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Desklib is an online library for study material with solved assignments, essays, dissertations, and more. The content covers a wide range of subjects, courses, and universities. The platform offers prioritization and delegation, collaborative and therapeutic practice, provision and coordination of care, and time management and delegation. The content is designed to help students with their academic needs.

SUGGESTED TEMPLATE: NRSG355 WRITTEN ASSESSMENT
This is a guide only – you may write this as a long form essay as long as you provide headings
for each question.
Q.1. Prioritisation and Delegation (Module one)
Firstly, I would like to attend the elder female patient who became collapsed on the floor
post surgery. I would immediate check the essential signs of the patients. Next, I would
delegate an EN for checking the visitor who became just collapsed. and the one who
reported me after assessing the patient. After that I would attend Mr Chew along with
reinserting the channel initiation intravenous infusion. Then, I would attend Mr. Esposito
in order to administer the preoperative medicines. After that I would visit the surgical
consultant for having a discussion regarding the medication error. It is optimistic that the
provided recommendations could reduce the incidence of the medical errors.
It is noteworthy that the blockage of the staff toilet would not need any instant attention.
Thus the task can be delegated to some other ward staffs those can arrange for a plumber.
Issue Priority Action and rationale
The elder patient got
collapsed on the floor
The issue is prioritized as it
can occur after the significant
blood loss after the patients
leading to hypovolemic
shock. Again anaesthesia
1. A MET call needs
to be initiated
2. The patient needs
to be shifted to the

during the surgery can lead to
fainting and needs to be
addressed.
emergency ward
3. The patients need
to be given with
oxygen.
4. The patient’s legs
needs to be raised
above the levels of
the heart while the
patient is not
breathing, CPR.
Mr. smith’s visitor fainted Considering the case study
scenario, it can be said that
fainting can be caused due to
complications. The factors
such as low blood pressure,
low blood sugar level or
dehydration and all of them
require immediate attention.
The nursing staff requires
to be sent to encounter the
visitor for making an initial
assessment.
Rationale: An initial
assessment like ECG or
EEG, is needed to be
understood the underlying
reason of the syncope
(Casey & Wallis, 2011).
This issue requires to be Mr. chew’s intravenous

1. Mrs. Chew’s
intravenous (IV)
infusion
2. She missed her IV
infusion
addressed immediately as the
extravasations leads to local
tissue damage
channel needs to be
addressd. It is noteworthy
that waiting for the next
dose of antibiotics needs to
be looked for to manage
her dehydration.
Staff toilets has blocked
According to the provided
clinical scenarios, This issue
is taken an account as a
matter of cleanliness
Ward staffs needs to be
delegated to this task thing.
Rationale: Ward staffs are
optimistic to be deflated
considering this issue.
(Chaboyer & Hewson-
Conroy, 2015).
Medication Error Medication issues can lead to
the severe conditions like
mortality as well as the
adverse drug reaction
A justification needs to be
addressed considering the
issues.
Prescription needs to be
cross checked
Rationale: Medication
Charts less number related
to the medication errors
Q2: Collaborative and Therapeutic Practice (Module two)

(a) The Multidisciplinary Team
There are several factors, which determine the importance of efficient and required
healthcare professionals in a health care team. The elements, which take the essential part, are a
socio-economical condition of the patient, health issues, state of the patient etc.
Socio-economical condition of the patient - the referred aspect is the most critical factor. It is
being considered as the most important factor as depending on the societal and economic
condition the healthcare professionals can be engaged in the healthcare team. It is a common fact
that rich people can go for the better team by spending more money where poor people depends
on free services as they cannot visit a famous doctor offering him high remuneration.
Health issues of a patient - health issues varied with different patients as all the patients do not
suffer from the same issues; rather, they carry different types of diseases in themselves.
According to the characteristic of the disease, healthcare professionals are required to be in a
health care team. In order to consider the case study 3 as Robert is mentally impaired; thereby,
he needs a team with the engagement of psychiatrist (Grundy et al., 2016).
Condition of the patient – further, the condition of the patient is even an important factor in this
regard. After diagnosis, it is important to enlist an effective health care professional in the team
judging the condition of the patient. Considering the case study 3, Robert needs to be assisted
with a psychiatric in the team though he even needs the help of an orthopaedic due to the
accident in a bicycle. Thereby judging his condition, the team needs to carry both psychiatrist
and orthopaedic (Dyrbye et al., 2017).

(b) Case Study 3
A health care team needs to be led by the healthcare professional who can deal with the
best in the best possible way. In this regard, the most important factor is the issue and the
condition of the patient. A patient needs to get the best treatment for the quick recovery in which
proper healthcare team and an effective leader is much important. For example, regarding the
case of Robert in case study 3, a psychiatrist needs to lead the team for his recovery, as he is
mentally impaired thus needs to be in strict observation of a psychiatrist. This referring clarifies
the fact that condition of the patient with his physical issues determines the type of healthcare
professional needs to lead the team for effective and proficient quick recovery of the patient
(Berman et al., 2018).
In the health care team, the most important member normally is the general physician as
he diagnoses the problem at first before further proceeding with the treatment. A patient before
the treatment needs to be diagnosed properly as depending on the diagnosis the treatment takes
place. For the case of Robert, in the case study 3, the general physician first diagnoses the
problem of Robert as he is mentally impaired and having a fracture and other issues for bicycle
incident. If the diagnosis goes towards the wrong direction, then the treatment will be entirely
improper, followed with some hazardous situation. The discussion can clarify the fact that
general physician or the health care professional that treats a patient primarily plays the most
important role in a health care team as the entire treatment procedure depends on the diagnosis
(Crisp et al., 20174).

Q3: Provision and Coordination of Care (Module three)
The provision and coordination of case are seen to be related to the organisations,
coordination and the provisional nursing care respectively. Besides, it includes the planning,
assessment, evaluation and the implementation respectively. Concerning the case study
scenarios, it is seen that a 92 year old patient Mr. Blog had come to the emergency with an object
plan. Besides, he is also been suspected with Pneumonia, with the formation of frothy sputum.
It is seen that He had a medical history of gastric ulcer, CVI (chronic venous
insufficiency) and a congestive heart failure. Also, He is on 2L oxygen via nasal prongs along
with having an IV infusion of Gentamycin. The urinal output is about 15 ml /day with reddish
tinge indicating the presence of blood. After severe testing, the doctors told him that he had a
history of gastric ulcer as well as the chesty coughs. As the patient complained to loss 3 kgs of
weight in the past week and he had been on Ellie open downstairs, hence the doctor suspected
him to have a probability of pneumonia (Chaboyer & Hewson-Conroy, 2015). Considering this
scenario, the patient further needs to ask the query regarding pneumonia. As this disease not only
occurs due to the chesty cough, thus the patient also needs to ask about his medical history
related to pneumonia. Another factor that needs to be addressed is speech in production.
According to the patient, he complained about his chesty cough last week. Thus doctors went
though the rationale for being chesty cough. Besides, the doctors also saw to recommended him
for the drug change. It is seen that currently, he is a nearby male and got good while going to the
toilet twice that day. The scenario depicts that he had a medical history of gastric ulcer, CCF and
CVA respectively, thus he needs 1.5 liters of oxygen via nasal prongs (Chaboyer & Hewson-
Conroy, 2015). In a sense, he had got a proof of IV antibiotics in his left hand. The doctor is
optimistic that through this IV antibiotic, he would have given his own as well as the gentamicin.

According to the provision and care, both it is seen that a registered nurse remain
immediately available for the regulation in the midst of patient care. According to The nursing
standard PC.01.01.01, it is understood that the critical access hospitals accept the patients based
on their ability to fulfill the patients’ needs. Hence the doctor requires setting laid out under his
professional values, decision-making skills, communication and interpersonal skills and the
leadership and management. Each of these mentioned domains; the case study scenario would be
taken an account as competence, along with the excellent standard. Thus the doctor in this case
study had recommended him to place fifty miles an hour of ivy normal saline (Chaboyer &
Hewson-Conroy, 2015). Besides, the doctors further advocated for the chest x-ray at sixteen
hundred hours that day. Furthermore, the doctor concluded with recommending going through a
speech contest along with repeating all these places.
Assessments
Concerning the past medical history, it is needed to be asssed while the patients would
get into the ED.
 The essential symptoms of Mr. Blog, requires to be checked. These symptoms consist of
pulse rate, weight loss and blood pressure.
Rationale: A chest x-ray is recommended considering the Pneumonia of the patient.
Besides, it is suggested to measure the blood pressure.
 A urine test needs to be done for finding out the UTI occurrence.
Rationale: detecting the bacteria in the urine
 Ultrasound can be done for the treatment of chronic venous insufficiency.
Rationale: It would help to detect the blood circulation throughout the body.
 Respiratory assessment requires being prepared considering his palpation, inspection,
auscultation. And percussion respectively.

Rationale: Inspection of breathing patterns can be assessed to diagnose the role of
cyanosis. Besides, Palpation would be utilised while understanding ventilation. It is expected that
through this diagnosis, the fluid accumulation would be determined.
 The patient required to be assessed the concerned fall risks through proper screening.
Rationale: The patients consist of more prone to falls.
 A pulse oximetry diagnosis needed for detecting the occurrence of hypoxia.
Rationale: Hypoxia might lead to the lung damage
Q4: Time Management and Delegation (Module four)
It had been evaluated from the case study that, the shortage of nurses is found in medical
place. The care model had to be influenced in such incidence to develop the activity skills of the
nurses in medical place. Moreover the monitoring, surveillance had to be implicated to involve
the effective health caring process towards the patient. Patient Allocation is a method by which
nursing care gets organized. The patient caring is a significant task for the nurse to enhance the
care holistically. It enables the patient needs to be fulfilled. Hence the designation of several
nurses allows them to execute effectively for the patient caring process (Choi, 2015). The
apprehensive scheduling is the coherent facts which will enable the en to perform inpatient care.
Hence the accumulation of the specific task had to be allocated to the EN to perpetuate their
efficacy (Jones, Hamilton, & Murry, 2015). Prominent organizing of the work pressure also
enables the EN to modulate the activity of patient caring. The administrating role of registered
nurse also acts as the crucial facts which raise the value of a registered nurse. Coherent team
activity of the nurses enlarges the value of patient care (Berman, Snyder & Frandsen, 2016).
Communication is another approachable way to consolidate the facts clearly to the other nurse.

In the absence of NUM, the RN plays the immersive role in influencing the workforce value in
hospitals. There had to be 1RN, 1AIN to provide the assistance in the time of surgery. Hence it
had been impacted as the duty of the RN. The accumulation of prominent delegation, responsive
quality, and the time management enroll the enhanced activity skills of the nurses. Additionally
the RN, EN, and AIN also employed to obtain the significant administration to involve the pre-
operative medication of the patients. Moreover, the EN, and AIN can be employed to evolve the
patient caring process. The supervision of RN had to be implicated to provide the supervision
towards the En and AIN.
Concerning the provided scenarios, it is seen that one other RN, an EN, and three AINs
are also on duty with the registered nurse. Hence based on the knowledge of total patient care,
task allocation and the team nursing a method would be distributed. This method would consist
of patient care among the groups (Tobiano et al. 2015). Within his team, all the EN, AIN and
other staffs would be allocated based on the patients' conditions. This team would consist of up
to 5 members along with a team leader. Everything would be followed as per the given
instructions as well as the allocated jobs to the groups.
Figure: Professional Behaviour
(Source: Tobiano et al. 2015)

Additionally, the integration of new talent also extends the value of registered nurse to
accumulate team activity (Tobiano et al. 2015). Involvement of nursing collaboration reflected
the administration process and mesmerized the efficacy of RN in medical place. Positive
reinforcement is another aspect to fulfill the needs of the patient. Hence it also leads the nurses to
make the patient more comfortable (Wielenga, Tume, Latour, & van den Hoogen, 2015).
Subsequently, the addition of gentle words and calm demeanor help the patient to feel more
satisfied and pleased. The communication is the more dynamic factor to evolve the consumer
service skills. The EN, RN and AIN are also plays the immersive role in associating the patient
with the particular routine. The routine comprised of showering, eating, dressing, toileting,
medication, exercise regimen and so on. Additionally, the information obtaining process had to
be involved to allocate the reinforced nursing staffs. Hence it also aids to perpetuate the value of
patient caring. He inauguration of the specific information aid o prevail the nursing o evolve the
patient caring process. The information is the predominant factors as they aid to take several
innovations in caring health system if required. Hence the adequate role of registered nurse
creates positive impact on the medical place. It also leads the patient to increase the health caring
value (Alasad, Tabar & AbuRuz, 2015). In recent years the patient caring had been influenced,
and thus, the great professional nursing staff has to be allocated to affect the safety issues of the
patient. Subsequently, the allocation of top professional nurses assist in organizing the active
health caring environment, and thus, it leads to being more beneficial for the patient.
Reference List (APA style)

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