Subject Code and Title: NCP106 Nursing care plans
Unit(s) of Competency : HLTENN004 Implement, monitor and evaluate nursing care plans
Performance criteria, Knowledge evidence and Performance assessed:
PC: 2.7, 2.8,3.1,3.2, 3.3, 4.1, 4.2, 4.3, 4.4
PE: 1, 3, 4
KE: 4,5, 8
Title of Assessment Task Assessment 1, Part B: Case Study
Type of Assessment Task : Short Response
Length : As indicated for each question
NCP106 Nursing Care Plans Assessment 1 Part B Case Study – Torrens University Australia.
Task Instructions:
To complete Assessment 1, Part B, provide your responses to the questions on the Assessment Response Template below. Your responses must be typed into the spaces provided beneath each question, and the whole document and associated charts must be submitted to Blackboard as your response to Part B.Assessment 1, Part B, should build on your responses to Assessment 1, Part A, by demonstrating your knowledge of the client’s related medical history, Nursing Care Plan recommendations and current vital signs.
You should discuss rationales and analysis of nursing interventions implemented and complete all documentation on required charts which will be provided via Blackboard.
These questions must be answered in full. When responding to the questions, you need to pay attention to the entire question being asked, as well as the prescribed word count. You are required to use the correct medical terminology when answering all questions and also refer to the assessment charts used.
You will be assessed on your responses and will be deemed as either satisfactory or not satisfactory. ALL your responses must be marked as satisfactory in order to pass the assessment. If your assessment is not deemed satisfactory, you will be re-assessed as per the THINK Education Assessment Policy for Vocational Education and Training (VET) before being awarded a Non Satisfactory mark for the assessment and the unit.
NCP106 Nursing Care Plans Assessment 1 Part B Case Study – Torrens University Australia.
Question 1
On Sunday at 13:42 hrs, you are about to leave to have your lunch break when Mr XXXX wife calls you from the corridor and states “Nurse! My husband does not look well and something is wrong with him. Please can you come and have a look at him?” On entry to Mr XXXX’s room, you notice the following:
• He is lying in a supine position
• His breathing is short and shallow
• Pale and clammy skin with slight cyanosis around his lips and peripheral extremities
• His eyes are closed and not opening when you call his name; eyes open with trapezius squeeze (painful stimuli), and the best motor response is localising.
Discuss the nursing actions you will take to manage this situation, with rationales for your decisions, including referrals.
Question 2:
You have taken a set of vital signs and get the following findings:
RR: 9/min, SpO 2: 74% Room Air, BP: 100/60mm Hg, HR: 45/min and irregular, Temp: 38.7 O C, BGL 2.5 mmol/L
a) Document the findings (consider data from Q1 and Q2) on the charts used in Assessment 1 part A (Observation and GCS charts ONLY. These charts MUST be uploaded as a part of your submission)
b) Analyse the patient’s condition based on the information in Q 1 and Q 2 and discuss your concerns about the patient (You may use the systematic approach to assessment – ABCDEFGH approach).
Question 3:
You will need to do a verbal ISBAR handover for Mr XXXX to the Emergency Team when they arrive. Consider what you need to say & write your plan here in ISBAR format.
Question 4
Question 5: Nursing Documentation
Document this event in Mr XXXX case notes in the form of a Progress Note. This is an episodic entry- you can use either the Narrative, SOAPIE or PIE formats
Consider the following:
- Vital signs and any clinical observations
- Any identified safety concerns
- Nursing Assessments
Specify at least one (1) member of the multidisciplinary team that may be able to support your suggested interventions.
1.Nursing interventions
2. Members of the multidisciplinary team you engaged or referrals you made
3. Evaluation of care provided
4. Any other relevant information
Question 6:
The Nursing and Midwifery Board of Australia (NMBA) Enrolled nurse standards for practice are the core practice standards that provide the framework for assessing EN practice. These standards also provide communication to the public about the standards that are expected from EN’s. All of the decisions you make as an Enrolled Nurse should align with these standards.
Please choose ONE indicator per standard from the list below. Review your chosen indicator per standard and reflect in 100 – 150 words per indicator, your understanding of each of your chosen indicator per standard. In your response consider how the indicator relates to care provided to Mr XXXX .
NCP106 Nursing Care Plans Assessment 1 Part B Case Study – Torrens University Australia.
NMBA “Standards for Practice”: Enrolled Nurses:
1.Standard 3:
Indicators:
a.3.1
b.3.2
c.3.3
- 3.9
- Standard 4:
- Indicators: o
- 4.1
- 4.2
- 4.3
Standard 5:
Indicators: - 5.2
- 5.3
- 5.4
Standard 7:
Indicators:
- 7.1
- 7.2
- 7.3
- 7.4
Question 7:
Complete the following table on Emergency codes and corresponding events commonly used in hospital settings.
State the code initiated in Mr XXXX case scenario in Q1.
References required