Adverse Event for Patient – NSW Health policies – Nursing Essay Writing Assessment Answer

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Code:92444
Professional Accountability and Nursing Assessment Answer
Task:-
Identify a case from the NSW Nurses and Midwives’ Board or AHPRA website which involved a registered nurse(s) who had their registration cancelled or suspended for greater than 6 months due to their involvement in an adverse event for a patient in their care.
Provide a brief synopsis

Identify your patient

Describe the clinical setting (e.g. ICU, surgical ward, nursing home)

Geographical location (i.e.: where did this take place)

What ultimately happened to the patient

Who was the Registered Nurse(s) and what ruling was handed down (i.e.: were they suspended? Struck off the register?)

Make sure to include the reference number and link to the full case

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 a 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 patient as required – the RN did not record any observations during their 12 hour shift for the patient.

Were 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 terms 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.

With reference to the evidence based literatur
e (including relevant NSW policies) outline 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

What omissions did the RN(s) take (what didn’t they do that they should have) and what should they have done

What 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”

Conclusion
Academic literacy

This is a 3

rd

year assessment so the quality of your writing and referencing should be at this level

Remember to structure as an essay – starting with an introduction and conclusion

Often it is easier to come back and write the introduction last – they can be tricky to start

Don’t include any new information in your conclusion – sum up your discussion

Formal writing – use formal words and avoid slang or personal terms – unless you are quoting from your case (make sure to indicate if you are doing this)

Write in the 3

rd

person – avoid personal terms like “I” think – this should be objective writing (not subjective – which is your opinion)

Spelling – this should be Australian spelling – so make sure your spellcheck is set for this and not US spelling.

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