What would be the most appropriate action you would take in this scenario? According to The Code (NMC;2018), discuss decision making and accountability relevant to this scenario.
Directed study - Guided Independent Study to be completed for discussion within the workshop on 16/12/2024
Instructions - Complete all 3 activities as these will help to inform your answers when completing your OTLA.
Activity 1 Section One- Introduction of context.
LO1 Demonstrate a critical appreciation of evidence-based practice and the challenges associated with decision making and professional accountability
Please read the below scenario:
Gabriella has attended the accident and emergency department with abdominal pain. Gabriella has been initially assessed and is being admitted to the surgical ward. You are the staff nurse who is admitting Gabriella to the clinical area. Gabriella needs a cannula inserting and a colleague asks you to perform this task. You have not yet undergone training in cannulation.
Watch the short videos and read the supplementary information provided via the links below, to develop your understanding further of the NMC (Nursing and Midwifery Council) Code and its importance in relation to the given scenario. Consider when watching these videos and reading the supplementary information, how they relate to the above scenario.
Speaking up - The Nursing and Midwifery Council (nmc.org.uk) (2 minutes 52 seconds )
Accountability - The Nursing and Midwifery Council (nmc.org.uk) (2 minutes 40 seconds )
Professional judgement - The Nursing and Midwifery Council (nmc.org.uk) (2 minutes 45 seconds)
As the shift continues Gabriella states, she is feeling nauseous. The nurse practitioner is on the ward, and you ask them to review Gabriella to prescribe an antiemetic. The nurse practitioner is a non-medical prescriber and approaches Gabriella to start the consultation phase of prescribing in line with the Royal Pharmaceutical Society Competency Framework for All Prescribers.
Read the supplementary information provided via the link below, to develop your understanding further of the Royal Pharmaceutical Society Competency Framework for All Prescribers.
- Critically analyse when reading the supplementary information, good prescribing practice and discuss how it relates to the above scenario.
-A Competency Framework for all Prescribers | RPS (rpharms.com)
Are there any non-pharmacological options that could be considered?
Then Watch the video via the link below as this will develop your understanding further in relation to person centred care and help you to identify the relevance to the above scenario.
-Person-centred care - The Nursing and Midwifery Council ( nmc.org.uk) (3 minutes)
After completing and considering the above, you should be able to complete the questions below. This should take approximately 60-90 minutes.
-Remember your answers need to be supported with evidence and literature and link to your chosen field.
Question 3 . According to the Royal Pharmaceutical Society Competency Framework for All Prescribers, how might the competencies in terms of the consultation be applied in this situation in line with good prescribing practice
Question 4 . How do you apply the principles of the consultation phase in informing decision making in the delivery of person-centred care in this scenario?
Activity 3 Section Three - Discharge.
- LO9 Critically articulate the principles of safe prescribing and how this knowledge may be utilised to support people with
commonly encountered physical and mental health conditions, their medication usage and treatments.
Please read the below scenario:
Gabriella has improved, will be discharged home later today, and you are the staff nurse looking after her. Gabriella needs to take home medication (TTO) and this needs to be prescribed. You handover Gabriella’s information to the non-medical prescriber arranging the TTO. Once the TTO has been dispensed by pharmacy to the ward you will be giving this medication to Gabriella to take at home.
Read the supplementary information provided via the links below, to develop your understanding further then read the supplementary information. Consider prescribing governance, risk, and reporting and examine this in relation to the above scenario.
A Competency Framework for all Prescribers | RPS (rpharms.com) Admin of Meds prof guidance.pdf (rpharms.com)
psa-sup-info-med-error.pdf (england.nhs.uk)
Finally watch the videos via the links below.
This will develop your understanding further in relation to teamwork and communication. These are suggested areas to discuss within your answers for the associated questions to enable you to demonstrate a greater understanding.
Promoting Effective Teamwork in Healthcare –
YouTube ht tps://www.youtube.com/watch?v=dh60rnIMU7M
ht tps://www.nmc.org.uk/standards/code/code-in-action/person-centred- care/ watch from 1 minute 16 seconds (1 minute 44 seconds)
Question 5 . According to the Royal Pharmaceutical Society Competency Framework for All Prescribers what areas of prescribing governance might be relevant and applied to Gabriella’s care?
Question 6. Using your knowledge of medicines management, what information would you need to relay to Gabriella to support the safe administration of medication at home?
Example Answer - Plagiarised
Activity 1: Introduction of Context Question 1: Appropriate Action and Decision-Making The most appropriate action in this scenario is to decline the task of inserting the cannula due to lack of training and competence in this skill. According to the NMC Code (2018), nurses must "practise in line with the best available evidence" and "always act within their competence." By attempting a procedure without adequate training, a nurse risks breaching professional accountability and patient safety. Delegation is permitted but must align with the NMC principles, which emphasize ensuring that tasks are only delegated to those qualified and competent. In this case, escalating the task to a trained colleague ensures adherence to the NMC Code and demonstrates professional judgement.
Question 2: Evidence-Based Practice and Decision-Making Evidence-based practice supports decision-making by integrating clinical expertise, patient preferences, and research evidence. For instance, NICE guidelines emphasize patient safety and informed delegation. By following the NMC Code and evidence-based principles, nurses ensure that decisions prioritize patient welfare while maintaining professional accountability. Research highlights that improper delegation in clinical settings can lead to adverse outcomes, underscoring the necessity of adhering to guidelines.
Continued...
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