2000 word written assignment The final written assessment measures application of knowledge relating to the content areas of the unit and then applied to the action of graduate applications. The...

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2000 word written assignment The final written assessment measures application of knowledge relating to the content areas of the unit and then applied to the action of graduate applications. The finalized assignment is formatted to provide the basis of a job application portfolio to which students are encouraged to add additional questions and answers This 2000 word assignment will function as a blue print of the student’s preparation for interview and will have 4 sections. Students are to complete all 4 sections: Section 1 Self-Reflection Using the website information for a graduate nurse program of your choice nominate a program and summarize the description of that program in your own words. Tell us about yourself and how your attributes enhance your application with particular reference to the key features and values of the program? 300 words (10 marks) Presentation style, grammar and spelling (5 marks) Section 2. Clinical question. Choose one of the following: 2.1 You are caring for a male patient who has been admitted with seizures for investigation. You go into the bathroom and find him on the floor. What would your immediate actions be? 2.2 A patient admitted through the emergency department this morning requires assistance to reposition in bed. You note that she has a pressure injury (grade 2) on her sacrum that was not mentioned when handover was given. What actions should you take? 2.3 Your patient who was admitted with melaena and is currently only taking fluids has returned from the bathroom feeling dizzy and short of breath. What will your actions be? Explain your answer in detail including your assessment, hypotheses and rationales for actions. 500 words (25 marks) Section 3. Prioritization After morning handover of your 4 patients you have reviewed the charts and have entered the room to greet your patients. It is 0730 and breakfast is usually delivered at 0740. Before you can introduce yourself, the following demands on your time occur concurrently: Patient 1 Mrs Peterson is asking for help to the ensuite to use her bowels. You know Mrs Peterson had a stroke 2 weeks ago and has a moderate left hemiplegia and needs assistance to move. She is classified as a high falls risk. Patient 2 Mrs Walters is going to theatre at 0800 and is not yet ready Patient 3 Mr Young is nil by mouth and has IV therapy running at 167mls per hour. The infusion pump alarm is sounding and the IV flask appears to be close to empty, Mr Young is also complaining of pain. Patient 4 Mr Stavropoulous has been admitted for acute asthma. He is due for ventlin and prednisolone at 0800. His BGL at 0700 was 4.6mmol/l. The ANUM is searching for Mrs Walters pre-operative checklist and want to know if you have seen it. In what order would you address these requests? Describe your rationale for each decision. 500 words (25 marks) Section 4 Professional Choose one of the following: 4.1 A colleague is handing over her patients to you at 0715 and you are reviewing the medication chart. The patient has a past history of aortic valve replacement 2 years ago and is on warfarin. She also has arthritis and will require an arthroscopy later this week. She is due to start Clexane today to replace the warfarin pre-op. You note that she has been given ibuprofen and aspirin overnight for pain as nurse initiated medication. You think that NSAID’s and Aspirin are contraindicated for patients on warfarin. How will you manage this situation? Your colleague will be going home after handover. 4.2 You are collecting a patient from the theatre. Your patient tells you she has pain 6 out of 10. She has been given Morphine 2.5mg IV 20 minutes previously. The recovery RN asks you to sort out the pain relief on the ward as they are too busy and need the space. The drug chart has Panadol and Panadeine for pain relief. You suggest that the patient should not leave recovery with uncontrolled pain and the recovery RN says “I’ve already handed over to you I can’t do anything about that now”. How will you manage this situation? 4.3 Your patient Mr Stanley is having an ascitic tap on the ward today. You have reviewed the requirements of the procedure and understand that you need to assist by caring for the patient, managing analgesia and monitoring vital signs during the procedure. It is lunchtime in your busy ward. Your colleagues including the ANUM in charge, are off the ward having lunch. The ANUM handed over to you that Mr Stanley is having the ascitic tap after 1.30 when sufficient staff are available and that she has negotiated this with the resident medical officer (RMO). You are monitoring another patient with hypoglycaemia when you see the RMO with the procedure trolley going into Mr Stanley’s room. The procedure requires a nurse be in attendance. You have no available staff and you need to monitor your hypoglycaemic patient. How will you manage this RMO? Describe in detail your response to your chosen scenario drawing upon your knowledge and research of professional regulations and requirements, professional behaviour, conflict resolution techniques, education and provision of feedback. 700 words (30 marks) Appropriate use of references including in text citations and reference list (5 marks) HNB 3140 Professional Studies 2 & Interprofessional Practice Page | 1 Objective/Criteria Not Adequate Needs Improvement Meets Expectations Above average Exceptional Presentation and Style - Grammar/spelling (1 points) Meaning unclear & / or grammar & / or spelling contain frequent errors (2 points) Meaning apparent, but language not always fluent. Grammar &/or spelling contain errors (3 points) Language mainly fluent Grammar & spelling mainly accurate (4 points) Language fluent. Grammar & spelling accurate (5 points) Excellent writing style appropriate to document. Grammar & spelling always accurate Section 1 Summary and reflection (1 points) Disorganised/incoherent summary (1 points) Inadequate summary unable to distinguish this program from others (2 points) Basic summary of program of choice (3 points) Good summary of program identifying key features (4 points) Exceptional summary of program relating the key features and detailing the differentiating factors (0 points) Reflection absent (2 point) Self-reflection inadequate or not related to program (3 points) Reflection of some applicant attributes, not strongly related to program (4 points) Reflection about self, outlining some personal attributes relevant to summary of program (6 points) Enhanced and strongly related reflection of self, relating closely to multiple features of the program of choice Section 2 Clinical Assessment (1 point) Irrelevant or rudimentary assessment criteria provided (3 points) Some assessment considerations described but incomplete and or illogical (4 points) Ordered assessment process described with some relevant criteria described (6 points) Most assessment criteria identified in a mostly ordered manner (8 points) Detailed description in logical order of the assessment factors considered in the immediate management of the chosen scenario Hypothesis (1 point) Hypothesis is improbable and not related to scenario (2 points) Some hypotheses outlined are relevant and plausible for the given scenario (3 points) Most hypotheses are likely and related to the assessment outlined (4 points) Significant relevant hypotheses identified relevant to assessments (5 points) Comprehensive consideration of the range of likely hypotheses related to the chosen scenario and assessment processes Actions and Rationales (3 points) Actions unrelated to client need or rationales fail to explain the described intervention (5 points) Some interventions and explanatory rationales provided but insufficient to manage the scenario (7 points) Most interventions and most rationales relevant to the chosen scenario identified (9 points) Significant interventions presented in logical order with relevant supporting rationales identified (12 points) Complete description of optimal interventions and rationales for same associated with the assessment, hypotheses and immediate management of chosen scenario HNB 3140 Professional Studies 2 & Interprofessional Practice Page | 2 Section 3 Prioritization (3 points) Less than half of the actions are addressed in the correct priority order (5 points) At least half of the tasks are addressed in the correct priority order (6 points) Priority order is largely correct (8 points) Has addressed the task list in the correct order but not closely related to rationales for same (10 points) Detailed account of the correct priority order in which each of the nominated tasks would be addressed related to the rationales Rationale (4 points) The rationales stated are irrelevant or incorrect and do not support the prioritization suggested. Little or No use of relevant evidence is provided (8 marks) The rational for those priorities identified in correct order are relevant although not supported by evidence (10 points) Some relevant rationales support the priority order nominated and relate to evidence for best practice (12 points) Mostly relevant rationales for priority order but unsupported by best practice evidence or not correctly related to prioritization (15 points) Comprehensive rationale for the priority order chosen for each of the nominated tasks drawing on evidence for best practice