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Falls
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Preventing patient falls in the clinical practice setting.
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Patient assisted to toilet. Patient discharged 2 days later.
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Patient falls when toileting independently. Sustains laceration to forehead, fractured right neck of femur and head injury. Patient remained in hospital for several weeks for treatment and rehabilitation.
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Novice learner
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Ward round
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Interprofessional teamwork including patient as a member of the team.
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Correct diagnosis and management and patient commenced on appropriate medication. Patient discharged 3 days later.
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Incorrect diagnosis and management. Patient experiences acute pulmonary oedema and requires emergency medical team intervention. Patient admitted to high-dependency unit and follow-up rehabilitation for several weeks.
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Advanced beginner
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Aggressive patients
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Recognising and responding to aggression.
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Patient frustration and agitation correctly identified and managed resulting in de-escalation of the situation.
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Patient frustration and agitation is not recognised. Patient behaviour escalates into aggressive violent outburst. Security measures are required to manage patient situation.
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Advanced beginner
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Community
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Managing warfarin therapy in the community post coronary artery bypass grafts.
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Patient receiving warfarin therapy has high International Normalised Ratio identified and emergency medical treatment instigated.
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High international normalised ratio not identified. Patient sent home from clinic with no emergency treatment. Patient experiences large cerebral haemorrhage and dies shortly after.
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Advanced beginner
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Administering blood products
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Risks associated with administering blood products in the clinical setting.
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Incorrect patient identification is recognised. Correct patient is located and verified. Blood product administration proceeds without incident.
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Following incorrect patient identification, wrong patient administered blood product. Patient experiences severe haemolytic transfusion reaction and admitted to intensive care unit.
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Advanced beginner
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Post-operative
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Recognising and responding to patient deterioration in the immediate post-operative period.
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Patterns and trends are recognised early with appropriate treatment implemented. Normal fluid balance returned in post-operative phase.
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Patterns and trends are not recognised and no treatment implemented. Patient experiences acute kidney injury post-operatively.
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Competent
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Midwifery
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Woman with epidural analgesia in labour experiences episode of hypotension.
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A pathological fetal heart rate pattern is detected following episode of hypotension. Fluid resuscitation is initiated and a change to maternal position. Normal vaginal birth.
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There is a delay in recognising, reporting and responding to a pathological fetal heart rate pattern. Fetal compromise ensues resulting in emergency caesarean section and neonate resuscitation.
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Competent
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