Canberra Hospital And Health Services Clinical Procedures

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Canberra Hospital And Health Services Clinical Procedures

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Question:
Discuss about the Canberra Hospital And Health Services Clinical Procedures.

Answer:

Objective 1
Under the supervision of my senior registered nurse, I will be able to insert a nasogastric feeding tube in the patient and then confirm it that the tube is correctly sited.
Objective 2
Under the supervision of my senior registered nurse, I will measure the tube length correctly by holding the tube from the bridge of the nose across the face to the earlobe and then drawing the tube down to the xiphisternum.
Link to NMBA standards
4.1 conducts assessments that are holistic as well as culturally appropriate.
6.1. Provides comprehensive safe, quality practice to achieve agreed goals and outcomes that are responsive to the nursing needs of people.
6.2 practices within their scope of practice
6.5 Practices in accordance with relevant policies, guidelines, standards, regulations and legislation.
Objective 1
Under the supervision of my senior registered nurse, I will able prepare a parental potassium solutions safely to avoid too much intake of fluids.
Objective 2
Under the supervision of my senior registered nurse, I will be able to assess the current fluid and the electrolyte status of my patients, including monitoring of the fluid balance chart, weight, heart rate, capillary rate, respiratory rate and National Early Earning Score (NEWS).
Link to NMBA standards
5.1 uses assessment data and best available evidence to develop a plan
6.5 Practices in accordance with relevant policies, guidelines, standards, regulations and legislation.
3.6 actively engages with the profession,
3.7 identifies and promotes the integral role of nursing practice and the profession in influencing better health outcomes for people.
Objective 1
Under the supervision of my senior registered nurse, I would don clean gloves and safety glasses before transferring the content in to the safety bag in order to avoid any infections via the discarded contents.

Objective 2
Under the supervision of my senior registered nurse, I would document the drainage amount in the clinical record of the patient and would use a permanent marker for marking the date and time at the back of the drainage back for indicating the levels of loss of fluids in a day.
Link to NMBA standards
3.7 identifies and promotes the integral role of nursing practice and the profession in influencing better health outcomes for people.
4.1 conducts assessments that are holistic as well as culturally appropriate
4.2 uses a range of assessment techniques to systematically collect relevant and accurate information and data to inform practice.
4.4 assesses the resources available to inform planning.
6.5 practices in accordance with relevant policies, guidelines, standards, regulations and legislation.
Objective 1
Under the supervision of my senior registered nurse, I would be able to perform the 6 rights of medication administration that is identification of the patient, cross checking the current drug, including correct dosages, correct route and appropriate timing to avoid medication errors , dosage errors and errors with patient identification. I ensured to take consent from the patient before starting the procedure.
Objective 2
Under the supervision of my senior registered nurse, I would ensure that I prepare the patient for the IV push medication, such as assessing the peripheral IV insertion site to find swelling, redness, and bleeding and temperature difference followed by cleaning the PIV injection site by an alcohol wipe, to ensure infection control and irritation of the skin.
Link to NMBA standards
2.2 communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights.
3.2 provides the information and education required to enhance people’s control over health.
4.2 Uses a range of assessment techniques to systematically collect relevant and accurate information and data to inform practice.
5.4 plans and negotiates how practice will be evaluated and the time frame of engagement.
5.5 coordinates resources effectively and efficiently for planned actions.
Resources
Nursing and Midwifery board of Australia, (2016). Registered nurse standards for practice. Acess date : 21.6.2018. Retrieved from: https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards/registered-nurse-standards-for-practice.aspx.
Tollefson, J. (2004). Clinical psychomotor skills: Assessment tools for nursing students. Cengage Learning Australia.
Tiziani, A. P. (2010). Havard’s nursing guide to drugs. Elsevier Health Sciences.

Reference list
Nursing and Midwifery board of Australia, (2016). Registered nurse standards for practice. Acess date : 21.6.2018. Retrieved from: https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards/registered-nurse-standards-for-practice.aspx
Tollefson, J. (2004). Clinical psychomotor skills: Assessment tools for nursing students. Cengage Learning Australia. https://books.google.co.in/books?id=jmKnfvbdvacC&printsec=frontcover&dq=Clinical+psychomotor+skills+:+assessment+tools+for+nurses&hl=en&sa=X&ved=0ahUKEwifj9by7uPbAhVMb30KHQLPD0kQ6AEIJjAA#v=onepage&q=IV%20antibiotic%20administration&f=false
Tiziani, A. P. (2010). Havard’s nursing guide to drugs. Elsevier Health Sciences. https://books.google.co.in/books?id=XpzQAgAAQBAJ&printsec=frontcover&dq=Havard%E2%80%99s+Nursing+Guide+to+Drugs&hl=en&sa=X&ved=0ahUKEwiUhuiZ7-PbAhXIsI8KHXe-AM0Q6AEIKTAA#v=onepage&q=IV%20antibiotics&f=false
Nursing and Midwifery board of Australia, (2016). Registered nurse standards for practice. Acess date : 21.6.2018. Retrieved from: https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards/registered-nurse-standards-for-practice.aspx
Tollefson, J. (2004). Clinical psychomotor skills: Assessment tools for nursing students. Cengage Learning Australia
Canberra Hospital and health services clinical procedures (2013), Drain management. Access date: 21.6.2018. Retrieved from: https://www.health.act.gov.au/
Nursing and Midwifery board of Australia, (2016). Registered nurse standards for practice. Acess date : 21.6.2018. Retrieved from: https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards/registered-nurse-standards-for-practice.aspx
Books, government websites and Australian journal articles have been used to prepare the objectives. The guided protocol would help the nurse in performing within the scope of practice.
Intravenous therapy (2018). Clinical Skills in Hospitals Project Intravenous therapy. Access date: 21.6.2018. Retrieved from: https://www2.health.vic.gov.au/about/publications/policiesandguidelines/Intravenous-therapy.
Nursing and Midwifery board of Australia, (2016). Registered nurse standards for practice. Access date : 21.6.2018. Retrieved from: https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards/registered-nurse-standards-for-practice.aspx
Kumar, G., Walker, E., & Stephens, R. (2014). Intravenous fluid therapy. Trends in Anaesthesia and Critical Care, 4(2), 55-59. https://www.trendsanaesthesiacriticalcare.com/article/S2210-8440(14)00020-3.
Intravenous therapy (2018). Clinical Skills in Hospitals Project Intravenous therapy. Access date: 21.6.2018. Retrieved from: https://www2.health.vic.gov.au/about/publications/policiesandguidelines/Intravenous-therapy.
Nursing and Midwifery board of Australia, (2016). Registered nurse standards for practice. Access date : 21.6.2018. Retrieved from: https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards/registered-nurse-standards-for-practice.aspx
Kumar, G., Walker, E., & Stephens, R. (2014). Intravenous fluid therapy. Trends in Anaesthesia and Critical Care, 4(2), 55-59. https://www.trendsanaesthesiacriticalcare.com/article/S2210-8440(14)00020-3.
I have used the Australian guidelines for adhering to the ways of the nasogastric therapy. I have also brainstormed through the below mentioned books for choosing the objectives. The nursing and the midwifery protocol has helped to link my nursing protocols with the nursing standards.
Nasogastric therapy (2018). Clinical Skills in Hospitals Project Nasogastric therapy. Access date: 21.6.2018. Retrieved from: https://www2.health.vic.gov.au/about/publications/policiesandguidelines/Nasogastric-therapy.
Nursing and Midwifery board of Australia, (2016). Registered nurse standards for practice. Access date: 21.6.2018. Retrieved from: https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards/registered-nurse-standards-for-practice.aspx.
Nasogastric therapy (2018). Clinical Skills in Hospitals Project Nasogastric therapy. Access date: 21.6.2018. Retrieved from: https://www2.health.vic.gov.au/about/publications/policiesandguidelines/Nasogastric-therapy.
Nursing and Midwifery board of Australia, (2016). Registered nurse standards for practice. Acess date : 21.6.2018. Retrieved from: https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards/registered-nurse-standards-for-practice.aspx.
Taylor, S. J. (2013). Confirming nasogastric feeding tube position versus the need to feed. Intensive and Critical Care Nursing, 29(2), 59-69. DOI: https://doi.org/10.1016/j.iccn.2012.07.002

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