Critically Examine and Identify The Issues For Gordon and Homer Case Study
- Subject Code :
NURBN-1012
- Country :
Australia
Scenario Description
is a first-year undergraduate nursing student who is currently on his first clinical placement in a busy nursing home and has been allocated 4 residents with RN buddy, Homer. The following is a list of the patients who have been allocated to Homer and Gordon for the morning shift.
| Mr. Calvin Broadus | Mr. Marshall mathers | Mr. Shawn carter | Mrs. Kathryn hudson |
|---|---|---|---|
| 72-year-old man | 89-year-old man | 96-year-old-man | 68-year-old-women |
| T2DM L below knee amputation insomnia | Dementia COPD | Military veteran R hemiplegia ischemic stroke COPD | Alzheimer’s disease Emphysema smoker |
Gordon’s buddy, Homer, who is exhausted after being awake the previous night attending to his 2-week-old baby, explains to Gordon how he is feeling and asks him if he would get the first patient's medication from the treatment room and bring it to him at the patient’s bedside where he will be waiting. Alone in the treatment room, Gordon prepares the following for Mr. Broadus
| Drug name | Dose | Time | Route of administration |
|---|---|---|---|
| Metformin | 500mg | 0800 | Oral |
| Novo-rapid | 12IU | 0800 | Subcutaneous injection |
| Salbutamol | 100mcg (1xpuff via the spacer) | 0800 | Inhalation |
| Paracetamol | 1000mg | 0800 | Oral |
On arrival back to the patient’s room, Gordon hands Homer the medication. Without checking them to make sure they were correct; Homer asks Gordon to take them to Mr. Broadus and administer the insulin. Once given, Homer said he will sign the medication sheets.
Gordon says to Homer that he has not given a subcutaneous insulin injection before, Homer replies in a tired voice, “that’s ok, it’s easy, just point and stick the needle in the leg” Gordon feels bad for Homer’s lack of sleep and wants to make a good impression on his first clinical placement, so he administers the oral medications and accidentally injects the insulin dangerously, causing the patient to yelp in pain.
Assignment Instructions:
In addition to the peer-reviewed articles you use as evidence for your ideas, please refer to the following documents in your essay:
The NMBA code of conduct for Registered Nurses, The National Standards, the scope of practice of a student nurse, and the medication rights for administration.
Structure of Assignment:
You may wish to use the template provided on the essay structure help sheet and the paragraph structure help sheet provided in Moodle under the assessment tab.
Please see the course descriptor for the assignment formatting expectations as per Federation University policy
Introduction:
Main Content
Discuss 2 (two) ethical and 2 (two) legal breaches (4 breaches in total) that Gordon and Homer have demonstrated in this scenario You must:
- Briefly introduce the scenario and its main issues as a summary in your own words.
- Do not repeat or copy the description of the scenario provided word-for-word
- As an introduction to your main assignment topics and discussion points, briefly explain what is significant about the issues in relation to legal and ethical conduct in nursing practice.
- Clearly identify the name and type of breach (ethical or legal)
- Explain why it may breach legal or ethical requirements by referring to specific nursing codes, standards, and/or other requirements
- Discuss the implications of these breaches for the RN, Student nurse, and the patient, and what corrective actions Gordon and Homer should have taken. Support your ideas by referring to specific codes from within the NMBA Code of Conduct, Standards of Practice for Registered Nurses, and peer-reviewed journal articles.
