Workbook Mr. Dwight; and Dwight First Hour Simulation Medical Documents Note: Workbook questions do not need to be rewritten b

1. Read the following documents carefully prior start your research and writing:

• Assessment requirements and Detailed instructions for completing the task;

• Assessment Task 1 Workbook Mr Dwight; and

• Dwight First Hour Simulation Medical Documents

Note: Workbook questions do not need to be rewritten but clearly identify your responses

with numbering.

2. Your task is to answer the following questions:

• Question 2 (a), (b) and (c); and

• Question 5 (b)

Note:

• Question 2 MUST relate back to Mr. Dwight Hartmann’s procedure with the

formation of a colostomy.

• Question 5 (b) MUST relate to Mr. Dwight might require a blood transfusion

because of post-operative bleeding, intraopertaibe, blood loss or later, during his

chemotherapy treatment.

• All discussion MUST support with evidence base literature

3. Attached herewith National Safety and Quality Health Service Standards for your perusal (NSQHS).

4. All answers MUST relate back to the case study of Mr Dwight.

5. (a) Reference: • Minimum five (5) valid contemporary peer reviewed journal articles, NO longer than

6 years. (All journals must be “High level” (systematic review) of academic sources used

Note: You could use (i) guidelines for health professionals that are peer reviewed, (ii) authoritative websites and government websites such as NHMRC, NSQHC organisation resources/guidelines intended for health professionals.

(b) In-text citation: • MUST include the page number that indicates the actual page in your source where

you located the evidence to support your key point in the citation. Example: John, 2016, p.xx

(c) Style: • APA

6. This writing must be High Academic Writing. Use correct terminology and professional

language.

7. Each answer must be justified and referenced appropriately.

TAKE NOTICE:

This is a Nursing Assignment.

This document contains:

• Assessment requirements.

• Detailed instructions for completing the task.

BB233 Integrated Nursing Practice

Assessment Task 1

Assessment name: Collaborative Practice Simulation Workbook

Task description: You will be expected to complete the simulation ensuring demonstration of evidence-based practice, clinical reasoning and decision-making to provide culturally safe, quality, person- centred care, while considering a multi-disciplinary approach to care. You will need to analyse the simulation and undertake a holistic understanding of the situation drawing on prior knowledge and skills. In this simulation you will be expected to use and understand the requirements for integrated knowledge and skills, including communication, collaboration, leadership, ethical and culturally safe approaches to healthcare, and interprofessional collaboration. Once you have completed the simulation, you will be required to complete the National Health Priority module on Cancer Control, search the literature for further information and complete the case-based scenario workbook questions.

What you need to do: 1. Review the knowledge and skills relating to the National Health Priorities of Cancer.

2. Attend the BB233 Case Based Simulation Scenario 3. Complete the on-line module for this National Health Priority 4. Complete the BB233 Assessment Task 1 Workbook on the

case scenario of Mr. Dwight and answer all questions. Each answer must be justified and referenced appropriately unless otherwise indicated.

Length: Maximum word count of 2000 words +/-10% (including in text references and excluding reference list). Words in excess of this will not be marked.

Estimated time to complete task:

Approximately 20 hours.

Weighting: Satisfactory (>=50%) or Unsatisfactory (<50%)

If your grade is between 40-49% you will be required to resubmit addressing feedback provided. Only one resubmission will be possible, an unsatisfactory grade will be awarded if the grade is less than 50% for re-submission.

Papers that score less than 40% on the first submission will receive an unsatisfactory grade and will therefore be unsatisfactory in the unit. There will be no opportunity for resubmission.

How will I be assessed: Your responses will be assessed according to clinical content, evidence of critical thinking, adequate standard of academic writing and referencing formatting and quality of sources used.

Due date: Week 4 Sunday 8th December 2019 submitted via Turnitin in your BB233 Blackboard site by 11:59pm.

BB233 Integrated Nursing Practice

Presentation requirements:

This assessment task must:

• Use the template provided on Blackboard under the assessment item (includes cover sheet). Formatting should be as outlined below.

• Workbook questions do not need to be rewritten; identify your responses with numbering.

• Use at least fourteen (14) valid contemporary peer reviewed journal articles with the addition of text books as appropriate

• Any responses that are not referenced to valid, academic sources will receive a mark of zero (0) unless otherwise indicated.

• You MUST include the page number that indicates the actual page in your source where you located the evidence to support your key point in the citation. Failure to do this will attract a zero grade for referencing. Note: markers will be randomly checking references to see that you have accurately represented the source.

• Use APA referencing for citing academic literature • Be submitted in electronic format as a PDF/Word document

via Turnitin. It should also be formatted with the following:

• Include a ‘footer’ on each page with your name, student number, unit code and page number.

• 3 cm margins on all sides, double-spaced text • Times new roman, font size 12 • Double spaced

Learning outcomes assessed:

1. Demonstrate evidence-based practice, clinical reasoning and decision-making to provide culturally safe, quality, person-centred care consistent with the NMBA Registered Nurse Standards of Practice and the National Safety and Quality Health Service Standards. 3. Coordinate and lead provision of care for consumers, families, and the broader community.

What you need to submit:

You must submit one document that contains the following items:

1. Use the template provided on Blackboard under the assessment item (includes cover sheet).

2. Workbook questions are NOT to be rewritten but clearly identify your assignment

3. Include a reference list at the end of your responses.

4. Final submission should be submitted via Turnitin.

BB233 Integrated Nursing Practice

Resources needed to complete task:

A minimum of 17 academic sources is to be used. You will need to use at least fourteen (14) valid, contemporary peer reviewed journal articles no older than six (6) years as supporting evidence. In addition, you could use:

• Textbooks (maximum of three text books, and no older than five (4) years old

• Guidelines for health professionals that are peer reviewed, • Authoritative websites and government websites such as

NHMRC, NSQHC • Organisation resources intended for health professionals.

BB233 Integrated Nursing Practice

BB233 Collaborative Practice Simulation Workbook / Assessment 1 Rubric

Learning outcomes assessed: 1 & 3 This workbook will be marked in written exam format. Each question is weighted with marks for the response and justification. Marks for academic writing and referencing will also be awarded as per the marking rubric.

5 marks Excellent

4 marks

Good

3 marks

Satisfactory

2 marks

Limited

1 mark

Unsatisfactory

0 marks

Academic Writing

High level of academic writing

Correct terminology and professional language

Skillful use of language that conveys meaning with clarity and fluency.

No errors in tense, spelling, punctuation, or grammar

Good level of academic writing

Generally, uses Correct terminology and professional language

Uses language that effectively conveys meaning with clarity and fluency.

Minimal errors (2-4) in tense, spelling, punctuation, or grammar

Satisfactory level of academic writing

Uses correct terminology and professional language for some of the workbook

Uses straightforward language that generally conveys meaning.

Occasional errors in tense, spelling, punctuation, or grammar that reduce readability.

Limited level of academic writing

Incorrect terminology and professional language frequently throughout the workbook

Language used means it is frequently difficult to determine meaning

Frequent errors in tense, spelling, punctuation, or grammar that reduce readability

Unsatisfactory level of academic writing

Uses incorrect terminology and professional language throughout the workbook

Uses language that often does not convey meaning or is difficult to determine meaning.

Frequent errors in tense, spelling, punctuation, or grammar that interfere with effective communication. Serious problems with mechanics of language

No submission

Referencing All aspects of APA referencing are technically correct in reference list and in-text referencing.

High level of academic sources used

Minimum of 10 peer reviewed journals accessed in addition to other sources to support work.

Most aspects of APA referencing are technically correct in reference list and in-text referencing.

Generally high level of academic sources used

8-10 peer reviewed journals accessed in addition to other sources to support work.

Infrequent errors in APA referencing in reference list and/or in-text referencing.

Mostly academic sources used with some non- academic sources

Some peer reviewed journals accessed in addition to other sources to support work.

Frequent errors consistent in APA referencing in reference list and/or in-text referencing.

Mostly non-academic academic sources used

Limited number of peer reviewed journals accessed in addition to other sources to support work.

Serious issues with referencing in reference list and/or in-text referencing

Has not used APA referencing

Has used all non-academic sources to support work

AND/OR

Very limited number of peer reviewed journals accessed in addition to other sources to support work.

Absent referencing

No evidence of use of sources to support work

BB233 Integrated Nursing Practice

Assessment 1: SIM workbook: Summer semester Bachelor of Nursing BB233

Page 1 of 5

Mr. Dwight Simulation Setting the scene Refer to your simulation documents

Epidemiology / pathophysiology of disease processes The National Health Priority Area of Cancer Control was established with the aim of improving health outcomes in this area. The most common diagnoses for cancer in men are prostate (1 in 5 males), colorectal (1 in 11 males), melanoma of the skin (1 in 13 males) and lung (1 in 13 males). For women, the most common diagnoses are breast (1 in 8 females), colorectal (1 in 16 females), melanoma of the skin (1 in 23 females) and lung (1 in 22 females). Cancer screening programs have been large public health initiatives in this area aimed at reducing illness and death resulting from cancer through an organised approach to screening. It would be of benefit for you to research the three cancer screening programs of Breast Screen Australia, National Cervical Screening Program and the National Bowel Cancer Screening Program to understand the importance of these programs and the benefits obtained. The World Health Organisation defines palliative care as: ‘An approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual. Your own values and beliefs about death and dying may impact on your interactions with a dying person, reflect on your own self-awareness as an important strategy in palliative care nursing.

Now we shall step through the CRC in relation to Mr. Dwight’s’s case to prepare you for the workbook assessment questions.

BB233 Integrated Nursing Practice

Assessment 1: SIM workbook: Summer semester Bachelor of Nursing BB233

Page 2 of 5

Based on your reading so far:

Gain an initial impression of your patient

Consider Mr. Dwight’s situation, both socially and health wise. What is your initial view of this patient and potential issues for him? How has this changed between the acute admission and the palliative care admission?

(a) Review current information (b) Gather new information (c) Recall knowledge (A&P, ethics,

law, cultural safety)

Consider the disease process and the assessment data you have been provided with.

§ Interpret data – what does it all mean?

§ It is important to consider the potential inter-relationships between mental health, cardio vascular, obesity, musculoskeletal problems and injury prevention.

What is your understanding of the cancer that Mr. Dwight presents with? What is your understanding of the psycho-social effects for a patenit and family faced with a diagnosis of cancer? How does this change when a patient transitions into a palliative care setting?

Synthesize all information that has been collected and processed.

You need to consider Mr. Dwight’s priority problems and any actual or strong potential problems he is experiencing, based on your assessment of him and your knowledge of the pathophysiology of his presenting condition, psych-social needs and disease progression at two stages of his illness.

As a nurse, what are your desired outcomes for Ivan?

Now you have identified his problems, you need to identify your goals of care for each problem using the SMART acronym.

BB233 Integrated Nursing Practice

Assessment 1: SIM workbook: Summer semester Bachelor of Nursing BB233

Page 3 of 5

What action/interventions will you do?

The next step is to consider what you will do and ensure your nursing interventions suit the context and are evidence based. Also consider who else should be involved.

Assess the effectiveness of actions

Now think about your interventions and how you will evaluate them.

What have you learned from this experience?

Now consider what you have learnt and what you need to follow up with.

WORK BOOK QUESTIONS

1. a. What are strategies that assist with the early detection of bowel cancer? Name and describe two (2) in relation to bowel cancer screening. (2 marks) b. Name two (2) barriers for patients accessing these and why? (2 marks)

2. Mr. Dwight is to have a Hartmann’s procedure with the formation of a colostomy. With

your knowledge of the anatomy and physiology of the procedure: a. Name four (4) essential pre-operative topics of education you should provide to

Mr Dwight. (2 marks) b. Explain how you will approach this education- name two (2) specific

educational strategies will you use? (2 marks) c. How would you evaluate effectiveness of your education? (1 mark)

BB233 Integrated Nursing Practice

Assessment 1: SIM workbook: Summer semester Bachelor of Nursing BB233

Page 4 of 5

3. a. Name four (4) observations of the skin surrounding the stoma that would alert you to

problems in the post-operative phase. (2 marks) b. What treatment should be provided if the skin problem in the stomal area occur?

(2 marks)

4. a. Mr. Dwight presents with with symptoms that indicate a bowel obstruction. Explain why this can occur in the context of bowel malignancy. (1 mark)

b. Identify three (3) signs/symtoms that indicate a bowel obstruction and explain why these may have occurred in the context of a large bowel malignancy linked to the pathophsiology. (3 marks)

5. Mr. Dwight might require a blood transfusion because of post-operative bleeding, intra-

opertaibe blood loss or later, during his chemotherapy treatment.

a. Name four (4) adverse effects you might see when administering blood products and justify why these may occur? (4 marks)

b. Review Standard 7 of the NSQHS. Using the NSQHC standard and relevant

literature, and state (6) actions required of the registered nurse if an adverse or suspected adverse reaction to blood products occurs. (3 marks)

6. Review and recall your knowledge on nasogastric tubes.

a. Provide a rationale for why Mr. Dwight required a nasogastric tube inserted? (2 marks)

b. The RN you are working with checked the position of the nasogastric (NG) tube by injecting 20mLs of air and auscultating the stomach using a stethescope. This is an outdated method that is no longer considered safe or definitive for checking the position of an NG tube. Utilising an evidence based approach and referring to the evidence and literature on this subject, what is considered a definitive check for the position of the NG that the RN can perform in the ward? (1 mark)

Choose ONE of the following sections. Provide responses to either questions 7-11 or 12-16.

Questions directly related to Mr. Dwight’s Acute Admission in Emergency Department (ED)

7. Effective and accurate clinical assessment skills are imperative for the nurse working

with Mr. Dwight at all times. Identify two (2) clinical priority problems for Mr. Dwight during his admission to the ED with regard to fluid and electrolyte balance. (2 marks)

BB233 Integrated Nursing Practice

Assessment 1: SIM workbook: Summer semester Bachelor of Nursing BB233

Page 5 of 5

8. From your identified clinical priority problem in the emergency department, state one (1) goal for Mr. Dwight’s management using the SMART framework. No reference required for this response. This should be a sentence or two that contains all the elements of the SMART goal (2 marks)

9. Based on your goal in Q8, state and describe (2) interventions (nursing, collaborative or

pharmacological) which would assist to achieve Mr. Dwight's goal. (4 marks)

10. Provide and justify two (2) methods of how you would evaluate the outcomes for your interventions in Q 9. (4 marks)

11. You have cmleted the module on cancer in your NSB335 BB site. Mr Dwight has had

cancer for 6/12 at the time of his ED presentation. Consider the time of his diagnosis and using a patient centred approach, identify two (2) psycho-social issues that may present at the time of a cancer diagnosis and discuss the issues briefly. Outline why it is important to address these psycho-social issues for treatment outcomes. (4 marks)

Questions directly related to Mr. Dwight’s Palliative Care Consultation

12. Effective and accurate clinical assessment skills are imperative for the nurse working with Mr. Dwight at all times. Identify two (2) clinical problems that could occur for Mr. Dwight during his admission to the palliative care unit with regard to fluid and nutrition that are commonly seen in the palliative care setting. (2 marks)

13. From your identified clinical problem, state one (1) goal for Mr. Dwight’s management

using the SMART framework. No reference required for this response. This should be a sentence or two that contains all the elements of the SMART goal (2 marks)

14. Based on your goal in Q13, state and describe (2) interventions (nursing, collaborative

or pharmacological) which would assist to achieve Mr. Dwight's goal. (4 marks)

15. Provide and justify two (2) methods of how you would evaluate the outcomes for your interventions in Q 14. (4 marks)

16. a. name four (4) members of a multi-disciplinary team (MDT) who may be involved in

the care of a palliative care patient like Mr Dwight. (2 marks)

b. What are benfits for the palliative care patient to have a MDT involved in planning and delivery of care? Note: this question does not ask you to define specific team member’s roles but use the literature about MDT to consider the role of such a team and the benefits. (2 marks)

Marks allocated as per marking rubric in task assessment booklet • All answers should be justified and referenced appropriately unless otherwise

indiacted (5 marks). • All answers should be written in academic format (5 marks).

National Safety and Quality Health Service Standards Second edition

Published by the Australian Commission on Safety and Quality in Health Care Level 5, 255 Elizabeth Street, Sydney NSW 2000 Phone: (02) 9126 3600 Fax: (02) 9126 3613 Email: [email protected] Website: www.safetyandquality.gov.au ISBN: 978-1-925665-17-8

© Australian Commission on Safety and Quality in Health Care 2017 All material and work produced by the Australian Commission on Safety and Quality in Health Care is protected by copyright. The Commission reserves the right to set out the terms and conditions for the use of such material. As far as practicable, material for which the copyright is owned by a third party will be clearly labelled. The Commission has made all reasonable efforts to ensure that this material has been reproduced in this publication with the full consent of the copyright owners. With the exception of any material protected by a trademark, any content provided by third parties, and where otherwise noted, all material presented in this publication is licensed under a Creative Commons Attribution- NonCommercial-NoDerivatives 4.0 International licence.

Enquiries about the licence and any use of this publication are welcome and can be sent to [email protected] The Commission’s preference is that you attribute this publication (and any material sourced from it) using the following citation: Australian Commission on Safety and Quality in Health Care. National Safety and Quality Health Service Standards. 2nd ed. Sydney: ACSQHC; 2017.

Disclaimer The content of this document is published in good faith by the Australian Commission on Safety and Quality in Health Care for information purposes. The document is not intended to provide guidance on particular healthcare choices. You should contact your healthcare provider on particular healthcare choices. This document includes the views or recommendations of its authors and third parties. Publication of this document by the Commission does not necessarily reflect the views of the Commission, or indicate a commitment to a particular course of action. The Commission does not accept any legal liability for any injury, loss or damage incurred by the use of, or reliance on, this document.

Acknowledgement The Commission would like to thank all of our partners for their contributions to the development of the NSQHS Standards and their continuing commitment to improving safety and quality across the Australian healthcare system. This document was released in November 2017.

Contents

Introduction 1

Clinical Governance Standard 3

Partnering with Consumers Standard 13

Preventing and Controlling Healthcare-Associated Infection Standard 21

Medication Safety Standard 29

Comprehensive Care Standard 37

Communicating for Safety Standard 47

Blood Management Standard 55

Recognising and Responding to Acute Deterioration Standard 61

Glossary 67

References 77

11NSQHS Standards

Introduction

The National Safety and Quality Health Service (NSQHS) Standards were developed by the Australian Commission on Safety and Quality in Health Care (the Commission) in collaboration with the Australian Government, states and territories, the private sector, clinical experts, patients and carers. The primary aims of the NSQHS Standards are to protect the public from harm and to improve the quality of health service provision. They provide a quality assurance mechanism that tests whether relevant systems are in place to ensure that expected standards of safety and quality are met.

There are eight NSQHS Standards, which cover high-prevalence adverse events, healthcare- associated infections, medication safety, comprehensive care, clinical communication, the prevention and management of pressure injuries, the prevention of falls, and responding to clinical deterioration. Importantly, these NSQHS Standards have provided a nationally consistent statement about the standard of care consumers can expect from their health service organisations.

The eight NSQHS Standards are:

Clinical Governance, which describes the clinical governance, and safety and quality systems that are required to maintain and improve the reliability, safety and quality of health care, and improve health outcomes for patients.

Partnering with Consumers, which describes the systems and strategies to create a person-centred health system by including patients in shared decision making, to ensure that patients are partners in their own care, and that consumers are involved in the development and design of quality health care.

Preventing and Controlling Healthcare- Associated Infection, which describes the systems and strategies to prevent infection, to manage infections effectively when they occur, and to limit the development of antimicrobial resistance through prudent use of antimicrobials, as part of effective antimicrobial stewardship.

Medication Safety, which describes the systems and strategies to ensure that clinicians safely prescribe, dispense and administer appropriate medicines to informed patients, and monitor use of the medicines.

Comprehensive Care, which describes the integrated screening, assessment and risk identification processes for developing an individualised care plan, to prevent and minimise the risks of harm in identified areas.

Communicating for Safety, which describes the systems and strategies for effective communication between patients, carers and families, multidisciplinary teams and clinicians, and across the health service organisation.

Blood Management, which describes the systems and strategies for the safe, appropriate, efficient and effective care of patients’ own blood, as well as other supplies of blood and blood products.

Recognising and Responding to Acute Deterioration, which describes the systems and processes to respond effectively to patients when their physical, mental or cognitive condition deteriorates.

Each standard contains: • A description of the standard • A statement of intent • A list of criteria that describe the key areas

covered by the standard • Explanatory notes on the content of the standard • Item headings for groups of actions in

Collepals.com Plagiarism Free Papers

Are you looking for custom essay writing service or even dissertation writing services? Just request for our write my paper service, and we'll match you with the best essay writer in your subject! With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.

Get ZERO PLAGIARISM, HUMAN WRITTEN ESSAYS

Why Hire Collepals.com writers to do your paper?

Quality- We are experienced and have access to ample research materials.

We write plagiarism Free Content

Confidential- We never share or sell your personal information to third parties.

Support-Chat with us today! We are always waiting to answer all your questions.