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Essay response to Case Study –
You are a graduate registered nurse (RN) on a busy surgical ward. The ward uses a team nursing model of care. Today you are buddied with an enrolled nurse (EN), Sam, and together you are allocated the care of ten (10) patients. You have also been assigned a student RN, Alex. Alex is a third-year student in her second week of a six-week clinical placement. This is your third shift working with Alex and so far, you are satisfied with her progress. You delegate a set of vital signs and a shower to Alex while you attend to a newly admitted patient. Thirty minutes later you realise Alex has not returned, and you go to see if help is needed. You find Alex unsupervised, irrigating a complex infected wound on a patient with external fixation. You ask Alex to stop and explain her actions. Alex replies “Sam was busy with the 0800 medication round and asked me to do this dressing. I watched this dressing being changed last week, so I know how to do it.”
Write a focused (1000 word) essay which critically analyses scope of practice, delegation, and supervision in relation to the case study above. Your essay structure should be set out as below:
1. Include an introduction (approx. 100 words).
2. Body of essay (approx. 800 words) made up of:
• Explore the scope of practice of each person in the case study. Consider the tasks described in the case study.
• Explore the role of the registered nurse in supervising, preceptoring, and delegating to the student nurse and the enrolled nurse. Link this to the case study.
3. Include a conclusion (approx. 100 words).
4. Incorporate relevant professional codes and standards (from nursing governing bodies) into your response, as well as broader quality contemporary literature.