The purpose of this assessment is to assist students in identifying key concepts of the roles and responsibilities of a Registered Nurse through reflective practice and by critically analysing how they would manage.
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You are a new graduate nurse working in a general surgical ward on an evening shift. It is 1600hrs and you receive a new admission from the Emergency Department. Ms. Vera Wong is a 24 year old female who has been admitted with a 12 hour history of lower abdominal pain, increasing in intensity over the last 4 hours in the right Iliac fossa (RIF). She has no relevant medical history although she is obese weighing 145kg and is 168cm tall.
She was reviewed by the surgical team in the Emergency Department and a provisional diagnosis of acute appendicitis was given. She is also to be reviewed by the surgical registrar on the ward later in the evening for possible surgery if her symptoms persist. Ms. Wong is currently Nil by Mouth and has a McGill pain score of 7/10. You review her medication chart and note the following PRN medications: Morphine 100mg IMI q4h, Metoclopramide 10mg IMI q8h and Paracetamol 1gm PO q6h.Click Here To Get More On This Paper!!!!
You introduce yourself to Ms. Wong and she informs you that she is in significant pain and requests pain relief. You inform Ms. Wong that you will administer a Morphine injection for her pain. You ask a fellow Registered Nurse to check out the Morphine which is supplied in the following ampoule strengths: 10mg/1ml and 30mg/1ml. You check out 3x 30mg ampoules and 1x 10mg ampoule whilst correctly completing the S8 register. You prepare the injection using a sterile technique along with Metoclopramide 10mg. You administer the medication IMI to Ms. Wong.
It is now 1800hrs and you are undertaking your medication and observation round, when you get to Ms. Wong, you find her to be unrousable with a respiratory rate of 6. You immediately activate the Rapid Response Team. When the Team arrives they undertake a primary survey and assess the patient notes. You inform them of the medication you have administered. The team administers Naloxone Hydrochloride 1200µg IV. Ms. Wong’s level of consciousness and respiratory rate improve. The surgical registrar attends the MET call also and states he accidentally wrote 100mg instead of 10mg for the morphine dose.Click Here To Get More On This Paper!!!!
Details
You are a new graduate nurse working in a general surgical ward on an evening shift. It is 1600hrs and you receive a new admission from the Emergency Department. Ms. Vera Wong is a 24 year old female who has been admitted with a 12 hour history of lower abdominal pain, increasing in intensity over the last 4 hours in the right Iliac fossa (RIF). She has no relevant medical history although she is obese weighing 145kg and is 168cm tall.
She was reviewed by the surgical team in the Emergency Department and a provisional diagnosis of acute appendicitis was given. She is also to be reviewed by the surgical registrar on the ward later in the evening for possible surgery if her symptoms persist. Ms. Wong is currently Nil by Mouth and has a McGill pain score of 7/10. You review her medication chart and note the following PRN medications: Morphine 100mg IMI q4h, Metoclopramide 10mg IMI q8h and Paracetamol 1gm PO q6h.Click Here To Get More On This Paper!!!!
You introduce yourself to Ms. Wong and she informs you that she is in significant pain and requests pain relief. You inform Ms. Wong that you will administer a Morphine injection for her pain. You ask a fellow Registered Nurse to check out the Morphine which is supplied in the following ampoule strengths: 10mg/1ml and 30mg/1ml. You check out 3x 30mg ampoules and 1x 10mg ampoule whilst correctly completing the S8 register. You prepare the injection using a sterile technique along with Metoclopramide 10mg. You administer the medication IMI to Ms. Wong.
It is now 1800hrs and you are undertaking your medication and observation round, when you get to Ms. Wong, you find her to be unrousable with a respiratory rate of 6. You immediately activate the Rapid Response Team. When the Team arrives they undertake a primary survey and assess the patient notes. You inform them of the medication you have administered. The team administers Naloxone Hydrochloride 1200µg IV. Ms. Wong’s level of consciousness and respiratory rate improve. The surgical registrar attends the MET call also and states he accidentally wrote 100mg instead of 10mg for the morphine dose.Click Here To Get More On This Paper!!!!
Q1. This case study illustrates a medication error where the wrong dose was prescribed and administered. In 500 words, state how this adverse event could have been prevented. You should systematically work through the six rights and discuss what strategies you would employ to ensure you administer the right dose.
Q2. In 250 words, identify and discuss the relevant Australian Nursing and Midwifery Accreditation Council (ANMC) competency standards that are breached in this case.
Q3. As a Registered Nurse, prior to administering any medication, what key information related to the pharmacology of the medication should you have a comprehensive knowledge of? (250 words)
Q3. As a Registered Nurse, prior to administering any medication, what key information related to the pharmacology of the medication should you have a comprehensive knowledge of? (250 words)
Q4. The following morning you are on a day shift, the Nurse Unit Manager asks you into the office. She informs you that the adverse drug administration has been logged on the hospital incident management system (IMS) and that you are required to write a report and also be interviewed by the RCA (Route Cause Analysis) team. You are feeling very apprehensive about writing the report and meeting the RCA team regarding this incident. In 250 words, what are the main points you will cover in the report? What resources or support services can you identify to assist you in this situation?Click Here To Get More On This Paper!!!!
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