Nursing: Question and Answers

Question 1

Identify the Acts and guidelines that apply to this scenario.  Explain why you think they are applicable.

Question 2

Has the nurse worked within her scope of practice and identify examples of how she has achieved this.

Question 3

Identify from the above case study any breaches in the following Nursing professional guidelines: List the identified breaches and explain why they are considered a breach

1. Nursing codes of conduct
2. The Enrolled Nurse standards for practice
3. Nursing codes of ethics

And also explain:

• How is the concept of Ethics applicable to this case?
• Has the nurse demonstrated ethical practice in her interactions with the patient and their family?
• Indicate any contemporary ethical issues and/or potential conflicts of interest that may impact this case.
• Was the nurse ethical in her reporting of the incident and what strategies could an organisation put into practice to encourage open disclosure?

These Documents are available for viewing via a link in this module in Moodle. You will need to review these to answer this question. You need to have a working knowledge of this content as these are the guidelines under which you will work, and variation from this may result in legal action.

Question 4

Identify the current legislation requirements  (“The Complaint”  4 i-ii) related to this scenario and in your own words explain six of the seventeen implications/ orders of her non-compliance (of which there were 17) .   You will need to review this link:  . http://www6.austlii.edu.au/cgi-bin/viewdoc/au/cases/nsw/NSWNMT/2008/24.html

Question 5

Has the nurse worked in accordance with organisation’s policy and procedures and explain why? This answer is within the case study and attached transcripts.

Question 6

Has the nurse monitored her own compliance with legal obligations and facility guidelines and policy.

Explain the rationale behind your answer in regards to her compliance and the process for reporting incidents.

Question 7

Identify the 2 types of law (areas of legal practice) relevant to this case, and discuss the legal processes, principles and penalties applied in this case.

Question 8

In this case study which of the following concepts apply to this nurse’s professional practice?

Explain each concept and why it applies or not:

1. Negligence
2. Duty of care

Explain with reference to the following points:

• Determine if the nurse complied with legal responsibilities and duty of care requirements in her interactions with the patient and her family.
• Did the nurse support the patient’s right, interests and decisions?
• Did the nurse encourage the patient to exercise her right to make informed decisions about her care?
• Did the nurse demonstrate respect and support for the dignity of the patient and their family members?
• Did the nurse advocate for the patient in accordance with her scope of practice?

3. Standard of care
4. Vicarious liability

Question 9

Identify the type of consent Ms Lopez would have required in this case and discuss whether you think it was gained or not?   What would you have done differently?

Question 10

Describe the types of nursing documentation (forms)(e.g.. medication chart) that would have been required to be completed in this case .

Explain why these different forms would be required to have been completed in this case?

Question 11

Was the Open Disclosure Process evident in this case?

Include the following points in your response:

• Use your understanding of Open Disclosure to determine if it was put into practice in this scenario.
• What principles and processes of Open Disclosure were used in this case?
• Was there any evidence that other health care workers played a role in Open Disclosure for this case, if so what was it?