You are a graduate registered nurse working at Broken River Aged Care Facility. The facility is a
modern 60-bed facility run by a not-for-profit organisation. The facility has three wings – Tamar,
Derwent, and Gordon. After seven months of fulltime work, you feel comfortable with the routines and culture of the facility. Today you are working the afternoon shift (1500-2300 hours).
Your shift team includes:
Claire – Facility Manager
Registered Nurse (RN) and Nurse
Practitioner (NP)
Claire is the manager of the facility. Claire is an
experienced manager and clinician. She finishes at 1730
hours.
Rory – Clinical Coordinator (CC)
Registered Nurse (RN)
Rory is the Clinical Coordinator. He has worked in the aged
care sector for the past ten years in a variety of roles. He
has a passion for wound care and assessment. Rory’s
rostered shift finishes at 1600 hours.
Binsa – Enrolled Nurse (EN) Binsa is an Enrolled Nurse; she has worked at Broken River
for the past 6 years.
Today Binsa is working 1600 – 2100 hours.
Joshua – Enrolled Nurse (EN) Joshua completed his Diploma of Nursing two years ago.
He works with a nurse agency – frequently working in the
aged care sector. He has completed several shifts at
Broken River.
Joshua is working 1500-2300.
Anna – Extended Care Assistant
(ECA)
Anna is an ECA. She has completed a Certificate III in Aged
Care. She has worked at Broken River for the past 4 years.
Anna is working 1600-2100.
Heena - Extended Care Assistant
(ECA)
Heena is an ECA. She has completed a Certificate III in
Aged Care; she has worked at Broken River for the past
year. Heena is also in the first semester of her Bachelor of
Nursing.
CASE STUDY NUR350 ASSESSMENT TASK 2
Lisa - Extended Care Assistant (ECA) Lisa is an ECA. She recently completed her Certificate IV in
Aged Care. She has been employed on a causal basis for
the past four weeks.
Max - Extended Care Assistant (ECA) Max has worked at Broken River for the 22 years. In
addition to working as an ECA, he also works shifts in
‘leisure and lifestyle’. He knows all the staff, residents, and
their families. Max is known for his cheerful approach to
work.
Caitlyn – Nursing Student (BN) Caitlyn is a student on the second placement of her
degree. You are Caitlyn’s preceptor today. Caitlyn is an
enthusiastic student, who asks insightful questions.
Handover
At the commencement of your shift, handover is completed, you take particular note of:
• Mrs June Jenkins – June is 77 years of age; she has lived at Broken River for the past 3 years.
June is receiving end of life care; her family are with her, including her husband, George. Mrs
Jenkins has Alzheimer’s disease. She has a large supportive family; however, they have not
accepted her dementia as a life limiting illness (despite education and referral to support
services), and frequently in the past have asked staff ‘why is she not getting better?’. At the
completion of handover, you assess Mrs Jenkins, and check the syringe driver. You talk with
the family about her care and what to expect. They are distressed but happy with the care
being provided.
• Mr Bob Archer – Bob is 82 years of age. He owned his own plumbing business and was an
active community member. Bob’s wife died at Broken River three months ago and staff have
noted his increasing frailty in this time. He enjoys watching the Football on TV, country
music and a glass of red wine with his evening meal. He has a supportive daughter, Carol
who is an RN at a local private hospital. Carol visits 2-3 times per week. Bob has a history of
hypertension, benign prostate enlargement, depression, and gout. He is a tall man (188cm)
and has a BMI of 28. At handover staff report Bob has been a little teary today and does not
seem himself.
Situation
At 1745 hours, while residents are returning from the dining room to their rooms – many with the
assistance of the ECA’s, the following occurs
• Lisa comes to in distressed state to inform her that Mr Archer has fallen in his bathroom
(between the wall and the toilet) and ‘there is blood everywhere’.
• Max comes to tell you that Mrs Jenkins has died, and the family don’t know what to do.
Question 1 : Apply the 5 rights
of delegation and
legal principles in
the scenario.
Step by step
Solved in 3 steps
