Q.1 Order of tasks on the basis of priority:
Nursing is a noble profession that holds different roles for the nurses. Nurses acts as a care provider, liaison, advocate, educator and many more likewise, nurses also plays an important role as a leader in a medical team and the patients outcome depends upon their clinical judgement that is governed by their communication and delegation skills (Huber, 2014).
It is In the given scenario the first priority would be addressing the elderly patient who is unconscious as it is a medical emergency and if delayed could cost someone’s life having said that, there are other issues going around therefore, I would delegate other staffs according to their scope of practice. According to NMBA (2016) one of the standards of practice that is 6 is to provide safe and quality care that is possible by working as a team according to the scope of practice and delegating right task to the right person. Similarly, I would ask the NUM who is also a RN to get involved in the emergency and also ask the surgical consultant to help with the situation until the emergency team arrives.
Administering medication on time is also very vital for good patient’s outcome. As a student nurses we are taught to check the seven rights of the medication administration before giving the medicine in which the ‘right time’ is indispensable one and it is expected we follow this practice as a RN hence, I would then attend Mrs. Chew to re-site her cannula and give her fluids as soon as the emergency team arrives and ask the NUM to stay there.
With the IV antibiotic I would administer the antibiotic if it’s just late by 30 to 60 minutes of the prescribed time but it is the duty of the nurses to document and write the exact time of the administration which could prevent from overdosing as the antibiotics administration should have certain time in between the second one is administered (Australian Commission on Safety and Quality in Health Care, 2013) simultaneously, I would ask the enrolled nurse (EN) .
whom I am assuming that is a medication endorsed to give medication to Mr. Esposito and send him off for the procedure and then to attend Mr. Smith’s visitor. Likewise, I would ask the Assistant in Nursing (AIN) to attend the fainted visitor and start taking the vitals and to inform the doctor or the EN if there is an abnormal reading as they are able to do some simple tasks such as taking vitals (NSW Health, 2010). Furthermore, I would ask the ward clerk to solve the problem with the blocked staff toilet and to provide reassurance to Mr. Smith and the family members.
Lastly I would discuss the medication error with the surgeon as it can wait till later and also it does not have any negative effect on the patients at the very moment. The nurse faces this type of situation more often as the health of a person is dynamic in nature and it is hard to anticipate what might happen but it’s the responsibility of the nurses to be prepared therefore, nurses should have the knowledge of the five rights of delegation, scope of practice, prioritising tasks accordingly, good communication skills and critical thinking and judgement to bring out the positive outcome in the patient’s health.
Australian Commission on Safety and Quality in Health Care (2013). Literature Review: Medication Safety in Australia. Retrieved from
Huber, D. (2014). Leadership & nursing care management (5th ed.). St. Louis: Elsevier/Saunders. Retrieved from
NSW Health (2010). Assistants in Nursing working in the acute care environment. Retrieved .
Nursing and Midwifery Board of Australia (2016). Registered nurse standards for practice. Retrieved from
It could be the MND nurse specialist because she would be the one liaising all the other health team members to come together and solve the identified issues.
Health care members have their own importance in the team and they are interconnected to each other having said that, the patient themselves are considered to be the most important member of the health care team because they provide a way for better, effective and improved methods of health care as it is lived experience by themselves, also its their right to be involved in their own health care furthermore this concept would change the paternalistic physician and health system regulation in future respecting the autonomy of the patient (Carmen et al., 2013).
ACTIVITY 2: CASE STUDY 3
Robert Hughes is a 52 year old male who was injured in a bicycle accident two months ago where he suffered fractures to his (R) tibia/fibula and (R) radius. Robert is intellectually impaired and was living with his elderly mother until the accident. Robert has been known to engage in verbally aggressive outbursts towards staff and other patients. His mother who is now 75 years of age feels she can no longer look after Robert. You are the NUM of the rehabilitation unit that is admitting Robert for his ongoing rehabilitation. You are required to gather together a health care team to determine immediate and long term care options for Robert.
One of the main concerns in this case is the primary carer of Robert who is his 75 year old mother who is not capable enough to take care of her son. Secondly, Robert being intellectually flawed and his inability to take care of himself and his dependence on his mother is also a major issue similarly, socioeconomic factor could be another issue in this scenario as Robert being 52 year old and unable to earn his own living and depending on his old mother and also he could be looked down upon in the society being intellectually imperfect furthermore, it looks like the mother is unable to control and protect him as the case reveals that he had a bicycle accident and is verbally abusive to the staff and other patients. Additionally, another issue also could be the lack of information to Robert’s mother about the support system in the community to help Robert and her.
First of all a neurologist or a clinical psychologist could be included to manage Robert’s neurological symptoms because of the fact that he is intellectually impaired. Secondly, an orthopaedic surgeon could play a vital role in managing his presenting physical problem alliancing with the pain team to address his pain because of the fracture.
Thirdly, physiotherapist could help him with his mobility and exercises that could strengthen his muscles and bones, also; occupational therapist could be placed as he might need some equipment to assist himself to do certain activities at home. Similarly, in this case a nurse specialist in the field of intellectual disability could be included to work as an advocate, educator and liaison between the other team members and also to help with the holistic assessment that includes biopsychosocial aspects of Robert.
Furthermore, a social worker and a case manager could be assigned so that Robert could get better place to live with the good medical, physical and psychological environment suited for him and also his mother could be relieved from the thought that Robert might hurt himself at home or unsuited environment; in addition, recreational therapist or vocational trainers in arts or music could be arranged so that Robert could do something practicable for himself (Clare et al., 2016). Lastly, speech pathologist and optometrist could be referred for Robert according to his symptoms (Carmeli & Imam, 2014).
Carman, K. L., Dardess, P., Maurer, M., Sofaer, S., Adams, K., Bechtel, C., & Sweeney, J. (2013). Patient and family engagement: A framework for understanding the elements and developing interventions and policies. Health Affairs, 32(2), 223-31. Retrieved from
armeli, E. & Imam, B. (2014). Health Promotion and Disease Prevention Strategies in Older Adults with Intellectual and Developmental Disabilities. Frontiers In Public Health, 2. doi: 10.3389/fpubh.2014.00031
Clare, I., Madden, E., Holland, A., Farrington, C., Whitson, S., & Broughton, S. et al. (2016). ‘What vision?’: experiences of Team members in a community service for adults with intellectual disabilities. Journal Of Intellectual Disability Research. doi
You are working on the morning shift on the ward, and receive a patient from ED. The ED nurse provides you with the following handover, using the ISOBAR format. Further information about the ISOBAR format can be found on page 7 of this module. Please click on the handover link in LEO within Module 3 section, titled: ‘Module 3 Activity 2 Verbal Handover’. Listen to this recording, and then please answer the following:
The given handover is a satisfactory handover that covers all the aspects of the ISOBAR framework although it lacks few details. The questions that I would ask could be the exact vital signs so that I could determine if the patient has any signs of infection that is hyperthermia, tachypnoea, tachycardia and also increased blood pressure and decreased oxygen saturation as the handover affirms that pneumonia is suspected for this patient. Additionally, I would ask about the medication if the patient is taking any and the indications furthermore, any significant surgical history or allergies and also if the patient is suspected with pneumonia then does he/she needs to be kept for droplet precaution and lastly about the plan for his abdominal pain and weight loss.
Suarez, M. & Ortega, S. (2011). Pneumonia. New York: Nova Science Publishers. Retrieved from
You are a Registered Nurse on the afternoon shift on a short-stay (24 hours) surgical ward. One other RN, an EN and three AINs are also on duty. The NUM is off sick and the other RN is acting as NUM as well as taking a patient load. The ward is full: there are 22 patients, 14 of whom went to surgery in the morning, and 8 are going on your shift. Half of these a patients have intravenous access and antibiotics at some time during your shift.
Using your knowledge and experience of various patient allocation models (e.g. total patient care, team nursing and task allocation), outline how you would allocate the staff to the patients. Include in your discussion your rationale for the model of allocation chosen and the scope of practice of the various staff.
There are various models of patient allocation and care such as total patient care, individual patient allocation, team nursing, functional nursing and primary nursing but it has still not been clear that which of these is most efficient in providing quality patient care although, most of the studies supports the team nursing to be effective and widely used (Fairbrother, Jones, & Rivas, 2010; Dubois et al., 2013). Choosing the model of allocation and patient care depends upon many factors such as organisational policies and its structure, complexity of the situation, funding, scope of practice, increase need of skilled health care members and skill mix (King, Long, & Lisy, 2014).
In this case I would follow the team nursing model as this approach is managed by a team leader who is a RN furthermore, the patient load is high and the nurses available have different level of education and competency skills; also this model helps to bring out the maximum potential of the nurses to deliver quality care to the patient (Tran, Johnson, Fernandez, & Jones, 2010). Similarly, team nursing holds the potential to promote and advance the role of a RN as a team leader and care coordinator but it is imperative to have good communication and delegation skill; in addition, knowledge of scope of practice of the other team members is crucial (Tran et al., 2010). Polis, Higgs, Manning, Netto and Fernandez (2015) asserts that team nursing exhibited good patient outcome and safety, reduction in mishaps and deaths furthermore;
it increased the job satisfaction and retention of staffs and also provided support and supervision to the less experienced staffs from more experienced and learnt members. The concept of team nursing is used when there is a mixture of skills for instance; the RNs have different level of competency then ENs and also with the AINs but they have to work together in the same setting (Ferguson & Cioffi, 2011) having said that, I would allocate each AINs to the RNs and EN. I would divide the patient load into 8 to the EN and the AIN similarly, 8 to me and the AIN partnered with me and 6 for one of the AIN and RN who is also working as the NUM because she will also have some other concerns in the ward to manage.
According to the NSW Health (2010) it states that the scope of AINs includes ability to perform simple tasks such as taking vitals that are allocated in acute settings hence, I would ask all the AINs to take vitals and also take care of the ADLs of their allocated patients. With the IV antibiotics I am assuming that the EN is medication endorsed and is also competent with IV medication because in given scenario I would presume that in the surgical ward of the hospital they would recruit medication and IV competent staff hence, I would delegate the EN to administer the IV if there is any in her lot and tell her to ask for assistance if needed. NMBA (2016) declares that the EN is able to do the IV medication if they have completed the intravenous medication administration education. Furthermore, I would focus on other IV antibiotics for my patient and also try to help the other RN as the main idea of team nursing is to help and supervise each other when in need.
Dubois, C., D'amour, D., Tchouaket, E., Clarke, S., Rivard, M., & Blais, R. (2013). Associations of patient safety outcomes with models of nursing care organization at unit level in hospitals. International Journal For Quality In Health Care,
Fairbrother, G., Jones, A., & Rivas, K. (2010). Changing model of nursing care from individual patient allocation to team nursing in the acute inpatient environment. Contemporary Nurse, 35(2), 202-220. doi: 10.5172/conu.2010.35.2.202
Ferguson, L., & Cioffi, J. (2011). Team nursing: experiences of nurse managers in acute care settings. Australian Journal Of Advanced Nursing, 28(4), 5-11. Retrieved from
King, A., Long, L., & Lisy, K. (2014). Effectiveness of team nursing compared with total patient care on staff wellbeing when organizing nursing work in acute care ward settings: a systematic review protocol. JBI Database Of Systematic Reviews And Implementation Reports, 12(1), 59-73. doi: 10.11124/jbisrir-2014-1533
NSW Health (2010). Assistants in Nursing working in the acute care environment. Retrieved from.
polis, S., Higgs, M., Manning, V., Netto, G., & Fernandez, R. (2015). Factors contributing to nursing team work in an acute care tertiary hospital. Collegian. doi: 10.1016/j.colegn.2015.09.002
Nursing and Midwifery Board of Australia [NMBA] (2016). Enrolled nurses and medication administration. Retrieved from
Polis, S., Higgs, M., Manning, V., Netto, G., & Fernandez, R. (2015). Factors contributing to nursing team work in an acute care tertiary hospital. Collegian. doi: 10.1016/j.colegn.2015.09.002
Tran, D., Johnson, M., Fernandez, R., & Jones, S. (2010). A shared care model vs. a patient allocation model of nursing care delivery: Comparing nursing staff satisfaction and stress outcomes.International Journal Of Nursing Practice, 16(2), 148-158. doi: 10.1111/j.1440-172x.2010.
To export a reference to this article please select a referencing stye below:
My Assignment Help. (2020). Nursing Assignment. Retrieved from https://myassignmenthelp.com/free-samples/bns-101-nursing-assignment.
"Nursing Assignment." My Assignment Help, 2020, https://myassignmenthelp.com/free-samples/bns-101-nursing-assignment.
My Assignment Help (2020) Nursing Assignment [Online]. Available from: https://myassignmenthelp.com/free-samples/bns-101-nursing-assignment
[Accessed 24 October 2020].
My Assignment Help. 'Nursing Assignment' (My Assignment Help, 2020) <https://myassignmenthelp.com/free-samples/bns-101-nursing-assignment> accessed 24 October 2020.
My Assignment Help. Nursing Assignment [Internet]. My Assignment Help. 2020 [cited 24 October 2020]. Available from: https://myassignmenthelp.com/free-samples/bns-101-nursing-assignment.
With time, MyAssignmenthelp.com has become one of the best college essay writing services. Our all rounded services give students the confidence to overcome assignment related issues. Our services are fast enough to meet most urgent deadlines. We are capable of delivering fast essay writing services with the help of our specially designed provisions and writers' teams. Our urgent essay help services guarantee most rapid delivery of assignment solutions. Some of our most popular essay services are application essay help, exploratory essay help, literary review essay help and argumentative essay help.
Answer: Introduction Registered nurses play a critical role in care delivery. However, before becoming registered nurses, nursing students go through thorough training to equip themselves with the necessary skills of delivering quality care (Amiribesheli & Bouchachia, 2018). For example, as part of the nursing student's learning process, all nursing students must go on Placement in different healthcare facilities to get practical experien...Read More
Answer: Introduction It is a case of a 44 year old women Susan who has gained 10 kg of weight and now wants to try the detox diet in order to reduce the extra weight. Her nutritionist advices her to try gut dysbiosis and liver detox as an initial intervention. This intervention was based on her recent diagnosis that highlighted that she was suffering from non-alcoholic fatty liver disease (NAFLD) (Trovato et al., 2015). Discussion As...Read More
Answer: Patient Physical Details and Vitals Gender: Male Age: 7 years Body Weight (Kg): 20.2 Height (M): 1.1 Heart Rate: 125 BP: 130/75 Temperature(C0): 37.1 Resp. Rate: 35 Patient Clinical Details Main Complaint/ Symptoms: Wheezing, cough, fatigue, runny nose and watery eyes that began seven days ago. Physical Exam Results:&...Read More
Answers: 1.The pre-operative period is a very sensitive period for the patient and the nurse. There are so many uncertainties especially with the patient who expresses concerns about the surgical procedure and the conclusion of going under total anaesthesia. Pre-operatively patients are prepared on the surgical procedure they will undergo, the complications that may arise from the procedure, the possible outcome of the procedure, the medicatio...Read More
Answer: Introduction: The assignment will critically analyse a healthcare system and will explore the readiness of the system in addressing the health needs of the citizens in the next decade. It will also include a strategic plan pertaining to issues of resource management, nurse staffing, patient satisfaction, and network growth. This will be followed by a comparison to Singapore Airlines. The organisation selected for this purpose is Banne...Read More
Just share requirement and get customized Solution.
Our writers make sure that all orders are submitted, prior to the deadline.
Using reliable plagiarism detection software, Turnitin.com.We only provide customized 100 percent original papers.
Feel free to contact our assignment writing services any time via phone, email or live chat. If you are unable to calculate word count online, ask our customer executives.
Our writers can provide you professional writing assistance on any subject at any level.
Our best price guarantee ensures that the features we offer cannot be matched by any of the competitors.
Get all your documents checked for plagiarism or duplicacy with us.
Get different kinds of essays typed in minutes with clicks.
Calculate your semester grades and cumulative GPa with our GPA Calculator.
Balance any chemical equation in minutes just by entering the formula.
Calculate the number of words and number of pages of all your academic documents.
Our Mission Client Satisfaction
hank you for being prepared for our meetings, Tom! By coming to each meeting with well-researched and thought-out ideas, you\'re helping us move forward in our process. I look forward to our next meeting.
tremendous graduate writing! Excited for the quick results! Always rely on these experts!
First I would like to thank the second Expert. The work is of a very high standard. I am grateful for that. Second, I do appreciate the first Experts efforts.
very detailed assignment. No grammar mistakes. The author throughly followed APA guidelines.