University Nursing Video Transcript Analysis: NURBN 1001 Assessment 1B

This report analyzes a nursing video transcript concerning the case of a patient, Peter, and the observed nursing malpractices. The analysis focuses on several key areas, including violations of nursing ethics and codes of practice as outlined by the International Council of Nurses (ICN) and the Nursing and Midwifery Board of Australia (NMBA). It highlights breaches of healthcare rights as defined by the Australian Charter of Healthcare Rights, specifically concerning the failure to adequately assess, monitor, and communicate Peter’s low oxygen saturation levels. The report examines the concept of Duty of Care (DOC) and how it was violated, leading to a failure in providing safe and effective patient care. Furthermore, the report discusses the reasonable standard of care that should have been implemented, and identifies the elements of medical negligence observed in the case, resulting in Peter’s death. The role of the coroner in investigating the death is also discussed, along with the potential impact of post-anesthesia effects. The report concludes by emphasizing the importance of adherence to nursing professional standards to prevent adverse patient outcomes. References to relevant literature are included to support the analysis.

Running head: NURSING VIDEO TRANSCRIPT
NURSING VIDEO TRANSCRIPT
Name of the Student:
Name of the University:
Author note:

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Introduction
The following sections outline the key malpractices observed with regards to nursing
management of Peter’s case.
Discussion
Nursing Ethics/Codes of Practice
Nursing codes of conduct, ethics and professional practice are the legal, moral and
professional guidelines and standards which registered nurses (RNs) are expected to follow for
the purpose of delivering safe, effective and quality patient care interventions. In this case, Codes
2 and 4 of the International Council of Nurses (ICN, 2012) Code of Ethics can be related which
necessitates establishment of quality care standards and patient safeguarding from faulty
personnel practice, which in this case is observed in the form of lack of assessment and nursing
communication. The case also demonstrates violation of professional standard 1.6 of the Nursing
and Midwifery Board of Australia (NMBA, 2016) which necessitates timely and comprehensive
patient assessments. The case also demonstrates violation of Code of Conduct 2.1 which
necessitates evidence based nursing practice and timely documentation and reporting (NMBA,
2016).
Healthcare Rights
According to the Australian Charter of Healthcare Rights, patients like Peter have a right
to gain access to healthcare that is of high quality and safe. This right is violated in the case study
where Peter’s low oxygen saturation levels are not assessed, monitored, documented or
communicated across nursing personnel. This right is additional violated when the night duty

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nurses take untimely offs from their work and report wrong assessment results (Australian
Commission on Safety and Quality in Healthcare, 2020).
Duty of Care
Duty of Care (DOC) is the legal obligation of an organization to prevent engagement in
actions which may cause harm to other individuals belonging or involved with it. The DOC in
this case is a legal and moral responsibility of the healthcare organization and nurses to ensure
that patients like Peter are free from any harmful or erroneous care practices. The DOC was
however violated resulting in lack of timely assessments, interventions and Peter’s death (Water
et al., 2017).
Reasonable Standard of Care
The concept of reasonable standard of care defines the minimal, rational interventions
which would have been implemented in situations similar to one in question. In this case, the
reasonable standard of care was to immediately record, communicate, correct and frequently
monitor Peter’s low oxygen saturation levels (Foley & Christensen, 2016).
Medical Negligence
Medical negligence or malpractice is a form of misconduct where a healthcare
professional deviates from professional obligations and standards resulting in fatal injury or
patient harm (Baskaran, Kokilavani & Sekar, 2018). Three elements of medical negligence
observed in the case study:
1. Duty: The need to practice professional nursing assessments and communication of
Peter’s low oxygen saturation.

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2. Breach: Absence of assessing, communicating, correcting and frequently monitoring
Peter’s low oxygen saturation levels
3. Causation and Harm: Decreased breathing, responses and ability to rouse resulting in
Peter’s death (Baskaran, Kokilavani & Sekar, 2018).
Coroner
Coroners are appointed to investigate deaths which are unexpected, unpredicted and
suspicious (Charles, Cross & Griffiths, 2017). A coroner was appointed in Peter’s case because
he was relatively sound and healthy before and after the surgery and the surgery was also
uneventful. Additional, Peter’s key assessment outcomes like oxygen saturation were not
recorded. A key reason which caused the outcome could be post-anesthesia effects after surgery.
However, timely assessments, communication and oxygen administration could have corrected
the outcomes (Kirmeier et al., 2019).
Summary
While there were malpractices throughout, the key responsible person could be the nurse
handling Peter after surgery. Considering the possibility of post-anesthesia effects of low oxygen
saturation, the issue could have been corrected and notified immediately had the nurse
communicated the same to the anesthetist (Kirmeier et al., 2019).
Conclusion
This discussion briefly expounds upon the key malpractices observed in Peter’s case.
Thus, to conclude, this case study provides an insight as to how violation of nursing professional
standards can cost a patient’s life.

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References
Australian Commission on Safety and Quality in Healthcare. (2020). Australian Charter of
Healthcare Rights. Retrieved 18 April 2020, from
https://www.safetyandquality.gov.au/sites/default/files/migrated/Charter-PDf.pdf.
Baskaran, M., Kokilavani, N., & Sekar, U. (2018). Strategies for reducing the risk of nursing
malpratice/negligence-An over review. TNNMC Journal of Nursing Education and
Administration, 6(2), 42-47.
Charles, A., Cross, W., & Griffiths, D. (2017). What do clinicians understand about deaths
reportable to the Coroner?. Journal of forensic and legal medicine, 51, 76-80.
Foley, M., & Christensen, M. (2016). Negligence and the Duty of Care: A Case Study
Discussion. Singapore Nursing Journal, 43(1).
ICN. (2012). ICN Code of Ethics for Nurses. Retrieved 18 April 2020, from
https://www.icn.ch/sites/default/files/inline-files/2012_ICN_Codeofethicsfornurses_
%20eng.pdf.
Kirmeier, E., Eriksson, L. I., Lewald, H., Fagerlund, M. J., Hoeft, A., Hollmann, M., ... &
Gurumeta, A. A. (2019). Post-anaesthesia pulmonary complications after use of muscle
relaxants (POPULAR): a multicentre, prospective observational study. The Lancet
Respiratory Medicine, 7(2), 129-140.
NMBA. (2016). Nursing and Midwifery Board of Australia - Professional standards. Retrieved
18 April 2020, from https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-
Statements/Professional-standards.aspx.

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Water, T., Rasmussen, S., Neufeld, M., Gerrard, D., & Ford, K. (2017). Nursing's duty of care:
From legal obligation to moral commitment. Nursing Praxis in New Zealand, 33(3).