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Nursing assignment : SNB code

   

Added on  2021-04-24

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Running head: NURSING ASSIGNMENTNursing assignmentName of the studentUniversity nameAuthor’s note

1NURSING ASSIGNMENTTable of ContentsCase study 1:..............................................................................................................................2Case study 2:..............................................................................................................................6References................................................................................................................................11

2NURSING ASSIGNMENTCase study 1:1. As per regulation 52 of the Singapore Nursing Board (SNB) code for nurses and midwivesno registered or enrolled nurse can practice nursing in their own accountability or inpartnership without taking consent and approval from the nursing board. Therefore, anyprofessional who violates such regulation is to be taken guilty and fined an amount of $5000(Wu, Enskär, Pua, Heng & Wang, 2016). In severe cases the violating midwives, registeredor enrolled could be further convicted.2. In the current study the enrolled nurse has violated the principle 5 of the SNB code fornurses and midwives. As per the principle 5, the nurses should act in an accountable andresponsible manner. Additionally, the nurse also breaches principle 6 of the SNB code fornurses and midwives, which states that the nurses should act in accordance with the clinicalguidelines. As stated in principle 5 of the SNB code for nurses and midwives, the nurses need toact within the limits of their competence and scope of practice (Efendi, Nursalam, Kurniati &Gunawan, 2018). They should escalate concerns whenever they are asked to perform beyondtheir scope of practice. As commented by Johnstone (2015), the decision should be supportedby the ethical guidelines. It has been clearly mentioned that the nurses need to alert therespective authorities when immediate decision making has to be done. This is because asingle wrong decision may endanger the life of a patient. The practice should be strictlyguided by the nursing skills and competencies. This is because breach of the same could leadto a number of complications within an acute healthcare setup. The consequences are oftenlethal endangering the life of the patient.

3NURSING ASSIGNMENTIn the present context, the nurse had independently administered IV medications tothe patient within the premises of the patient’s home. This was a breach of the principle 6 ofthe standards of practice for nurses and midwives. Though the intravenous (IV) methoddiluted or undiluted medications are directly administered into the vein using syringe througha needleless port or an existing IV channel. IV medications are only provided in emergencysituations. Since, the medication is directly absorbed through the blood channel it results inimmediate elevation of serum levels and has high concentration in some of vital organs suchas heart, brain and kidneys. Since the IV medications are only provided in emergencysituations they need to be provided under a parenteral drug therapy manual. As reported byEfendi, Nursalam, Kurniati & Gunawan (2018), incorrect administration of type IVmedications can illicit harmful immune reactions. Extraversion of certain medications insurrounding tissues can cause nerve damage and scarring. Some of the additional risks overhere are central line associated blood stream infection (CLAB) and hypersensitivity.Additionally, the enrolled nurse had performed the activities within the home of the patientand in the absence of any medical instructor. Therefore, severe consequences could havehappened including the development of hypersensitivity reactions in the patient. Thehypersensitivity reactions may have resulted in death of the patient due to asthmatic choking.In order to understand the ground of violation of the nursing code of ethics andstandards we need to understand the basis of administration of the IV medications. Some ofthe emergency situations based upon type IV medications could be administered to thepatient are heart attack, poisoning and stroke etc. As the medicines are directly absorbed intothe bloodstream they are quick in their mode of action. The standard IV medications may beused for controlling pain in the patients. In this a needle is inserted in the vein of the wrist,elbow or back of the hand. The catherer is pushed over the needle, which remains in the veineven after the needle is removed. However, as per the nursing standards and code of ethics

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