NRSG367 Transition To Professional Nursing Supplementary Assessment – Australian Catholic University.

Subject Code & Title: NRSG367 Transition To Professional Nursing Supplementary
Word limit : 1800 words (+/- 10%)
Supplementary Assessment Task Overview :
Transitioning to professional practice is a critical phase for the novice Registered Nurse. Managing professional role requirements, organisational technologies and team dynamics while on shift can be challenging. This is often accompanied by changed personal circumstances, with graduates balancing shift work, working full time and socialisation with friends and family. The case study below highlights the professional and personal challenges you may face as a Graduate Registered Nurse.
NRSG367 Transition To Professional Nursing Supplementary Assessment – Australian Catholic University.

Critically analyse the following case study to answer the essay questions.

Case Study Background :
Stacey Nguyen is a Graduate Registered Nurse (RN) who is 9 weeks into her first graduate rotation at the local metropolitan, tertiary hospital. She is currently working on an orthopaedic ward which cares for surgical and trauma patients. For the first four weeks Stacey worked alongside her nurse preceptor, predominately rostered on morning shifts. Stacey has just completed her first five (5) night shifts yesterday morning, and is back on an afternoon shift today (Monday).

Stacey is still trying to manage her roster and other commitments. She lives in a share house with 3 others and normally does a week of shopping and meal preparation. The past few weeks she has been so busy and tired that she has been eating a lot of takeaway. She normally plays netball once a week with her university friends and she is frustrated that she has missed the past 2 weeks of games due to work. Stacey normally visits her elderly mother twice a week and her mother has been phoning and saying she hasn’t seen Stacey enough and that she feels “lonely”. Her siblings live interstate.

On Shift :
Stacey has arrived 5 minutes prior to the shift starting. On arrival, she realises that he hasn’t worked with the Nurse-in-Charge but she knows most of the other nurses from her previous shifts. Her preceptor is not working today.Stacey feels a little nervous, but she knows one (1) of the patients she has been allocated from his recent night shifts and she is allocated a further three (3) patients, including a patient who will be discharged this afternoon and a new admission from ED. Her patient allocations are as follows:

Stacey feels overwhelmed with the admission, discharge and post-operative patients. She is unsure how she will cope with the rest of her shift. Stacey has not yet completed a patient discharge so she decides to do that first before she assesses her other patients as she knows this might take some time. She decides to not ask for help right now as she knows the ward is very busy.

NRSG367 Transition To Professional Nursing Supplementary Assessment – Australian Catholic University.

Suddenly the shift is over and it is time for handover. At handover, Stacey realises that she has forgotten to complete routine PCA observations and has missed some of the routine post anesthetic observations on Mr Dravid. She set the obs machine to auto but hasn’t come back to physically check the patient for 2.5 hours. Ms Lewis is about to return from surgery and Stacey reports that she did not complete the admission documentation prior Ms Lewis leaving the ward.

The night RN rolls his eyes when Stacey hands over and insists that they check Mr Dravid’s PCA and observations together. The night RN is also very concerned about Mr Iwu’s sore lower leg, given the risk of DVT, and urgently pages the doctor for review.

Stacey feels really stressed and concerned about the potential complications she had missed that shift. Additionally, she has not completed any patient notes on the computer on wheels (COWS) machine so she stays 30 minutes after the end of her shift to complete these.

Supplementary Assessment :
Critically analyse the case study to help you answer the following three questions within an essay format:

1.Determine and justify whether the graduate RN met (or did not meet) their role and responsibilities as an RN during this shift. Provide at least two (2) case study examples and support your discussion using evidence, including Nursing and Midwifery Board Australia (NMBA) Registered Nurse Practice Standards

2.Construct at least three (3) recommendations as to how the Graduate RN could have undertaken this shift differently. Consider in your discussion the knowledge, skills and attitudes inherent in the RN role, including utilisation of technology and teamwork skills, and justify your discussion with evidence.

3.Transitioning from student to Graduate Registered Nurse can be difficult. Construct and analyse at least two (2) evidence-based strategies that would support the Graduate RN’s work life balance and promote resilience during the transition period, (LO3, 4, 5).

NRSG367 Transition To Professional Nursing Supplementary Assessment – Australian Catholic University.

Instructions:
• Word limit is 1800 words (+/- 10%), including the introduction and conclusion.
• Paper to be written in essay format, must answer the above questions, and should be written in academic writing style (not first person). You may use headings.
• Submit to Turnitin (via LEO) by the due date.