Summary
Highlights
Su Wong, a registered nurse and facilitator, introduces a role-play scenario depicting a typical clinical placement experience. Raza Zahidi, a third-year nursing student, will play a first-year student, focusing on patient and nurse communication. Janette Bryant is the patient, and Raymond Bryant is her husband.
The student nurse, Raza, introduces himself and the facilitator, Su, to Mrs. Bryant, who recently had a knee replacement. They inquire about her pain, which she rates as a 6 out of 10, describing it as an aching pain that started after getting out of bed. The nurses assure her they will look into pain relief options and mention that a physiotherapist will visit later.
The nurses check Mrs. Bryant's medication chart and decide to administer Panadeine Forte, as requested by the patient. They explain the need for two registered nurses to check out medication from the drug cupboard and introduce Caroline, a registered nurse, who will assist. The student is asked to research Panadeine Forte's properties.
The student nurse researches Panadeine Forte, discovering it's an analgesic and antipyretic for moderate to severe pain. Key adverse effects include stomach upset, constipation, and drowsiness. The facilitator advises the student to discuss potential constipation with the patient when administering the medication.
The nurses perform a multi-step check of the Panadeine Forte, verifying the expiry date, dosage, and ensuring the drug cupboard balance is correct before and after dispensing one tablet. The student then meticulously documents the medication administration in the schedule 4 book, including date, time, patient's name, dosage, remaining stock, and the prescribing doctor and their own signature as the administering nurse.
Back with Mrs. Bryant, the nurses confirm her identity by asking for her full name and date of birth and checking her ID band. They also confirm she has no allergies, specifically penicillin. The student then carefully administers the Panadeine Forte with water and thanks the patient. They inform her they will return in 30-45 minutes to assess the medication's effectiveness.
After 30 minutes, the nurse returns to check on Mrs. Bryant's pain. She reports her pain has reduced to a 2 out of 10. The nurse addresses Mrs. Bryant's concern about constipation, explaining it's a common side effect of the medication and prolonged immobility. They recommend increasing water intake and consult with the dietitian for more fiber in her diet. They offer further assistance and thank Mrs. Bryant.