Breaching of Practice in Nursing: Two Incidents Highlighted

Running head: BREACHING OF PRACTICE
Name of the student
Name of the university
Author note:

1
BREACHING OF PRACTICE
Introduction:
As a front line professional, adding values to the profession for giving patient-centric care
is the primary job of a nurse. Adherence to the core values and principles of nurses are crucial in
this profession for the wellbeing of the patient and family members (Ellis 2017). However, due
to inadequate literacy and negligence, a considered number of register nurses breach the current
practice which further questions the safety of the patient (Nursingmidwiferyboard .gov. au
2019). Therefore, this paper will illustrate the breaching of practice through the two incident in
the following paragraphs.
Incident one:
Considering the first incident where under the supervision of registered nurse Kylie Scott,
Mrs. Maria gianolpolish who was Greek 87 year’s old women with very little language
knowledge of English and had an exacerbation of COAD was allocated under the student nurse.
Since Kylie was late and the patient’s daughter in law said she was suffering from severe pain
and some medication should be given to the patient. Upon checking when no order of medication
was placed. However, when approaching the team leader who instructed to give Panadol and not
to check the little things checked for the patient. After approaching patient, she was blank about
the medication and refused to take the medication from the nurse. However, when the daughter
in law of patient spoke in strain voice with the patient in the native language she took the
medicine and during documentation no order of medication was highlighted. In the current
context, the breaching of basic nursing practice was observed. Before giving the pandole first
priority of the nurse was to assess the patient which was not observed in this case study rather
she followed her team leader’s comment which further indicated the breaching of standard 4
and 6 of national midwifery nurses (Robichaux 2016). The standard 4 focuses on conduct

2
BREACHING OF PRACTICE
comprehensive and systematic assessments of patient before administrating the medication
where as standard 6 suggested that delegate, quality and ethical goal-directed actions
(Nursingmidwiferyboard .gov. au 2019). Moreover, comprehensive assessment was not done
rather upon the instruction of team leader Panadol was given to the patient which further
highlighted the breaching of standard 4 (anmac.org.au 2019). Besides, no order of medication
was highlighted in the documentation and still, mediation was given to her which questioned the
safety of the patient that can give rise to life threats (Westrick 2016). This behavior indicated
the breaching of standard 6 of the practice of proving safe, quality and responsive service to the
patient. In the current text, the breaching of the nursing standard also indicates the breaching of
clinical governance. There are seven pillars of clinical governance which involve service user,
carer and public involvement risk management, clinical audit, staffing and staff management,
education and training, clinical effectiveness, clinical information (anmac.org.au 2019). To
provide safe and responsive service, clinical governance is critical part of a health care
services. In the current context, the risk management for the patient was required before
administrating the medication and sharing of clinical information from both ends were required
(Dowie, 2017). The negligence from the team leader for assessment of the patient was also
observed in this case (Eby et al. 2016). No informed consent was taken from the patient to
administrate the medication which is a serious ethical issue. According to human right act 1998,
to gain safe health care services is right of every individuals in a country.
To counteract the situation, student nurse may communicated with the physicians
regarding the medications and sticking to the nursing principles such as through assessment of
patient and documentation before giving medications (Mahlaola and Van Dyk 2016). Moreover,
the student nurse may develop advocacy regarding the issue such and implementing the policy so