Assessment Coding

Assessment for this unit of competency is based on competency based grading. Assessments are weighted and your assessment will be marked with a percentage.
Competency Not Achieved (CNA)
0-49% Competency achieved ? graded (CAG)
50-59% Competent with Credit (CC)
60-69% Competent with Distinction (CDI)
70-79% Competent with High Distinction (CHD)
80-100%
Re-assessment
Any re-assessment is conducted as soon as practicable after you have been informed of the requirement to be re-assessed and have been given the opportunity to be re-trained and assimilate the training. You are re-assessed only in the areas your assessor deems that you have not met the required standard. It is at the assessor/s discretion to re-assess the entire assessment should it be demonstrated an overall understanding of this unit has not been achieved.
Reasonable Adjustment for this unit College Based Workplace Based
Assistance of a learning support teacher for LLN issues Choose an item.
Choose an item.Modifications to physical environment, e.g. wheelchair access Choose an item.
Choose an item.Changes to course design, e.g. instead of written assessment task ? change to verbal questioning & assessor to write the answers Choose an item.
Choose an item.Changes in lecture schedules and arrangements, e.g. relocating classes to an accessible venue Choose an item.
Choose an item.
I acknowledge the assessment process has been explained and agree to undertake assessment. I am aware of Careers Australia?s appeals process, should the need arise. I also understand that I must be assessed as ?satisfactory? in all parts of the assessment to gain a competent result for this unit of competency. I declare that the work contained in this assessment is my own, except where acknowledgement of sources is made. I understand that a person found responsible for academic misconduct will be subject to disciplinary action (refer to student handbook).
Student Signature:? Date:

Assessor use only
Assessor Comment/Feedback: ?
Assessor Name: ____________________ Assessor Signature: _____________________
Date: _____________Result: _____% Resubmission: YES / NO Due Date: ____________
Office use only:
Results entered by: Date: Skills Centre:

Case Study Interview

Assessment Weight: 50% or greater

Pass Rate: 50% or greater

Submit via Blackboard by due date

Student instructions

This assessment consists of two (2) parts

PART I Written case study (70 marks = 70% on marking guide)
? This is an individual work
? Read the case study and answer ALL the questions
? Students are assessed on correctness of responses to questions in this part
? Questions to be answered from an Enrolled Nurse?s perspective: work within your scope of practice and follow the legal requirements and standards for practice
? Refer to the marking guide and the rubrics to familiarise yourself with assessment?s criteria
? Submit this paper, with all questions being answered, via Blackboard, BEFORE you complete Part II of this assessment

PART II ? Oral communication: Interview
? You will be allocated an interview partner by the Educator on the day of the assessment
? You will play two (2) roles:
o An Enrolled nurse going to a job interview
o The interviewer
? The interview must NOT last more than five (5) minutes; then change roles
? The student playing the interviewer role, selects one (1) question from the written case study to ask the other student
? Students are being assessed on the use of appropriate verbal communication skills in this part of the assessment
? Students are to use the marking guide to become familiar with the assessment?s criteria
? You may bring your prepared answers to the interview (case study)

Case study

On 15th April 2015, EN Rose Baxter is working on the day surgical ward alongside RN Simone Jones and has been allocated the following two clients, both booked for surgery today.

Client 1.

Mr John Smith DOB 6/9/1945

Mr Smith is a diabetic- type 1, fasting from midnight for surgery at 0800 for removal of skin lesions. As Mr Smith is diabetic, his treating doctor has ordered an antibiotic (intra venous Cephalexin 500mg), to be delivered during his surgery as a prophylactic. (He has an increased risk of wound breakdown associated with his diabetes).

Client 2.

Mr John Smythe DOB 6/9/1945

Mr Smythe has been fasting from 0200 for surgery to remove polyps from his bowel. Culturally, Mr Smythe is a practicing Buddhist and has requested no narcotic analgesia, preferring to meditate to relieve any pain. Mr Smythe is partially deaf and cannot hear well without hearing aids. He has a medication alert on his chart as he has an allergy to Cephalexin, and when EN Baxter admits him she places an allergy alert band on his wrist.

Neither of the clients has been flagged during the admission process as having similar names and identical dates of birth. EN Baxter reports this to RN Jones and places an alert on each client and their medical record to notify all staff.

At 0800 Mr Smith is called for theatre and EN Baxter checks his blood glucose level (BGL) before his transfer to theatre. As she approached him with the BGL kit he held out his hand ready for the finger prick test and recording of his BGL. EN Baxter hands over his diabetic status and BGL to theatre staff.

Ten minutes later, at 0810, the theatre staff have called for Mr Smythe to come down to theatre. The doctor gave EN Baxter the pathology slip for the skin lesions, and the medication order to start the IV antibiotic, Cephalexin (in error he gave Mr Smith?s pathology request and Medication order).

In preparation for your interview, answer all the questions below (70 marks):
1.1 Following the nursing decision making framework, what should EN Baxter do when she realises the pathology slips are for the wrong client? (3 marks)
Who would need notifying of this mistake? (2 marks)
Each student is to Document the clinical incident form. (3 marks)
(8 marks)

CLINICAL INCIDENT REPORT
Client Name: DOB:
Circle the incident type Actual Potential
Date
Time
Location

Description
Reported to:

1.2 As an enrolled nurse your practice is guided by legislation. One example is the Enrolled nurse standards for practice. Identify what these standards are for (2 marks) and provide examples of the use of the standards (3 marks). (5 marks)

1.3 As the pathology and medication error were intercepted before theatre, discuss the benefits or harm of practicing open disclosure in this instance. Would Mr Smythe benefit from knowing the near miss mistake? (3 marks)
Would discussing the near miss error with Mr Smythe fall within your scope of practice?
(3 marks)
(Total = 6 marks)

2. What was the duty of care of the enrolled nurse caring for Mr Smith and Mr Smythe?
(2 marks)
Was there a breach or potential breach of care? (2 marks)
(Total = 4 marks)
Remember that a breach of duty of care must include these 4 elements:
? Duty of Care
? Breach of duty of care
? Damage caused
? A direct relationship between care/ breeched care and the damage sustained.

3. Outline the actions of the enrolled nurse. Was she working within her scope of practice? (4 marks)
Remember the scope of practice for an enrolled nurse includes:
? Implementing planned nursing care to achieve identified outcomes
? Recognising and reporting changes in the health and functional status of individuals/ groups to the registered nurse
? Ensuring communication, reporting and documentation are timely and accurate
? Organising work load to facilitate planned nursing care for groups and individuals

4. Identify five (5) of the legal requirements for Nursing Documentation.
(2 marks each = 10 marks)

5. Code of Conduct Statement 1 states;
?Nurses practice in a safe and competent manner.?
Identify how the enrolled nurse applied the Code of Conduct statement 1, in the
Scenario. (3 marks)

6. What type of consent did Mr Smith give (2 marks) and how did he consent when his BGL was taken before transfer to theatre (2 marks)? (4 marks)

7. Code of Ethics for Nurses in Australia value statement 6 states; (5 marks)
?Nurses value a culture of safety in nursing and health care?

Identify how the enrolled nurse applied the Code of Ethics statement 6 in the scenario. Include in your response the nurse?s support of Mr Smythe?s cultural beliefs about analgesia. The recovery staff in the healthcare facility that Mr Smythe is admitted to, are known for their ?heavy handedness? with narcotic analgesia and many clients return to the wards heavily sedated.

8. The Enrolled Nurse standards for practice, standard 1.8 states;
?Acts to ensure safe outcomes for others by recognising the need to protect people and reporting the risk of potential for harm?.

Identify how the enrolled nurse applied the Enrolled nurse, standard 1.8 in the scenario.

(5 marks)
9. Outline the actions that could be taken by the enrolled nurse when she hands over his care to the theatre staff that support Mr Smythe?s rights and confidentiality when in theatre. (5 marks)

10. Nurses use communication in all area of their clinical practice. Refer to the scenario and identify how the enrolled nurse demonstrated: (2 marks each = 6 marks)

1. Interpersonal skills ?

2. Oral communication skills ?

3. Written communication skills ?

11. Nurses are required to demonstrate ethical practice in all their interactions with clients, relatives and carers and colleagues. Mr Smythe?s wife arrives at the end of the day to take him home. She asks if everything went well. Would you alert her to the near miss of administering the wrong medication that he is allergic to, or reassure her that everything went well as there was no actual error or harm?
(5 marks)

PART II ? Oral communication: Interview
? You will be allocated an interview partner by the Educator on the day of the assessment
? You will play two (2) roles:
o An Enrolled nurse going to a job interview
o The interviewer
? The interview must NOT last more than five (5) minutes; then change roles
? The student playing the interviewer role, selects one (1) question from the written case study to ask the other student
? Students are being assessed on the use of appropriate verbal communication skills in this part of the assessment
? Students are to use the marking guide to become familiar with the assessment?s criteria
? You may bring your prepared answers to the interview (case study)

The Case Study Interview will be assessed using the marking guide in conjunction with the Case study Interview rubric.

Case Study Interview marking guide
Criteria Percentage Comment Mark

Written Content ? Case study
70 marks
? All questions were answered
? Attention to grammar and spelling
? Evidence of research and preparation
? Correct answer provided in a clear manner
70%

Oral communication Interview
? Applied appropriate oral communication & interpersonal skills
? Clear and concise speech
? Eye contact
? Paced themselves appropriately (no more than 5 minutes to answer the interview question)
? Answered the question correctly and could provide a rationale for it
30%
Total
100%

Marking guide Rubric for Case Study Interview

Criteria Percentage Fail Pass Credit Distinction High Distinction

Written content- Case study

70 Many questions were not answered correctly and some questions were not answered.
No attention to grammar and spelling and there is no evidence of research and preparation. All questions answered with no evidence of research and preparation. Basic attention to grammar and spelling and some answers were incorrect. All questions were answered correctly but with little evidence of research and preparation.
Some attention to grammar and spelling. All questions were answered correctly with good evidence of research and preparation. Good grammar and spelling. Content clearly explained. All questions were answered correctly with great evidence of research and preparation. Excellent grammar and spelling. Content very clearly explained.

Interview Oral Communication skills, timing and rationale

30 Was not able to answer the question, was not able to use communication skills, and was not able to provide a rationale, did not pace themselves appropriately Had difficulty answering the question, used little communication skills and didn?t provide a rationale. Paced themselves appropriately
Answered the question correctly, used some communication skills and provided a rationale. Paced themselves appropriately
Answered the question correctly, used many communication skills and provided a good rationale. Paced themselves appropriately
Answered the question correctly, used all the communication skills and provided an excellent rationale. Paced themselves appropriately

QUICK QUOTE

Approximately 250 words