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You have been asked to review the case study below and present your analysis to a review committee at your health service. It has been explained to you that this is a scenario that has occurred and as a new graduate they want your insight into what you see should be the considerations.
 
Read the following “John” scenario.
John is a new graduate registered nurse working in a small private hospital. He is has been allocated to a patient who is from a culturally diverse background and has limited English. The patient has a Morphine PCA post – operatively which has not been documented as being used by the patient during the previous shift.  The patient has been vomiting intermittently throughout the previous shift and it is now evening. John reports this to the senior nurse (Tim) on duty and requests that the analgesia be reviewed. The senior nurse tells John to stop the PCA and to give Metoclopramide 10mg slowly intravenously. John stops the PCA, but reports that there is no written order for the Metoclopramide and that he is unwilling to administer the anti-emetic without one. The senior nurse then independently administers the Metoclopramide intravenously. The patient experiences an allergic reaction.
Task:
•    Consider the clinical practice issues (code of conduct, code of ethics, competency standards; clinical reasoning; nursing management) and collaborative issues (supervision, mentoring, multidisciplinary team management) in the case study provided.
•    Identify legal and ethical issues arising.
•    Reflect on and put forward recommendations for new graduates in similar situations.
 
In presenting you report the names have been changed to protect the staff involved. It is a confidential investigation that is being carried out by the health service to support the staff involved and the patient. In writing the report you can present your analyse and discussion in a presentation which could include a variety of presentation styles.(which will be discussed on Collaborate Week 5)



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