Apply the relevant principles and concepts associated with legal, ethical and professional standards and guidelines for nursing practice.
Assessment for this unit of competency is based on competency based grading. All assessment tasks, except Practical Observations and Clinical Placements are weighted and graded. Overall final grades applied to this unit of competency are:
| 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 Based |
| Assistance of a learning support teacher for LLN issues | Choose an item. | Choose an item. |
| Modifications to physical environment, e.g. wheelchair access | Choose an item. | Choose an item. |
| Changes to course design, e.g. instead of written assessment task – change to verbal questioning & assessor to write the answers | Choose an item. | Choose an item. |
| Changes in lecture schedules and arrangements, e.g. relocating classes to an accessible venue | Choose an item. | Choose an item. |
| I acknowledge the assessment process has been explained and agree to undertake assessment. I am aware of Careers Australia’s 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). | |
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| Assessor Comment/Feedback: ___________ _____
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Assessor Name: _____________________ Assessor Signature: ____________________
Date: ______________ Result: ____% Reassessment: YES / NO Due Date: __________
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Presentation
Assessment Weight: 50%
Pass Rate: 50% or greater
Presentation – (Hand out at the beginning of the unit.)
| Student instructions |
Students to work in pairs.
Read the scenario and present your responses to the questions that follow. Work within your scope of practice as an Enrolled Nurse. You will need to apply the relevant principles and concepts associated with legal, ethical and professional standards and guidelines for nursing practice.
On the day of presentation you will have 15 minutes to present your answer. The time includes both your presentation and the group question time. Be creative with your presentation, you may wish to include a brief (4-5 slide) power point presentation, or prefer to outline aspects of your presentation using a poster design.
| Scenario |
| 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 Smith’s pathology request and Medication order). |
In your presentation, answer the following questions:
- Following the nursing decision making framework, what should EN Baxter do when she realises the pathology slips are for the wrong client? Who would need notifying of this mistake?
Each student is to Document the clinical incident form.
| CLINICAL INCIDENT REPORT | |||
| Client Name: DOB: | |||
| Circle the incident type | Actual | Potential | |
| Date | |||
| Time | |||
| Location | |||
| Description | |||
| Reported to: | |||
1.2 As an enrolled nurse your practice is guided by legislation. One example is;The National Competency Standards for the Enrolled Nurse. Identify what these standards are for and provide examples of the use of the standards.
- 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? Would discussing the near miss error with Mr Smythe fall within your scope of practice?
- What was the duty of care of the enrolled nurse caring for Mr Smith and Mr Smythe? Was there a breach or potential breach of care?
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?
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.
- 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?
- What type of consent did Mr Smith give and how did he consent when his BGL was taken before transfer to theatre?
- Code of Ethics for Nurses in Australia value statement 6 states;
“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 nurse’s support of Mr Smythe’s 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 National Competency Standards for the Enrolled Nurse, element 1 states;
“Identifies situations in the provision of nursing care where there is a potential for
harm and takes appropriate action to minimise or prevent harm to self and others”
Identify how the enrolled nurse applied the National Competency Standards, element 1 in the scenario.
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