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Assignment Task

 

FIRST
Identify a case from the NSW Nurses and Midwives’ Board or HCCC, Caselaw, or AHPRA website which involved a registered nurse(s) who had their registration canceled or suspended for greater than 6 months due to their involvement in an adverse event for a patient in their care.

THEN structure your assignment to include the following information
What actions/omissions on the part of the Registered Nurse(s) contributed to the adverse outcome for the patient 
•Actions – what did the RN(s) DO that contributed to the adverse event e.g. administer the wrong medication
•Omissions – what did the RN(s) NOT DO that contributed to the adverse event e.g. failed to report deteriorating patients
•Don’t just provide a dot point list – please structure this information in essay format. 
•If there are a number of items to discuss you may want to group them together under headings and provide examples e.g. failure to complete observations on the patient as required – the RN did not record any observations during their 12-hour shift for the patient

Where there any other factors (e.g. systems-based) that contributed to the adverse outcome for this patient? 
•Were other factors listed as also contributing to this adverse event for the patient e.g. actions/omissions of other healthcare staff
•“System-based errors” are often implicated in adverse events – make sure you understand what this term means
systems-based errors are different from human-based errors – the actions/omissions of the RN(s) would be human-based errors
systems based errors can include things like skills mix, ratios, mixing adults and children on the same ward, equipment not in working order
I have uploaded an article to give you some more background on this topic
•HINT: if you think there aren’t any other factors – ask yourself if the RN(s) made these errors (actions and/or omissions) – how did they go unnoticed and lead to an adverse event? How were they allowed to happen?
•NB: you do not need to provide references here - you have already told us which case you are reporting on.

the evidence-based literature (including relevant NSW policies) outlines the actions that should have been taken by the Registered Nurse(s) to prevent the adverse outcome for the patient. 
•This is essentially asking how could this adverse event have been avoided
•This should follow on logically from your discussion in the previous sections
•This should align with the information you provided in section 2 of your essay
what actions did the RN(s) take that they should not have and what should they have done
oWhat omissions did the RN(s) take (what didn’t they do that they should have) and what should they have done
oWhat guidelines currently exist that tell us what to do in this situation? E.g. NSW Health policies, local protocols, guidelines
•How would the correct actions have changed the outcome for the patient e.g. deterioration would have been picked up and care escalated
•For the higher marks look beyond policies to the evidence in the topic e.g. if your patient died as a result of deterioration not being picked up – there is a body of evidence focused on the deteriorating patient
•The evidence is the rationale for the actions you are recommending – the “why”
 

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  • Uploaded By : Roman
  • Posted on : February 22nd, 2019

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