Performance of Nurses Role of Health

Question: Describe about the Performance of Nurses for the Role of Health. Answer: The purpose of this standard acts as a framework to assess the performance of the nurses. These standards are practiced by the nurses to reflect their role in a health setting and are used as the benchmark for assessing the practice competencies. For example, In the case of Mr. Smythe EN has practiced the standard of enhancing the safety of the individuals by creating allergy alert. She has also demonstrated reporting, documentation and communication that was timely and accurate (Makaroff et al. 2014). The benefit of practicing open disclosure includes promotion of the culture of safety and quality. The harm of open disclosure includes a chance of legal action that can be taken by the patient against the medical negligence. Mr. Smythe may or may not benefit from the information of near miss of error as it may affect the therapeutic relationship and create trust issues. On the other hand, if the patient had the good rapport with the doctor previously may consider the error positively (Kalra and Baniak 2013). Yes discussing the near miss of error with Mr. Smythe fall within the scope of practice as the per the competency standards EN must engage in emphatic communication with the care providers, patients and their families and others involved in the care provision. The duty of care in both cases was the obligation to avoid any harm to the patient. There was a breach of care as Mr. Smythe was allergic to Cephalexin, in spite of which he was ordered for administration of this antibiotic due to exchange of pathology records Yes, the EN was acting within the scope of practice as she informed the RN skillfully about the health and functional status of the patients and ensured communication as well as timely documentation of the medical records (Nursing and Council 2013). The legal requirements for documents are as follows Proper spelling and grammar and flagships to be used to avoid confusion when patients have similar names Documentation should be done in chronological order, must be precise and legible Each entry on the document should contain signature and title, of nurses for accountability Non-committal documentation should be avoided and mention only relevant information Documents should maintain the integrity (Scruth 2014) In the above scenario, RN as maintained the code of safety and competency by prescribing Cephalexin 500mg which helps minimize the risk of bacterial infection. This was safe action as Mr. Smith was diabetic and had increased a risk of wound breakdown. However, in a case of Mr. Smythe, there was no flagship due to similar names which have led to the error. At the time of surgery, there was a serious error where a doctor has handed Mr. Smith's pathology request and Medication order for surgery of Mr. Smythe. Safety was ensured by placing an allergy alert band on Smythes wrist. Mr. Smith has given expressed consent (Jose and Dufrene 2014) for BGL test by holding his hand out for finger prick test, which indicates he voluntarily agreed to the test. The practitioner has not complied with the code of cultural safety as the RN has received Mr. Smith's pathology request and Medication order for surgery of Mr. Smythe. Therefore, he will be administered Cephalexin 500mg despite being allergic to it. However, nurses supported the clients cultural beliefs by using allergy alert band on his wrist. The enrolled nurse has applied the standard 1.8 in the scenario by informing RN Jones that neither of the clients having similar names and date of birth has been flagged at the time of the admission. Further, the EN has notified all the staff by placing an alert on each client as well as on their medical records. Mr. Smythe was allergic to Cephalexin so EN has placed an allergy alert band on his wrist for ensuring safe outcomes. In this scenario, the EN has complied with the standard 1.8 by recognizing and addressing the risk protection needs of the patients. The EN should have made the theater staff aware of Mr. Smythes cultural and religious background in addition to the medication alert on the chart (Fagan et al. 2016). It would have prevented administration of Cephalexin as MR. Smythe was allergic. The EN should have used pseudonyms on the pathology request forms of both patients to prevent it from an exchange. It would also have maintained the confidentiality of the patients records. The EN has demonstrated interpersonal skills by placing allergy band on the wrist of MR. Smythe to notify all the staff about his allergy to Cephalexin. However, there was no notification or alert given to the staff for his request of avoiding narcotic analgesia, as he preferred to meditate to relieve pain. The EN has demonstrated oral communication skills by reporting to RN Jones about the similarity in names and date of birth of both the patients. The EN has demonstrated written communication skills by pacing an alert on the medical records of each client to avoid confusion regarding the names. Yes, I would alert her about the near miss of medication error as I believe in a disclosure of mistakes fully and apologize for harm and inconvenience caused despite the complex emotional and ethical issues associated with it. According to Arnold and Boggs (2015), a culture of safety and quality can be promoted by creating an atmosphere of honesty and openness. References Arnold, E.C. and Boggs, K.U., 2015.Interpersonal relationships: Professional communication skills for nurses. Elsevier Health Sciences. Fagan, A., Parker, V., and Jackson, D., 2016. 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