NSB231-Integrated Nursing Practise

Task Descritption:

You will engage in a face-to-face clinical simulation scenario based on interprofessional 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.

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 the assessment Task 1 tab.

2. Review the knowledge and skills relating to:

a. Nursing Care implications: Coronary Artery Disease, Angioplasty (PTCI), Chest Pain and impaired tissue perfusion related to haematoma/bleeding.

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.

Question 1

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 impaired tissue perfusion related to haematoma / bleeding.

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

Question 2: 

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.

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.

4. Apply knowledge and skills to communicate and collaborate effectively with consumers and families.