Highlights
Assessment Task 1 - Scenarios.
Choose one (1) of the following scenarios and develop your response, utilizing the task booklet information and CRA for full instructions.
Address your responses from the Registered Nurse perspective involved in the patient(s) care. This task requires you to understand the NMBA Professional Standards for nurses and midwives, and the appropriate National Safety & Quality Health Service StandardsNSQHS) applied to the clinical situation as well as applied knowledge of the patient’s presenting condition.
Review the CRA carefully for expectations in your response.
Scenario 1:
Mr. Driscoll is a 37-year-old male with diabetes who has been in the surgical unit for a laparoscopic cholecystectomy following gastric pain. Some of his wounds are reddened and he has been ordered a 48-hour course of IV antibiotics. He is morbidly obese with a BMI of 48. Postoperatively he complains about persistent heartburn and asks you (the allocated registered nurse) to help him sit up.
You seek some help from another registered nurse, Rae, who comes into the room and is very impatient with Mr Driscoll and tells him to use the overhead frame to pull himself up saying “ we can’t help you as we might hurt our backs”. As she leaves the room, she calls you to the door and tells you that “it is ridiculous he would even ask for help as he is so large, he should know we can’t help him”. She adds ‘patients like him have caused their own problems’. You are not sure that he has heard this conversation, but when you go back into the room, he is very quiet and tells you to ring his wife as he is going home. Mr. Driscoll is only day 1 post-operative and is not medically cleared for discharge.
Answer the following questions from a Registered Nurse's perspective.
Briefly discuss some of the challenges in nursing bariatric patients and outline the extent of obesity in the Australian acute health care context.
Identify the issues here and briefly explain your responsibilities in the provision of care for Mr. Driscoll relating to applicable NMBA Standards of Practice and National Safety & Quality Health Service Standards
Identify the specific NMBA Professional Standards and National Safety & Quality Health Service Standards not met by Rae’s practice in the scenario and discuss acceptable professional practice and provision of care in relation to this case.
How would you approach your colleague the other Registered Nurse, Rae, and what actions are relevant given her responses in the scenario? Consider the patient's needs and perspective clearly.
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