Assignment On Prioritisation And Delegation

Q1: Prioritisation and delegation (module one)
Ans- The task that I will do or undertake and the task that I will assign or delegate are
in the following manner in terms of prioritisation -
i. Firstly, I will attend the elderly post-operative female with the facial surgery who
is unconscious and has collapsed. After attending her I will call the MET
(Medical Emergency Team) immediately.
ii. The unconscious visitor of Mr.smith will be assigned to the AIN (assistant in
nursing). I will ask the AIN to call for code blue in the hospital as it could be the
case of cardiac or respiratory attack.
iii. Mrs.chew’s IV intravenous fluid behind will be assigned to the enrolled nurse, I
will ask the EN to call for the treating team and I, myself after attending the
elderly post-operative female will give EN the proper instructions about which
intravenous fluid to give.
iv. Mr. Esposito’s case will be handed over to the EN, I will ask her to give him
proper medication for his operation in cue.
v. I will ask the ward clerk to look into the problem of staff’s toilet overflowing. I
will ask him to get it done by proper services and to get it in under control.
vi. Lastly, I will meet the VMO (Visiting Medical Officer) and listens to his
complaints regarding last week’s problems.
The most important and serious issue out of all the above 6 is that of the unconscious,
fainting woman. She needs to be assessed immediately as she is old. If the patient is
not taken care of immediately the condition of the patient can worsen or deteriorate
with time. The case is complicated with the involvement of her age,her physiological
changes due to disease and the various drug interventions (Kraft & Nisell, 2018). It is
important to call for the MET in this case, as the patient is disabled ("eastern health
great health and wellbeing annual report", 2012).

In the second situation a code blue was called as it was an outside patient. According
to ("eastern health great health and wellbeing annual report", 2012) an MET is called
for the inpatients and a code blue for the outside patients, visitors or staff. I assigned
this task to the AIN as she/he is not competent for the other tasks and EN was
assigned there because they were free.
I am well aware that the enrolled nurse has not got her IV cannulation certificate and
is incompetent in providing the fluids (Queensland nursing council, 2009). Therefore,
I will ask her to call the treating team and not let her provide the fluids.
Since the EN is free after Mrs. Chew case I will ask her to attend Mr. Esposito as she
is eligible to give the oral medication before the operation, because her major task
being an EN is to look into the patient’s assessment and their health status and giving
out the pre - operative medication falls under the requirement (Queensland nursing
council, 2009).
Meeting with the VMO is an important case but not serious, after dealing with all the
problems I will assist the VMO for the last week’s mistake in the medication.
Q2: Collaborative and Therapeutic practice (module two)
(a) The Multidisciplinary team
(b) ANS- a neurodegenerative disease causes death in around 2-4 years after the onset
of it. Motor neuron disease is one such disease leading to loss of upper motor neuron
as well as lower motor neuron in the motor cortex and the brains and spinal cord of
the person, respectively (Williams, Philip-Ephraim & Oparah, 2014). A
Multidisciplinary team contains of professionals from various backgrounds and
different professions looking into one single case. It includes a specialised doctor,
general physician, social workers, nurses, physiotherapist, psychologists, dietitians
and occupational therapist (OT).
i. Identify factors that determine which health care professionals are required to be

Involved in a health care team?
Following are the factors which shows who all should be in a health care team-
 The diet the patient follows (dietitian)
 Swallowing and speaking of the patient (speech pathologist)
 Care and care coordination (MND nurse and a district nurse)
 Doctor with specialization in the disease (neurologist)
 A general physician.
 Social workers.
ii. Who should lead the health care team?
The health care team should be led by the district nurses. They are the key to success
as they look out for the needs of the patient and communicate about it to the doctors
or the other members of the health care team (O’Brien, Jack & Douglas Mitchell,
2011)
iii. Who is the most important member of the health care team?
The most important member of the MDT is the district as well as the MND nurses.
(c) Case study name: case study number 1
i. What are the key issues in this dilemma?
ANS- The key issue is regarding the treatment of grant, his wife wants to continue
the treatment at home, the psychologist and the social worker agrees with this