NURS20162 - Registered Nurse Scenario - ISBAR Handover - Case Study

Assessment Anwer:

Background
For the purpose of this assessment, you are asked to assume that you are a Registered Nurse commencing a shift within an acute care facility.
The commencement of your shift will typically include an ISBAR handover for the patients allocated to your care. Once the handover is completed, Registered Nurses are expected to review all the data available, for example, observation and medication charts, in order to appropriately assess, plan and prioritise the care they plan to provide, or omit.
Please take some time to listen to the ISBAR handover and review the assessment data (medication and observation/CEWT chart) provided below. Please note that the ISBAR handover has been provided in 3 different formats to cater for the majority of computer operating systems. The handover within each of these formats is identical.
Once you have listened to the handover and reviewed the documentation provided, please complete the four parts below.
Part 1
Based on the ISBAR handover, and the assessment data provided, what is your first priority of care for this patient?
Please ensure your answer includes evidence of your ability to apply the clinical reasoning cycle to this scenario, i.e., your ability to provide evidence-based rationales for the care that you choose to provide or omit.
Part 2 
In order to promote patient understanding, compliance and best practice in health care provision, patient education is a key component of the nursing care plan.
What education do you need to provide to the caregiver regarding your patient’s admission diagnosis and current treatment? Please also discuss any specific considerations and/or communication strategies you would use in this context.
What education do you need to provide your patient regarding their diagnosis and current treatment? Please also discuss any specific considerations and/or communication strategies you would use in this context.
Part 3 
The administration of paediatric medication is subject to additional safety checks, i.e., all paediatric medication is checked by the administering RN and an additional appropriately qualified nurse.
Discuss why these additional checks are necessary for the safe administration of paediatric medications.
Outline the steps each nurse is required to undertake in order to ensure the safe administration of paediatric medications.

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