Prioritisation and Delegation in Clinical Settings

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NRSG355 WRITTEN ASSESSMENT
Q1: Prioritisation and delegation (module one)
Issue Priority Action and rationale
Elderly female post-
operative patient
1 In a clinical setting, an unconscious patient is
the first priority due to their unresponsiveness.
The Registered nurse must take responsibility,
along with delegating the enrolled nurse and
acting NUM. They should be attending to the
patient immediately because a condition of
unresponsiveness by the patient may indicate
fatal health conditions, for which an
emergency or a code blue will be initiated by
anyone who attends to this patient (Missen et
al., 2018).
Mr. Smith’s visitor has
fainted.
2 The registered nurse should delegate this task
to AIN because fainted or syncope is a partial
or temporary loss of consciousness by
interruption of awareness of oneself and ones
surroundings (Alboni, Stucci&Parisi, 2017).
The AIN is required to do the immediate
assessments and refer to the emergency
department of the hospital for further
investigation for the patient if needed.
Staff toilet has blocked and
overflowing and waste is
3 Occupational health and safety is the
responsibility of all the staff member who

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pouring out rapidly. work in the ward(Gul, Ak&Guneri, 2017).
This task should be allocated to the ward clerk.
The work clerk will be required to contact the
responsible person who will ensure the
utilization of services pertaining to cleaning
the environment for all health and hygiene
issues. Further, if the issue is not solved by
cleaning staff, the ward clerk needs to
communicate the situation to the maintenance
officer in order to repair the toilet immediately,
for the maintenance of health, hygiene and
safety to the clinical setting.
Mrs Chew intravenous (IV)
infusion
4 IV tissue is the condition of misplaced cannula
tip from the vein or blockage due to
hematoma(Legemat et al., 2016). This
condition can lead to phlebitis and interrupt the
IV infiltration. For Mr. Chew, his IV has
tissued and IV antibiotic are running late as per
schedule. Therefore, the registered nurse has to
perform new IV cannulation to that patient. If
the enrolled nurse has a competency to
perform the IV cannulation, the registered
nurse requires to delegate this task to her.
However, enrolled nurse is currently
undertaking her IV cannulation course, so

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registered nurse is the only person to perform
the task in this case.
Mr. Esposito perioperative
medication
5 Administration of perioperative medication is
important for patient who will undergo the
procedure in order to avoid any complications
during the procedure(Orser, David & Cohen,
2016). This task should be delegated to
enrolled nurse. Therefore, enrolled nurse
should administer the required medication to
Mr. Esposito after attending the fainted patient.
Discussion of medication
error
6 The acting NUM is the most responsible
person to attend the medication error
discussion with surgical consultant because she
is the only person who have authority and
extensive clinical experience than others
(Manning et al., 2015).
Q2: Collaborative and Therapeutic practice (module two)
(a) The Multidisciplinary team
1. Identify factors that determine which healthcare professionals are required to be
involved in a health care team?
For the optimum treatment and care of a concerned patient, the concerned health care team in
a clinical setup must be comprised of a range of professional (Valentine, Nembhard&
Edmondson, 2015). In any clinical setting, the type of patient, type of ward, and

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organizational policy are the primary factors which will determine the health care team.
Alsoavailability of staff member is the main concern to form required health care team, since
a reduced workforce will be unavailable to perform the required treatment procedures due to
the excessive workload. For example, doctor needs to be involved in order to diagnose the
patient, as well as for the effective implementation of care plan (Powell et al., 2016). Nurses
should be included in multidisciplinary team to provide personalized care to patient
(Andregård & Jangland, 2015). Moreover, occupational therapeutic professionals are required
to be involved in the health care team to demonstrate the safe mobility of patient (Dahl-
Popolizio et al., 2016) and dietitians are also required to provide the nutritional advice for
quick recovery through recommendation of meals containing the required nutrients. (Shoham
et al., 2016).
2. Who should lead the health care team?
The doctor is the most responsible person who will perform the required diagnosis and
implement the care plan according to the diagnosis (Boquiren et al., 2015). Therefore, the
doctor should lead the health care team.
3. Who is the most important member of the health care team?
The patient is the most important person of the health care team because patient is the
decision maker of their treatment. Hence, for the adequate functioning of a healthcare team, a
patient centered approach must be followed where the concerned patient must be informed
about the treatment plan chosen (Constand et al., 2014). However, the doctor is also one of
the most important person in health care treatment and the nurses are also main caregivers
who perform all the treatments delegated by doctors, as they will be significantly involved in
assisting as well as attending to the patient when the doctor will be absent (Casmiro et al.,
2015).