NRSG367 Transition to Professional NursingAssessment Task 2 Case StudyNRSG367_202160_AT2CaseStudyAssessment Task OverviewTransitioning to professional practice is a critical phase for the novice Registered Nurse.Managing professional role requirements, organisational technologies and team dynamicswhile on shift can be challenging. This is often accompanied by changed personalcircumstances, with graduates balancing shift work, working full time and socialisationwith friends and family. The case study below highlights the professional and personalchallenges you may face as a Graduate Registered Nurse.Critically analyse the following case study to answer the essay questions.Case Study BackgroundToby is a Graduate Registered Nurse (RN) who is 8 weeks into his first graduate rotationat the local metropolitan, tertiary hospital. He is currently working on an Medical Ward.For the first four weeks Toby worked alongside his nurse preceptor, predominatelyrostered on morning shifts. Toby has just completed his first five (5) night shifts yesterdaymorning and is back on an afternoon shift today (Saturday).Toby is still trying to manage his roster and other commitments like cycling with hisfriends and hiking. Today, Toby is feeling tired and frustrated because he slept throughhis alarm this morning and missed hiking activity to celebrate his best friend’s birthday.He is also disappointed that the he can’t join his cycling group in the evening.On ShiftToby has arrived 15 minutes prior to this shift starting. On arrival, he realises that hehasn’t worked with the Nurse-in-Charge before but there are other nurses on the shiftthat he has met.Toby feels a little nervous, but he knows two (2) of the patients he has been allocatedfrom his recent night shifts and he is allocated a further two (2) patients who are to bedischarged this afternoon. He has not arranged a discharge before so he prioritises theseactivities as he prepares his shift planner.A short time later the Nurse-in-Charge tells him that his patient allocations have changeddue to skill mix. A different nurse will arrange one (1) patient discharge and Toby will bereceiving a new patient from Emergency Department.NRSG367 Transition to Professional NursingAssessment Task 2 Case StudyNRSG367_202160_AT2CaseStudyHis patient allocations are now as follows: PatientAgeDiagnosisRelevant InformationMrs JanetJones71PneumoniaNew admission from the Emergency department(ED). Febrile and hypertensive on arrival to theward.For IVAB and chest X-Ray.Urgent bloods have been taken. Patient’s familypresent and appear distressed.Mr FrankWIlliams62TransIschaemicAttackRequires minimal assistanceNeeds IVC to be removedMs FrancesFernandez68HyperglycaemiaReady for discharge. Discharge paperwork hasalready been completed by morning shiftnurse. Pharmacy has delivered dischargemedications and has conducted patienteducation. Waiting for family to arrive and pickup.Mr GeraldSommersby83UTIIncreasingconfusionNew admission from ED. Mr Sommersby is aNursing home resident. He is a high falls risk. Toby feels overwhelmed with the admissions and discharge. He is unsure how he willcope with the rest of his shift. Toby has not looked after a patient (Mr Somersby) who isconfused, high risk of falls and wanders around the ward. He decides he must push on,and soon it is time for handover.At handover, Toby realises that after he had not given Mrs Jones her IVAB. Toby had setthe observation machine to take automatic observations. However, he had forgotten togo in and check this patient for the last 3 hours. Toby has not yet completed theadmission documentation for Mr Sommersby as he has been trying to stop him fromwandering out of the ward. The nurse he his handing over to rolls her eyes when thisinformation is handed over. Additionally, he has not completed any of his patient noteson the computer on wheels (COWS) machine. Toby stays 30 minutes after the end of hisshift to complete his work.Following his shiftOn his commute home, Toby feels really stressed and feels that he did not providesufficient care for Mrs Jones. He is frustrated with himself that he may have missed otherthings this shift and that he had to stay late to finish his patient notes. At home, hespends some time reflecting on his shift and plans to ask his nurse preceptor for anyadvice/tips on their next shift together.NRSG367 Transition to Professional NursingAssessment Task 2 Case StudyNRSG367_202160_AT2CaseStudyAssessment Task 2Toby appears to be struggling during his clinical shift. He also seems to be having difficulty maintaining awork/life balance. Critically analyse the provided case study to answer all the following three questionswithin an essay format:1. Determine and justify whether the graduate RN met (or did not meet) their role andresponsibilities as an RN during his shift. Provide at least two (2) case study examplesand support your discussion using evidence, including Nursing and Midwifery BoardAustralia (NMBA) Registered Nurse Practice Standards (2016) (LO1 & LO3).2. Construct at least three (3) recommendations as to how the graduate RN could haveundertaken this shift differently. Consider in your discussion the knowledge, skills andattitudes inherent in the RN role, including utilisation of technology and teamwork skills,and support your discussion with literature (LO2, 3, 5 & 6).3. Transitioning from student to Graduate Registered Nurse can be difficult. Construct atleast two (2) evidence-based strategies that could be implemented to promote resilience,build capacity, and support work/life balance during the graduate RN’s transition period(LO3, 4, 5).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 bewritten in academic writing style (not first person). You may use headings.• Ensure you consider the AT2 Rubric, Appendix 2 in the Unit Outline, whenundertaking this assessment task.• Submit your paper to Turnitin by the due date.
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