HLTAMB001: Follow Procedures for Routine Safe Removal of Patient - Nursing Assignment Help

Assignment Task:

In consideration of the case study scene, respond to the following questions: 
1. What information in the case study could inform you that the scene may be unsafe? (Dot points acceptable 4 minimum) 
2. Based on the information in the case study what (plan) measures should be taken to ensure the safety of your colleagues and yourself? (dot points 3 minimum) 
3. What extra resources might you require? List three (3) and explain why. (50-75 words) 
4. What are the environmental challenges you might face? List three (3) and explain why they may be a challenge and identify what PPE might you require? (50- 75 words) 
5. What are the possible risks to the patient inside the house if they do not receive treatment? (20-30 Words) 
6. What communication strategies should you employ to manage those at the scene? List four (4) strategies (actions) and explain why they will support/assist the situation. (40-80 words) 

Case Study 2 
You and your colleague have been called to an apartment block responding to a report that a person is experiencing /complaining of shortness of breath. 
It is 10pm at night. You arrive to find the apartment manager waiting for you; the apartment manager informs you that a person with shortness of breath is located on the 3rd floor of the building and that there is no elevator, access is via the stairwell to the apartment floor. 
The apartment manager is unable to offer any more information than the patient complained of and appears to be experiencing shortness of breath. 
Your primary assessment of the scene identifies it is safe and there are no immediate hazards to be considered. 
The apartment manager escorts you to the 3rd floor and lets you into the patients’ apartment. 
You announce yourself on entry as the medical/medic support team. 
The apartment is dark and you turn the lights on and proceed down a hallway that turns to the left at the end. 
As you turn left at the end of the hallway, you turn on another light and find an obese middle-aged man in the living area; sitting on the floor with his back against a wall; breathing slightly fast and with a slight wheeze. 
You ask the patient ‘what is happening’ and in short breathless phrases the patient complains of severe left leg pain and that breathing has been getting progressively difficult throughout the day. 
You perform a VSS on the patient and find: 
BP=130/85 mmHg; Pulse=105 beats/min; 
Breathing 28 breaths/min; SpO2=95%; GCS=15; Temp=38.3C. 
The patient complains of a persistent, deep and throbbing pain in his left lower leg, that he rates as 8/10 in intensity. 
You inspect his left lower leg to find a large ulcer (5cm long, by 2cm wide, by 1cm deep) very inflamed, weeping and smelly ulcer on his shin. It appears angry and inflamed. 
The wound (ulcer) appears angry and looks hot to touch. The patient complains that the pain becomes sharp if he tries to walk or use his foot. Hence, he has stayed where he is all night. He states he has no cardiac, respiratory or other problems. 
You and your colleague decide that extra support is required, and an extra team is dispatched. 
7. What information in the case study may inform you about the scene’s safety and access? (4 points 
minimum) 

8. Considering there is no elevator access to the apartment and you need to access via the stairs, what equipment/resources would you propose to take up to the apartment and what equipment/resources will not be taken? Please justify your answers. (50 -100 words) 

Resources/Equipment Taken up to Scene Justification (Why) 

9. Based on the case study information or ‘lack of information’, what PPE might be appropriate to utilise or take with you? Justify your answer. (25-50 words) 
10. On arrival are required to conduct a ‘primary survey’ at the scene. Discuss the actions you will take to complete the Primary Survey (100-200 words) 

11. From a perspective of patient safety and removal what potential hazards or risks did you identify from this case study for consideration in the overall treatment and removal of the patient? List 3 hazards/risk and explain. (50 -70 words) 

12. Using SMEACS, inform the new team and colleagues the plan for the safe removal and transfer of the patient to hospital? (You do not have to discuss treatments or interventions). (Dot Points/and/or 15+ Words for each SMEACS) 

13. What transfer/transport equipment will you require to egress with the patient, you must justify your answer. (25-40 words) 
14. What type of patient movement will be required? What manual handling and safety techniques will be required? (40-80 words) 

15. Explain how you will allocate and communicate roles for your 3 team members? (50 words) 
16. As team leader, what safety issues need to be monitored to keep the patient and your team members safe during the patient transfer and egress? List 4 (2 patient and 2 colleague issues) and describe (50 words). 

17. What legislation and/or standards and/or Clinical Practice Guidelines would be relevant for reference related to the case scenario? 
Identify one (1) example for each of the following and discuss the purpose of the same in consideration of the scenario 
a. Legislation: 
b. Standard: 
c. Clinical Practice Guideline: 
18. After the transport of the patient to hospital, what equipment checks will be required on your chosen equipment? List four and justify. (dot points and 15-40 words) 
 

You will be assessed against the following criteria 
1 Examined the Case Study information to identify initial danger and access requirements for a scene survey related to 2 Case studies and the responses. (1,7,8) 
2 Evidenced understanding of planning for action at the scene and identified required resources for 
2 Case studies based on known factors and primary scene survey. (2,8) 
3 Evidenced knowledge and understanding of the application of relevant resources and equipment for the safe removal of the patient. (3,12) 
4 Evidenced knowledge of appropriate/required PPE related to Safety and the case study scenarios. (4,9) 
5 Supported knowledge, identification and understanding of the patient care requirements and potential risks/hazards related to patient treatment for the scenario presented. (4,5,7,11,12) 
6 Knowledge and an understanding of interpersonal and communication working with other workers and patient during safe egress. (6) 
skills required when 
7 Knowledge and understanding of the patient care requirements and circumstances for the transfer and movement of patients. (7,8) 
8 Identified and defined processes (actions) required for the safe egress of the patient. (7,8,12,16,) 
9 Knowledge of relevant communication strategies and simulated situational application related to colleague’s patients and stakeholders for the case study scenario’s. (6,12) 
10 Evidenced knowledge and understanding to support formulation of plans to address the safety of the patient(s) during removal and/or transfer of patients. (8, 11, 12 ) 
11 Knowledge, understanding and analysis of health care practitioner safety during a stated scenario activity and for the safe movement of the patient. (12) 
12 Supported evidence of knowledge, understanding for the application of systematic activities in a removal of a patient and supports understanding of established clinical guidelines/protocols. (12,13,16) 
13 Identified and discussed relevant WHS issues, manual handling, and mechanical aids including patient and personal safety requirements related to case scenario’s. (1, 4,7,12, 13,16)

14 Explained and Identified requirements for the conduct of Primary assessments evidencing underpinning knowledge of the same. (10)

15 Defined allocation and communication of role responsibilities for team members. (15) 
16 Considered the scenario to outline related, Legislation, Standards and Guidelines. 

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