Nursing Practice NMBA Assessment 2022

Running head: NURSING PRACTICE ASSESSMENT
NURSING PRACTICE ASSESSMENT
Name of the Student
Name of the University
Author Note

NURSING PRACTICE ASSESSMENT1
Answer 1
Identification of correct nursing practices
The nurses performed some positive measures while treating the patient related to
impaired tissue perfusion related to haematoma or bleeding. They introduce themselves and
collect current information from the patient that seems to be a positive professional approach.
Even every time the nurses took consent to perform their duties and informed the assigned doctor
timely whenever any adverse situation like blood pressure fluctuated (Rassaf, Steiner & Kelm,
2013). The nurses helped to decrease the patient's anxiety and also played the role of a counselor
at the time of significant distress (Rouhi Balasi et al., 2016). This action of person-centered care
is related to nursing practice (Harbman, 2014). Thus they engage themselves in maintaining
appropriate professional and therapeutic relationships according to NMBA practice guidelines.
In postoperative patients, nursing care plays a significant role in the speedy recovery of
the patient. It is more required at the time of critical operation such as coronary heart disease,
angioplasty. More critical care is needed in the patient with angioplasty since it associates with a
related risk factor such as impaired tissue perfusion leading to potential haematoma and
bleeding. In the current case study, Mr. Bright had recently undergone an angioplasty. As
previously mentioned, it possesses a probable risk of bleeding or haematoma (Farsalinos et al.,
2016). The nurses check vital signs of the patient in a regular interval, including the blood
pressure, respiratory rate, temperature, and pulse rate that indicate the current state of the patient.
(Cardona- Morrel et al., 2016). The vital signs are directly associated with the evaluation of
hemorrhage according to their classification. The vital signs have deviated from their normal
limits if the patient has undergone through potential internal bleeding (Johnson, Waheed &

NURSING PRACTICE ASSESSMENT2
Burms, 2019). The measurement of blood pressure and heart rate is important and monitored
thoroughly. This is because these two are an indicator of normal body function, fluctuation in
these may indicate abnormalities and require medical attention (Zhang, Zhou & Zeng, 2017).
Therefore, during an operation related to impaired tissue perfusion, it is critical to monitor the
heart rate and blood pressure of Mr. Bright.
Identification of practices not performed during the simulation
The patient does not have a massive bleed during the simulation but could potentially be
developing a haematoma at the wound site leading to blood loss and decreased tissue perfusion.
The first measurement that should have been followed by the nurses was changing the bed
position suddenly from semi-Fowler's position, which is 300 head propped up to the standard
supine position. However, in a postoperative patient of angioplasty, the position should be
unchanged due to some physiological and anatomical reasons. If a postoperative patient is rested
in the supine position for a long time, it leads to elevation of tissue pressure along with
decreasing blood supply (Yu et al., 2019). Eventually, it might triggers vascular complications
such as hematoma, bleeding, and distal emboli, which is caused by arterial wall trauma
(Younessi Heravi et al., 2015). Here, the action of nurses is not compatible with the criteria of
clinical standards of practice by NMBA. According to NMBA guidelines, as a professional, a
registered nurse must endure thinking and analytical power to develop professionally and
maintain their professional skill for providing safe practice (Nursingmidwiferyboard.gov.au,
2016). The second significant error committed by nurses was not taking proper measures for
chest pain management. They did not perform the pain scale score of the patient so that they can
analyze the severity of pain, which can increase the potential risk of tissue perfusion related to