NRSG 355 : Clinical Integration

Running head: NURSING PROFESSIONAL PRACTICE
NURSING PROFESSIONAL PRACTICE
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1NURSING PROFESSIONAL PRACTICE
NRSG355 WRITTEN ASSIGNMENT
Q1: Prioritisation and Delegation (Module 1)
Issue Priority Action and rationale
The elderly female post-
operative patient
1 A patient who has fallen unconscious is
an utmost priority in any medical
scenario, since he or she is not showing
responsiveness to the surroundings
(Hardeland et al., 2014).Due to
extensive experience and competence,
the Registered Nurse must take over
and also delegate the task to the
enrolled nurse and NUM for assistance.
Hence, this nurse team must
immediately treat the unconscious
patient since prolonged state of
unresponsiveness indicates
deteriorating health status which may
lead to death. Hence, this issue requires
a Code Blue of medical emergency
assistance (Sun et al., 2014).
Visitor of Mrs. Smith who
has fainted
2 Since the Registered Nurse is busy with
the unconscious patient, she may
delegate this task to the AIN. Fainting
is also a situation of loss of
responsiveness towards one’s
surrounding and hence requires
immediate medical management
(Nehme, Andrew & Smith, 2016). The
AIN is competent enough due to her
experience in assisting the RN and
hence, must call for the medical
emergency taskforce for immediate
mitigation and future investigation.
Waste secretion due to
blockage of staff toilet
3 Adherence to Workplace Safety
Standards requires maintenance of
Workplace Health and Safety for which
hospital hygiene and sanitation must be
checked (Gul, Ak&Guneri, 2017). The
RN may delegate this task to the ward
clerk who will further inform the
janitor or cleaning staff to immediately
clear the blockage and sanitize the
environment. If the cleaning staff is
unable to manage, the clerk may further

2NURSING PROFESSIONAL PRACTICE
delegate the task to the hospital
maintenance department, where the
concerned officer will repair the
blockage and ensure maintenance of
optimum health and hygiene of the
hospital.
Intravenous Infusion of Mrs.
Chew
4 The tissuing of intravenous infusion
occurs due to a hematoma or
misplacement of the tip of the cannula
from the vein. If untreated, it may
interrupt the infiltration of intravenous
fluids due to phlebitis (Mihala et al.,
2018). This situation is critical since
the infusion of required antibiotics is
postponed due to IV being tissued and
hence this must be managed by the
Registered Nurse due to her extensive
experience. Additionally, the registered
nurse can also delegate this task to the
enrolled nurse, if she feels that they are
competent enough. However, since
enrolled nurses are still undergoing
training for effective IV cannulation,
hence the registered nurse must manage
this issue immediately.
Preoperative medication of
Mr. Esposito
5 Prior to the occurrence of any surgical
procedure, it is of utmost importance to
administer preoperative medications to
the patient to avoid any complications
(Shwenk et al., 2016). Hence, this task
can be delegated by the registered nurse
to the enrolled nurse, who is now
competent enough to administer
medications to the patient.
Medication error discussion 6 Since the issue is of last week and is
not an emergency, this task can be
performed at the end by the NUM. the
registered nurse, AIN and enrolled
nurses are already occupied with the
pervious issues and hence, the next
person who holds the authority and the
expertise to manage this issue is the
NUM (Feather, Ebright&Bakas, 2014).

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Q2: Collaborative and Therapeutic Practice (Module 2)
(A) The Multidisciplinary Team
1. Identify factors that determine which healthcare professionals are required to be
involved in a health care team?
The major factors which determine the type pf professionals to be involved in a
healthcare team in any medical institution is policy of organization, the disease type or
clinical condition of the patient and the ward in which the team will function (Weaver, Dy&
Rosen, 2014). The number of staff members is an additional factor, since unavailability of
staff will reduce work efficiency due to increase in work pressure during situations of high
work load. The availability of the doctor is highly important as he will diagnose and decide
an appropriate treatment plan for the patient. Adequate number of nurses are required to
supervise the doctor and treat the patient in his absence (Casimiro et al., 2015). The
availability of a multidisciplinary team is a major factor and hence the presence of a
nutritionist and occupational therapist will be beneficial. The occupational therapist will help
in safe patient mobility while the nutritionist will aid in quick recovery through availability of
nutritionally adequate meals (Hayes et al., 2017).
2. Who should lead the health care team?
The doctor should lead the healthcare treatment since he lies at the forefront in
diagnosing and deciding the treatment plan of the patient, after which care strategies will
follow accordingly (Weller, Boyd & Cumin, 2014).
3. Who is the most important member of the health care team?
The most important member of the healthcare team is the patient whose consent is of
utmost priority before commencement of the treatment procedure. Hence, every healthcare
team must adopt a patient-centred approach for efficient performance and continuously