Assignment title: Information
Notifying, reporting and investigating incidents. Case study You are a third year undergraduate nurse on clinical placement at american University Hospital Emergency Department (ED). Day 1 (Mon 21/09/2015). Your preceptor, Morgan Lane, says "Hi. You are with me. We are short staffed and there is a poor skill mix on today. I will get you to orientate yourself to ED today by doing this 'search and find'. Once you have done that, if you sit in the tea room here and log into this computer with these generic log in details (hands you piece of paper with log on and password), you can work through the WHS, infection control, mandatory reporting and aggression management modules. That should fill in your first shift". You reply "OK then." Your preceptor then walks away. She did not approach you for the rest of the shift. Day 2 (Tues 22/09/2015). At morning handover the team leader asks "Who is working with the student today?" Your preceptor, Morgan, says "I'm stuck with her" then laughs and says "Nah... Joking!" You smile and giggle, but inwardly you feel embarrassed. After handover Morgan advises that you will be looking after two patients. Bed 1 has an 11 year old girl with Leukemia. Morgan asks you "where to look at the girl for bleeding?" Wanting to demonstrate your knowledge you advise that "platelets release thromboplastin, which converts prothrombin to thrombin in the first step of the coagulation process; if the girl has low platelets she may bleed and one of the first places to look for signs of bleeding is the gums and mucous membranes". Morgan replies "What are you, a walking text book?" and smiles. "Well done" she adds. You give an awkward smile back but do not respond verbally. Inwardly you are questioning whether you just received a compliment or a criticism. Bed 2 has a two year old boy with croup. You can hear his barky cough and inspiratory stridor. Morgan says "Can you recite what you know about croup?" Just as you are about to respond, Morgan says "Nah, don't worry about that, just go in and make sure the parents have some breakfast. Hear that? (pause to listen) We need to get the family up to Paeds as soon as possible". You feel a bit dismissed but understand that the clinical need is a priority over your clinical education at that time. Day 3 (Wed 23/09/2015). You and Morgan are allocated to cubicles 1 to 4. After handover you walk into cubicle 1 to do a set of vital signs on a male patient admitted with pneumonia. He does not respond. You push the emergency call bell, check his airway for blockage, check his breathing using 'look, listen, feel'. He is not breathing. You commence CPR. Morgan arrives at the same time as Dr Trent Michael and RN Shannon Lee. Morgan says in an audible tone "OMG! What have you done?" Just as you are about to respond she says "Finish that cycle of compressions then step back, we'll handle this". You complete the cycle of compressions and stand back and observe the resuscitation. Later in the day your preceptor doesn't invite you to the clinical debrief; you feel ignored. Day 4 (Thurs 24/09/2015). You call the Nursing Unit Manager (NUM) and advise "I am not coming in today. I feel like I am being bullied". The NUM asks you to complete an incident report. Task Workplace bullying is a risk to health and safety. Complete the incident report in the template provided as the worker (student) in the above scenario. Discuss what is meant by bullying in the workplace. Identify the rights and responsibilities of the employer and employees. Identify the process a staff member or student should follow when the behaviour of a colleague is affecting their work. Analyse and justify what you see has occurred in the scenario provided. Provide recommendations for future practice. When writing this assessment refer to the task, presentation guidelines and marking rubric. The marking rubric has been built into this assessment template so that you can refer to it and so that your marker may provide you feedback. NUR345 Assessment 3 template 2015.doc Presentation guidelines Assessment cover sheets are NOT required. Students will now be required to affirm at the point of submission that the work they are submitting is their original work. Use the assessment template provided – incident report and marking rubric included. Complete the footer as prompted i.e. lastname_studentnumber_NUR345_ Assessment 3 Format your assessment with size 12 point Arial font, single spacing in incident report; 1.5 line spacing for essay; 1.5 line spacing for end-of-text reference list. Complete spelling and grammar check using English (Australia) default. A minimum of 10 peer reviewed journals or texts no more than 5 years old. Use APA 6th referencing. 2000 word limit (incident report; essay). The end-of-text reference list is NOT included in the word count. Incident report should be written in the first person; worker's perspective. Essay should be written in the third person. Use headings to signpost your work. Save the final version of your paper using the filename of lastname_student number_NUR345_ Assessment 3 Assignments MUST be submitted via Learnline system