NSG3201: Situational Awareness - Low Oxygen during Anaesthetisation - Nursing Assignment Help

Assignment Task

Video Summary
Low oxygen during anaesthetisation.
Within 10 min, it was a situation of can’t intubate/ can’t ventilate (obstruction in the upper airway), she was blue and O2 was 40% or lower for 6 min.
At the 6.5 min point, a nurse enters, observes and fetches a tracheostomy set, (to create an opening in the neck in order to place a tube into the windpipe), announces it was available but gets no response.
Another nurse phoned ICU then informed the team that an ICU bed was available, but this offer was dismissed.
2 of the 4 nurses stated that they knew exactly what needed to happen (tracheostomy, plus ICU?), but felt they had no power in the situation.
At that 10 min, for a further 15 min, the 3 consultants continued to attempt to intubate for a further 15 min, but she had by then been at below 40% for 20 min.
At that 25 min point, the patient temporarily reaches 90%, but airway is not secure, so her oxygenation falls for a further 10 min.
At that 35 min point, the decision is taken to let her wake up naturally.
So, she is left to lay for 1.5 hours, but never wakes up.

Issues:
Lack of clear leadership, situational awareness, (meaning a shared understanding across all the consultants about what was happening), prioritisation, decision-making, communication and assertiveness.
These are human factors that are behind the majority of safety failures among highly-trained professionals.
Initial safety check is followed by a briefing where all members of the team run-though what is expected to happen, and all the possible things (good and bad) that could happen, and agree on what their responses would be.
This is an open style of communication where all members of the team are open to suggestions.
The anaesthetists should have listened to the nurses/ been open to their suggestions.
And safety failures/ accidents/ incidents need to become lessons to learn from, because most of them involve human factors.

Task

Part A: 
(1000 words)
Use the literature to:
Discuss the development and importance of patient safety 
Discuss the role of the registered nurse in the high acuity setting
From the Marking Guide:
The importance of patient safety in healthcare is thoroughly explored and contextualised within the Australian health care setting (forabout 330 words). 
The history of patient safety within healthcare provision/ how patient safety became a consideration in healthcare provision is outlined and related to the context of health care in Australia and the high acuity setting in particular (forabout 330 words).
The role of the registered nurse in maintaining and ensuring patient safety in the high acuity setting is explored, including strategies for ensuring patient safety (forabout 330 words).
Part B: 
(1000 words)
Use the literature to:
In relation to the video above and the role it plays as a human factor in ensuring patient safety in an emergent / deteriorating patient situation, explore one of the following:
1) Communication 
2) Situational Awareness 
3) Team work
From the Marking Guide:
Describe how the chosen factor was utilised or failed, in the video.
Describe how a different response / performance may have changed outcome.
Describe the chosen factor and its importance in maintaining patient safety in high acuity settings.
How can this factor affect healthcare delivery in an emergent situation?
 

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