NRS162 - Workplace Learning Scenario Assignment

Assignment Task

Scenario

You are a first year Bachelor of Nursing student attending your first clinical placement for NRS173. Your first 2 week allocation is in a geriatric unit of a local regional hospital. You are excited as most students had received placements in Residential Aged Care Facilities and you have not worked in a hospital before. As this is your first placement, you are hoping to do well and very keen to practice the skills you have learnt in NRS163 and, this far, in NRS174.

You are attending placement with three other first year students. All four of you have passed the NRS174 OSCE based on medication administration and wound assessment and management.

At lunch on Friday of the first week, you have a discussion with the other students about your experiences so far. You are excited to share you have participated in vital sign monitoring, documentation, wound dressings and medication administration with your RN preceptor. One of your colleagues mentions that they administered paracetamol to a patient as they complained of pain. They state they did this without the RN as the patient had “pleaded with them to do something”. This student also mentioned they are an AIN with a medication administration competency so know how to administer paracetamol safely.

Back on the unit, you overhear the student talking with a patient’s family about how they should have been given credit for their first year. The student stated they had been working for a long time as an AIN and can complete many tasks without the RN present. They also shared the RN takes too long when they are ready to undertake a task and do not want to keep the patient waiting.

You are unsure how to proceed with this information and the other 2 students who were present at lunch did not say anything. You decide to approach your preceptor to discuss the situation during your debrief at the end of the shift.

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