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The Australian Nursing And Midwifery Federation

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1.Identify five of the legal Requirements for Nursing Documentation.

2.Code of Conduct Statement 1 States; “Nurses Practice in a Safe and Competent Manner.”Identify how the enrolled nurse applied the Code of Conduct Statement 1, in the Scenario?

3.What type of consent did Mr Smith give and how did he consent when his BGL was taken before transfer to theatre?

4.Wht are the Code of Ethics for Nurses in Australia value statement 6 states.


1.The procedure for reporting and recording relevant information of the clients by writing or printing is known as documentation in nursing practice. Nursing documentation purports to ensure that adequate documentation of the client’s records is properly maintained. The documentation process must comply with the legal system (Kangasniemi, Pakkanen and Korhonen 2015). The medical records is regarded as a legal document and in a legal proceeding, the medical record is adduced as evidence to what happened to a client. The five legal requirements for nursing documentation are as follows:

  • it acts as evidence for all the treatments undertaken by the clients and the other things that has been done for the client;
  • it acts as an evidence that the professional practice standards have been complied with;
  • it signifies the need for further research;
  • it states the client needs and facilitate proper care;
  • it enables the health care students to learn about the disease, nursing diagnoses and interventions.

2.The Code of Conduct Statement 1 lays down that nurse’s practice in a safe and competent manner. It is the responsibility of a nurse to ensure that when they are delegated to exercise proper care they must exercise the same without compromising with the safety of the clients and the quality of care they are obligated to exercise on them (Chadwick and Gallagher 2016). In the scenario, EN Rose Baxter, did comply with the Code of Conduct as she informed RN Jones about the fact the fact that both the clients Mr. Smith and Mr. Smythe have similar names and their birth dates are identical. EN Baxter also mentioned the same on the medical records of the patients to notify all the staffs.


3.The Australian Nursing and Midwifery Federation (Victorian Branch) holds a policy that clients are required to give their consent to every medical treatment they undertake and  have a right to refuse to any medical treatment except in emergencies. Consent of a patient may be given either verbally or in writing or by implied conduct. An implied consent is given when the action of the client clearly signifies his wishes for example- holding their arm out for recording the blood pressure (LeMone et al. 2015).

In the given scenario, Mr. Smith held out his arms for the finger prick test and recording of his BGL. This conduct or action of Mr. Smith amounts to an implied consent given by him when his BGL was taken before transfer to theatre.

4.According to the Code of Ethics for Nurses Statement 4, nurses must respect the dignity, culture, beliefs and values of the clients. The nurses while exercising care must respect the beliefs, culture and personal wishes of the patients and their family members (Ion et al. 2016). In the given scenario, Mr. Smythe requested not to use narcotic analgesia instead, he would prefer meditation for relieving his pain. EN Baxter admitted him to a healthcare facility where the strong sedation is given to the patients and the recovery staffs uses narcotic analgesia on the patients. Therefore, EN Baxter did not exercise care and did not show any respect for the personal wish of the client.



Chadwick, R. and Gallagher, A., 2016. Ethics and nursing practice. Palgrave Macmillan.

Ion, R., Smith, K., Moir, J. and Nimmo, S., 2016. Accounting for actions and omissions: a discourse analysis of student nurse accounts of responding to instances of poor care. Journal of advanced nursing.

Kangasniemi, M., Pakkanen, P. and Korhonen, A., 2015. Professional ethics in nursing: an integrative review. Journal of advanced nursing, 71(8), pp.1744-1757.

LeMone, P., Burke, K., Dwyer, T., Levett-Jones, T., Moxham, L. and Reid-Searl, K., 2015. Medical-surgical nursing. Pearson Higher Education AU.

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