NRSG355 Assignment: Prioritization, Collaboration, and Care

This assignment provides a comprehensive solution for an NRSG355 written assessment, focusing on key aspects of nursing practice. The assessment addresses four modules: prioritization and delegation, collaborative and therapeutic practice, provision and coordination of care, and time management and delegation. Module one analyzes prioritization of patient needs in a healthcare setting, detailing actions and rationales for various incidents. Module two explores multidisciplinary teams and therapeutic practices, including a case study analysis. Module three focuses on the provision and coordination of care, outlining the clinical reasoning cycle and patient assessment methods. Finally, module four addresses time management and delegation of tasks among healthcare staff. The assignment uses APA referencing to support its claims and provides detailed explanations for all decisions made, offering a practical guide to nursing students.

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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

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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.

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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.

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The most vital associate of the multidisciplinary team is the nurse as it monitors the
whole process and also acts as bridge amongst the patient and the different team associates of
the multidisciplinary team. It also aims to enhance communication between the different
members in order to deliver efficient care to patient (Purpora & Bleg, 2015)
(b) Case study name:
By observing the case study of grant, the key issue that has been observed are as
follows.
 Georgina wants grant to come and live with family and socialize there
 There is a disagreement of perception between the multi specialist
 He can get better care as in patient
 Separation from his family member is negatively impacting his health
By observing the case study of the patient, it can be stated that the best outcome for
the patient would be that he should be allowed to go home. It is because isolation from his
family possesses undesirable impact on the health of the patient, which might hinder the
recovery process of the patient and the patient can also visit the occupational therapist and the
physio therapist at regular intervals. According to the research conducted by Clay and Parsh
(2016), the recovery of the patient also appears to be faster.
As conflict has been observed among the different members about granting home to
the patient, it is my responsibility as a leader to guide the group about the strategies that can
deliver the best health outcome of the patient. I will guide them to think about social and
spiritual need of the patient so that they can get appropriate care to the patient. They should
be encouraged to involve family member in the treatment of the patient and should be
educated about the importance of such treatment.

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Q3: Provision and coordination of care (module three)
By observing the case study of the patient, it can be stated that the patient is supposed
to be suffering from pneumonia and has the chief complaints of chest cough and frothy
sputum. However the actual complications is still not diagnosed. According to the clinical
reasoning cycle, before formulating care plan for the patient, it is essential to gather all the
relevant information regarding the health care of the patient. Therefore, in order to do that the
patient has been asked different questions.
In this case study, the patient is asked if the patient has any allergies which could be
responsible for his current health condition. I will ask the patient if he is experiencing any
other symptoms related to her airway and breathing pattern. The respiratory rate of the patient
will be assessed to analyze the breathing pattern of the patient. The patient is also asked about
any difficulties he is facing in the health care sector which might affect his well-being and
can also delay the recovery process of the patient. The patient is also asked about his diet,
hygiene and other activities which is indirectly related to his current medical conditions
(Kotha et al., 2018).
The nurse must also ask patient about the social history of the patient, to analyze
about the risk factors which might be responsible for the health deterioration of the patient
(Carpman & Grant, 2016). As the patient is on the intravenous administration, the patient is
also asked about it as sometimes tissue is observed in the catheter which can hinder the blood
flow into the body. Information regarding the medication is also taken from patients. The
nurse should inquire the patient that if he is administered with medication on time.
When the patient has arrived in the ward, it is significant for the nurse to critically
analyze the health condition of the patient by performing different health assessment. After

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arriving the patient, the vital signs of the patient is again assessed to ensure about the patient
current health condition.
Other test which can be used to assess the breathing difficulties of the patient is also
assessed such as, sputum test and pulse oximetry is performed.
As the Patent is expected to be suffering from, sputum test is performed to ensure
about that. In this test, fluid from the lungs is taken as sample through a deep cough and is
then analyzed for the signs of the infection (Simpson et al., 2016). Pulse oximetry test is also
performed for the measure the amount of oxygen in the blood as in the case of pneumonia,
lungs has been prevented to move oxygen to the blood stream (Plana et al., 2018).
Chest x ray is also performed for the patient to analyze for the symptoms of the
infection. Head to toe assessment of the patient is performed. IVC of the patient is analyzed
to get the information regarding the intravenous condition of the patient. it will help in
formulating the appropriate care plan for the patient.
Q4: Time management and delegation (module four)
In this module, allocation of different staff has been performed by me. All of the
health care staff is allocated according to their scope of practice in order to provide safe and
suitable care to patient so that. Apart from me, there is one other registered nurse, three AIN
and one enrolled nurse is present in the surgical ward. In the surgical ward, 22 patients were
there among which 14 have went for surgery and only 8 are there on the surgical quarter. Half
of them have intravenous access and would require antibiotics at any time.
Hence, I would have to allocate in such way that patient would get appropriate care on
time. In the module, I would also have to discuss the rationale behind the allocation.

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As there are 2 Registered nurse along with me and the other nurse is also successfully
performing the role of NUM. Hence, i would allocate 4 patients to the registered nurse who
would require antibiotics at any time and along with that they are one AIN. The other 4
patient would be allocated to the enrolled nurse along with along with 2 AIN.
From the above allocation, it is observed that the registered nurse is allocating to take
care of the patient who are on the intravenous access and might need antibiotics at any time.
The scope of the registered nurse is to confirm that all the other health care staff is
performing their job to enhance the health outcome of the patient. It is done because the staff
available, registered nurse has more theoretical and practical knowledge regarding the patient
handling (Smolowitz et al., 2015). They can assess the patient more effectively, which will
also reduce the risk of medication error. According to the Nursing and Midwifery Board of
Australia, they can provide quality and harmless care to patient by engaging in a therapeutic
relationship with patient. They will provide better care to the patient by following all the rules
and regulations of the health care organization and can also guide the enrolled nurse and the
AIN to provide effective care to patient (Nursing and Midwifery Board of Australia, 2016).
However, alone they cannot take complete care of the patient and due to that AIN is
associated with them. AIN is vital in the health care setting and their scope of practice is to
help in the better management of the patients and help them in performing different tasks
such as, making bed for the patient, maintaining the hygiene of the patient, showering the
patient and other tasks (NSW, 2010). Apart from these they can also assist in the mobility of
the patient and in communicating with the patient.
The enrolled nurse is also allocated to take care of the patients. The scope of training
of the enrolled nurse is to provide best of their knowledge in taking care of patient. The
enrolled nurse will assess the physical condition of patient and if require, should contact

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either the registered nurse or the multi-disciplinary team (Nursing and Midwifery Board of
Australia, 2016). They should consider the legal and ethical considerations of the patient to
avoid any further complications.

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Reference List
Carpman, J. R., & Grant, M. A. (2016). Design that cares: Planning health facilities for
patients and visitors (Vol. 142). John Wiley & Sons.
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anymore. AMA journal of ethics, 18(1), 40-44.
Feleke, S. A., Mulatu, M. A., & Yesmaw, Y. S. (2015). Medication administration error:
magnitude and associated factors among nurses in Ethiopia. BMC nursing, 14(1), 53.
Haines, A., Perkins, E., Evans, E. A., & McCabe, R. (2018). Multidisciplinary
team functioning and decision making within forensic mental health. Mental
Health Review Journal, 23(3), 185-196.
Kotha, S. B., AlFaraj, N. S. M., Ramdan, T. H., Alsalam, M. A., Al Ameer, M. J., &
Almuzin, Z. M. (2018). Associations between diet, dietary and oral hygiene habits
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Lenz, J. R., Degnan, D. D., Hertig, J. B., & Stevenson, J. G. (2017). A review of best
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Missen, K., McKenna, L., Beauchamp, A., & Larkins, J. A. (2016). Qualified nurses' rate
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https://www.health.nsw.gov.au/workforce/Publications/ain-acute-care.pdf

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Nursing and Midwifery Board of Australia (2016). ENROLLED NURSE STANDARDS FOR
PRACTICE. Retrieved from: https://www.nursingmidwiferyboard.gov.au/Codes-
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Wade, D. (2017). Back to the bedside? Making clinical decisions in patients with prolonged
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