What actions/omissions on the part of the Registered Nurse(s) contributed to the adverse outcome for the patient

What actions/omissions on the part of the Registered Nurse(s) contributed to the adverse outcome for the patient

What actions/omissions on the part of the Registered Nurse(s) contributed to the adverse outcome for the patient 150 150 Peter

Question

Health Care Complaints Commission v Szulik – NSW Caselaw (case link)

1. What actions/omissions on the part of the Registered Nurse(s) contributed to the adverse outcome for the patient.

Marking Criteria: Excellent answer with all actions and omissions identified and clearly discussed..

1. Were there any other factors (e.g. systems-based) that contributed to the adverse outcome for this patient?

Marking Criteria : Excellent identification and discussion of other factors with a high level of understanding evident.

1. With reference to the evidence based literature (including relevant NSW policies) outline the actions that should have been taken by the Registered Nurse(s) to prevent adverse outcome for this patient.

Marking criteria: Excellent identification and discussion of all actions that should have been taken by the RN. There is excellent use of evidence to support all actions.

THEN structure your assignment to include the following information

What actions/omissions on the part of the Registered Nurse(s) contributed to the adverse outcome for the patient

1. Actions – what did the RN(s) DO that contributed to the adverse event e.g. administer the wrong medication

1. Omissions – what did the RN(s) NOT DO that contributed to the adverse event e.g. failed to report a deteriorating patients

1. Don’t just provide a dot point list – please structure this information in essay format.

1. If there are a number of items to discuss you may want to group them together under headings and provide examples e.g. failure to complete observations on patient as required – the RN did not record any observations during their 12 hour shift for the patient

NB: you do not need to provide references here – you have already told us which case you are reporting on

Were there any other factors (e.g. systems-based) that contributed to the adverse outcome for this patient?

1. Were other factors listed as also contributing to this adverse event for the patient e.g. actions/omissions of other healthcare staff

1. “System-based errors” are often implicated in adverse events – make sure you understand what this terms means

1. Systems-based errors are different from human-based errors – the actions/omissions of the RN(s) would be human-based errors

1. Systems based errors can include things like skills mix, ratios, mixing adults and children on the same ward, equipment not in working order

1. I have uploaded an article to give you some more background on this topic

1. HINT: if you think there aren’t any other factors – ask yourself if the RN(s) made these errors (actions and/or omissions) – how did they go unnoticed and lead to an adverse event? How were they allowed to happen?

1. NB: you do not need to provide references here – you have already told us which case you are reporting on