Description UNFORMATTED ATTACHMENT PREVIEW Assessment Task Written Document1 Student Name Unit Code ...
Description UNFORMATTED ATTACHMENT PREVIEW Assessment Task Written Document1 Student Name Unit Code/s & Name/s Cluster Name If applicable Student Number HLTENN043 Implement and monitor care for a person with acute health conditions (Release 2) N/A Assessment Type ? Case Study Assessment Name Assignment Assessment Due Date ? Assignment ? Project ? Other (specify) Assessment Task No. Date Submitted 2 of 4 / / Assessor Name Student Declaration: I declare that this assessment is my own work. Any ideas and comments made by other people have been acknowledged as references. I understand that if this statement is found to be false, it will be regarded as misconduct and will be subject to disciplinary action as outlined in the TAFE Queensland Student Rules. I understand that by emailing or submitting this assessment electronically, I agree to this Declaration in lieu of a written signature. Student Signature Date / / PRIVACY STATEMENT: TAFE Queensland is collecting your personal information on this form for the purpose of assessment. In accordance with the Information Privacy Act 2009 (Qld), your personal information will only be accessed by staff employed by TAFE Queensland for the purposes of conducting assessment. Your information will not be provided to any other person or agency unless you have provided TAFE Queensland with permission, if authorised under our Privacy Policy (available at https://tafeqld.edu.au/global/privacy-policy.html) or disclosure is otherwise permitted or required by law. Your information will be stored securely. If you wish to access or correct any of your information, discuss how it has been managed or have a concern or complaint about the way the information has been collected, used, stored, or disclosed, please contact the TAFE Queensland Privacy Officer at privacy@tafeqld.edu.au 123 TMP E v1.6 (23/08/2022) © TAFE Queensland. Uncontrolled copy if printed. Refer to TAFE Queensland intranet for current version of document. 1 Document1 Instructions to Student General Instructions: You must answer all questions and complete this assessment task by the due date provided or you may receive an unsatisfactory (U) result. If you are unable to meet a scheduled assessment due date, you must notify your teacher at least 48 hours prior to the due date to request an extension. All requests for extensions must be in writing on a request for extension form. Extensions are granted in exceptional circumstances only and must be supported by appropriate documentary evidence. Academic and Research Misconduct: APA 7th edition style in-text referencing must be used throughout, and a reference list submitted with the assessment. Students must use their own words to answer the questions. Assessments that use, reproduce, or adapt the work or ideas of another person without due acknowledgment will be graded as unsatisfactory and considered academic misconduct. For more information, refer to the Student Rules. Information / Materials Provided: Written assessment and marking criteria provided via connect. Assessment Criteria: To achieve a satisfactory result, your assessor will be looking for your ability to demonstrate key knowledge as per the questions to an acceptable industry standard. Number of Attempts: You will receive up to two (2) attempts at this assessment task. Should your 1st attempt be unsatisfactory (U), your teacher will provide feedback and discuss the relevant sections / questions with you and will arrange a due date for the submission of your 2nd attempt. If your 2nd submission is unsatisfactory (U), or you fail to submit a 2nd attempt, you will receive an overall unsatisfactory result for this assessment task. Only one re-assessment attempt may be granted for each assessment task. For more information, refer to the Student Rules. 123 TMP E v1.6 (23/08/2022) © TAFE Queensland. Uncontrolled copy if printed. Refer to TAFE Queensland intranet for current version of document. 2 Document1 Submission Details Insert your details on page 1 and sign the Student Declaration. Include this form with your submission. Assessment to be submitted via: Instructions for the Assessor • TAFE Queensland Learning Management System (Connect): https://connect.tafeqld.edu.au/d2l/login • Username: 9 digit student number • For Password: Reset password go to: https://passwordreset.tafeqld.edu.au/default.aspx Students are to attempt all assessment questions / tasks and submit for review and resulting by the due date. Please refer to QLD TAFE Student Rules and Policies for assessment and appeals processes: https://tafeqld.edu.au/about-us/policy-and-governance/ policies-and-procedures/student-rules-and-policies/index.html Students are expected to complete unit content and personal study to assist in completing the assessment successfully. Assessors are to refer to the Benchmark Answers to ensure objectivity and consistency. Tafe assessor is to refer to Tafe Student Support Strategy if reasonable adjustment is required https://intranet.tafeqld.edu.au/sites/search/Pages/intranetresults.aspx? k=reasonable%20adjustment All aspects of the marking criteria must be met in order to achieve a satisfactory result for this assessment. Assessors must satisfy the Standards for Registered Training Organisations (RTOs) 2015/AQTF mandatory competency requirements for assessors. Note to Student An overview of all Assessment Tasks relevant to this unit is located in the Unit Study Guide. 123 TMP E v1.6 (23/08/2022) © TAFE Queensland. Uncontrolled copy if printed. Refer to TAFE Queensland intranet for current version of document. 3 Document1 1. Outline four (4) reasons for different types of surgery. .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... 2. From the list below of surgical types or procedures, match them in the table with their acute surgical intervention. Surgical type/procedure: Elective surgery, Amputation, Tonsillectomy, Cataract Extraction, Emergency Surgery, Peripheral nerve block, Appendectomy, Epidural, General Anaesthetic, Open reduction of ankle, Laparotomy, Craniotomy, Local Anaesthetic, Hip replacement, Hysterectomy, Prostatectomy Surgical type/procedure Acute surgical intervention anaesthetic is injected into the immediate area to be operated on surgical procedure to restore a fracture or dislocation of the ankle to the correct alignment an injection of a local anaesthetic into the space outside the dura mater of the spinal cord Removal of hip joint to be replaced with an artificial joint Surgery to remove appendix non-emergency surgery Surgery to remove tonsils medically induced state of unconsciousness surgical removal of all or part of a limb or extremity surgical incision into the abdominal cavity operation to remove all or part of the prostate gland surgery to treat trauma or acute illness operation to remove the uterus anaesthetic is injected near a specific nerve or bundle of nerves surgery to remove a clouded lens (cataract) from the eye Operation to expose the brain 123 TMP E v1.6 (23/08/2022) © TAFE Queensland. Uncontrolled copy if printed. Refer to TAFE Queensland intranet for current version of document. 4 Document1 3. How does the role of the Congress of Aboriginal and Torres Strait Islander Nurses and Midwives (CATSINaM) relate to an acute care patient? .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... Case study - Ms Warral Patient History Name: Ms. Sue Warral Age: 50 Ethnicity: Aboriginal Torres Strait Islander Languages Spoken: Aboriginal English and English Marital Status: Divorced from children’s father. Currently in a defacto relationship with James Michaels (55) Medical History: Chronic asthma, hypertension, hiatus hernia, osteoarthritis knee’s, smokes 1 pack per week, alcohol - social Weight 95kg, height 160cm, BMI 37 Previous history of deep venous thrombosis Occupation: Part-time reception duties at local primary school Next of Kin: James Michaels defacto husband Dependents: 2 children (Rebecca 12yrs & Nathan 10yrs) Family: Children visit their father every other weekend. Sue’s mum and a sister live nearby. The whole family gets together on a regular basis. Interests: Socialising, gardening, reading Ms. Sue Warral presents in your gynaecological surgical unit for an abdominal hysterectomy tomorrow. Ms. Warral has had three consecutive abnormal PAP smears in the past four months. The patient states she has noticed an unusual vaginal discharge over the past six months. On further investigation Sue was found to have stage II carcinoma of the cervix. 123 TMP E v1.6 (23/08/2022) © TAFE Queensland. Uncontrolled copy if printed. Refer to TAFE Queensland intranet for current version of document. 5 Document1 She reveals to you she is anxious about the cancer and having young children to look after. She also confides that she is worried that her partner will still love her. Sue’s surgeon Dr Turner stated that they would decide what further treatment will be required after the pathology findings of the surgery. On admission to your ward, the day of surgery, you take Ms. Warral vital signs. BP 155/85 Pulse 88 bpm Temperature 36.6 Respirations 18 Weight 95kgs SpO2 97% Allergic to penicillin The patient gives you a list of her current medications. Salbutamol 1-2 puffs every 3 hours as needed Metoprolol - 50mgs daily am Thyroxine - 50mcgs daily am Omeprazole 20mg daily am Panadol Osteo - two tablets TDS 4. Review your code-of-conduct-for-nurses as per the NMBA and identify two (2) ways you can support the health care planning for Ms Warral to ensure that it is culturally safe. .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... 123 TMP E v1.6 (23/08/2022) © TAFE Queensland. Uncontrolled copy if printed. Refer to TAFE Queensland intranet for current version of document. 6 Document1 5. Briefly discuss two (2) ways you can ensure that you’re nursing actions for Ms Warral are based on cultural safety. .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... 6. What is the importance of taking and recording Ms Warral’s vital signs pre-operatively? .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... 7. The Doctors orders a full blood count (FBC) for Ms Warral prior to surgery, Identify the steps required to collect a blood specimen (venepuncture) using the Venepuncture Vacuum-Extraction Method. .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... 123 TMP E v1.6 (23/08/2022) © TAFE Queensland. Uncontrolled copy if printed. Refer to TAFE Queensland intranet for current version of document. 7 Document1 Ms. Warral is to have anti-embolic stockings fitted. 8. Identify why these may be ordered and provide a brief rational for your answer. .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... 9. Identify where each of the 10 leads used to record an electrocardiograph (ECG) should be placed on Ms Warral ECG leads Position placement on Ms Warral V1 V2 V3 V4 V5 V6 Limb leads LA Limb leads RA Limb leads LL Limb leads RL Ms Warral is to be educated on the following actions pre-operatively, as she will be required to do these postoperatively to aid recovery. 123 TMP E v1.6 (23/08/2022) © TAFE Queensland. Uncontrolled copy if printed. Refer to TAFE Queensland intranet for current version of document. 8 Document1 10. Outline the purpose of the following exercises and the required education you need to provide for each. Exercise Purpose of this exercise Instructions on how to do the exercise Deep breathing and coughing exercise and use of incentive spirometry Leg and foot exercises Ms Warral returns from theatre at 1100hrs 22/10/2022 following abdominal hysterectomy & bilateral salpingo-oopherectomy. She is drowsy but opens eyes to voice and is orientation to place. She has a fentanyl PCA, oxygen 2l/min via nasal prongs, IV fluids 1000mls over 10hrs via left hand peripheral cannula, IDC, Bellovac drain on free drainage and a small of drainage noted & a wound dressing with scant ooze. Pain score on arrival to ward 4/10. Anti-Embolic stockings insitu. Family has been notified of return to ward and informed of visiting hours. Vital signs to be documented on ADDS chart as per facilities post operative procedures. 11. Identify three (3) nursing actions on Ms Warral for each of the following assessments postoperatively when she has returned to the ward. Three (3) nursing actions immediately post-operative when patient returns to the ward Level of consciousness Vital signs Intravenous therapy (Doctor has ordered IV infusion of Hartman’s Solution 1000mls over 10hrs) 123 TMP E v1.6 (23/08/2022) © TAFE Queensland. Uncontrolled copy if printed. Refer to TAFE Queensland intranet for current version of document. 9 Document1 IDC Surgical drains (Bellovac) Wound dressing Skin colour Pain 12. Identify three (3) nursing interventions (with a rationale accompanied for each) related to pain management that will assist Ms Warral’s wellbeing and recovery. .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... 13. Write a progress notes entry regarding Ms Warral once she has returned to your ward following her surgery (review the post-operative information to assist) 123 TMP E v1.6 (23/08/2022) © TAFE Queensland. Uncontrolled copy if printed. Refer to TAFE Queensland intranet for current version of document. 10 Document1 Nausea and vomiting is a common occurrence following surgery, Ms Warral is still drowsy but states she is feeling nauseated and wants to be “sick” Identify two (2) appropriate nursing actions you can undertake that will assist Ms Warral at this time. 14. .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... You are working a night shift and you are required to add up the past 24hrs of fluids on Ms Warral’s fluid balance chart. Review the fluid balance chart below and calculate the total input and output. 15. State if Ms Warral is in a fluid deficit or overload. Input = Output = Positive balance = Oral TIME NATURE OF FLUID AMOUNT GIVEN Intravenous Therapy PROGRESS TYPE/VOLUME OF FLUID FLASK No. AMOUNT GIVEN / mls Output PROGRESS URINE VOMIT HRLY Drain COMMENT TOT 1:00 2:00 3:00 4:00 5:00 6:00 7:00 8:00 9:00 10:00 Given in theatre 1000 500 11:00 123 TMP E v1.6 (23/08/2022) © TAFE Queensland. Uncontrolled copy if printed. Refer to TAFE Queensland intranet for current version of document. 11 Document1 12:00 NBM Hartman’s 1000mls 100 60 13:00 100 80 14:00 100 60 15:00 100 100 16:00 100 75 17:00 100 80 18:00 100 100 19:00 100 80 20:00 100 80 21:00 100 65 22:00 100 80 23:00 100 70 24:00 100 50 100 200 TOTAL 24:00 HRS 16. Outline the importance of providing oral care post operatively to Ms Warral while she is nil by mouth. .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... 17. Outline two (2) nursing actions you can provide for Ms Warral to reduce the risk of pressure injury’s while she is resting in bed following her surgery. .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... 123 TMP E v1.6 (23/08/2022) © TAFE Queensland. Uncontrolled copy if printed. Refer to TAFE Queensland intranet for current version of document. 12 Document1 On Day 2 the medical staff order the removal of the Ms Warral’s IDC. You are required to remove the IDC. 18. Identify the steps you would take to remove Ms Warral’s IDC. .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... 19. Ms Warral fails to void following the removal of her indwelling catheter, what are the key signs of acute urinary retention. .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... .......................................................................................................................................................... 123 TMP E v1.6 (23/08/2022) © TAFE Queensland. Uncontrolled copy if printed. Refer to TAFE Queensland intranet for current version of document. 13 Document1 You are required to insert a catheter back into Ms Warral after her failed attempt at voiding since the removal of her indwelling catheter. 20. Identify the 10 steps you would take to insert Ms Warral’s IDC by placing them in the correct order 1-10. Correct order Steps • Cleanse the urethral meatus. • With the nondominant hand, fully expose the urethral meatus by spreading the labia. • With the dominant hand, grasp an antiseptic-soaked cotton ball with forceps or pick up an antiseptic swab stick • Wash the perineal area with soap and water, locate the urinary meatus, and dry the area. • Use light source to illuminate the perineum as needed. • Discard used supplies, remove gloves, and perform hand hygiene. • Place a waterproof pad under the patient. • Assist the patient to a dorsal recumbent position (supine with knees flexed). • Ask the patient to relax her thighs to externally rotate the hip joints. • Maintain privacy • Inflate the balloon of the indwelling catheter with sterile water to the volume indicated in the manufacturer’s instructions. Do not inflate the balloon until urine flow appears; early inflation may injure the urethra. • Gather equipment • Perform hand hygiene. Don PPE • Introduce yourself to the patient. Verify identify. • Explain procedure, gain consent. • Raise the bed to an appropriate working height • After inflating the balloon, pull gently on the catheter tubing until resistance is felt. • Place the drainage bag below the level of the bladder • Set up the indwelling catheterization kit using sterile technique. Don sterile gloves • Place a waterproof sterile drape or fenestrated drape appropriately across Ms Warral, taking care not to touch any contaminated surface 123 TMP E v1.6 (23/08/2022) © TAFE Queensland. Uncontrolled copy if printed. Refer to TAFE Queensland intranet for current version of document. 14 Document1 • Clean the perineal area, wiping front to back from the clitoris toward the anus. • Use a new cotton ball or swab for each area cleansed. • Wipe the far labial fold first, the near labial fold next, and then directly over centre of the urethral meatus • Remove PPE and perform hand hygiene. • Assist the patient to a comfortable position. Lower the bed and return the side rails to the original position. • Discard supplies and perform hand hygiene. • Document the procedure in the patient’s record • With the sterile dominant hand, pick up the catheter. Hold the distal end of the catheter loosely coiled in the palm of the dominant hand. • Insert the indwelling or straight catheter. • Ask the patient to bear down gently as if to void. Then slowly insert the catheter through the urethral meatus • Advance the catheter until urine flows through the tubing. • After visual confirmation of urine return into the tubing, continue to advance the catheter. Do not inflate the balloon until urine flo
