How would you discuss the nursing interventions you have identified in the case scenario
and what evidence have you used to support your clinical decisions and actions?
This assessment task is specifically designed to assist the development of your clinical
judgment, clinical reasoning, and decision-making skills. The development of these skills is
foundational to influencing positive impact on patient outcomes. Hence, in fluencing positive
outcomes for your patient is the context that the clinical scenario for this assessment task is
particularly focused and uses a problem-based learning framework to assess your learning
USQ TIME 10:41 am Mon, 1 Jun 2015
and development in the nursing profession.
Assessment task details
This written assessment piece is based on the following clinical scenario.
Case: Mr Larry Lyons
Mr Larry Lyons is admitted to the East Wing surgical ward of University Hospital and
scheduled for a cholecystectomy. It is intended that the procedure will be performed
by laparoscopy, however a laparotomy may be required. As part of his perioperative
care you are required to plan his nursing intervention for perioperative care (see Skill
36-1 in your Dempsey text).
On admission you documented his vital signs as follows:
Vital signs : T 37C, P 106, RR 22, BP 140/94, SpO 97%, Wt 60 kg, Ht 198cm
UA: + protein, + blood, ++ nitrites, pH 5
Pain score: 6/10
Mr Lyons states to you that although he is willing to have an operation that may
involve additional procedures, that is the laparotomy, he is unwilling and
fundamentally opposed to providing consent for a blood transfusion.
Your task is as follows:
Part 1: Documentations
1. Glosssary of terms define a minimum of 12 healthcare terminologies and abbreviations
pertaining to this case and those used in your documentations.
2. Case analysis: Using the FILA framework, analyse the clinical situation and plan your
nursing intervention (2 4 pages).
3. Nursing documentation : Using the SOAP Framework, prepare your documentation for
Mr Lyons care.
4. Handover : Using the SBAR Framework, prepare your handover nursing notes.
Part 2: Essay
Clinical decision making and reasoning: This is a written assignment in essay format (1000-1200 words). Based on your
analysis and documentations, (refer to your completed FILA,
nursing documentation and handover notes) and using evidence in the literature, explain your
clinical decisions and responses to the case scenario. Use the following points to guide your
1. How would you introduce the case scenario and your assessment of Mr Lyons?
2. How would you discuss the nursing interventions you have identified in the case scenario
and what evidence have you used to support your clinical decisions and actions? Refer to
your FILA and SOAP notes + evidence from the literature.
3. How have you applied person-centred care to the case scenario and what framework have
you utilised? Refer to your FILA, SOAP and SBAR documentations + evidence from the
4. What is your position regarding Mr Lyons disclosure of his issues of informed consent (see
Chapter 11 in your Dempsey text) around blood transfusion? Refer to your FILA, SOAP and
SBAR documentation + evidence from the literature.
5. How would you summarise your clinical findings and do you have any recommendations?
Part 3: Re flective written piece concerning your professional learning and development
as a nurse
Professional growth through learning : Throughout the semester, we have placed great
emphasis on person-centred care, professionalism and ethical practice as core to the practice
of a responsible nurse. Ensure that you have a good understanding of these concepts when
responding to Part 3 Assessment task 3.
Prepare a one (1) page summary of your learning journey of responsible nursing practice,
focusing on the key concepts: person-centred care, professionalism and ethical practice.
As this is a reflective writing piece, use the first person approach, i.e. use of pronouns such
as I or me is expected.
In your eWorkbook you are directed to respond to weekly assessment-related tasks to
guide your professional learning and personal growth. Use your response to Part 3 task to
inform your re flective written summary, in particular from weeks 4 to 11.
Provide evidence of your ongoing engagement to your professional learning and
development. Attach your selected evidence (at least 3 from weeks 4 to 11), which you
have cited in your reflective written summary.
Every week, you are presented with a clinical scenario to analyse and plan nursing
interventions and prepare documentations, within which you utilise the FILA, SOAP and SBAR
frameworks when responding to the case scenario. You then perform your planned nursing
interventions during Laboratory sessions. Responding to these weekly tasks prepares you for
Assessment task 3, as the processes are the same, where you are required to document your
nursing intervention and justify your clinical decisions based on evidence. Therefore, you need
to make sure that you are regularly contributing to FILA activities and discussions in your
group on a weekly basis, and get feedback from your nursing student colleagues and tutor
about your responses to case analysis and intervention planning during Laboratory sessions.
You also need to ensure that you are engaging regularly with the weekly assessment-related
tasks, as outlined on your eWorkbook.
Parts 1 & 2 of Assessment task 3 form part of your written assignment in essay format. Your
written assignment must adhere to academic writing conventions, i.e. you need to present
arguments and opinions, and use evidence from the literature to support your position, using
appropriate referencing conventions. Use the A3 Marking Criteria when preparing your essay.