End of Unit Activity: Nursing Roles and Responsibilities

Running head: END OF UNIT ACTIVITY
END OF UNIT ACTIVITY
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Activity 1.1
Advance practitioner can be defined as a registered nurse who has acquired expert level
of knowledge and complex decision making skills, through years of experience (Royal College
of Nursing 2014). Generally, a master’s degree is required.
There are mainly four pillars for advance practitioner in England. These four pillars are a)
Clinical Practice, b) Leadership and Management, c) Education and d) Research(NHS 2019).
Advance practitioners have to practice in compliance with their respective code of conduct, have
to demonstrate professional judgement and also exhibit critical understanding (NHS 2019). They
also have to partake in multi- disciplinary services as well as evaluation of team and personal
practice (NHS 2019). One of the primary roles of advance nurse is to provide rapid access and
service from the nurse led clinic (Iglehart 2013).
Activity 1.2
Minor injuries can be defined as an injury which does not affect long term survival,
mobility or threaten and individual’s life (Purcell 2016).
Individuals suffering from minor injuries can go to the MIU or Minor Injuries Unit for
treatment of their minor injuries. However, sometimes symptoms do get complicated due to
improper management or poor hygiene management. In these scenarios, minor injuries may
exacerbated which in turn may lead to the life threatening situation (Purcell 2016).

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Activity 1.3
MIU or Minor Injuries Unit can be defined as a walk in unit situated in the hospitals of
United Kingdom which provides clinical service in relation to the minor injury. These clinics are
generally staffed by ENPs or emergency nurse practitioners and they operate independently for
the treatment of minor injuries (NHS Services London 2019).
The Minor Injuries Unit that I am working in, is situated independently in a small
treatment centre separated from the main hospital building. One of the primary advantages of
this is that the person does not need to go to the hospital for treatment of minor injuries which
can be tended easily and hence, saves time and money of the sufferer as well as cost on the
health care system. Often people come to the Minor Injuries Unit with serious and severe
conditions and need to be hospitalised immediately. In such cases, the sufferer loses precious
time which might have been saved if the Minor Injuries Unit was situated nearby or inside
hospital perimeter.
End of Unit Activity
I am currently employed as a Band 5 Agency nurse at the MIU department of a local
healthcare organization. The injuries I cater to, include fractures and lacerations. My professional
responsibilities include adhering to NMC (Nursing and Midwifery Council), professional codes
and standards of 1, 2, 3, 4 and 5, which requires me to prioritize patients and standard 8 where I
must cooperatively work with health professionals, as well as standard 9 where I must
communicate with professionals for feedback. My professional boundaries are limited by
standard 13 where I must obtain help from other health professionals for treatment beyond my
scope of practice (Nursing and Midwifery Council 2019).

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Activity 2.1
One of the primary roles of nursing professionals while working in the healthcare facility
is building good rapport with the patients within the healthcare facilities. As mentioned in the
research of Dang et al. (2017), building a connection or rapport with patients helps professionals
to understand the need and requirements of the patients in the care facility. Besides
communication, maintenance of patient dignity, positive and helpful body language and
complying with code of conducts are important while developing rapport with the patient
(Virdun et al. 2017). These aspects are helpful in building trust within the care process and
then help them to shape the care process for the development of the communication skills
(Kazadi, Lievens and Mahr, 2016). Further, as per Dang et al. (2017), listening alone is the
most effective way to develop rapport with the patients and then, with the help of interventions
the nurses could reciprocate in a positive way that maintains a nurse patient relationship.
Activity 2.2
While conducting the patient assessment, it is important that the nursing professionals
look for the history of allergy. As mentioned by Agache et al. (2015), it is important that their
allergic reactions are known to the healthcare professionals. This would help to determine the
medication or the type of diet that would be provided to the patients for their faster recovery. If
nurses do not assess the past allergic reactions of the patients, there is a risk of having severe
allergic reaction due to any ingested antibiotic (Savage, Sicherer and Wood 2016).
In the case of Mr. Orange, it is mentioned that due to the consumption of penicillin, he
developed an allergic reaction. Hence, it was important to assess his allergic condition so that he
could be provided with effective intervention. It was also researched by Mirakian et al. (2015),