Using the principles of the 2017 NSFCC (Part 2, Objective
The purpose of this assessment is for you to apply the concepts learned in the subject learning modules and tutorial sessions to date. This task asks that you demonstrate your understanding of: mindful communication with colleagues, the patient and family or significant others (including self-care), and the scope of practice of a registered nurse; and interprofessional and intraprofessional collaboration. Review the case scenario/s for this task on the subject site and address the following points in the form of an academic essay: Case study scenario PATIENT: Mark Green, 65 year-old male. HISTORY: No pre-existing medical conditions; non-smoker No family history of Deep Vein Thrombosis (DVT) or Pulmonary Embolism (PE) Weight 75kg Mr Green was brought to the Emergency Department (ED) following a motor vehicle accident (MVA). A driver went through a stop sign and hit the side of his vehicle. Mr Green is experiencing pain in his right hip region. A small bruise is visible in that area. Question 1 Part 1 of the scenario takes place in the Emergency Department on the day of admission at 21:30 hours (9:30 pm). The first part of the video shows the Orthopaedic Registrar admitting Mr Green and explaining the planned surgery. An Orthopaedic Registrar is a doctor training to become an orthopaedic surgeon. They work under the guidance of senior specialist orthopedic surgeons while they gain hands-on experience and refine their skills.Mr Green’s wife is in attendance. Next, Mr Green is transferred to the Orthopaedic Ward at 01:00 hours (1 am). He is scheduled to have his surgery in the morning. Andrew, the wardsperson, helps transfer Mr Green. Meg, the Emergency Department RN gives a bedside handover to the Orthopaedic Ward RN. Question 2 At 13:00 (1pm) Mr Green was transferred to the operating theatre for an internal fixation procedure. This is major surgery. His preoperative orders did not include the usual venous thromboembolism (VTE) prophylaxis. He did not have TED stockings or an anticoagulant medication, such as Clexane. During surgery he had VTE prophylaxis of pneumatic calf compression and circulation observations. However, no orders were given to continue this post-operatively because the Orthopaedic Registrar was called to the Emergency Department. The day after surgery, the new graduate Registered Nurse notices that Mr Green has not been ordered any VTE prophylaxis. She discusses this with Lynne, a more senior Registered Nurse. Question 3 Mr Green went back to the Orthopaedic Ward to recover after his surgery. On day three of Mr Green’s hospital stay there is a ward round. The round consisted of Dr Allan McGorry (the senior Orthopaedic doctor), the Orthopaedic Registrar, the Intern (Junior Medical Officer), and the new graduate RN. Dr McGorry notices that no subcutaneous Clexane has been prescribed for Mr Green. He asks for the pharmacist to join the round. He asks Mr Green if he has any pain in his leg and whether he has had any physiotherapy. Using examples from the case scenario, describe the mindfulness techniques the registered nurse can use to ensure therapeutic communication and person-centered care. Based on the patient’s condition in the case scenario, describe the registered nurse’s scope of practice. Using examples from the case scenario, describe the contribution of inter-professional collaboration to patient outcomes. Please refer to the ‘Requirements’ section below for information about referencing for this task.
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