Clinical Reasoning Cycle - Clinical Emergency Response System - Nursing Assignment Help

Assignment Task:

Task
Use the scenario provided on the Interact 2 site (‘Sally Brown’) and the template provided to complete a Clinical Reasoning Cycle table, complete an ISBAR Clinical Handover, and respond to the following questions in the body of an academic paper.
This task also requires you to review best practice guidelines and literature regarding the management of clinical deterioration (e.g. Clinical Excellence Commission ‘Clinical Emergency Response System’). Incorporating peer-reviewed journal articles to support your rationale will also improve your grade. 

Introduction (Recommended: 200 words)
•Provide a brief introduction to the concept of nursing care in the deteriorating patient. 
•Introduce the context of your paper by highlighting the key aspects of the scenario provided
•Outline the content of the body of your paper.  

Body (Recommended: 1800 words)
1. Recognize: Critique the recognition of deterioration in the scenario
1a. Describe the levels of the Clinical Emergency Response System (CERS) (Clinical Review and Rapid Response). 
1b. Critique the recognition of deterioration in the scenario, identifying the specific clinical indicators in the scenario that a Registered Nurse should recognize as clinical deterioration
1c. Using the clinical indicators that you have identified, recommend points in time when a clinical review and rapid response should have been triggered.  

2. ESCALATE: Critique the escalation of deterioration in the scenario
2a. Critique the timeliness and appropriateness of how the nurses escalated the care of the deteriorating patient in the scenario to other members of the interdisciplinary team. 
2b. Propose opportunities for how the communication within the interdisciplinary team could be improved, including reference to the ISBAR clinical handover you have completed.

3. MANAGE: Critique the management of deterioration in the scenario
3a. Critique the nursing care in the scenario provided. 
3b. Use the Clinical Reasoning Cycle table you have completed to propose and rationalize evidence-based nursing assessments and interventions that would have been appropriate in this situation.  

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