re-cap Module 4
While the other models of patient allocation are great, faced with acute shortage of staff in a surgical ward, the task allocation model would be best suited to allocate staff to the patients while still maintaining oversight over their activities ( David, Rawley, Polsky, 2013).
With two RN’s, RN remains with the patients that underwent surgery in the morning while the other goes to help with the 8 patients going for surgery in this particular shift. The EN can accompany the RN scheduled for surgeries while the other RN together with the three AINs would remain to assist with the remaining 14 post-surgical patients. According to the Nursing times (2014), the rationale for utilizing this patient allocation model in this scenario is that it enables for the available team to assist the patient while retaining a responsible person for each area (surgical or post-surgical sections). With an EN assisting in the surgical section, the RN is will be able to assist the other medical team to conduct the surgeries. On the other hand, the other RN will be responsible for the post-operative patients assisted by the AIN’s (Nursing and Midwifery Board of Australia)
Nursing and midwifery board. Code of professional conduct for nurses in Australia
Government of Western Australia. Department of Health. Assistants in Nursing – Duties and Competencies
WEB MND Australia Fact Sheet EB3. (2012-02). Multidisciplinary care teams. Retrieved from http://www.mndaust.asn.au/Get-informed/Information-resources/Living_better_for_longer/WEB-MND-Australia-Fact-Sheet-EB3-Multidisciplinary.aspx
Johansen, M. (2012). Keeping the peace: Conflict management strategies for nurse managers. Nursing Management: February 2012 – Volume 43 – Issue 2 – p 50–54
David,G., Rawley,E and Polsky,D. (2013). Integration and Task Allocation: Evidence from Patient Care
Nursing times. (2014). The effect of an organizational model on the standard of care, EMAP Publishing Limited Company
Nursing and Midwifery Board of Australia. A National Framework for the development of decision-making tools for nursing and midwifery practice. http://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Codes-Guidelines.aspx#dmf
Australian nursing and midwifery federation. (2015). Delegation by registered nurses. Retrieved from http://anf.org.au/documents/policies/G_Delegation_RNs.pdf
Nursing and midwifery board code of professional conduct (2008) Conduct statement 2