NUM1205 Assessment 2 Recorded Presentation Assignment
Clinical Scenario
You are required to read the following scenario:
Louise, a 46 year old female, attended the rural accident and emergency department with her partner and complained of upper abdominal pain. Louise was initially triaged by the registered nurse (RN), having her vital signs and a pain score completed. Her vital signs were recorded within normal parameters and her pain score was six out of ten. Louise also complained of nausea and abdominal bloating and told the nurse that she had been taking Mylanta for indigestion.
Additionally, she had a urine sample tested and this had no abnormalities. Due to a motorcycle road traffic accident, it was a busy evening in the rural emergency department. The driver of the motorcycle had obtained significant leg and chest injuries; hence Louise was kept waiting. She was aware of the accident and did not want to bother anyone as they appeared to be short of staff and very busy.
Despite the department being busy, the RN did manage to intermittently assess Louise, however, she was increasingly nauseated and vomited dark ‘coffee ground’ fluid approximately two hours after her admission. When the RN checked her observations, her heart rate (HR) was rising and her blood pressure (BP) was falling, therefore, she notified the medical officer (MO).
Intravenous fluids were commenced, a full blood count performed as was a group and hold (blood matched and prepared in case it is required for transfusion). Louise was prescribed and received Pethidine 100mg for her pain and Maxolon 10mg for her nausea. Drowsy from the pain relief, Louise vomited again and her vital signs continued to be monitored.
She was prepared for theater following consent for an emergency endoscopy. During the procedure, the anesthetist encountered difficulty maintaining her oxygen saturation levels and she was transferred post endoscopy to the high dependency unit. The anesthetist perceived that Louise had aspirated whilst vomiting in the ward, prior to the procedure.
Content listed:
The overall aim of this presentation is to demonstrate your knowledge and understanding of the unit content
Possible ethical dilemmas associated with the clinical scenario:
- Utilitarianism and Deontology
- Beneficence, Non Maleficence, Autonomy, Justice (distributive justice)
- Capacity/ legal capacity and competence
- Consent/ the elements of informed consent
- Veracity (truth telling)
- Fidelity
The Tort of Negligence/ Components of Negligence/Acts and Omissions
- Duty of Care/ Scope of Practice
Your task is to develop a professional, recorded presentation with which to educate your peers in the clinical environment. To do this you will create a synthesis using the relevant unit content (the legal and ethical concepts specified above), linking it to the relevant and specific areas of the clinical scenario and the relevant nursing legislation
e.g. The Registered Nurses’ professional codes and standards). Ultimately, this will demonstrate your knowledge of the relationship between the unit content, the clinical environment and professional legislation.
A synthesis means the combination of components, or elements, to form a connected whole: combine the information within your presentation, categorizing the concepts and presenting them as themes rather than presenting concepts one by one, and demonstrating relationships, similarities or conflicts as the case may be.
For example, we have discussed the two main ethical theories of Utilitarianism and Deontology. You may decide to discuss them together linking the relevant aspects of the clinical scenario as the basis for the discussion but ensuring that you demonstrate your knowledge of those concepts. DO NOT DEMONSTRATE YOUR KNOWLEDGE OF CLINICAL EXPERTISE: THIS IS ABOUT LAW AND ETHICS.
You will also need to link how this relates to the relevant aspect of nursing legislation e.g. the RN Standards for Practice or the ICN Code of Ethics for Nurses. In doing this you will provide an analysis: a detailed examination suitable to inform your peers in the clinical environment.
Consider that the audience have read the scenario already or even have a copy in front of them. Do not waste valuable time repeating the clinical scenario in isolation from the other information required or as an introduction.
However, remember that when you introduce a concept/topic/theme consider that your audience knows nothing. Do not assume they know what you mean and so, consider how you will define/explain this information so that they understand (hint hint: use the relevant part of the clinical scenario, along with your definition/explanation taken
from the evidence, to help explain). The marker needs to know that you know and that you can explain it to a fellow peer! Also, you may find it useful to use the Model for Ethical Decision Making to aid your planning.
You will be assessed on the quality of the application of theory (unit content) to practice and the quality and depth of the analysis presented. You will also be assessed on your ability to support your discussion with evidence from appropriate literature, including the quality and relevance of that literature. There is a minimum of 10 references required, although you should read widely and incorporate that reading into your presentation.
The more you read, the more evidence you will find to weave into your analysis and support your ethical and legal claims. References for this presentation should be within 5 years of publication only, other than when referring to the latest version of legal and professional documents, which may be older than 5 years e.g. The ICN Code of Ethics for Nurses, 2012 (This is the latest version and still in use).
References should be from a valid source (peer reviewed journals, government organizations, and professional online websites and resources e.g. Department of Health, Nursing and Midwifery Board of Australia etc.). All must be relevant to Australia. References should support the ethical and legal/professional information as opposed to clinical information.
Presentation
The basis of the presentation must be a power point ( see resources in assessment 2 folder on how to develop an engaging powerpoint presentation) recorded in Panopto and using the audio and video in order that you can be both heard and seen presenting, in addition to seeing the power point. DO NOT record directly onto the Powerpoint as this will cause the file to become too large and create difficulty when you attempt to upload into Panopto.
Please adhere to the explicit instructions as detailed in the ‘RECORDING AND UPLOADING YOUR PRESENTATION’. Please wear your uniform as per the SNM uniform guidelines, to maximize your professional appearance, when recording this presentation and ensure you speak clearly to maximize understanding.
The presentation will be named using your family name followed by your first given name and then your student number e.g. Baker Melanie 12345678 and will be no longer than 10 minutes. If it is shorter than 10 minutes, then it is unlikely that you have covered all aspects of the assignment. If it is longer than ten minutes, then marking will stop at exactly 10 minutes and 30 seconds from the commencement of recording. Any information beyond this will not be included in the marking.
The first slide of your power point must show a screenshot of your ECU student ID card or alternative picture ID as you introduce yourself. This can then be checked against the recording of your presentation.
