Review the Mr Harry Bright case study

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Reference no: EM132279804 , Length: word count:1000

Integrated Nursing Practice Assessment Task: Simulation - Critical Analysis

Task description: You will engage in a face-to-face clinical simulation scenario based on inter-professional teamwork. This scenario will require that you use a collaborative approach to respond to the problems and challenges of the given situation. You will watch videos and complete pre-reading before the session. After the session, you will undertake critical analysis and evaluation of a particular aspect of the simulation. You will not be assessed during the simulation, your assessment consists of the critical analysis.

What you need to do:

1. Review the Mr Harry Bright case study including the videos that set the context, the simulation pre-reading and the patient related documentation available in your Blackboard site under Week 4 Clinical Simulation and Assessment Task 1.

2. Review your knowledge and skills relating to:

a. Nursing Care implications: Coronary Artery Disease, Angioplasty (PTCI), Chest Pain, Stroke.

b. Processes for patient assessment.

c. ISBAR framework for effective communication.

d. Vital sign monitoring.

e. IVT and infusion management.

f. BGL monitoring.

g. Clinical reasoning and decision-making.

3. View the Clinical Simulation Learning Experience video.

4. Participate in the Clinical Simulation and debrief.

5. Reflect on your clinical simulation experience and write your response to the following two questions:

Question 1: (approx. 600-700 words)

Assessment is a key component of nursing practice, required for planning and provision of patient and family centred care. The Nursing and Midwifery Board of Australia (NMBA) in the national competency standard for registered nurses states that, "The registered nurse assesses, plans, implements and evaluates nursing care in collaboration with individuals and the multidisciplinary health care team so as to achieve goals and health outcomes."

The simulation scenario involved Mr Bright who had just undergone an angioplasty. A potential problem related to this procedure includes ischaemic stroke.

You are required to find five (5) contemporary, valid research journal articles (no older than 7 years) relating to the care of the patient undergoing angioplasty. Read the articles focusing on the assessment elements of care required post procedure. (Don't forget to link your assessment reasoning to anatomy and physiology and pathophysiology).

  • Reflecting on the simulation, you are required to identify CORRECT nursing assessment performed on Mr Bright relating to the problem stated above. Justify your discussion using evidence from your researched articles.
  • Reflecting on the simulation, you are now required to identify those elements of nursing assessment that were NOT performed on Mr Bright relating to the problem stated above. Justify your discussion using evidence from your researched articles.

Question 2: (approx. 300-400 words)

National Safety and Quality Health Service Standards for Clinical Handover recommend that communication of patient information should be conducted in a standardised format using a structured process in order to transfer relevant patient information.

In the simulation, ISBAR was the structured format used to communicate patient information.

  • Reflect on the simulation at the point in time when Mr Bright complained of chest pain. Using the ISBAR format, dot point your structured verbal handover to the doctor advising of the patient's chest pain. (You will need to access the patient's clinical documentation available on Blackboard to complete all areas of ISBAR). As chest pain is an emergency situation, the information provided in ISBAR needs to be concise.

Learning outcomes -

1. Apply and integrate knowledge of the key NMBA Registered Nurse Standards for Nursing Practice, National Safety and Quality Health Service Standards, and National Health Priorities to enable effective clinical decision making, planning and action in a range of situations that reflect the diversity of contemporary health care settings and challenges.

2. Apply knowledge of anatomy, physiology and pathophysiology to support evidence-based decisions for planning and action in a range of clinical situations.

3. Demonstrate clinical reasoning and clinical decision making in line with safe and quality person-centred care across the lifespan.

Length: 1000 Words. Reference list is not to be included in total word count. Note - Only need to first part of it done.

Attachment:- Assignment File.rar

Reference no: EM132279804

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4/10/2019 11:27:01 PM

Total Words: 1000. Only need to first part of it done. Presentation requirements: Your assignment should be written in APA style and prepared as follows: Has a cover sheet with the assessment title, your name, student number, tutor name and word count. Include a ‘footer’ on each page with your name, student number, unit code and page number. 3 cm margins on all sides, double-spaced text. Times new roman, font size 12 and APA style referencing.


4/10/2019 11:26:55 PM

Length: 1000 Words +/- 10%. Reference list is not to be included in total word count. What you need to submit: One word document that contains the following items: Assignment Cover Sheet in the provided template & your work. You may dot point your ISBAR handover under the relevant ISBAR headings - be submitted in electronic format via Turnitin.


4/10/2019 11:26:49 PM

Assessment Task Rubric: Knowledge & Critical Thinking: Applied and integrated knowledge and critical thinking enabling effective clinical decision making focusing of assessment. Demonstrated clinical reasoning and clinical decision making in line with safe and quality person-centred care. Weighting: 60 % - Succinctly described all assessment procedures performed in the SIM. Succinctly identified assessment procedures that were missing in the SIM. Correctly explained and clearly connected all available assessment data to relevant pathophysiology. Provided a succinct and critical discussion which demonstrated an understanding of links between the patient’s condition/potential problem and assessments performed. Evidenced findings and conclusions grounded in 5 or more relevant, current and peer reviewed journal articles.


4/10/2019 11:26:43 PM

Critical reflection: Demonstrates critical reflection, applied knowledge and skills learnt in this unit to communicate clinical handover effectively using the ISBAR framework Weighting: 30 % - You succinctly and accurately described all essential information in each element of the ISBAR framework. Your handover flowed logically and contained only essential information. Used correct terminology and professional language consistently.


4/10/2019 11:26:37 PM

Academic Writing: Demonstrates clarity of expression and adheres to information literacy standards in communication of health data and information to others. Weighting 10% - In your response you have: Logically and succinctly structured the content to create a coherent response to the questions, Consistently adhered to the English conventions of grammar, paragraphing, punctuation, spelling – no errors, Accurately and consistently adhered to QUT APA referencing conventions, in both the text and the reference list - no errors, Acknowledged all sources, Used non-discriminatory and culturally safe language. Adhered to the word count ± 10%.

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