Case Study on HLTENN008 Apply legal and Ethical Parameters

STUDENT
Practical– Case Study
HLTENN008 Apply legal and ethical parameters to nursing practice
Student Name: /. Student ID:
Group: Date:
Type of Assessment
This summative assessment will enable your Assessor to make a judgement of competency based on the submission
of your completed assignments against the requirements of this unit of competency.
Assessor Instructions
The Assessment Benchmark developed for each unit of competency is the evidence criteria used to judge the quality
of performance (i.e. the assessment decision-making rules). Assessors must use these benchmarks to make a
judgement on whether competency has been achieved and to determine if the participant has performed to the
standard expected to meet the unit requirement and learning outcomes. Competency results for each unit are
recorded in the Record of Assessment Form.
Reasonable Adjustment
Careers Australia will allow flexibility in relation to the way in which each unit is delivered and assessed based on the
student’s requirement. The following are the reasonable adjustments for this unit:
Trainer/Assessor must select which of the following is suitable for this unit and DELETE rows that are not applicable
Reasonable Adjustment for this unit College Based On-Line Delivery
The assistance of a Learning Support Teacher for LLN issues
Modifications to physical environment, e.g. Wheelchair access
Changes to course design, e.g. Instead of written assessment task – change to verbal
questioning & assessor to write the answers
Changes in lecture schedules and arrangements, e.g. Relocating classes to an accessible
venue
Modifications to computer equipment in the computer lab
Provision of information or course materials in accessible format, e.g. A textbook in
braille
Supply of specialised equipment or services, e.g. A note taker for a student who cannot
write
Assessment Coding
Assessment of this program of study is based on competency-based principles.
S = Satisfactory
NS = Not Satisfactory
Students who fail to perform satisfactorily for the assessment in the prescribed date may be assessed as
‘not satisfactory’. You are required to be assessed as ‘Satisfactory’ on completion of Assessments assigned
by your assessor for this unit of competency.
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 in
only the areas assessed NS. 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. Students that are assessed ‘satisfactory’
after re-assessment of areas deemed NS will achieve competency for this assignment.
I acknowledge the assessment process has been explained and agree to undertake the 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 acknowledgment of sources is
made. I understand that a person found responsible for academic misconduct will be subject to disciplinary action (refer to student handbook).
Student Signature: __________________________ Date: ______
Assessor use only
Assessor Comment/Feedback:
Assessor Name: _________________________ Assessor Signature: _____________________________
Date: _________________ Result: Satisfactory/Not Satisfactory
Office use only:
20 September 2106 Page 1

STUDENT
Practical– Case Study
HLTENN008 Apply legal and ethical parameters to nursing practice
Results entered by: Date: Skills Centre:
ASSESSMENT: Practical – Case Study
S/NS result given. All criteria must be answered correctly to attain a satisfactory result.
STUDENT INSTRUCTION:
This case study is based upon one (1) scenario and fifteen (15) associated questions. Please read the
scenario carefully and answer ALL of the questions. Word counts are provided as a guide only.
Case Study
15 Questions
All must be answered correctly to attain a satisfactory result
Reference texts:
Clarke, L, Gray, S, White, L, Duncan, G & Baumle, W 2016, Foundations of Nursing – Enrolled/Division 2
Nurses, Cengage Learning, Victoria.
Nursing and Midwifery Board of Australia 2016, Professional codes and guidelines, viewed 5 January, 2016,
<http://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements.aspx/>
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STUDENT
Practical– Case Study
HLTENN008 Apply legal and ethical parameters to nursing practice
Scenario
On 15th April 2015, EN Rose Baxter is working on the day surgical ward alongside RN Simone Jones. EN Baxter
has been allocated the following two clients, both of whom are 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 infection 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 with poor hearing, unless he has his hearing aids in place. He has a medication
alert on his chart as he has an allergy to Cephalexin. When EN Baxter admits him,
Actions
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 band on each client and an alert notation
in 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 approaches him with the BGL kit Mr Smith holds out his hand ready for the finger prick test
for his BGL. EN Baxter hands over his diabetic status and BGL to theatre staff.
At 0810, the theatre staff called for Mr Smythe to come down to theatre. The doctor handed EN Baxter a
pathology slip for skin lesions, and a medication order to start an IV antibiotic, Cephalexin. When EN Baxter
looks at the documentation she was given, she notices it has Mr Smith’s details on the pathology request and
on the Medication order, and that it is incorrect for Mr Smythe to have this order.
Answer the following questions:
1. As an enrolled nurse, your practice is guided by legislation. The Standards for Practice: Enrolled
nurses, are an element of the legislation. Identify what these standards are used for, generally. (50
words or less)
Ans 1: The Standards for Practice for Enrolled nurses are considered to be elements of the legislation. These
standards guide and promote our clinical practice and acts as an evaluation tool for the nurse. It provides a
framework for the development of the clinical competency checklist. It aids in safe staffing practices.
Cumulatively, it promotes best possible outcome with minimal exposure to the risk of harming (Nursing
and Midwifery Board of Australia 2016).
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STUDENT
Practical– Case Study
HLTENN008 Apply legal and ethical parameters to nursing practice
2. Explain the duty of care the enrolled nurse had in caring for Mr Smith and Mr Smythe, taking into
account if there was a breach, or a potential breach of duty of care during this scenario. Use any
actions or evidence from the scenario to discuss the answer. (100 words or less)
Dr handed wrong pathology slip and medication order to EN Baxter. There was a potential breach of
duty of care during this scenario:
Ans 2: The breach of duty of an enrolled nurse is inability of the nurse to exhibit the actions a reasonable
nurse would have executed under similar circumstances. This infers that the care of the nurse was below
the acceptable care standards. Despite both the clients, Smith and Smythe had an alert band as well as on
the medical records still the theatre staff called in for Mr. Smythe. It is considered as legal responsibility of
nurses to explain the treatment, medication and the laboratory test reports to their patients as well as the
authorized family members of the patient. Prior to a surgery the patient should sign a consent form that
should be provided by the nurse. This step ensures patient is acknowledging the procedure of the
treatment (Bell, 2015).
3. In regard to Mr Smith having his BGL taken before transfer to theatre, briefly explain how he
consented to the BGL procedure and what type of consent does this represent.
Ans 3: The consent represented in the case of Mr. Smith is informed consent which means that the
consent was given by the client who has clear understanding as well as appreciation of the facts,
implications, future consequences of the action. In this case, John Smith was aware of the consequences of
monitoring the BGL prior to the operation (Wu et al., 2019).
4. Conduct Statement 1, from the Code of Professional Conduct for Nurses states;
“Nurses practice in a safe and competent manner.”
Identify how the enrolled nurse applied Conduct statement 1 in the scenario.
Ans 4: The safety of the client should be their prime concern. This is exhibited when EN Baxter and Jones
flagged the two clients so that the staffs attending them gets the appropriate notification. The monitoring
of the BGL of Mr Smith prior to operation also shows their delegation.
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