Rehabilitation Nursing - Health Care Services - Clinical Risk Management - Assessment Answer

Rehabilitation Nursing - Health Care Services - Clinical Risk Management - Assessment Answer 

Task: Issue of safety/ legal responsibility
 

Roles and Responsibiities
Module 2 Overview
In this module you will explore the role of the specialist nurse. You will be asked identify some of the physical and emotional safety issues related to the specialty and determine some strategies you can use to keep yourself (and your patient) safe.The module will conclude with an examination of the legal aspects associated with the specialty, oth in terms of your responsibilities and the responsibilities of the employer.

Roles and Responsibilities
LO1 Distinguish the roles and responsibilities of a nurse in the selected specialty practice area LO8 Extend your professional portfolio reflecting on your learning and development towards the NBA Registered nurse standards for practice using examples of skill development and nursing.
GA4,10)In Australia, specialist nursing usually requires a post-graduate qualification (Jokiniemi, Pietilä, Kylmä & Haatainen, 2012). However, as registered Nurses you can work in any area of nursing, so what defines specialty practice?  What is the difference between a nurse practitioner and an advanced practice nurse as opposed to someone who has worked in same clinical area for 10 years or someone who has a postgraduate certificate or Diploma in a specialty area?

To explore the role of the specialist nurse in the area of your elected specialty:

• Locate, read and reflect on the standards that guide the practice of nurses in your specialty area (these can often be found on the relevant specialty association webpage). Many of these can also be found via the library catalogue  - this is important!!
• Find the job description for a clinical nurse in your specialty area and read it.
•  Identify the characteristics of the role that are beyond the generic description of the role of a registered nurse, that is, identify what makes the person a specialist in the area.
• What is the difference between a clinical nurse specialist (CNS), advanced nursing practice
• and advanced practice nursing?
•  If possible speak to a nurse who currently practices in a specialty area. Ask him/her how they acquired the knowledge and skills that makes a specialist in the area. You might ask them about what facilitators and barriers they dealt with in the course of developing their special knowledge. 
• Write down some key messages you learned from these activities.

Clinical Risk Management
LO1 Distinguish the roles and responsibilities of a nurse in the selected specialty practice area Advocating for the safety of patients in all healthcare settings is the responsibility of all health care workers. A nationally recognised organisation titled The Australian Commission on Safety and Quality in Health Care [ACSQHC] publishes resources, standards and guidelines relating to safety and quality in health care.  The ACSQHC is frequently used as an important reference point for State and Territory Departments of Health and Ministers of Health in Australia. ACSQHC (2010) states that all health care services (public and private) should be:

• consumer centered;
• driven by information (evidence);
• organised for safety

Clinical risk management (CRM) is an approach to improving the quality and safe delivery of health care by: (1) placing special emphasis on identifying circumstances that put patients at risk of harm, and (2) acting to prevent or control those risks.  CRM should be practised by all health services in Australia. There are terms related to CRM used frequently in health care that are important to define, namely: clinical incident, adverse event, near miss, open disclosure, root cause analysis, harm, sentinel event and clinical effectiveness.  A brief description of each follows.

A clinical incident is defined as, “an event or circumstance that could have, or did lead to unintended and/or unnecessary harm to a person receiving care” (State Government of Victoria, 2019a).  Clinical incidents can include adverse events, near misses and hazards in the environment that pose a clinical risk.  It is important to define several terms related to the discussion at this point. An adverse event is an incident that resulted in harm to a person receiving health care. 

Reflect on your clinical practicum experience individually or preferably in a group. Can you or one of your colleagues recall a time where an incident report needed to be completed? As a group, write a brief summary of what occurred. Do this by asking the following questions:

• Who was involved?
•  What was the context?
•  Was a patient harmed?
•  Was a staff member harmed?
•  Was the incident a near miss?
•  Was there a debrief or any follow up (you may not be able to answer this question)?
• .According to the clinical risk management definitions above can you categorise the event?
•  In your opinion as a group, could this incident have been avoided and if so, how?

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