NRSG355 Written Assessment: Prioritisation, Collaborative Practice, Provision of Care, Time Management and Delegation

NRSG355 2018 |
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.
500 words in each module (total 2000)
APA reference for supporting evidence with intext citation
Q1: Prioritisation and delegation (module one)
Prioritization and allocation in the healthcare setting is crucial to provide harmless
and suitable care to the patient. The primary purpose of this module is to prioritize the
different condition based on their severity. In this module, after returning from the tea breaks,
I was approached by different healthcare staff regarding the six different incidents. After
listening to them, I identified that the entire six incidents requires immediate intervention.
Hence, I had to then identify and prioritize the action which is required to be taken for the
incidents. The staff who are currently available in the hospital for the assistance are, ward
clerk, AIN and an enrolled nurse who is still performing IV cannulation certificate and is not
competent enough.
Issue Priority Action and rationale
An elderly female patient,
who recently had a face
surgery has collapsed to the
floor and felt unconscious.
This incident will be taken as
my first priority because; the
patient recently had a facial
surgery and is under the post-
operative treatment. This
sudden fall might be due to
the post-surgery
The patient will be placed
on her bed on her back and
the patient’s airway
circulation and breathing
can be assessed by the help
of the AIN nurse. It will
help to regain the patient

NRSG355 2018 |
complications. If the patient
is not treated immediately, it
can lead to further
complications and can hinder
the post recovery process of
the patient
into the conscious state.
After putting the patient on
bed, vital assessment of the
patient is conducted to
evaluate the cause behind
her fall (Wade, 2017).
Mrs. Chew’s intravenous
(IV) infusion has tissue and
along with that her IV fluids
is running behind as she has
missed her IV antibiotic.
This will be considered as my
second priority because tissue
in the intravenous fluid can
affect the normal flow of the
blood and can lead to further
clinical deterioration. The
patient has also missed her IV
antibiotics, it might impact
her illness (Lenz et al., 2017).
I will check the
intravenous catheter to
remove tissue from the
catheter and antibiotics
will also be provided to the
patient by consulting with
the practitioner to avoid
any further sign of illness.
I will not involve Enrolled
Nurse, as he/she is not
capable enough yet for IV
cannulation.
Visitor of Mr smith has
collapsed.
It will be characterized as the
third priority, as due to the
fall, the visitor might have
sustained several physical
injuries.
The Enrolled nurse will be
assigned with the
responsibility of making
the visitor regain her
consciousness, as
according to the NMBA
standards of Enrolled

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Nurse in Australia, it is the
responsibility of the EN to
evaluate the patient and
provide primary care.
Mr. Espato is about to vacant
the ward for cardiac
catherization, but has not got
his pre-operative
medications.
Administrating medication
before cardiac catherization is
essential as it aims to prepare
the patient for the process and
if the cardiac catherization
will be delayed, the whole
recovery process of the
patient will be delayed.
This I will do it by myself,
as according to the Missen
(2018), the only the
registered nurse is eligible
to administer medication to
the patient.
The surgical consultant has
been waiting to converse
about the medication error.
It is considered as the priority
because if it is neglected, it
can hamper the health of the
patient or can also give rise to
negative health outcomes.
This priority, I will be
doing by myself to analyze
more about the medication
error in order to avoid such
cases in future (Feleke et
al., 2015).
The staff toilet has been
obstructed and waste is
pouring out.
This will be assessed at last
and the responsibility of
cleaning the toilet will be
given to the ward clerk.
The ward clerk will be
delegated to clean the toilet
as it is necessary to clean
the toilet for better
hygiene.

NRSG355 2018 |
Q2: Collaborative and Therapeutic practice (module two)
(a) The Multidisciplinary team
Multidisciplinary health team is crucial to provide effective treatment to the patient and
also helps in managing the illness or injury of the patient and deliver quality outcomes. The
multi healthcare specialist team includes registered nurse, General practitioner,
physiotherapist, social worker, psychotherapist, dietician and specialists (Haines et al.,
2018). They are involved in the treatment whenever required by assessing the health
condition of the patient.
 Physiotherapist is involved in the treatment when the patient is observed to be
suffering from moving disability and posture complications (Oakley & Shacklady,
2015).
 Dietician is involved to monitor the diet of the patient as it have impact on the health
of the patient.
 Psychotherapist is involved when patient is suffering from any mental illness.
 General practitioner is involved to monitor for the physical and mental health of the
patient.
 Healthcare specialist such as heart specialist us involve when the patient is diagnosed
with any specific chronic illness.
 Nurse is involved to manage the patient as well as to formulate effective
communication between the multidisciplinary team members
General practitioner is considered as the leader of the multidisciplinary team. They
deliver primary care to patient by assessing the physical and mental condition of the patient
and based on that the patient is referred to different specialist.