Nursing Objects Of Supervision Of A Senior Registered Nurse

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Nursing Objects Of Supervision Of A Senior Registered Nurse

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Question:
Discuss about the Nursing Objects Of Supervision Of a Senior Registered Nurse.

Answer:

Objective 1
Under the supervision of a senior registered nurse (RN), I will successfully remove peripheral intravenous cannula
Objective 2
Towards the initiation of the process, the first thing I will do is the observance of hand hygiene and use of correctly fitted gloves and this will help me to conduct the process under aseptic condition and the same has been highlighted by Limm et al. (2013). After this I follow careful removal of dressing and then subsequent removal of cannual with the help of sterile gauze. After the removal of the cannula, I will secured the site of incision with dressing. During my future nursing practise, I will also document if the patient is experiencing any pain during the removal of cannula and will document any change in the site of incision during the time of dressing replacement as mentioned in the study conducted by Hawkins et al. (2018).
Link to NMBA standards
Standard 5.1: Proper use of the assessment data and the best available evidence s in nursing care in order to develop an effective plan
Standard 5.3: Documentation and evaluation and modification of plan on the basis of the agreed standards
Standard 6.5: Practicing in accordance to the prevailing nursing standards, legislations and policies
Standard 3.5: Seeking feedbacks
Standard 3.6: Active engagement in the profession
Standard 3.7: Identification of the integral role of nursing practice in order to achieve better health outcomes
Resources
Books, reference to Queensland Government Department of Health, peered reviewed journal articles were employed in order to prepare the objectives. The guided protocol will help the nursing professional to perform within the scope of the practice.

Books (1.2)
Policies and Procedures Manual (1.2)

Objective: 1
Learning safe practice: Intravenous IV antibiotics administration
Objective 2
Under the supervision of senior RN, I will be able to successfully inject intravenous antibiotics to a patient admitted in hospital. I will use proper aseptic techniques for conducting the intravenous injection like use of sterile needles and maintenance of hand hygiene in order to avoid chances of infection. I will thoroughly follow the nursing guidelines for intravenous antibiotic injection along and will monitor my patients for any signs for allergic or anaphylaxis reactions

Link to the NMBA Standards
1.1 Proper accesses, analyses, and use of the best available resources like research findings, for safe and quality practice
3.5 Seeking practice review and feedback for further improvement in practice
6.1 Providing comprehensive and safe practice in order to achieve agreed goals and desired outcomes that are responsive for nursing requirement of the patients
7.1 Proper evaluation and monitoring towards the expected goals and desired outcomes
Resources:
Books, government websites and peered reviewed journal articles have been cited to design the objectives. The guided protocol will assist the nursing professional in procuring the care plan within the scope of practice.

Books (1.2)
Policies and Procedures Manual (1.2)
MIMS Harvard Nursing Guide to Drugs

Objective: 1
Learning Queensland health alcohol withdrawal scale AWS chart and how it works
Objective: 2
Via taking assistance from senior RN, I will thoroughly learn the assessment procedure for the alcohol withdrawal management including the primary aim of management, key aim of assessment along with consumption calculations. I will also focus on the treatment procedure special groups of people including the aboriginals including the pharmacological treatments. I will request my registered nurse to help out in studying the special issues associated with the over intake of alcohol like seizures and management of alcohol intake and the consequences during pregnancy. I will ask my senior RN to take verbal test based on short questions in order to judge my level of understanding on alcohol withdrawal scale.
Link to the NMBA Standards
1.1 Proper access, analyses and the application of the best available evidences in decision making process and providing safe and quality nursing practice
3.5 Seeking feedbacks and response to the review from the seniors associated with the same profession in order to maintain the capability of practice
3.6 Active engagement with the profession in
5.1 Use of proper assessment data along with the best available resources in order to develop a quality plan
Resources
Queensland Alcohol and Drug Withdrawal Clinical Practice Guidelines Queensland Health was used to frame the detailed objective

Books: Critical care Medicine ebook (1.2)
Policies and Procedures Manual

Objective: 1
Performing a neurological assessment on a patient
Objective: 2
Under supervision of senior registered nurses, I will perform five critical areas of neurological assessment on the basis of AVPU scale
Here,

A stands for Alert
V stands for Verbal command
P stands for Painful (painful stimulus)
U stands for unconscious (level of consciousness)

I will also perform the analysis of the Glasgow coma scale (GCS). I will ask my RN to guide me through the assessment of pupil size, motor function, sensory function and assessment of the vital signs. Upon completion of the neurological assessment I will vouch for feedback from my RN in order to further improve on my skills on neurological assessment
Link to the NMBA Standards
1.1 Proper access, analyses and the application of the best available evidences in decision making process and providing safe and quality nursing practice
3.5 Seeking feedbacks and response to the review from the seniors associated with the same profession in order to maintain the capability of practice
3.7 Identification and promotion of the integral nursing role and practice towards influencing better health related outcomes for people
5.1 Use of proper assessment data along with the best available resources in order to develop a quality plan
Resources
The objective of week 4 was framed based on the guidelines stated on the Department of Health, Queensland Ambulance Service: Clinical Practice Procedures – Neurological Assessment

Books: Critical care medicine ebook (1.2)
Policies and Procedures Manual (1.2)

Reference list
Nursing and Midwifery Board of Australia. (2016). Registered nurse standards for practice. Access date: 27th June. 2018. Retrieved from: https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards/registered-nurse-standards-for-practice.aspx (1.2)
Parrillo, J. E., & Dellinger, R. P. (2013). Critical Care Medicine E-Book: Principles of Diagnosis and Management in the Adult. Elsevier Health Sciences. Retrieved from: https://books.google.co.in/books?hl=en&lr=&id=me7WAQAAQBAJ&oi=fnd&pg=PP1&dq=neurological+assessment,+australia,+book&ots=3oVSgzmKRc&sig=Nr3wQM7qZtriVIeFtojnD2i-RRI#v=onepage&q&f=false (1.2)
Queensland Government Department of Health. (2016). Department of Health, Queensland Ambulance Service: Clinical Practice Procedures – Neurological Assessment. Access date: 27th June. Retrieved from: https://www.ambulance.qld.gov.au/docs/clinical/cpp/CPP_Neurological%20assessment.pdf (1.2)
Aitken, L., & Chaboyer, W. (2016). ACCCN’s Critical Care Nursing. Elsevier Health Sciences. Retrieved from: https://books.google.co.in/books?hl=en&lr=&id=JyHmCgAAQBAJ&oi=fnd&pg=PP1&dq=neurological+assessment,+australia,+book&ots=kWsOROouKo&sig=bn5or4GS6B7YLhpCRPFa2adqC3o#v=onepage&q=neurological%20assessment%2C%20australia%2C%20book&f=false (1.2)
Nursing and Midwifery Board of Australia. (2016). Registered nurse standards for practice. Access date: 27th June. 2018. Retrieved from: https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards/registered-nurse-standards-for-practice.aspx (1.2)
Queensland Alcohol and Drug Withdrawal Clinical Practice Guidelines Queensland Health. (2012). Queensland Government. Access date: 27th June. Retrieved from: https://www.health.qld.gov.au/clinical-practice/guidelines-procedures/medicines/drugs-of-dependence?a=167070 (1.2)
Chang, A. B., Bell, S. C., Torzillo, P. J., King, P. T., Maguire, G. P., Byrnes, C. A., … & Grimwood, K. (2015). Chronic suppurative lung disease and bronchiectasis in children and adults in Australia and New Zealand. Medical Journal of Australia, 202(1), 21-23. Retrieved from: https://www.mja.com.au/system/files/issues/cha00287.pdf (1.2).
Malamed, S. F. (2017). Sedation-E-Book: A Guide to Patient Management. Elsevier Health Sciences. Access date: 27th June. Retrieved from: https://books.google.co.in/books?hl=en&lr=&id=9XXODgAAQBAJ&oi=fnd&pg=PP1&dq=antibiotic+administration+book&ots=AnvUfcK8jq&sig=m9M2yfWKYxwMVi-Azxv4aRmLj3U#v=onepage&q=antibiotic%20administration%20book&f=false (1.2).
Queensland Government Department of Health. (2016). Health (Drugs and Poisons) Regulation 1996 Drug Therapy Protocol – Rural and Isolated Practice Area Endorsed Nurse. Access date: 27th June. Retrieved from: https://www.health.qld.gov.au/__data/assets/pdf_file/0027/443376/dtp-rural-nurse.pdf (1.2).
Subedi, S., Looke, D. F. M., McDougall, D. A., Sehu, M. M., & Playford, E. G. (2015). Supervised self-administration of outpatient parenteral antibiotic therapy: a report from a large tertiary hospital in Australia. International Journal of Infectious Diseases, 30, 161-165. DOI: https://doi.org/10.1016/j.ijid.2014.11.021 (1.2).
Hawkins, T., Greenslade, J. H., Suna, J., Williams, J., Rickard, C. M., Jensen, M., … & Cullen, L. (2018). Peripheral intravenous cannula insertion and use in the emergency department: an intervention study. Academic Emergency Medicine, 25(1), 26-32. doi: 10.1111/acem.13335 (1.2)
Limm, E. I., Fang, X., Dendle, C., Stuart, R. L., & Warburton, D. E. (2013). Half of all peripheral intravenous lines in an Australian tertiary emergency department are unused: pain with no gain?. Annals of emergency medicine, 62(5), 521-525. DOI: https://doi.org/10.1016/j.annemergmed.2013.02.022 (1.2)
Nursing and Midwifery Board of Australia. (2016). Registered nurse standards for practice. Access date: 27th June. 2018. Retrieved from: https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards/registered-nurse-standards-for-practice.aspx (1.2)
Sisson, H. (2015). Aspirating during the intramuscular injection procedure: a systematic literature review. Journal of clinical nursing, 24(17-18), 2368-2375. https://doi.org/10.1111/jocn.12824 (1.2)
Queensland Government Department of Health. (2018). Peripheral intravenous catheter (PIVC). Access date: 27th June. 2018. Retrieved from: https://www.health.qld.gov.au/__data/assets/pdf_file/0025/444490/icare-pivc-guideline.pdf (1.2)

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