Subject Code & Title :- NURS3002 Advanced Decision Making
Essay Topic: Case Study (RN Standards of Practice)
Length :- 2250 words (+/- 10%)
Contribution to grade: Total: 60%
Assessment Type :- Assignment 2
CASE STUDY
Dan is a registered nursing student, day 5 of his third-year placement at My Local Hospital in Smith place his preceptor for today’s very busy morning shift is Registered Nurse Abi.
NURS3002 Advanced Decision Making Assignment
Whilst getting ready for morning medication round which was progressing unusually slowly Dan noted preceptor RN Abi putting an On dansetron wafer and some paracetamol from the medication room into her pocket. RN Abi winks at Dan and states God! I need this! I only got home a couple hours ago – I’m dead tired and I’ve got a shocking headache and hangover She jokingly said You better be in charge of me today – I can barely think… Ha ha ha!
RN Abi looked unwell and Dan found himself keeping her on track with the daily planner and some times reminding RN Abi of each patient he even pointed out medication discrepancies of those with in his scope. Dan was concerned but the morning got busy with their four patients and beds to be made medication rounds and some dressings to be done before lunch.
NURS3002 Advanced Decision Making Assignment
Prior to the planned wound dressing after lunch RN Abi and Dan organised some analgesia for patient Mrs xxx . A second RN (Bryan) joined Dan and RN Abi in the medication room to sign out some Oxycod one after which Bryan then left to answer a call bell. RN Abi was happy for Dan to witness administration of this analgesia to the patient.
It had been organised that after lunch RN Abi would supervise Dan doing wound dressings. After lunch RN Abi was still feeling particularly unwell how ever she knew she had to supervise Dan with a complex vacuum dressing on the buttock of Mrs xxx in Bed 11 a blind elderly patient. Today Mrs xxx had a couple of family members present in the room. Just before entering the room RN Abi said under her breath Damn her stupid son is here again. The man is a bloody moron and asks so many dumb questions and he stinks Just leave it to me I’ll get them to leave.
NURS3002 Advanced Decision Making Assignment
NURS3002 Advanced Decision Making Assignment
When taking down the dressing Dan noted the wound was odorous and looked quite sloughy and purulent very different to the one described on the Wound Chart.
Dan started to discuss this with RN Abi who already unwell advised just do the same dressing we will look at this more thoroughly tomorrow maybe she then abruptly left the room to go to the bathroom. Whilst Dan waited until she returned to finish the dressing, he chatted to Mrs xxx and then discretely took a couple of photos on his phone of the wound thinking it would help him to document it better when he did his notes; he also wanted to show his nursing friends this very complex dressing he was going to do. On return to the room RN Abi hurried the process along as there was much to do before end of shift.
The rest of shift was seemingly uneventful. Dan used the photo to complete his notes and then later posted it to his private Instagram account that only his fellow nursing friends could see of course he did the right thing and changed up the name of his patient. One of his friends from this group re-posted the picture on her Facebook account with Look what our Danny Boy did today while we were at the beach on our roster day off ugh! Too funny LOL!
THE TASK :- Based on the case study provided please answer the following.
Your essay must address the following:
1. Identify 6 violations which have occurred in the case study scenario provided.
2. From the violations you have identified select two (2) only and discuss further. In your discussion of each you need to address:
o Which sub-standard of the Australian RN Standards for Practice has been breached / violated. You will need to justify your choice by providing evidence and at least one example from the literature to support your discussion.
o What are the possible future implications for the nursing student or RN regarding this breach/violation?
o Briefly outline what the nursing student or RN should have done.
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