Task 1:

Based on the handover information and in grammatically correct sentences identify:

ï‚· The charts and documentation that will accompany her from the emergency department

or that you need to commence for Sonya’s care on admission.

AND

For each chart/document you have identified explain:

 Why it is necessary for Sonya’s diagnosis and nursing care?

What consequences can occur if this documentation is not in place or completed

accurately?

(200 words, 5 marks)

Task 2:

Based solely on the handover you have received and using the template provided, develop a

full nursing care plan for Sonya. Your plan must address the physical, functional and

psychosocial aspects of care.

Note: Students are expected to demonstrate they have read beyond the set texts to prepare

their nursing care plan. Reliance on text books alone is no guarantee that your information is

current and reliable evidence for practice. However, set texts are a good place to start to identify

key points and to develop search strategies to locate appropriate journal articles.

For each nursing problem on your plan you need to identify what it is in relation to and your:

 Goal of care

 Interventions

 Rationales for interventions

 Evaluation

ask 3:

Two important aspects of medication management by registered nurses is for the nurse to

understand why a patient has been prescribed specific medications, how to monitor the patient

to ensure they are responding to the prescribed medications as they should and identify any

contraindications with medication type or administration choice.

 In grammatically correct sentences briefly explain why Sonya has been

prescribed;

o Analgesics orally

o Vancomycin intravenously

o Hartman’s 1000mls over 12 hours

AND

 Identify and explain

o The nursing responsibilities associated with administering the three (3)

medications/fluid above

o How you will assess or monitor Sonya to ensure she is responding appropriately

to these three (3) medications/fluid you are administering today?

(350 words, 10 marks)

Task 4:

Based on what has occurred during your shift (see previous page) address the following:

 What conclusion would you make from the signs and symptoms

AND

 Explain why you have come to this conclusion about Sonya’s current condition

(200 words, 2.5marks)

Task 5:

Clinical communication - handover ward transfer

Using ISBAR and incorporating the additional information from the previous page prepare a

written handover for the nurse taking over Sonya’s care in ICU. Handover must address the

physical, functional and psychosocial aspects of care and reflect any changes required to your

nursing care plan above. You must use appropriate professional language with no jargon or

abbreviations.

(250 words, 5 marks)

Task 6:

An important part of the clinical reasoning process is to reflect on what you have done and

learnt as well as to help you understand the concepts of holistic nursing practice.

 Reflecting on the care plan you have prepared for Sonya, tell me about your

experience developing the care plan. Things you might consider to include: what

was easy for you and what was challenging?

 Reflect on how applying the nursing care plan framework you used in Task 2 will

help you to provide holistic nursing care for people in the clinical setting.

(200 words, 2.5 marks)

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