Patient care requires prioritization of cares that are urgently

Running head: NURSING 1
Nursing
Student Name
Institution

NURSING 2
Question 1: Prioritization and delegation (module one)
Patient care requires prioritization of cares that are urgently needed at the same time
based on the urgency and staffs available. This also necessitates delegation of some role to other
medical practitioners available within the surgical ward. The following is a description of the
order of priority of each situation and delegated role. Firstly, helping a post-operative elderly
patient that just collapsed will be given the priority. I will undertake the task myself to ensure
that the patient receives immediate care. Post-operative patients are delicate and collapsing
require urgent or emergency care as their face risk being injured again. In addition, falling on the
face may attract further operation that is costly and risky for the life of an elderly person (Maly,
Lawrence, Jordan, Davies, Weiss, Deitrick & Salas-Lopez, 2012).
Secondly, Mr. Smith’s fainted visitor will also be given high priority but I will delegate
to Enrolled Nurse to provide first aid care to that client. Providing first aid to the fainted patient
is basic training that enrolled nurse can undertake to save the client. The priority of the situation
requires urgent first aid to help the visitor regain conscience and strength. This is a care that an
enrolled nurse that though incompetence can undertake before any further care is taken (Casey &
Wallis, 2011).
Thirdly, another high priority will be given to Mrs. Chew who had intravenous (IV)
infusion since the care is needed to stop and remove the I.V. flow and the I.V. line is removed
and I will undertake the task myself. The task requires quick response though I will undertake
the care immediately to avoid further tissue damage. In addition, I will have to contact the
practitioner that had prescribed the medication after estimating the amount fluid (Campbell,
Gilbert & Laustsen, 2010).

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Fourthly, I will delegate the perioperative medication to AIN under my direction and
instruction on what care to provide to the patients. though the perioperative care or medication
require high attention, the assistant nursing professional can undertake the task under my
instruction to ensure that the right medical care is given to the patient. The assistant nurse cannot
work independently and I will be providing guidance to the nurse will ensure that all the required
care are given to the patient (Chaboyer & Hewson-Conroy, 2015).
Fifthly, I will delegate the blocked toilet that is overflowing to the ward clerk to take care
of since there is a need for mechanical work than medical. The overflowing blocked toilet may
act as a health hazard to both staff and patients within the ward and ward clerk can immediately
take care of the toilet and also contact the responsible people if the clerk cannot handle the
situation. This will ensure there is no contamination within the surgical ward that requires high
hygiene (Elliott & Coventry, 2012).
Lastly, the surgical consultant (VMO) can discuss the medication error with the acting
NUM on duty as a delegated duty. RN acting as the NUM has the responsibility of discussing the
medication error with the surgical consultant as I concentrate on other nursing care activities.
Moreover, being the unit manager at the time of the situation, the RN can discuss the medication
error based on the surgical ward protocol. In addition, discusing the previous medical error
require time and is not urgent hence come last in the order of priority (Aitken, Chaboyer &
Marshall, 2015).
Question 2: Collaborative and Therapeutic Practice (module two)
a. The multidisciplinary team
i. Health care professional team

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Involvement of health care professional during the multidisciplinary team of care
depends on a number of factors. Firstly, the required service or cares forms the main factor that
enables the health care team to join the multidisciplinary team. Team members are involved
according to their care need that will be rendered to the patient in the course of treatment.
Secondly, interpersonal skill is another factor as it determines the ability of various health care
professionals to work together during care (Contandriopoulos, Perroux & Duhoux, 2018).
ii. Who should lead the health care team?
The key worker often referred to clinical nurse coordinator or team coordinator lead the
team through coordinating care and contacting other team members when the need arises. The
key worker maintains contact with the patient, initiate timely response and contacts team
members or during team meeting (Kalishman, Stoddard & O’Sullivan, 2012).
iii. The most important member of the team
Every member of the team is equally important depending on the service that each
member of the team renders to the patient. Various team members play a certain role during team
care service and this makes them at equal importance to the patient. In addition, the importance
of the service that patient need makes the profession important during team work (Weller, 2012).
b. Case study 3
i. Key issues
There are a number of issues in the case of Robert Hughes that need a multidisciplinary
team. Firstly, Robert suffered from a fracture that needs medical attention to address the
situation. Secondly, Robert is intellectually impaired and this means that neurological attention is

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needed. Thirdly, Robert has a speech problem that makes him aggressively speak to staffs and
other patients. Fourthly, Robert lacks someone to take care of him and need rehabilitation to
facilitate his recovery. Fifthly, there is a need for the formation of the multidisciplinary team that
will provide various care to Robert.
ii. Health care team and roles
There are many different health care team members that are required to provide care to
Robert for various needs. Firstly, orthotist and physiotherapists are needed to assist Robert in
mobility and mechanical aid for his fractures. Secondly, a neurologist is needed since Robert is
intellectually impaired and there is a need for diagnosis to help monitor the mental disorder
progression. Thirdly, a speech pathologist is needed within the health care team assist in
communication and speech aid that will assist Robert that talk aggressively (Crisp, Douglas,
Rebeiro & Waters, 2017). Fourthly, Robert needs a psychologist or accredited counselor that will
provide counseling to Robert on various issues within the situation. Fifthly, registered nurse or
clinical nurse specialist that will provide care coordination and general care to Robert that needs
rehabilitation and care. Lastly, Robert needs a general practitioner that work together with other
health care team to provide any medical service or care to the patient in time of need. General
practitioner liaises with other health practitioners especially the neurologist to ensure that Robert
receives the required medication (MND Australia 2019).
Question 3: Professional Portfolio (module four)
Allocating staff to patients requires consideration of the care needed for the patient and
the staff’s qualification for particular care. Firstly, I will allocate one AIN nurse to perform peri-
operation care to patients without intravenous access who are supposed to go for surgery during

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my shift. This nursing practitioner will work under my instruction to ensure that all the necessary
care is provided to patients. The patient allocation model used is the total care model where a
group of patients is allocated to the assistant nurse during the shift. This does not follow the
continuity since the task is being allocated just on a shift-by-shift basis. In addition, the nursing
standards require an assistant nurse to work under the instruction of a registered nurse. This will
be the basis of instructing the AIN allocated to these group of patients (International Council of
Nurses 2014).
I will work with the enrolled nurse (EN) to provide care to patients with intravenous
access that requires administration of antibiotics directly under my instruction. The patient
allocation model that is used here is task allocation since the allocation is based on the care or
task that is performed. These nursing practitioners will take care of patients and administer any
antibiotic as may be needed under my direction and instruction. The enrolled nurse needs to
work under the direction of a registered nurse since the enrolled nurse is still incompetence and
does not meet the nursing standards. Moreover, the care task that enrolled nurse will perform
will be assisting me as I administer antibiotics to patients during the shift. This will ensure that
the quality of care is maintained according to the requirement of the nursing standards (National
Council of State Boards 2014).
Thirdly, two other AINs nurse will take care of postoperative care to patients that
undergo surgery in the morning without intravenous access. The patient allocation model here is
total care model that is based on the shift requirement and not on continuity from admission to
discharge. These patients need post-operation care to ensure that there is no further complication
and all the necessary care are provided on time. The nursing practitioners will work together to
ensure that during the shift all patient under their care does not develop complications. Also, the

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two nurses will work together as a team under my instruction to ensure that any necessary care is
given to these delicate patients (Mallinson, Deutsch, Bateman, Tseng, Manheim, Almagor,
Heinemann, 2014).

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Reference
Aitken, L., Chaboyer, W. & Marshall, A. (2015). Scope of critical care practice. In: L. Aitken, D.
Marshall & W. Chaboyer (Eds.). ACCCN’s Critical Care Nursing, 3rd Ed. Chatswood,
NSW: Elsevier.
Campbell, L., Gilbert, M. & Laustsen, G. (2010). Clinical coach for nursing excellence.
Retrieved from
http://ezproxy.acu.edu.au/login?url=http://ACU.eblib.com/patron/FullRecord.aspx?
p=474457
Casey, A. & Wallis, A. (2011). Effective communication: Principle of nursing practice. Nursing
Standard 25(32), 35-37. Retrieved from
http://ezproxy.acu.edu.au/login?url=https://search.ebscohost.com/login.aspx?
direct=true&db=ccm &AN=2011015656&site=ehost-live
Chaboyer, W. & Hewson-Conroy, K. (2015). Quality and safety. In: L. Aitken, D. Marshall &
W. Chaboyer (Eds.). ACCCN’s Critical Care Nursing, 3rd Ed. Chatswood, NSW:
Elsevier.
Contandriopoulos, D., Perroux, M. & Duhoux, A. (2018). Formalization and subordination: a
contingency theory approach to optimizing primary care teams. BMJ Open,
25;8(11):e025007. DOI: 10.1136/bmjopen-2018-025007.
Crisp, J., Douglas, C., Rebeiro, G. & Waters, D. (2017). Potter and Perry’s fundamentals of
nursing, 5th Ed. Chatswood. NSW: Elsevier.

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Elliott, M. & Coventry, A. (2012). Critical care: the eight vital signs of patient monitoring.
British Journal of Nursing, 21(10), 621-625. Retrieved from
http://ezproxy.acu.edu.au/login?url=https://search.ebscohost.com/login.aspx?
direct=true&db=ccm &AN=2011651321&site=ehost-live
International Council of Nurses (2014). Definition of nursing. Retrieved from:
http://www.icn.ch/who-we-are/icn-definition-of-nursing/
Kalishman, S., Stoddard, H. & O’Sullivan, P. (2012). Don’t manage the conflict: transform it
through collaboration. Medical Education, 46, 926-934. Retrieved from
http://ezproxy.acu.edu.au/login?url=https://search.ebscohost.com/login.aspx?
direct=true&db=ccm &AN=2011685473&site=ehost-live
Mallinson, T., Deutsch, A., Bateman, J., Tseng, H.Y., Manheim, L., Almagor, O., Heinemann,
A.W. (2014). Comparison of discharge functional status after rehabilitation in skilled
nursing, home health, and medical rehabilitation settings for patients after hip fracture
repair. Arch Phys Med Rehabil., 95(2):209-17. DOI: 10.1016/j.apmr.2013.05.031. Epub
2013 Jul 10.
Maly, M.B., Lawrence, S., Jordan, M.K., Davies, W.J., Weiss, M.J., Deitrick, L. & Salas-Lopez,
D. (2012). Prioritizing partners across the continuum. Journal of America Medical
Directors Association, 13(9):811-6. DOI: 10.1016/j.jamda.2012.08.009. Epub 2012 Sep
25.
MND Australia (2019). Australia Fact Sheet on Multidisciplinary Teams. Retrieved from
http://www.mndaust.asn.au/Get-informed/Information-resources/Living_better_for_longe
r/WEB- MND-Australia-Fact-Sheet-EB3-Multidisciplinary.aspx

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National Council of State Boards (2014) A nurse’s guide to professional boundaries. Retrieved
from: https://www.ncsbn.org/ProfessionalBoundaries_Complete.pdf
Nursing and Midwifery Board of Australia (NMBA). (2013). Professional boundaries for nurses
Retrieved from http://www.nursingmidwiferyboard.gov.au/Codes- Guidelines
Statements/Professional-standards.aspx
Weller, J. (2012). Shedding new light on tribalism in health care. Medical Education, 46, 132-
142. Retrieved from
http://ezproxy.acu.edu.au/login?url=https://search.ebscohost.com/login.aspx?
direct=true&db=ccm &AN=2011421221&site=ehost-live