Suggested Template Nrsg355 Written Assessment 2022

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.
Q1: Prioritisation and delegation (module one)
After the tea break there were two RN. One RN was busy with NUM role. Thus the other RN
is left with three staff members for assistance - the ward clerk, an Enrolled Nurse who is
currently undertaking her IV cannulation certificate but is not yet competent, and an AIN.
RN EN AIN Ward Clerk
Mrs Chew’s intravenous
(IV) infusion has been
tissued and her IV fluids
are running behind. She
has also missed her 14.00
hrs. IV antibiotic.
The EN works with
the RN in the health
care team and shows
proficiency in the
delivery of person-
centered treatment
(NMBA, 2016).
Mr Smith’s visitor has
fainted.
Staff toilets are blocked
and it is causing overflow
of waste. He should call a
plumber or municipal
department to fix the
issue.
Surgical consultants
(VMO) are waiting to
discuss about the
medication error that
occurred in the last week.
A post-operative elderly
female patient has
collapsed on the floor and
is unconscious. She had a
facial surgery.
Mr Esposito will have his
cardiac catheterisation
however he has not
received his preoperative
medication.
RN Regarding the care of post-surgery elderly patient it is necessary for the RN to
attend to the post-operative patient immediately. The patient's situation needs urgent
action as the patient is an old age woman. The patient's health may deteriorate further
if it is not handled instantaneously. Her situation is further complicated by the
prospective hazards connected with her age, transitions in her disease condition and
the multiple drug interactions. In such a situation code blue must be used (Twigg et
al., 2016).
The RN is accountable for all preoperative treatment, especially evaluation,

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education as well as medicine administration, in readiness for Mr Esposito's cardiac
catheterisation (Smolowitz et al., 2015). The pedal pulses for contrast after the
operation is of specific significance. As this patient needs to be prepared before
surgery, these tasks cannot be assigned to the enrolled nurse or the AIN.
Surgical Consultants (VMO) are the responsibility of the RN, but they are of
least importance compared to other situations in the given scenario.
Ms Chew's responsibility should be given to the RN. This is because the RN is
IV-certified that implies that she has the skills to alter the IV tissue of Mrs Chew.
Moreover, she is also allowed to administer IV fluids and missed antibiotics
depending on the skills and job description of the RN (Twigg et al., 2016). Assigning
Mrs Chew's treatment to the RN is especially essential because her timely antibiotic
schedule has been running late, which can lead to several medication error (Twigg et
al., 2016).
Enrolled nurse The EN role is to do analytical thinking as they utilise information and
proficiently and compassionately interact with every individual participating in the
provision of treatment, which also comprise of the people receiving treatment and
their family members, and healthcare specialists (NMBA, 2016).
AIN Mr Smith’s visitor who has fainted should be assigned to the AIN. It becomes
very important for the AIN to take care of the visitor as the reason for fainting is not
known. Thus, he must be provided instantaneous medical treatment if needed. It
becomes mandatory to follow the ABC (airway, breathing, and circulation) protocol
and is also essential to check his pulse, respiration, and heart rate.
Ward Clerk The ward clerk should be assigned administrative duties not requiring clinical
licensing and a role which require organizational duties (Kennedy, 2016). Taking this
into account, the highest concern of the ward clerk is to reach a plumber and notify
them about the overflowing staff restroom that continuously scatters waste. This will
be a brief call and should be resolved as quickly as feasible due to the prospective
risks it poses like danger of falling and worry regarding controlling infections
(Kennedy, 2016).

NRSG355 2018 |
Q2: Collaborative and Therapeutic practice (module two)
A. Multidisciplinary team
a) The factors which are responsible in determining the healthcare experts who will
be included in a healthcare team for a patient comprise of the patients’ health
details such as - symptoms of the illness, assessment observations, clients’ likings
and convenience of services (Dempsey & Reilly, 2016). The level of multi-
disciplinary care that has to be provided to the patient depends on the health
details of the patient that helps in confirming that whether the patient will be
better cared in the community, hospital or at home. The seriousness of the
indications of the MND helps in the determination of the members who will be
included in the health care team for the treatment MND diagnosed patient’s
(Johnson & Viljoen, 2017).
b) The health care team will contact with the patient at the time of requirement
(Mitchell et al., 2015). When the need of patient changes, the leader should
initiate effective and timely response towards the need of patient. According to
certain studies the symptoms and development of MND condition continues to
deteriorate with the flow of time (Bridges, Griffiths, Oliver & Pickering, 2019).
That’s why; it is significant that the leader of the team should cooperate with other
members of the healthcare team. The person responsible for the patient should
continue to synchronize with the healthcare team which will replicate the medical
and psychological needs of the patient (MND, 2019). The leader should also
organise regular case conferences and team meetings (Deeken et al., 2017).
c) In a healthcare team the most significant member is the patient itself (Schottenfeld
et al., 2016). Members of the healthcare team are responsible for the patient in
assisting and execution and evaluation of the interventions that match the needs
and ethics of the patient. The decisions taken by the patient should be

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implemented in a way to enhance the quality of life and fulfil the needs of the
patient suffering from MND (Karazivan et al., 2015).
B. Case study name: CASE STUDY 3 (Robert Hughes)
1. This case study discusses about Robert Hughes (52 year old male) who met with a
bicycle accident. There are two key issues in the case-study,
a. Aggressive nature of Robert towards the staff and other patients and
b. Robert’s mother is 75 years of age. She cannot take care of Robert because of
her old age.
2. The health care team should consist of community aged care workers, orthotist,
physiotherapist, and a social worker or psychologist (Housley, 2017). They all have
their individual roles. Community aged care workers will take care of Robert’s
mother by providing general household assistance, emotional support, care and
companionship when she will feel lonely or worry about Robert. An orthotist and
physiotherapist will help in treating the fractures in Robert’s (R) tibia/fibula and (R)
radius.An orthotist can assist Robert by providing advice and timely provision of
artificial or mechanical aids, such as braces to prevent or assist movement of the
fractured parts to help prolong function of Robert. A physiotherapist will help Robert
in doing physical activity and mobility for the improvement and fast healing of the
fractured parts (Reeves et al., 2017). As Robert has shown aggressive nature, he will
be supported by a social worker or psychologist. They will counsel his psychological,
emotional and aggressive aspects of living. The social worker can also provide
information on community services that may assist Robert and her mother with
accommodation, legal, financial and other issues (Reeves et al., 2017).