Assessment about Healthcare 2022

Running head: HEALTH CARE
Health care
Name of the student:
Name of the University:
Author’s note

1HEALTH CARE
Case summary:
The scenario is related to negligence and lack of consideration of quickly
identifying and taking immediate response for clinical deterioration. The case study is
about patient Awho reported to nursing staff with symptoms of dizziness and abdominal
pain. On vital sign assessment at 1720 hours, his vital sign was found to abnormal.
Respiratory rate was 40-44 breaths/min, blood pressure was 89/53 and heart rate was 88.
The enrolled nurse immediately advised about the patient’s condition to the respondent.
The enrolled nurse action was in accordance with the National Safety and Quality Health
Service Standards for recognizing and responding to clinical deterioration (Australian
Commission on Safety and Quality in Health Care (ACSQHC), 2017).
However, the respondent was found to be involved in professional issue as despite repeated
information regarding the client’s deteriorating condition, the respondent said that she
would have the patient reviewed when the locum will arrive. She also failed to make
accurate documentation about patient observation. She did not regard the need to inform
about Patient A’s condition to the clinical nurse manager, Mrs. Catherine Jones too. The
ISBAR (Introduction, Situation, Background, Assessment and Recommendation) form was
also not completely filled by the respondent. Because of this negligence in taking
appropriate response during event of clinical deteriorate, the ultimate outcome was that by
the time the locum, Dr Vallentine arrived, the patient A was extremely unwell. Transferring
the patient to another hospital also became a critical task because of critical condition of
patient. The patient finally died and the primary cause behind the death was septicaemia.

2HEALTH CARE
Contributing factors:
On analysing the case student of patient A, it can be said that the death of patient
occurred because of the negligence of the respondent and his lack of responsibility to
consider patient’s condition as a matter of immediate medical attention. Although the
enrolled nurse on duty fulfilled her responsibility of completing patient observation and
assessment and escalating about adverse issue to required staffs, the respondent was found
to forego his responsibility of maintaining safety of patient. Instead of taking the call to
take immediate action in response to signs of clinical deterioration, the respondent waited
for the locum to arrived. By engaging in this form of negligence, the respondent violated
the standards 8 of the NSQHS standard related to recognising and responding to acute
deterioration standard. To support clinical governance and quality improvement, it was
necessary to provide timely care to deteriorating patient. According to standards 8.6, it was
necessary to call for emergency assistance after identifying indicators of deterioration
(ACSQHC, 2017). However, the respondent failed to follow the mechanism to
immediately escalate and she became the primary cause behind the death of patient A. The
NSW policy discussed the need to use the clinical emergency response system (CERS) to
immediately report about deterioration to the patient (NSW Government, 2019). However,
the respondent in the case study failed to take advantage of the CERS system. Massey,
Chaboyer and Anderson (2017) argues that lack of clinical education and skills training is
the primary reason behind nurses to fail in recognizing and responding to clinical
deterioration. In the case of the respondent, poor education and knowledge regarding this
might be the cause behind such negligence.