The Australian Council for Health Care standards describes the continuum of care is an important part of clinical safety and conveys the value across all healthcare practitioners according to their institution's patient handover guidance. The nurses and physicians who work with patients use handover notes to exchange information to minimize mistakes and ensure the safety of the patients (ACHS, 2017). When treating their private records, patients still need to be mindful of their confidentiality. Adequate and relevant documentation must be passed to ensure patient protection so that the senior and protecting physicians are aware of the symptomatic patients who are medically sick (Kulshrestha & Singh, 2016). All the members of the team are properly briefed using the handoffs. The incoming team understands clearly the tasks that have not been accomplished and what are not yet. In this essay, a case study has been discussed where all these laws were not followed by the nurse leading to the negative outcome of the patient health.
A visitor came to Bungarribee house to inquire about her husband, who was also referred to the local mental health hospital the previous day. The request was answered by RN Sumintra Prasad who had arrived from the handover. The RN Prasad went searching for the patient but did not find him in his bed and the other places. She asked a colleague to search the patient's toilet, and he did so, only to discover that the patient had died on the floor, taking a life of his own. The warning was raised, but it was not possible to save the patient. RN Harivadan Pandya was assigned to care for the patient during that shift, but he had left the ward about half an hour earlier to transfer to other facilities to begin another shift. RN Prasad had obtained the assessment of the patient's conduct due at 2.40 pm on the early departure of RN Pandya, just before she went into handover at around 2.45 pm. A concern for the coroner was the manner and cause of the death of the patient. The role of this Professional Standards Committee is to examine the actions of RN Prasad and RN Pandya during their shifts that day, and the medical treatment they had given to the patient. The care of RN Pandya dropped dramatically below the appropriate standard required by nursing staff with equal expertise or qualification and discovered unsatisfactory professional conduct by the committee. The committee decided to reproach RN Pandya, to impose constraints on his work, and that he needs supervision and to begin training again. The consideration of RN Prasad in having to leave for handover dropped considerably below the level expected of comparable expertise or qualifications by nursing staff. They noticed that the action of the profession was unsatisfactory, and alerted RN Prasad. Although there were low points in other aspects of the actions of RN Prasad, they considered no unsatisfactory ethical conduct.
The RN did not conduct his duties in the specified situation and left the patient without telling the seniors or the next person who took over his job. It was also observed that he was not carrying out the patient observations and documenting the outcomes. The RN did not consult about the patient's situation that contributed to the patient's adverse outcome. Australia's Code of Ethical Behaviour for nurses is endorsed by Australia's Code of Ethics for Nurses. This Code of Ethical Conduct for nurses lays out the basic requirements for the discipline an ethical worker is required to uphold both inside and outside the professional sectors to ensure the caring role required for the profession (Nursing and Midwifery Board of Australia, 2018). Nurses work in compliance with wider health care protection and quality requirements and transparency. The transparency is maintained by a collection of health records and data, risk identification, and engagement in adverse event monitoring and systematic exchange of information within the team (Cowin, et al., 2019).
Unprofessional behavior was demonstrated by the RN in the given study. It applies to 'conduct that is contradictory to the profession's established and approved practice requirements' (e.g. violation of the rules of asepsis; breach of confidentiality in the relationship between caregivers and nurses). The RN Pandya 's behaviors fail to follow the minimum appropriate norm required by similarly situated practitioners, including, though not limited to, behavior that may be detrimental to the public's health, protection, and welfare. Medical neglect may occur when a nurse fails to fulfill his / her duties properly, resulting in harm to the patient (Rodziewicz & Hipskind, 2020). To their patients, both nurses have the responsibility for fair treatment. In such cases, the nurse may be blamed for a charge of medical neglect. It recognizes the distress encountered when health treatment falls below the norm and may contribute to more injury or illness. It is also recognizing the financial pressure linked to seeking damages will lead to this trauma or even deter you from suing in the first place. RN Prasad did not use the handover to pass the information to the next person on duty. Handover is the immediate or permanent exchange of professional competence and obligation to the next group or entity of practitioners for any or more aspects of the treatment of a patient or group of patients (Seada & Bayoumy, 2017).
Standard 2.7 of the Registered Nurses Standards for Practice states that registered nurses: should actively fosters a culture of safety and learning that includes engaging with health professionals and others, to share knowledge and practice that supports person-centered care' (Nursing and Midwifery Board of Australia, 2018). Data regularity is important to our continuity of service. The need for diligent sharing of medical knowledge is more critical than ever, with an effect on operating hours for clinicians and greater demand for versatility in job procedures, all invariably raising the number of patient caregivers. Nursing care aims to ensure the successful real-time transmission of high-quality clinical knowledge when the responsibility for clinical results is communicated (Johnson, Edward & Giandinoto, 2018). At the heart of a successful treatment system is a strong handoff, and is followed by appropriate health documentary evidence, referral letters, and change and release documentary evidence. Both these together represent the ties in the string of continuity of care delivery. Having a high degree of interpersonal and personal involvement, as well as educational demands, support, teamwork, and continuing attempts to enhance the holding of a significant place on an increasingly busy working day.
A declaration of condition or opinion on abandonment was published by the Australian nursing board. In this case example, two circumstances would have arisen for a condition to warrant patient abandonment: the RN should have understood the role of sustaining a nurse-patient partnership and severed the correlation without warning of even a specific official so that any other nurse can begin to provide patients with care. In this region, both the nurse and the other provider of treatment have valid obligations. The accreditation boards of health institutions mandate that elements of patient reviews, careful preparation and/or patient issues, nursing interventions, outcomes displayed by patients, and elements of the existing nursing strategy be contained in the medical record. Depending on the reporting process used, the medical plan may be separate from the patient's history, may have been used in the health reports, or may be incorporated into a multidimensional care plan (Lapid, Clarke, & Wright, 2019).
From this study, it has been found that if a nurse fails to give a sufficient amount of treatment that is needed from them, the outcome can be life-altering and potentially catastrophic for the patient, even as it is difficult to prevent mistakes. This understanding has helped in shaping my practice and now I will be more cautious during care process of the patients. Care delivery nurses must provide safe, informed, trained, and skilled care keeping the health of the patient as priority (Hunter, Dixon & Dahlen, 2020). I will always adhere to the professional nursing standards and will always follow code of conduct to ensure safety of my patients in future. Nurses are also obligated to outsource the planned job to other personnel only in a few circumstances and in this case study, no such situation has been raised. These differentiate themselves when caring for patients from unprofessional or dangerous conduct and I will not do this in my future practice.
A health record is produced and maintained for each patient who is at health care services. The health record and handover play a very important role in patient treatment and recovery. This also gives an obligation to the nurse to understand a task or chooses to take care of patients, even though there are exceptional circumstances, he or she can complete the task or finish the operation with such a stable and appropriate handover. In an incomplete transfer of information or ineffective communication among the team members could give negative outcomes for patient health. In this given case study, the RN should have understood the role of sustaining a nurse-patient partnership and severed the correlation without warning of even a specific official, so that any other nurse can begin to provide patients with care. The professional conduct of the nursing care stated that there should be continuity in the care of the patient to get the desired outcomes for the patient.
ACHS. (2017). The National Safety and Quality Health Service (NSQHS) Standards 2nd Edition Accreditation Program. Retrieved from https://www.achs.org.au/faqs
Cowin, L. S., Riley, T. K., Heiler, J., & Gregory, L. R. (2019). The relevance of nurses and midwives' code of conduct in Australia. International Nursing Review, 66(3), 320-328.
Hunter, J., Dixon, K., & Dahlen, H. G. (2020). The experiences of privately practising midwives in Australia who have been reported to the Australian Health Practitioner Regulation Agency: A qualitative study. Women and Birth.
Johnson, L., Edward, K. L., & Giandinoto, J. A. (2018). A systematic literature review of accuracy in nursing care plans and using standardised nursing language. Collegian, 25(3), 355-361.
Kulshrestha, A., & Singh, J. (2016). Inter-hospital and intra-hospital patient transfer: Recent concepts. Indian Journal of Anaesthesia, 60(7), 451.
Lapid, M. I., Clarke, B. L., & Wright, R. S. (2019). Institutional review boards: What clinician researchers need to know. In Mayo Clinic Proceedings (Vol. 94, No. 3, pp. 515-525). Elsevier.
NMBA. (2018). Code of Ethics for Nurses in Australia. Retrieved from https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements.aspx
Rodziewicz, T. L., & Hipskind, J. E. (2020). Medical error prevention. In StatPearls [Internet]. StatPearls Publishing.
Seada, A. M., & Bayoumy, S. A. (2017). Effectiveness of handoff educational program on nurses interns’ knowledge, and communication competence. American Journal of Nursing Science, 6(6), 467.
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