1. Outline the significance of the Australian Health Practitioner Regulation National Law (2009) on the governance of the conduct of Registered and Enrolled Nurses.
2. (a) Name two (2) pieces of legislation that through their provisions mandate or direct nurses to report to nominated government authorities in circumstances where in their opinion, elderly people and/or children are at risk of harm from another.
3. The National Competency Standards for the Enrolled Nurse consists of (4) clusters of competencies known as domains. Identify these domains and outline the significance of each one on the practice of Enrolled Nurse.
4. What is the NMBA New Code of Ethics for Nurses August 2008 and how does it impact on the practice of the Enrolled Nurse?
5. Outline the purpose of the NMBA New code of Professional Conduct for Nurses August 2008.
6. An enrolled nursing student is undertaking a Clinical Placement in a Residential Aged Care Facility. The Registered Nurse (RN) on duty knows the student is about to graduate as an Enrolled Nurse (EN). The RN is extremely busy and asks the student if she has performed a female catheterisation as part of her course. The student tells RN that she has performed it once in a simulated situation. The RN asks the student to help her out by performing a catheterisation unsupervised on one of the female residents.
Access the NMBA Decision Making Framework at http://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Codes-Guidelines.aspx
(a) Using the NURSING PRACTICE DECISION FLOWCHART determine if it would be appropriate for the student to proceed with this procedure. Provide an explanation for your decision.
(b) Review the section on accountability and responsibility in your learning guide and determine, in relation to the above case study:
Who is accountable for what and why are they accountable?
(c) Who is responsible for what and why are they responsible?
7. Outline the difference between Civil and Criminal Law.
8. An Enrolled Nurse (EN) working night shift in a busy surgical ward assists an elderly post-operative patient out of bed to the toilet. He has a history of being unsteady on his feet and was wearing thrombo-embolic disease (TED)stockings. Although the EN noticed his slippers under the bed, she omitted to assist the patient to put them on. He walked off in his stockinged feet, slipped and fell breaking his hip.
(a) Identify the elements of negligence and explain how each element relates to this case study.
9. Cheryl, an Enrolled Nurse (EN) on duty in a busy Aged Care Facility insists on a resident taking their medication. The resident refuses to cooperate. Cheryl forces the medication into the residentÃ¢â‚¬â„¢s mouth and holds her mouth shut, forcing her to swallow. The scene is witnessed by Beth, another EN, as she is walking past the room. Cheryl and Beth are friends and have worked together for many years. Beth knows that Cheryl is under pressure because she is going through a marriage break-up.
(a) Review Topic 3- Ethics in your learning guide. Use Ã¢â‚¬ËœKerridgeÃ¢â‚¬â„¢s model for ethical decision makingÃ¢â‚¬â„¢. Identify the ethical issue and what decisions or actions Beth could take.
Step I Ã¢â‚¬â€œ Clearly state the problem
What is the main ethical issue to be addressed?
Actions Beth could take:
Step 2 Ã¢â‚¬â€œ Gather relevant facts related to the issue
What are the key facts?
Who is involved?
What are their rights?
What are the nurseÃ¢â‚¬â„¢s duties?
Step 3 - Consider the fundamental ethical principles.
What ethical principals have a bearing in this situation and why?