Nursing Assignment: E-Portfolio Assessment, Collaborative and Therapeutic Practice, Module 3 and 4

Running head: NURSING ASSIGNMENT
NURSING ASSIGNMENT
Name of the Student
Name of the university
Author’s note

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E-Portfolio Assessment – Module 1
1. Initially on the basis of the priority, as an RN, I would make a MET call for the elderly
female patient who had fallen on the ground and had gone unconscious. Then I would
instruct an EN to stop the infusion pump of Mrs. Chew at an early sign of redness and
restore the IV administration. I would instruct an enrolled nurse to take care of Mr.
Smith’s visitor who has fainted. I would instruct an enrolled nurse to check the vital signs
of Mr. Esposito and give him the preoperative medications. I would be mindful about
telling him to cross check the medications before their administration. After the MET call
I would personally assess the vital signs of the elderly patient and would instruct the
assistant nurse to keep the patient under continuous observation.Then, I would meet the
surgical consultant to discuss about the medication error that occurred during the last
week.
Finally, I would give a call to the hospital facility and inform about the drainage
malfunctioning and get it fixed.
2. The priorities of nursing care depends upon the severity of the condition and the age
group of which one is caring about. Initiating a MET call for the elderly patient who had
just suffered from a fall is my first priority, asfall in the elderly patients might decrease
the quality of life of the patients by inducing pain and might also cause fractures
(Sundararajan et al., 2015). Furthermore, the importance of the issue lies in the fact that
several post-operative medications might cause gait impairment in the elderly patients
leading to fall. Again, Bhatt, (2014) have stated that unconsciousness in the post-
operative period can be due to anesthesia, or hypoxic epi-strokes. Hence, it is a clinical

2NURSING ASSIGNMENT
priority to restore the consciousness of the elderly patient and investigate the reason
behind the unconsciousness.
Second priority is to delegate an EN to remove the infiltrated IV, as the fluid may spread
to the surrounding tissue and if left unchecked and untreated that may lead to
accumulation of excess fluid in that area causing damage to the veins and the arteries
(Abolfotouh et al., 2012).
Third priority will be to delegate an EN to take care of Mr. Smith visitor who had
fainted. As stated by Bhatt, (2014), fainting or syncope is mainly caused by the lack of
oxygen in the brain and can be caused due to several reasons such as low blood pressure,
dehydration or some serious health issue like irregular heart beat or heart abnormality,
hence it is important to allocate an assistant nurse to assess the condition of the visitor de
(Lima Oliveira et al., 2012).
Fourthly medicine administration to Mr. Esposito is important as preoperative
cardiac catheterization might require specific medication. After that I would focus on the
medication error that took place last week. Medication errors should be taken od with
special attention as such incidents would not only bring about mortality and morbidity,
but can also bring the hospital under litigation and subsequently decrease the reputation
of the hospital. Then I would be give a call to the facility manager of the hospital to look
after the problem of toilets as this is the least urgent tissue.

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References
Abolfotouh, M. A., Salam, M., Bani-Mustafa, A. A., White, D., & Balkhy, H. H. (2014).
Prospective study of incidence and predictors of peripheral intravenous catheter-induced
complications. Therapeutics and clinical risk management, 10, 993.
Bhatt, D. L. (2014). Ask the doctor. After my mother fainted several times, her doctor referred
her to a cardiologist. What might be wrong with her heart, and what tests should she
expect?. Harvard heart letter: from Harvard Medical School, 25(3), 2.
de Lima Oliveira, D. F., Azevedo, R. C., & Gaíva, M. A. M. (2014). Guidelines for intravenous
therapy in elderly: a bibliographic research. Revista de Pesquisa: Cuidado é Fundamental
Online, 6(1), 86-100.
Sundararajan, K., Flabouris, A., Keeshan, A., & Cramey, T. (2014). Documentation of limitation
of medical therapy at the time of a rapid response team call. Australian Health
Review, 38(2), 218-222.
Q2: Collaborative and Therapeutic practice (module two)
Activity 2
1. It is the clinical priority and the comorbidity of the patient that decides which health care
professional has to be included in the health care team. Multidisciplinary care team usually
works for a common goal but the goal for each and every patients are different and a