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Task: 1
Describe the importance of the following characteristics that enable an EN to
develop therapeutic relationships with patients
Q2 List two (2) resources for the following Core Standards for nurses who support people
with a disability (NSW Family and Community Services)
Q3 What does documentation of clinical handover contain? Enlist at least 5 principles of
accurate Documentation.
Q4
Outline why each of the following is an essential element of communication with
patients, family, and colleagues:
Q5 Give examples of 2 factors that facilitate and 2 factors that inhibit communication
Q6 a How should information technology be used in communication?
b What is professional email etiquette?
c
Find an example of an email policy in a health care setting. Describe, in your
own words, its important elements.
Q7 Why is nursing documentation important? What are the legal implications if a nurse
(EN or RN) fails to document her findings on a patient?
Q8
List four principles and four processes and practices of open disclosure
according to Australian Open Disclosure Framework?
Principles:
Processes and Practices:
Q9
Define the following medical terms
Hypotension:
Brady cardia:
Cardiomegaly:
Asepsis:
Nosocomial:
Q10
Define sensory loss. List six communication strategies an EN should follow with
in scope of practice while communicating with a patient with hearing loss. Sensory loss:
Communication strategies of an EN to a patient with hearing loss:
Q11
What are three allowable aspects of social media use, and three forbidden
actions or behaviours for an EN working at the Royal Children’s Hospital, according to their policy http://www.rch.org.au/policy/public/Social_media/
Task: 2
SCENARIO
Angela is a stock broker at Wall Street and is often busy. Recently, her mother, Mrs. Gibbs, was diagnosed with severe infective gastroenteritis and was admitted in Royal Melbourne Hospital where you work as an Enrolled Nurse, in the medical ward. Due to the extremely busy nature of her work, Angela starts sending you emails for updates on her mother’s health. The doctors have decided to start her intravenous antibiotics treatment. Keeping these scenarios in mind, answer the following questions:
Q1
Computers and related information technology should be used to access, develop and
adhere to reporting requirements according to organisation policy and procedures.
Q2
Angela asks you to send a photograph of her mother in the ward bed. You should:
Send it via encrypted email
Send it via Whatsapp messenger
Comply with the organisation policy and procedures for electronic
communication with the family or carer.
Do not send it.
Q3
Please list six infection control practices and precautions applied to this patient by
complying with the organisational policies and procedures and EN’s scope of practice. (Refer to Royal Melbourne hospitals infection control policies)
Q4
Angela asks you to send her the doctors number
Q5
Statement A: It is important to maintain accurate documentation and adhere to
reporting requirements to support safe practice.
Statement B: All reporting should be done according to organization policies and procedures (Select the right answer)
a) Statement A is correct and B is incorrect
b) Statement B is correct and A is incorrect
c) Both are incorrect
d) Both are correct
Q6
It’s been a particularly stressful shift, not helped by Angela calling three times
because Mrs. Gibbs’s doctor hasn’t contacted her, and twice to follow up on issues she has about her mother’s care. You were very professional at work, but feel the need to vent. Can you post something on Facebook about the annoying daughter of your lovely patient with clostridium, who just keeps interrupting you until you get too frustrated?
Yes, if you don’t mention any names
Yes, if you don’t mention any identifying details (including what’s wrong with
Mrs. Gibbs)
Yes, your page is private, so only friends can see anything you post
It’s best to just say you had a difficult shift because of a family member and leave it at that
It’s best not to reference it at all
Q7
Your friend took over Mrs. Gibbs’s care after your shift. Later than night you see
that she posted: “I’ve had the most stressful shift ever, thanks to my patient’s daughter, who was constantly ringing. It’s hard enough having to get in and out of full isolation gear every ten minutes without having to spend another ten minutes telling her that her mum’s still fine, and the doctor will call when he’s free.” What’s the best thing for you to do?
Reply “I told you, She’s seeking attention”
Ignore her post
Message her to say that you can recognise the person she’s talking about, so
maybe take the post down
Share this post with others
Task: 3
ROLE PLAY
Part 1: Students will assume their roles, with the nurse attempting to find a solution of harmonious outcome. Scenarios should take 5-10 minutes.
Part 2: Each student will discuss the role play, their perspective, which aspects were handled well, and which could have been improved. Each student will take 2-5 minutes leading their group.
Part 3: Following the role play and discussion, write a brief account (~500 words) of your experiences, including the following aspects:
Did the EN use effective communication that encouraged everyone to contribute?
What kinds of approaches would or did facilitate communication? What would or did inhibit communication?
Were all opportunities taken to include the patient and family member in the care and treatment? If so, describe one; if not, what could have been included or done differently?
Was everyone’s role made clear within the role play? Did the EN identify themselves as an EN?
Were any responsibilities delegated to other players? What, how, and to who?
Was the EN polite and respectful throughout? If not, what could have been done differently?
Was there empathy expressed, verbally and through body language? If so, was this effective? If not, would doing so have helped?
Was the language used appropriate? In other words, did it reflect the sensibilities of the patient and family member? Was the use of medical terminology appropriate? Was it used to facilitate communication, or to create a barrier?
Was there advocacy for or with the patient? Should there have been?
Could the issue have been addressed before it escalated?
Did the EN identify any signs of the potentially complex communication situation, e.g. hearing, visual, or language problems?
Did the EN’s management and approach alter in response to changing group dynamics?
What strategies were or could have been implemented to address the communication issues in your scenario? Were they within an EN scope of practice? Did they meet policies and procedures?
When you had the debriefing session was the purpose clear?
Were strategies used by the group to facilitate everyone contributing to the discussion?
Did everyone contribute feedback? Did everyone reflect on their role and on the feedback they received?
Did any issues arise during the debriefing? If so, how were they managed?
Did you find this role play and/or the debriefing session useful? Would you have liked anything done differently?
Task: 4
PROFESSIONAL PRACTICE EXPERIENCE
Prior to attending professional practice, you will be issued with a Professional Practice (PP) Record Book. This book is to provide you and the Clinical Assessor with performance criteria for a standard of competency that would be expected of an Enrolled Nurse at the completion of each Professional Practice (Aged Care, Mental Health, Community, Sub-Acute Care and Acute Care). The performance criteria articulates to the expected knowledge, skills and attitudes required of an Enrolled Nurse and aligns to the domains of practice in the Enrolled Nurse standards for practice.
This book will outline:
Professional Practice Objectives
The roles and responsibilities of the Student and the Clinical Assessor
Clinical Skills
Formative and Summative assessments.
It is critical that during the professional practice, you will consistently demonstrate achievement of the required skills, knowledge and the ability to complete tasks as outlined in the elements and performance criteria of this unit, manage tasks and contingencies in the context of your role within your scope of practice. You must undertake nursing work in accordance with the Nursing and Midwifery Board of Australia Professional Practice Standards, Codes and Guidelines during your placement.
This includes the ability to:
Communicated effectively within the context of the enrolled nurse role in
4 different complex communication situations
, with:
At least 1 of the situations involving a person, family or carer, and b. At least 1 of the situations involving work colleagues.
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