Highlights
Brief task description
Students are to conduct a critical analysis of the coronial case Inquest into the death of Troy Almond and use current and relevant supplementary literature to support the analysis. The analysis should specifically relate to the detection and escalation of clinical deterioration provided from the Registered Nurse within their scope of practice whilst caring for Troy Almond.
Rationale for assessment task
Early detection of clinical deterioration and appropriate communication and escalation of care can save lives and improve patient outcomes. This assignment will ask the student to consider their role and accountability as a registered nurse in this process, to prepare them for clinical practice in alignment with the National Safety and Quality Health Service Standards; Standard 8- Recognising and Responding to Acute Deterioration Standard https://www.safetyandquality.gov.au/sites/default/files/migrated/National-Safetyand-Quality-Health-Service-Standards-second-edition.pdf
Course Objectives measured
After successfully completing this assignment students will:
1. Identify and analyse the concepts of integrated risk management as they relate to inter-professional healthcare.
2. Demonstrate understanding of digital literacy and communication to promote and lead patient safety initiatives and wellbeing as they relate to interprofessional care.
3. Describe and apply risk management legislation, regulations, policies, and or guidelines when making decisions.
4. Understand and demonstrate corporate and clinical governance as it relates to quality and safety standards and the importance of leading risk mitigation in healthcare.
Task detail
In order to successfully complete this assignment you will need to;
Introduction (approximately 300 words)
The introduction should set the scene for the critical analysis of the case of Troy Arnold in the context of detection of deteriorating patients with consideration to the accountability of a Registered Nurse.
Body (approximately 1200 words)
Students are to conduct a critical analysis of the case and use the literature to support the analysis. The analysis should specifically relate to the detection and escalation of clinical deterioration provided from the Registered Nurse within their scope of practice whilst caring for Troy Almond.
Conduct the analysis
1. The analysis should commence with a discussion surrounding the Registered Nurse’s role and responsibility in detection and escalation of clinical deterioration in a patient including the accountability and competency requirements of the Registered Nurse(RN).
2. Students should use examples from the case to highlight missed opportunities and gaps in the RN’s nursing knowledge caring for paediatric patients, detection of clinical deterioration, and escalation of care, clinical competence, communication and accountability.
3. The analysis should include a rationale as to why Early Warning Tools and documentation policies; for example, the Children’s’ Early Warning tool in Queensland (CEWT), Between the Flags in NSW are specifically important in caring for paediatric patients. Consideration should be given to tracking and visualising trends over time via the use of an Early Warning Tool (sometimes referred to as track and trigger tools in the literature) in relation to the case presented
4. The student should address limitations of Early Warning Tools and the relevance and significance of this to their practice as a Registered Nurse.
5. Through the analysis of pertinent literature in this field concepts of human factors, cognitive bias and cognitive dissonance, teamwork and effective communication (both written and verbal) and the implications of these on effective decision making specifically related to this case should be addressed.
6. Discuss how escalation systems –for example Ryan’s Rule (Queensland health) or REACH in NSW specifically pertaining to paediatrics can be applied and implemented into registered nurse clinical practice.
7. Students must provide a synopsis of suitable strategies to risk mitigate missed opportunities for detection of deterioration, escalation & accountability found in the case. 8. Students need to demonstrate synthesis of published material with the student’s own analysis to demonstrate appropriate conclusions. The analysis must be supported by relevant and contemporary literature including journal articles and relevant policy documents. It is expected that a minimum of 8 journal articles will be used.
Writing Style
This assessment piece will be written in the form of an academic essay providing references to relevant peer reviewed articles and legislative policies and guidelines. Students need to demonstrate synthesis of published material with the student’s own analysis to demonstrate appropriate understanding.
Referencing/ citations
For this assessment you will use APA 6 th/7 th referencing style.
Sources: your reference list must include at least 8 scholarly sources with the majority no older than 6 years old.
In text citations: You must include intext citations in the body of your work. Each new point or piece of evidence must be attributed (via in-text citation) to the source
Formatting Style
Double spacing, Times New Roman, font size 12, page numbers to be included
Resources available to complete task
Coroners Court of New South Wales (2018) Inquest into the death of Troy Almond. National Safety and Quality Health Service Standards https://www.safetyandquality.gov.au/sites/default/files/migrated/National-Safety-andQuality-Health-Service-Standards-second-edition.pdf
Assignment Extension Requests
Request for extensions are for extenuating circumstances and must be at least three days prior to due date. The examiner will request a ‘work in progress’ at the point of request. Please see link to the USQ policy https://www.usq.edu.au/currentstudents/academic/assignments
Referencing Support
https://www.usq.edu.au/library/referencing
Assignment Support
https://www.usq.edu.au/library/study-support/assignments
Submission information
What you need to submit
One Adobe PDF document or Microsoft Word document that contains the following items
Coversheet including; unit code unit name, semester and year, assignment title, student name, student number, word count
Do not include the marking criteria sheet
This assessment task must:
Use APA 6 th/ 7th referencing for citing academic literature
Be submitted in electronic format as an Adobe PDF document or Microsoft Word document via Turnitin through the assignment link in the course study desk.
File Name Conventions
Save your document with the following naming conventions: studentnumber_NUR3201_S2_2020 A1.doc/docx/pdf
Moderation
All staff who are assessing your work meet to discuss and compare grading decisions before marks or grades are finalised.
Academic Integrity Statement
The pursuit of scholarly activity in an open, fair, honest, respectful and responsible manner. Academic Integrity includes a commitment not to engage in or tolerate acts of falsification, misrepresentation or deception. Such acts of dishonesty violate the fundamental ethical principles of the University community and compromise the worth of work completed by others. Please see links below for further information https://www.usq.edu.au/library/study-support/academic-integrity https://policy.usq.edu.au/documents/13752PL
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