HSNS206 Transition To Australia Nursing Practice



Mrs Melissa Mendez is a 72- year-old woman who has been on the medical ward for 3 days after an flare up of her rheumatoid arthritis, leading to pain, swelling causing decreased mobility and the ability to attend to her own activities of daily living (ADLs). She is prescribed 20mg of methotrexate weekly, prednisone 10mg daily, and simvastatin 40 mg at night daily for her cholesterol. 

On the morning medication round the RN calls the medical officer as Mrs Mendez is feeling unwell with symptoms of urinary frequency, dysuria and urge incontinence. The medical officer diagnoses a urinary tract infection (UTI) and prescribes trimethoprim 200 mg twice daily for 3 days. On Sunday, the RN is very and prescribes trimethoprim 200 mg twice daily for 3 days. On Sunday, the RN is very concerned that Mrs Mendez has deteriorated and is nauseous and confused. She calls an the medical officer to review Mrs Mendez who changes the trimethoprim to co-amoxiclav because her UTI symptoms have not improved. 

After a few days Mrs Mendez is feeling much better, her UTI symptoms resolve and she is discharged from hospital. The practice pharmacist checks the discharge summary and identifies a drug interaction with the trimethoprim and methotrexate. 
Failure to recognise and appropriately manage medication errors is a significant issue not only in NSW public hospitals but also in hospitals and healthcare organisations around the world. The lack of recognition and appropriate management of medication errors in acute hospital wards, has been identified as an important contributory factor in adverse events and is therefore a high priority patient safety issue (Australian Commission Safety and Quality in Health Care (ACSQHC). 

Discuss the following in relation to this case: 

Discuss and critically analyse the relevant medication policies, guidelines and Registered nurse standards for practice (NMBA, 2016) in relation to tis case study. 

This assignment is important because it will enable you develop a greater understanding of the Australian medication policies, guidelines and professional practice standards within your role as a nursing student as well as a transitioning registered nurse within Australia. You are required to apply your critical thinking skills to the case study and show your capacity to identify, interpret, and critically analyse issues raised by the case study. This assignment is the first assessment within the unit. The concepts that you are exploring will assist in building your knowledge in relation a registered nurses accountability and responsibility within other assessments you will need to undertake in this unit. 
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