NSQSH Nursing Assignment 2022

Running head: NURSING ASSIGNMENT
NURSING ASSIGNMENT
Name of the Student
Name of the university
Author’s note

NURSING ASSIGNMENT1
In this paper, I will reflect on my two clinical experience and will link them to two NSQSH
standard, preventing and controlling health care associated infection standard and
Medication safety standard.
Description
At the time of my placement, I was working under one of the registered nurse in a clinical
settings. While I was checking the vital signs of a certain patient, he informed that he was having
terrible headache since morning. Checking the medical chart, I found that the patient was on
PRN Panadol and there had been an overdose of Panadol. The normal dosage of Panadol for this
patient was only the 2g per day, but the patient had received an over dosage of the medicine.
Feelings
I was perplexed and worried as, I had knowledge, that over dosage of Panadol might lead
to serious adverse effects lie vomiting, nauseas, hepatic encephalopathy and in severe cases
might cause permanent liver damage causing mortality in the patient.
Evaluation
As I evaluated this incident mindfully, I realized the importance of following “five rights
of medication administration and why National safety and Quality Health service standards had
set the `medication safety standards to be followed by the nurses (Australian Commission on
Safety and Quality in Health Care , 2017). I have realized that the nurses should check the
medications daily and including the PRN dose, route of administration and timing, including the
time and the dosage of the previous administration. By evaluating the incident, I have noticed
that the nurse who committed this mistake was on double shift and was probably fatigued by the

NURSING ASSIGNMENT2
end of the day. According to Vrbnjak, Denieffe, O’Gorman and Pajnkihar, (2016) chances of
medication administration becomes higher with burnout, fatigue and uneven delegation of the
workload. I personally believe that the nurse could have shared his concern with the other peer
nurses, if she felt stressed out.
Analysis
I have learnt, that nurses should follow the NSQHS standards for a continuous
improvement of their professional standards and to ensure safety of the patient. Nurses are liable
to use safety and quality following the best possible way of documenting the history of the
patient as well as the treatment plan (Australian Commission on Safety and Quality in Health
Care , 2017). The framework had suggested how medication review for patients could be useful
and should be in line with evidence based practices. In order to prevent similar incidents nurses
should cross check the prescription, administration and documentation of each of the medicines
before the administration of the drugs to the patient and before signing the medication chart
(Yung et al., 2017).
Discussion of the incident 2
This part of the reflection is also based upon the placement in an acute ward, where I was on the
morning shift, when a nurse came running for help to manage a patient, who is showing
symptoms of the clostridium difficile. The nurse was perplexed as the patient was a Clostridium
difficile positive. I washed my hands and done my apron and the gloves before entering the
room. After that I assisted the patient to do the toileting activities. After the completion of the
task, I removed the apron and other protection clothing.