Holmesglen Diploma of Nursing Simulation Make Up Assignment (201910)

This document presents a nursing simulation make-up assignment designed for students in the Diploma of Nursing program (HLT54115), specifically addressing the units HLTENN007, CHCDIV001, and CHCDIV002. The assignment involves a case study of an 82-year-old patient, Mr. Hadi, who recently underwent a Right Total Knee Replacement (TKR). The student, acting as a nurse, is tasked with providing nursing interventions, communication strategies, and medication management. The assignment covers various scenarios, including Mr. Hadi's complaints of a headache and subsequent nausea and vomiting, prompting the student to detail appropriate nursing interventions and communication using the ISOBAR framework. Furthermore, the assignment requires the student to describe the responsibilities of an Enrolled Nurse in handling telephone orders from a treating doctor. The student's responses are expected to include rationales and are assessed based on their understanding of patient care, communication, and medication administration within a nursing context.

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Assessment Task: Simulation Make Up Assignment (Stage 2)
Student Version: Knowledge
Student information
Student name: Student ID:
Group:
Section A – Program/Course details
Qualification code: HLT54115 Qualification title: Diploma of Nursing
Unit code: HLTENN007, CHCDIV001, &
CHCDIV002
Unit title: Administer and monitor
medicines and intravenous
therapy, Work with diverse
people, & Promote Aboriginal
and/or Torres Strait Islander
cultural safety
Section B – Assessment task details
Assessment number: Semester/Year: 201910
Due date: 20/01/2019 Duration of assessment:
Assessment task
results:
This assessment task will be marked as:
☒ Ungraded result: Satisfactory or Not Satisfactory
☐ Other (eg points): Click here to enter text.
Section C – Instructions to students
Task instructions:
 This is an individual assignment for student who is absent from simulation
 Student is required to complete this assignment and submit it to your unit teacher by the given due date
 Student is required to read the given case scenario and answer all the questions
Section D – Conditions for assessment
Conditions:
Student to complete and attach Assessment Submission Cover Sheet to the completed Assessment Task.
 This is an individual assignment.
 Discuss with your unit teacher if you feel you require special consideration or adjustment for this task
 This is a non-graded individual assignment
 Student must meet all the conditions in the marking guide to be deemed satisfactory in this task.
 Student may resubmit this task if deemed not successful within the enrolment period as per Holmesglen
assessment procedure if they meet the requirement to be eligible to a resubmission.
 Students may appeal and assessment decision according to the Holmesglen procedure.
Equipment/resources students must supply: Equipment/resources to be provided by the RTO:
 Pen
 Havard’s Nursing Drug Guide
 Case scenario questions uploaded to Brightspace
Section E – Marking Guide Student Answer Sheet
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Assessment number: Assessment title: Simulation Make Up Assignment
Student ID: Student name:
Unit code: HLTENN007,
CHCDIV001,
&
CHCDIV002
Unit title: Administer and monitor medicines and intravenous
therapy, Work with diverse people, & Promote
Aboriginal and/or Torres Strait Islander cultural
safety
Date: .
Read the following Scenario and provide your responses in the boxes below each question.
Part 1
You are the nurse who is looking after Mr. Hadi this morning. At about 9am you heard a call bell ringing
from his room. When you entered the room, Hadi complained that he was having a bad headache. Hadi
said that he just had a shower and started to have headache. He wanted to have some medication to stop
the pain.
You have obtained the following information through handover this morning:
Patient’s details and history:
- Name: Hadi Muhamad
- Age 82, Male
- Admitted 1/7 day ago for Right (Rt) Total Knee Replacement (TKR)
- Past medical history: hypertension, IHD, type 2 DM, bilateral hard of hearing (Patient always forget
to use his hearing aids)
- Allergies: NKA
- Social history: lives at home with partner, ADLs independent with 2 wheeled walking frame; 2 adult
children; Non-smoker and social drinker. Patient migrated to Australia 5 years ago from Iran.
- Patient has slept well throughout the night, nil issue overnight.
- Medications written on patient’s medication chart as showing below:
 PO Perindopril 4mg mane
 PO Aspirin 100mg mane
 PO Metformin 500mg BD
 PO Paracetamol 1g TDS PRN
 PO Endone 5mg 6Hrly PRN
Question 1: Describe four (4) nursing intervention(s) that you would do with
Hadi now. State your rationale for each.
Satisfactory response
Yes ☐ No ☐
Answer:
Based on information provided in the case study the following four nursing interventions
are considered and they include-
1. Improvement in coping strategies
Comment:
Click here to enter text.
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Rationale: Encourage family members to involve self-care management of
diabetes by discussing about finances, life style changes and occupation.
2.Providing knowledge about medications specifically oral antidiabetic agents
Rationale: It is important to guide the patient about the usage and adverse
effects of medication and also encourage very active involvement of family and
stay away from distractive environment
3.Guidance about insulin uptake
Rationale: It is critical to assess the knowledge of patient about insulin injection
and should decrease the fear of injection through supportive coping methods
4.Nutritional guidance
Rationale: It is necessary to assess the correct timing of intake of meals and
set a dietary therapy and recommend a balanced calorie expenditure intake on
daily basis.
Question 2: When communicating with Mr. Hadi, what nursing intervention(s)
you would do? List and explain five (5) nursing intervention(s)
with rationale.
Satisfactory response
Yes ☐ No ☐
Answer:
Five nursing interventions with reference with communication procedures with Mr.Hadi
mainly include –
1.Nonverbal communication – It is important to communicate through signs and
expressions in order to reach easily to the patient
2.Active listening- The information should be collected with patience and should
understand before considering medication or any other procedures
3.Showing Compassion- It is important to make sure the patient is provided with
support services in the form of sympathy and showing respect towards feelings without
any discomfort
4.Providing education to the patient- The patient should be made aware of treatment
and medication procedures and also explain its adverse effects in order avoid risk later.
5.Personal relationship- Professional relationship with patient directly is critical for early
recovery of patient and it should be personal and it should also make patient not to feel
discomfort.
Comment:
Click here to enter text.
Part 2:
The same patient, Hadi, c/o nausea and vomiting post Rt TKR surgery. Patient says that he has vomited
twice within the past 20 minutes and wants some medication to stop the nausea and vomiting.
Question 3: What would you do now? Explain each nursing intervention that
you apply and support with rationale. (Minimum 4 interventions)
Satisfactory response
Yes ☐ No ☐
Answer: The reasons for nausea and vomiting is associated with dosage amount of
drugs that is taken by the patient. Nursing interventions relevant to patient case include-
1. Provide basin to the patient that could be easily reached to patient
Rationale: Emesis basis should always be within reach to patient in case
symptoms associated with nausea is having psychogenic component.
2.Patient should be assisted with diagnostic test
Rationale: Different tests are conducted to determine the factor for example
using ultrasonography, CT scan etc are recommended to know more about the
Comment:
Click here to enter text.
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case.
3.Fluid balance should be maintained
Rationale: Hydration before the surgery ,chemotherapy will help to decrease
the nausea in risk situations
4.Nutritional recommendations are made with reference to patient
Rationale: Very small amount of foods is recommended frequently and intake
of iron should be reduced to a greater extent and other vitamins should be
consumed during meals.
Question 4: When communicating with Mr. Hadi’s treating doctor, you need to
follow ‘ISOBAR’. Explain each of the ‘ISBAR’ based on Mr. Hadi’s
situation above.
Satisfactory response
Yes ☐ No ☐
Answer:
ISOBAR stands for
Identify–patient is admitted to hospital for knee replacement
situation–Present condition shows there is no issue
observations–There is no problem reported and patient slept well overnight without any
problem
background–Patient’s medical history shows suffering from type 2 diabetes,
hypertension and require hearing aid
agreed plan– Medications are recommended to the patient
read back-Patient is currently under observation and careful monitoring is required and
should also observe if there any side effects due to medications arises later.
Comment:
Click here to enter text.
Question 5: Describe the requirement when an Enrolled Nurse receives a
telephone order from a treating doctor.
Satisfactory response
Yes ☐ No ☐
Answer: Enrolled nurse is required to carefully observe, measure and record the
patient’s important statistics and also should report the changes to doctors or registered
nurses on frequent basis. Physical and emotional support should be provided to both
patient and patient’s family by enrolled nurse. Personal hygiene related duties should
be assisted by enrolled nurses such as dressing, bathing and showering to the patient.
References:
Park, K. H., & Song, M. R. (2017). The Effects of Postdischarge Telephone Counseling
and Short Message Service on the Knee Function, Activities of Daily Living,
and Life Satisfaction of Patients Undergoing Total Knee
Replacement. Orthopedic nursing, 36(3), 229–236.
doi:10.1097/NOR.0000000000000332
Losina, E., Collins, J. E., Deshpande, B. R., Smith, S. R., Michl, G. L., Usiskin, I. M., …
Katz, J. N. (2018). Financial Incentives and Health Coaching to Improve
Physical Activity Following Total Knee Replacement: A Randomized Controlled
Trial. Arthritis care & research, 70(5), 732–740. doi:10.1002/acr.23324
Comment:
Click here to enter text.
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Section F – Feedback to Student
Has the student successfully completed this assessment task? Yes No
☐ ☐
Additional Assessor comments (as appropriate):
Resubmission allowed: Yes ☐ No ☐ Resubmission due date: .
Assessor name: .
Assessor signature:
Date: .
R
RefR
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