What was the duty of care of the enrolled nurse caring for Mr Smith and Mr Smythe?
Student Name: Student ID:
Group: Date:
Assessment Coding
Assessment for this unit of competency is based on competency based grading.Assessments are weighted and your assessment will be marked with a percentage.Competency Not Achieved (CNA)
0-49%
Competency achieved graded (CAG)
50-59%
Competent with Credit (CC)
60-69%
Competent with Distinction (CDI)
70-79%
Competent with High Distinction (CHD)
80-100%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 only in the areas your assessor deems that you have not met the required standard. 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.Reasonable Adjustment for this unit
College Based
Workplace BasedAssistance of a learning support teacher for LLN issues
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Choose an item.I acknowledge the assessment process has been explained and agree to undertake assessment. I am aware of Careers Australias appeals process should the need arise. I also understand that I must be assessed as satisfactory in all parts of the assessment to gain a competent result for this unit of competency. I declare that the work contained in this assessment is my own except where acknowledgement of sources is made. I understand that a person found responsible for academic misconduct will be subject to disciplinary action (refer to student handbook).Student Signature:
Date: Assessor use onlyAssessor Comment/Feedback:
Assessor Name: ____________________ Assessor Signature: _____________________
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Skills Centre:
Case Study Interview
Assessment Weight: 50% or greater
Pass Rate: 50% or greater
Submit via Blackboard by due date
Student instructions
This assessment consists of two (2) parts
PART I Written case study (70 marks = 70% on marking guide)This is an individual work
Read the case study and answer ALL the questions
Students are assessed on correctness of responses to questions in this part
Questions to be answered from an Enrolled Nurses perspective: work within your scope of practice and follow the legal requirements and standards for practice
Refer to the marking guide and the rubrics to familiarise yourself with assessments criteria
Submit this paper with all questions being answered via Blackboard BEFORE you complete Part II of this assessment
PART II Oral communication: InterviewYou will be allocated an interview partner by the Educator on the day of the assessment
You will play two (2) roles:An Enrolled nurse going to a job interview
The interviewerThe interview must NOT last more than five (5) minutes; then change roles
The student playing the interviewer role selects one (1) question from the written case study to ask the other student
Students are being assessed on the use of appropriate verbal communication skills in this part of the assessment
Students are to use the marking guide to become familiar with the assessments criteria
You may bring your prepared answers to the interview (case study)
Case study
On 15th April 2015 EN Rose Baxter is working on the day surgical ward alongside RN Simone Jones and has been allocated the following two clients both 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 breakdown 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 cannot hear well without hearing aids. He has a medication alert on his chart as he has an allergy to Cephalexin and when EN Baxter admits him she places an allergy alert band on his wrist.
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 on each client and 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 approached him with the BGL kit he held out his hand ready for the finger prick test and recording of his BGL. EN Baxter hands over his diabetic status and BGL to theatre staff.
Ten minutes later at 0810 the theatre staff have called for Mr Smythe to come down to theatre. The doctor gave EN Baxter the pathology slip for the skin lesions and the medication order to start the IV antibiotic Cephalexin (in error he gave Mr Smiths pathology request and Medication order).
In preparation for your interview answer all the questions below (70 marks):Following the nursing decision making framework what should EN Baxter do when she realises the pathology slips are for the wrong client? (3 marks)Who would need notifying of this mistake? (2 marks)
Each student is to Document the clinical incident form. (3 marks)
(8 marks)
CLINICAL INCIDENT REPORTClient Name: DOB: Circle the incident type
Actual
PotentialDate
Time
Location
Description
Reported to:
1.2 As an enrolled nurse your practice is guided by legislation. One example is the Enrolled nurse standards for practice. Identify what these standards are for (2 marks) and provide examples of the use of the standards (3 marks). (5 marks)
As the pathology and medication error were intercepted before theatre discuss the benefits or harm of practicing open disclosure in this instance. Would Mr Smythe benefit from knowing the near miss mistake? (3 marks)Would discussing the near miss error with Mr Smythe fall within your scope of practice?
(3 marks)
(Total = 6 marks)
What was the duty of care of the enrolled nurse caring for Mr Smith and Mr Smythe?(2 marks)
Was there a breach or potential breach of care? (2 marks)
(Total = 4 marks)
Remember that a breach of duty of care must include these 4 elements:Duty of Care
Breach of duty of care
Damage caused
A direct relationship between care/ breeched care and the damage sustained.
Outline the actions of the enrolled nurse. Was she working within her scope of practice? (4 marks)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
Identify five (5) of the legal requirements for Nursing Documentation.(2 marks each = 10 marks)
Code of Conduct Statement 1 states;Nurses practice in a safe and competent manner.
Identify how the enrolled nurse applied the Code of Conduct statement 1 in the
Scenario. (3 marks)
What type of consent did Mr Smith give (2 marks) and how did he consent when his BGL was taken before transfer to theatre (2 marks)? (4 marks)
Code of Ethics for Nurses in Australia value statement 6 states; (5 marks) Nurses value a culture of safety in nursing and health care
Identify how the enrolled nurse applied the Code of Ethics statement 6 in the scenario. Include in your response the nurses support of Mr Smythes cultural beliefs about analgesia. The recovery staff in the healthcare facility that Mr Smythe is admitted to are known for their heavy handedness with narcotic analgesia and many clients return to the wards heavily sedated.
The Enrolled Nurse standards for practice standard 1.8 states;Acts to ensure safe outcomes for others by recognising the need to protect people and reporting the risk of potential for harm.
Identify how the enrolled nurse applied the Enrolled nurse standard 1.8 in the scenario.
(5 marks)Outline the actions that could be taken by the enrolled nurse when she hands over his care to the theatre staff that support Mr Smythes rights and confidentiality when in theatre. (5 marks)
Nurses use communication in all area of their clinical practice. Refer to the scenario and identify how the enrolled nurse demonstrated: (2 marks each = 6 marks)Interpersonal skills Oral communication skills Written communication skills
Nurses are required to demonstrate ethical practice in all their interactions with clients relatives and carers and colleagues. Mr Smythes wife arrives at the end of the day to take him home. She asks if everything went well. Would you alert her to the near miss of administering the wrong medication that he is allergic to or reassure her that everything went well as there was no actual error or harm?(5 marks)
PART II Oral communication: InterviewYou will be allocated an interview partner by the Educator on the day of the assessment
You will play two (2) roles:An Enrolled nurse going to a job interview
The interviewerThe interview must NOT last more than five (5) minutes; then change roles
The student playing the interviewer role selects one (1) question from the written case study to ask the other student
Students are being assessed on the use of appropriate verbal communication skills in this part of the assessment
Students are to use the marking guide to become familiar with the assessments criteria
You may bring your prepared answers to the interview (case study)
The Case Study Interview will be assessed using the marking guide in conjunction with the Case study Interview rubric.
Case Study Interview marking guideCriteria
Percentage
Comment
Mark
Written Content Case study
70 marks
All questions were answered
Attention to grammar and spelling
Evidence of research and preparation
Correct answer provided in a clear manner
70%
Oral communication Interview
Applied appropriate oral communication & interpersonal skills
Clear and concise speech
Eye contact
Paced themselves appropriately (no more than 5 minutes to answer the interview question)
Answered the question correctly and could provide a rationale for it
30%
Total
100%
Marking guide Rubric for Case Study Interview
Criteria
Percentage
Fail
Pass
Credit
Distinction
High Distinction
Written content- Case study
70
Many questions were not answered correctly and some questions were not answered.
No attention to grammar and spelling and there is no evidence of research and preparation.
All questions answered with no evidence of research and preparation. Basic attention to grammar and spelling and some answers were incorrect.
All questions were answered correctly but with little evidence of research and preparation.
Some attention to grammar and spelling.
All questions were answered correctly with good evidence of research and preparation. Good grammar and spelling. Content clearly explained.
All questions were answered correctly with great evidence of research and preparation. Excellent grammar and spelling. Content very clearly explained.
Interview Oral Communication skills timing and rationale
30
Was not able to answer the question was not able to use communication skills and was not able to provide a rationale did not pace themselves appropriately
Had difficulty answering the question used little communication skills and didnt provide a rationale. Paced themselves appropriately
Answered the question correctly used some communication skills and provided a rationale. Paced themselves appropriately
Answered the question correctly used many communication skills and provided a good rationale. Paced themselves appropriately
Answered the question correctly used all the communication skills and provided an excellent rationale. Paced themselves appropriately
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