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Student Name: Luke Cumming Student ID:E0943604 32450/04 Knowledge test - Short Answer Question (SAQ) E1123 Certificate III in Health Services Assistance Module 1: Working in a healthcare environment This assessment is 4 of 5. 1.Background/Overview Health Services Assistants are required to support a range of clients with different medical conditions in a range of healthcare settings. It is important to not only understand how the human body works, but also any related medical terminology that might be used in the healthcare environment. When commencing a shift, or where new information about clients becomes available, a clinical handover is completed with the Registered Nurse. The clinical handover generally follows the ISBAR format, and provides the health services assistant with critical information about the client they are supporting. When providing and information back to the Registered Nurse or other healthcare professional, the same ISBAR format is expected to be followed. The use of terminology can be challenging, as accuracy is a must. Making a simple spelling mistake could change the entire meaning of a term or abbreviation. For this reason, you cannot make any spelling mistakes in this assessment when using medical terminology. Please make sure you check the spelling of all medical terms using your medical dictionary, provided by Open Colleges. 2.Brief For this assessment, you will be demonstrating your ability to listen effectively, and correctly interpret medical terminology within the health context. This assessment is split into four parts – Part A, Part B, Part C and Part D. Parts A– Care made up of 4 short answer questions based on 3 different clients. You will need to answer these questions, and utilise the provided ISBAR template to complete this task. Part Dis made up of 4 short answer questions based on the use of medical terminology in the workplace. Deliverables Please submit this assessment in Word doc format. To do list: 1.Write your name at the top of this page. 2.Read the background/overview and brief sections of this document. 3.Answer the 4 short-answer questions in Part A and provide referencing as required. Include a copy of your ISBAR template. 4.Answer the 4 short-answer questions in Part B and provide referencing as required. Include a copy of your ISBAR template. 5.Answer the 4 short-answer questions in Part C and provide referencing as required. Include a copy of your ISBAR template. 6.Answer the 4 short answer questions in Part D and provide referencing as required. 7.Save the document using the naming convention: [your student 32450/04 E1123 - LT33115 Certificate III in Health Services AssistancePage1of18
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number]_32450_04.doc. 8.Upload your file in Open Space using the relevant Assessment Upload link in this Module. 3.Activities Part A - Client: Hunter Burns Click on the following link to watch the video of Kathy Foley the Registered Nurse providing clinical handover, and answer the following 4 short-answer questions. Link:https://opencolleges-1.wistia.com/medias/c5t4mnwxk4 Your written answers should be approximate 40-100 words in length (+/-10%). The word count is a guideline and you can present your answers in narrative or bullet point format. Ensure you acknowledge and cite your sources accordingly – this is important whether you use your own words or another writer’s. You can review the Academic Referencing Guide in your student handbook. 32450/04 E1123 - LT33115 Certificate III in Health Services AssistancePage2of18
Part A - Short-answer questions 1.What does ‘hypoglycemia’ mean? Type your answer below: This is a condition which is caused by very low blood sugar levels which are the body’s main source of energy. In most instances, hypoglycemia is as a result of reaction to diabetes medication for instance insulin (International Hypoglycaemia Study Group, 2015) 2.How often does the Registered Nurse want you to check Hunter’s blood glucose levels? In your response, list both the abbreviation and the full terminology. Type your answer below: Blood sugar levels should be checked 4 times a day (Q.I.D). The tests that should be conducted include: PP – Post prandial. FBG – Fasting glucose level. BGL – Blood glucose level. OGTT - oral glucose tolerance test CBG – capillary blood glucose 32450/04 E1123 - LT33115 Certificate III in Health Services AssistancePage3of18
ISBAR TEMPLATE FOR HANDOVER Use the checklist within the table to assist you in completing the ISBAR handover. You can obtain relevant patient information from the videos to assist you in completing this task. Client: Hunter Burns ISBAR STEPSNOTESCHECKLIST I IDENTIFY HSA- Mr. Joe Huggins Patient-Hunter Burns, 01/01/1996, male. Have you: oIdentifiedyourself, includingtitle? oIdentified the patient by theirfull name andDOB? S SITUATION Symptoms- was submitted with 14mmol/L Urgent situation Have you: oIdentified the problem/symptoms? oIdentified if the situation isurgent? B BACKGROUND Type 1 diabetes mellitus and diabetic retinopathy Admitted for type 1 diabetes and diabetic retinopathy. Have you: oProvided a brief background on the patient, includingmedical history? oIdentified thereason for admissionto hospital. A ASSESSMENT BGL should be done four times a day (Q.I.D) The result is 14.5mmol/L which is higher than the normal glucose. This may have been due to peripheral insulin resistance. Anxiety, stress and hunger can lead to increase in BGL. Have you: oIdentifiedhow oftenyou checked on the patient? oProvided relevant observation data? (from Q4 above this handover) oExplained what you think has happened? R REQUEST/ RECOMMENDATION Requires diabetes education and create diabetes awareness in the patient. Have you: oMade arecommendationfor the client’s ongoing care within your scope of practice? oAsked if there are further instructions you need to follow? 32450/04 E1123 - LT33115 Certificate III in Health Services AssistancePage5of18
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Part B - Client: Jarrah Kolet Click on the following link to watch the video of Kathy Foley the Registered Nurse providing clinical handover, and answer the following 4 short-answer questions. Link:https://opencolleges-1.wistia.com/medias/a3de03yf4w Your written answers should be approximate 40-100 words in length (+/-10%). The word count is a guideline and you can present your answers in narrative or bullet point format. Ensure you acknowledge and cite your sources accordingly – this is important whether you use your own words or another writer’s. You can review the Academic Referencing Guide in your student handbook. 32450/04 E1123 - LT33115 Certificate III in Health Services AssistancePage7of18
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Part B - Short-answer questions 1.What does the abbreviation ‘SOBOE’ mean? Type your answer below: SOBOE means shortness of breath on exertion (Russell et al., 2017) 2.How often does the Registered Nurse want you to complete deep breathing and coughing exercises with Jarrah? In your response, list both the abbreviation and the full terminology. Type your answer below: Deep breathing and coughing exercises should be performed for 3 times a day (TDS). 3.Identify the correct spelling of the following term, and identify the components (prefix and/or root and/or suffix) of the term: Type your answer below: Bronchitis root – Bronch Suffix- -itis 4.You have completed deep breathing and coughing exercises with Jarrah and have found that he is producing a lot of sputum. Using the ISBAR template (next page), prepare a script for the handover you will provide back to the Registered Nurse with your findings. You will need to use appropriate medical terminology to complete this task. NOTE: Make sure you have completed a thorough spell-check of your handover before submitting, using the medical dictionary provided by Open Colleges. Any spelling mistakes in medical terminology will result in a ‘not yet satisfactory’ grade. 32450/04 E1123 - LT33115 Certificate III in Health Services AssistancePage8of18
ISBAR TEMPLATE FOR HANDOVER Use the checklist within the table to assist you in completing the ISBAR handover. You can obtain relevant patient information from the videos to assist you in completing this task. Client: Jarrah Kolet ISBAR STEPSNOTESCHECKLIST I IDENTIFY HSW - Mr. Joe Huggins Patient- Jarrah Kollet, 68 years old, aboriginal Have you: oIdentifiedyourself, includingtitle? oIdentified the patient by theirfull nameandDOB? S SITUATION Last night, he was admitted with shortness of breath Have you: oIdentified the problem/symptoms? oIdentified if the situation isurgent? B BACKGROUND COPD with recurrent bronchitis Admitted for shortness of breath with SOBOE Have you: oProvided a brief background on the patient, includingmedical history? oIdentified thereason for admissionto hospital. A ASSESSMENTBreathing assessments and lung volumes needs to be assessed. Any signs of respiratory distressed must be assessed as well. (on TDS basis) If any discomfort is observed in the patient or if the patient produces sputum – it should be immediately reported. Have you: oIdentifiedhow oftenyou checked on the patient? oProvided relevant observation data? (from Q4 above this handover) oExplained what you think has happened? R REQUEST/ RECOMMENDATIO N The patient can use a spirometer, peak flow meter and breathing exercises. Have you: oMade arecommendationfor the client’s ongoing care within your scope of practice? oAsked if there are further instructions you need to follow? 32450/04 E1123 - LT33115 Certificate III in Health Services AssistancePage9of18
Part C - Client: Valerie Fisher Click on the following link to watch the video of Kathy Foley the Registered Nurse providing clinical handover, and answer the following 4 short-answer questions. Link:https://opencolleges-1.wistia.com/medias/8xn90qj3si Your written answers should be approximate 40-100 words in length (+/-10%). The word count is a guideline and you can present your answers in narrative or bullet point format. Ensure you acknowledge and cite your sources accordingly – this is important whether you use your own words or another writer’s. You can review the Academic Referencing Guide in your student handbook. 32450/04 E1123 - LT33115 Certificate III in Health Services AssistancePage10of18
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Part C - Short-answer questions 1.What does ‘expressive dysphasia’ mean? Type your answer below: Expressive dysphasia is a type of aphasia that is characterized by difficulty in producing language despite being able to comprehend. (Zwagerman et al., 2016.) 2.How often does the Registered Nurse want you to check on Valerie? In your response, list both the abbreviation and the full terminology. Type your answer below: The registered nurse wants me to check on Valerie after every hour before she becomes stable and every 1 hour if at all she will be stable (Q1H). Exercises to help stabilize Valerie include: Speech therapy exercises 3.Identify the correct spelling of the following term, and identify the components (prefix and/or root and/or suffix) of the term: Type your answer below: Neurodegeneration Suffix- -degeneration root- -neuro 32450/04 E1123 - LT33115 Certificate III in Health Services AssistancePage11of18
4.You have completed a check on Valerie and have found that she has been incontinent of urine. Using the ISBAR template (next page), prepare a script for the handover you will provide back to the Registered Nurse with your findings. You will need to use appropriate medical terminology to complete this task. NOTE: Make sure you have completed a thorough spell-check of your handover before submitting, using the medical dictionary provided by Open Colleges. Any spelling mistakes in medical terminology will result in a ‘not yet satisfactory’ grade. ISBAR TEMPLATE FOR HANDOVER Use the checklist within the table to assist you in completing the ISBAR handover. You can obtain relevant patient information from the videos to assist you in completing this task. Client: Valerie Fisher ISBAR STEPSNOTESCHECKLIST I IDENTIFY HSW Nurse-Mr. Joe Huggins Patient-Valerie Fisher, 88 years old, female, q1h Have you: oIdentifiedyourself, includingtitle? oIdentified the patient by theirfull nameandDOB? S SITUATION Expressive dysphasia It’s not urgent. Have you: oIdentified the problem/symptoms? oIdentified if the situation isurgent? B BACKGROUND Alzheimer’s disease Admitted with expressive dysphasia Have you: oProvided a brief background on the patient, includingmedical history? oIdentified thereason for admissionto hospital. A ASSESSMENT I checked Valerie after every hour (Q1H) Patient experienced restlessness, disorientation, jumbled speech, aggression. Progression of Alzheimer’s disease. The patient is having cognitive disturbances. Have you: oIdentifiedhow oftenyou checked on the patient? oProvided relevant observation data? (from Q4 above this handover) oExplained what you think has happened? 32450/04 E1123 - LT33115 Certificate III in Health Services AssistancePage12of18
R REQUEST/ RECOMMENDATIO N Speech therapy should be continued Rest, relaxation and sleep Have you: oMade arecommendationfor the client’s ongoing care within your scope of practice? oAsked if there are further instructions you need to follow? 32450/04 E1123 - LT33115 Certificate III in Health Services AssistancePage13of18
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Part D - Short-answer questions Provide a written answer for the following 4 short-answer questions: Your written answers should be approximate 40-100 words in length (+/-10%). The word count is a guideline and you can present your answers in narrative or bullet point format. Ensure you acknowledge and cite your sources accordingly – this is important whether you use your own words or another writer’s. You can review the Academic Referencing Guide in yourstudent handbook. 1.What would you do if you did not understand the instructions provided by the Registered Nurse? Type your answer below: Request the nurse for further clarifications Use the nursing handbook guide to read and understand the medical terms Request assistance from the relevant personnel 2.Who can you approach in the workplace for assistance with medical terminology? Type your answer below: Registered nurses Manager Departmental heads The attending doctors. Allied health professionals 3.Go to the Additional Resources section of your course and in the folder for Module 1 you will find Policies and Procedures. Choose two (2) policies from your State/Territory. Explain how each policy can guide you in using medical terminology. 4. Type your answer below: 1.Using plain English (jargons should be avoided). 2.Medication name should not be abbreviated. 32450/04 E1123 - LT33115 Certificate III in Health Services AssistancePage14of18
5.For each policy/procedure you identified in Q3, provide 1 example of how youwould apply each policy in your role as a health services assistant. Type your answer below: As a health service work, I need to apply all the medical terminology policy for effective patient handover. Jargons should be avoided and will talk in simple language with the patient and patient family. My utmost role is to facilitate communication between the nursing team and the patient party. Hence, with the nurses I need to use the medical terminology policies very accurately and with the patients, simple English. 32450/04 E1123 - LT33115 Certificate III in Health Services AssistancePage15of18
4.Assessment Rubric Below is a rubric that determines whether your answers and knowledge is satisfactory or unsatisfactory. To be deemed satisfactory, and to pass the assessment, you must complete the requirements for the column that is titled ‘satisfactory’. 32450/04 E1123 - LT33115 Certificate III in Health Services AssistancePage16of18 CriteriaSatisfactoryNot yet satisfactoryFeedback from assessor Human body systems and healthy functioning Demonstrates an understanding of processes, conditions and resources required by the body and how they support healthy functioning. Can apply this knowledge in all relevant questions. Unable to demonstrate an understanding, or provides only part of the information required to adequately explain. Please address the feedback provided Medical terminologyCorrectly identifies multiple sources in the workplace to support the use of medical terminology, with an explanation about circumstances where they would be accessed or used. Unable to correctly identify sources of information. Medical terminologyEffectively and confidently utilises medical terminology and abbreviations wherever appropriate. Does not utilise medical terminology or abbreviations at all in communication. Medical terminologyAll work is presented to a high standard, no evidence of spelling or grammatical errors relating to medical terminology. Spelling and grammatical errors are present in oral and/or written communication relating to medical terminology. Overall assessment expectations Word countsAs per tasks. PlagiarismAll the student’s work is original and sourced where appropriate.Reference all short answers questions ReferencingAppropriate referencing conventions are used.
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5.Units of Competency This assessment meets the following units of competency: BSBMED301Interpret and apply medical terminology appropriately HLTAAP001Recognise healthy body systems References Russell, A., Yaraskavitch, M., Fok, D., Chhibber, S., Street, L., & Korngut, L. (2017). Obinutuzumab Plus Chlorambucil in a Patient with Severe Myasthenia Gravis and Chronic Lymphocytic Leukemia. Journal of neuromuscular diseases, 4(3), 251-257. Zwagerman, N.T., Pardini, J., Mousavi, S.H. & Friedlander, R.M., (2016). A refractory arachnoid cyst presenting with tremor, expressive dysphasia, and cognitive decline. Surgical neurology international, 7(Suppl 15), p.S431. International Hypoglycaemia Study Group. (2015). Minimizing hypoglycemia in diabetes. Diabetes Care, 38(8), 1583-1591. 32450/04 E1123 - LT33115 Certificate III in Health Services AssistancePage17of18