Best Health Care Report 2022

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

1HEALTH CARE
Module 1:
The main purpose of this module is to consider different clinical situations at the ward,
complete delegation responsibilities and prioritize care in accordance with the scope of practice
for different health care staffs. The scenario is that after returning from tea break, I found many
staffs approached me for different incidents at the ward. All the six situations required some of
immediate intervention and I had to identify which activities to priorities first and which
activities to be delegated to other staffs. The staffs available in the ward include an EN (Enrolled
Nurse), AIN (Assistant in Nursing) and the ward clerk. The prioritization of care will be done by
the use of clinical reasoning cycle to identify the situation at hand and use clinical expertise to
make best judgment for individual patient (Liou et al., 2016).
Considering the six clinical situation received following tea break, the first priority will
be to address the elderly female post-operative patient who has collapsed down to the floor and is
unconscious. This is necessary because she is a post-operative patient with facial surgery and it is
possible that post-operative complications might be the reason for her to collapse. Hence, as a
registered nurse, it will be my responsibility to complete vital sign assessment of patient and
monitor any other injuries sustained to the patient while she collapsed. I will take the AIN with
me so that she can assist me to place the patient back of her bed. The significance of this
assessment is that it will help to identify clinical deterioration of patient and make MET call if
necessary (Mohammmed Iddrisu et al., 2018). This action is necessary to prevent post-operative
adverse events in patient.
The second situation of risk is Mr. Smith’s visitor who has fainted. This is necessary
because the patient might have sustained an injury and providing immediate assistance is

2HEALTH CARE
necessary to help the visitor regain consciousness. The EN can be given the responsibility to
assess the patient and make her regain consciousness. According the NMBA standards of
practice for EN in Australia, all aspects of care starting from assessment to engaging in care can
be taken over by an EN (Nursing and Midwifery Board of Australia, 2016). The third priority in
case of urgency and urgent need of care is Mr. Espisito, who is to leave the ward now for cardiac
catherisation. However, he has not received his pre-operative medications. Providing
premedication during cardiac catherisation is important to prepare the patient for the process
(Hamid, 2014). As registered nurse can only administer medication to patient, I will administer
the medication to patient to ensure that her cardiac catherisation is not delayed. This
responsibility cannot be given to EN as she is not competent yet and it is not known whether she
has completed her medication administration education or not.
The fourth priority area is to address the concern of Mrs. Chew who has tissue in her IV
infusion and her IV fluid is running behind. It is necessary to immediately check the intravenous
infusion of patient because tissue in the fluid could affect normal flow of fluid and lead to
swelling of the skin too. She has missed her IV antibiotics too. Both this activities need to be
completed by me because the EN is not yet competent in IV cannulation. I will have to check the
intravenous catheter and administer medication as per her last dose given (Aitken, Chaboyer &
Marshall, 2105).
The fifth care priority to address toilet blockage issue which is overflowing. I will
delegate this task to the ward clerk. This activity is necessary to prevent flow of water to the
whole ward and prevent risk of contamination. I will give him special hygiene instructions such
as use of disinfectants to appropriately clean the floor. The last activity will be to listen to the
medication error report of the surgical consultant. This activity will be done by me. The main

3HEALTH CARE
rationale for responding to the complaint last is that the situation is not an emergency risk area as
the medication error occurred last week. However, as completing incident report is important, I
will conclude my work with this activity (Jember et al., 2018).