Adverse Event for Patient - NSW Health policies - Nursing Essay Writing Assessment Answer

Professional Accountability and Nursing Assessment Answer

• Identify your patient
• Describe the clinical setting (e.g. ICU, surgical ward, nursing home)
• Geographical location (i.e.: where did this take place)
• What ultimately happened to the patient
• Who was the Registered Nurse(s) and what ruling was handed down (i.e.: were they suspended? Struck off the register?)
• Make sure to include the reference number and link to the full case

• Actions – what did the RN(s) DO that contributed to the adverse event e.g. administer the wrong medication
• Omissions – what did the RN(s) NOT DO that contributed to the adverse event e.g. failed to report a deteriorating patients
• Don’t just provide a dot point list – please structure this information in essay format.
• If there are a number of items to discuss you may want to group them together under headings and provide examples e.g. failure to complete observations on patient as required – the RN did not record any observations during their 12 hour shift for the patient.

• Were other factors listed as also contributing to this adverse event for the patient e.g. actions/omissions of other healthcare staff
• “System-based errors” are often implicated in adverse events – make sure you understand what this terms means
  • Systems-based errors are different from human-based errors – the actions/omissions of the RN(s) would be human-based errors
  • Systems based errors can include things like skills mix, ratios, mixing adults and children on the same ward, equipment not in working order
  • I have uploaded an article to give you some more background on this topic.

• This is essentially asking how could this adverse event have been avoided
• This should follow on logically from your discussion in the previous sections
• This should align with the information you provided in section 2 of your essay
  • What actions did the RN(s) take that they should not have and what should they have done
  • What omissions did the RN(s) take (what didn’t they do that they should have) and what should they have done
  • What guidelines currently exist that tell us what to do in this situation? E.g. NSW Health policies, local protocols, guidelines
• How would the correct actions have changed the outcome for the patient e.g. deterioration would have been picked up and care escalated
• For the higher marks look beyond policies to the evidence in the topic e.g. if your patient died as a result of deterioration not being picked up – there is a body of evidence focused on the deteriorating patient
• The evidence is the rationale for the actions you are recommending – the “why”

• This is a 3^rd year assessment so the quality of your writing and referencing should be at this level
• Remember to structure as an essay – starting with an introduction and conclusion
• Often it is easier to come back and write the introduction last – they can be tricky to start
• Don’t include any new information in your conclusion – sum up your discussion
• Formal writing – use formal words and avoid slang or personal terms – unless you are quoting from your case (make sure to indicate if you are doing this)
• Write in the 3^rd person – avoid personal terms like “I” think – this should be objective writing (not subjective – which is your opinion)
• Spelling – this should be Australian spelling – so make sure your spellcheck is set for this and not US spelling.

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