NRSG355 Written Assessment on Prioritisation, Collaboration, Provision, and Time Management in Healthcare

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TEMPLATE: NRSG355 WRITTEN ASSESSMENT
Q1: Prioritisation and delegation (module one)
Issue Priority Action and rationale
An elderly patient who has
had facial surgery has
collapsed on the floor after
the surgery.
The registered nurse can
assess the situation.
For prompt action, a MET
call will be made to the
hospital professionals. The
professionals having the
scope of practice will be
asked for help and
assessing the situation
(Bergmeir et al., 2017).
According to the Maslow
Hierarchy, there is a
probability of the patient
being compromised on the
oxygen for her
physiological need (Ward,
2016).
The visitor who was visiting
Mr Smith has fainted.
The Assistant in Nursing can
be called to look further into
the situation.
The visitor needs to be
attended immediately as
fainting might indicate
towards several health
conditions like syncope
due to low blood pressure
or fear or emotional trauma
and has to be attended
immediately by the

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assistant (Kumaraswami et
al., 2018). The hospital
policy regarding a situation
of a non-hospitalized
individual fainting should
be assessed by a nursing
assistant to check the vital
parameters (Nett et al.,
2018). The AIN has scope
in their practice to code for
blue which revolves around
respiratory or cardiac
arrest (Jackson & Grugan,
2015).
No preoperative medicine
has been administered to Mr
Esposito before his cardiac
catheterization.
The enrolled nurse should
have checked the medication
chart of the patient before
taking him for cardiac
catheterisation.
The enrolled nurse is liable
to administer preoperative
medicines to patients in
lieu with the state drugs
and poisons legislations by
completing her education
(Pfeifer, Slawski, Manley,
Nelson & Haines, 2016;
Latimer et al., 2017). This
makes the nurse
competent to administer
appropriate medications to
the patient.
A medical error has occurred The Nursing Unit Manager This task is not emergency

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which need to be discussed
at the earliest by the surgical
consultant.
must ensure a priority
discussion with the surgical
consultant about the medical
error.
task Strict action will be
taken against the individual
who is responsible for
conducting a medical error
and placing the life of the
patient in grave danger
(Richter, McAlearney &
Pennell, 2015). This is
because medical error can
cause adverse drug
reactions and can even
react with other drugs
causing anaphylactic
reaction.
Mrs Chew missed her
intravenous antibiotic at
14.00 hrs.
The registered nurse should
be vigilant in administering
the antibiotic intravenously at
regular intervals (Härkänen,
Saano & Vehviläinen‐
Julkunen, 2017).
Normally the intravenous
antibiotics are administered
for curing any infection in
the body and decreases
the chance of septicaemia.
Hence such a miss can
cause serious condition in
the patient. (McNeer,
Horn, Bennett,
Edworthy&Dudaryk, 2018).
It is important for the nurse
to assess the ED50 dose
of the antibiotic to be
administered. If the nurse

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can administer it within the
timeframe, then a next
dose can be administered
(Patel et al., 2019).
The toilet for the staff is
overflowing with waste
rapidly pouring out.
The ward clerk is contacted to
clean the toilet to be used by
their staff members.
The waste pouring out can
generate a risk of fall for
the staff and patient
(Watson, 2017). Thus,
overflowing can be stopped
by calling a plumber who
can repair the critical areas
(Watson, 2017).
Q2: Collaborative and Therapeutic practice(module two)
(a)The Multidisciplinary team
i. For an efficient delivery of healthcare service to the patients, there exist certain factors
that help in determining which medical professionals are required depending on the
situation of the patient (Schepman, Hansen, De Putter, Batenburg & De Bakker,
2015).Cultural competency, decision-making abilities and communication skills are some
of the factors that are critically assessed in individuals who desire to be part of the
medical team (Brown, Bekker, Davison, Koffman & Schell, 2016). In addition to this,
leadership with a great coordination among the team members by communicating
efficiently with the patient and the team members ensure a better care to the patient with
a positive health outcome (Brown, Bekker, Davison, Koffman & Schell, 2016).
ii. A healthcare multidisciplinary team involves a lot of individuals who belong to different
occupations (Barr & Dowding, 2019). They come together as a team and provide the
patient with the holistic care (Barr & Dowding, 2019). But, for the team to work efficiently,