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NUR1299 Appraising Performance of Basic Wound Dressing Assessment 2 Answer

Assessment 2: Laboratory Attendance and Clinical Skills   

Task overview

Assessment nameNUR1299 Assessment 2: Written Assignment 
Brief task description
This assignment is in 3 parts
  1. Online        Participation (CLO 4)
  2. Medication        assessment (CLO 4 & 5)
  3. Clinical        Skills appraisal (CLO 1 & 2)
100 words per forum post for part 1
750 word +/- 10% for Part 3 
Marks out of:
Course Objectives measured (CLO)
CLO 1. Implement the principles of infection control, holistic nursing   assessment, and nursing care to support activities of daily living.
CLO 2. Develop an understanding and demonstrate at a beginning level   elements of the clinical reasoning process and clinical decision making in   practice.
CLO 4. Explain the principles of safe medication administration and   various routes of medication administration, including topical, rectal, oral,   subcutaneous medications and oxygen therapy. 
CLO 5. Demonstrate accuracy in calculating a range of medication   calculations.

Task information

Task detail
Part 1: Online   Participation (10 marks)
In this part of the assessment, students are   required to participate in online zoom sessions and forum discussion   regarding the principles of safe medication administration. The principles of   safe medication administration will be discussed in the online zoom sessions.   Following the online zoom session, students are required to complete a forum post   (100 words +/- 10%) explaining   their understanding of the principles of safe medication administration for   the following topics (one forum post   per topic):
  • Sharps management in subcutaneous   medication administration
  • One of the “10 rights” of medication   administration 
Students are required to copy their forum post   into their assignment and upload to the submission portal by the due   date.  
Part 2: Medication assessment (40 marks)
In this part of the assessment, students are   required to complete Assessment #1 within the “Medication Rights: Customised   Assessments” module within the Med+Safe program linked to Study Desk). 
The Med+Safe learning materials will be available   from Week 1 of semester. Students should complete the learning materials   prior to attempting the assessment and should practice within the practice   mode until confident to complete the assessment. The assessments mode will be   open from Week 9 until the due   date for the assessment, however, students will have a maximum of two attempts at the assessment.list of categoriesfinding correct statements
Part 3: Clinical Skills Appraisal (50 marks)
For this part of the assessment, students will be   required to write a 750 word essay, appraising   the performance of a basic wound dressing using the “simple wound   dressing” clinical skills appraisal form. 
  1. View the   video recording of the performance of the wound dressing (this video is   available in the Assessment Tab on Study Desk). 
  2. Appraise   the nurse’s simple wound dressing performance using the “simple wound   dressing” clinical skills appraisal form (this can be found on page 234 of   the Skills in Clinical Nursing textbook). Please be sure to make notes about   the performance of the skill while you are watching the video. 
In an essay format, write a 750 word appraisal of the simple wound dressing skill completion.   Within the appraisal, include the written feedback you would provide to the   person performing the skill. Aim for a balance of feedback that is   constructive and includes both positive feedback (what they have done well)   and areas that need developing. Your feedback should be supported by an   appropriate rationale (this is the reason for your feedback) explained to the   person performing the skill and supported by reference to academic   literature. 
An example is provided here (appropriate   referencing should be included to support your feedback).
It was   noticed that the nurse did not wash her hands on commencement of the   procedure in line with the five moments of hand hygiene (HHA, 2013). The   nurse would be reminded to perform hand hygiene prior to commencing   procedures as hand hygiene is one of the most effective methods of preventing   the transmission of microorganisms and is therefore essential in the wound   dressing process to prevent infection which can lead to delayed wound healing   (Berman et al, 2017).
Writing Style
  • Correct Academic Writing as per USQ   guidelines
  • APA 7th Edition Referencing   (no less than 3 references, 1 reference to approx. 200 words) 
  • Contemporary evidence based literature   must be sourced (no more than 7 years old)
Formatting Style
Use the   following points for Part 3 of your assignment. Penalties will apply if these   conventions are not adhered to.
  1. You are   expected to present your assignment in an essay format.
  2. Aim to   keep your introduction and conclusion about 150 words combined.
  3. Your   assignment should be completed in Microsoft Word. 
  4. Include   your name and student number in the footer.
  5. Use   Times New Roman, font size 12 and 
  6. Double   line spacing
  7. In-text   citations and a reference list are required. 
  8. Reference   list is NOT included in your word count.
  9. Do NOT   attach marking rubric to assignment


Task 3


A simple wound dressing is governed by an aseptic technique so as to avoid any introduction of infections into the wound (Denton and Hallam, 2020). Even if there is already an infection in the wound, an aseptic technique is mandatory to be used for its importance in no further development of any infections. Considering the clinical skills appraisal form for simple wound dressing, an analysis of the procedure followed by the nurse in the given video is presented to provide a constructive feedback to the person performing the skill.

A simple wound dressing should follow some of the important hygiene elements including good hand hygiene, appropriate and adequate usage of personal protective equipment (PPE), using sterile equipment and cleaning and sterilization of trolley along with ensuring a non-touch technique throughout the procedure (Denton, 2020). 

Considering the first step of preparation and planning for the procedure it is quite clear that the nurse successfully ascertains indication for the procedure as well as the pain management requirements. She maintains a continuous conversation with the patient to make him comfortable about the procedure. Further, she gathers the required equipment and follow the procedure of sterile using ABHR to ensure a clean trolley before starting the procedure, which is an important step to reduce the number of viable pathogenic organisms (NHMRC, 2019). It was noticed that the nurse washed her hands properly and sanitized her hands and fingers before commencement of the procedure which is in line with the five moments of hand hygiene (HHA, 2019). 

During the performance of the procedure, nurse is seen to be following proper protocol as discussed by Perry et al. (2018) of cleaning the trolley, placing the sterile dressing pack on top of the trolley, opening the pack with minimum contact and using the corners to open it and performing the procedure of cleaning the wound without any direct touch with hands. Further, during the performance of the procedure, it was noticed that the nurse did not used a clean disposable plastic apron and a face mask while performing the procedure. It is important to remind the nurse of using protective barrier between her clothing and any potential contaminants resulting from the procedure. In the next step she is seen using single-use gloves to remove the previous dressing. 

However, after removal, she removed the gloves but forgets to perform hand hygiene using as indicated under 5 moments for hand hygiene and only used ABHR before wearing another set of gloves. Before redressing of the wound, it is necessary to perform further hand hygiene even when the gloves were used (Perry et al., 2018). She will be reminded of this step as hand hygiene is a necessary after any types of gloves is removed as gloves do not provider complete protection against hand contamination and there is a possibility of microorganisms getting into to hands through minor imperfections in gloves or by contamination of the hands while removing the gloves (HHA, 2019). 

She efficiently meet all other steps in performing the procedure from explain it to the patient, obtaining consent, removing outer dressing, removing inner dressing, assessing and cleaning the wound and applying transparent wound barrier. However, priorities post procedure are not clear in the video and it is seen that after completing the procedure, nurse touches the patient’s blanket without removing the gloves and without following the hand hygiene procedure. She needs to be reminded and given proper training to dispose of the equipment, remove gloves and wash her hands immediately after the procedure, as health care-associated pathogens can be recovered from the wound and also from frequently colonized areas of normal, intact patient skin (Tollefson et al., 2019). Any defective hand cleaning can result in poor hand decontamination leading to microbial transfer and severe infections. A breach in asepsis by touching sheets, patients’ body or other equipment after the procedure poses a risk to the patient as well as the healthcare provider (Denton, 2020). This makes it important for healthcare provider like the nursing staff to be well trained and competent to manage the procedure as well as post procedure priorities.  


The concerned nurse can be seen following a majority of procedures during the preparation andactual procedure of simple wound dressing. She is seen following the 5 moments hand hygiene at most of the instances as required but she miss the hygiene precautions at few instances between the cleaning of old wound and performing the new dressing. Also, she needs to reminded of the hand hygiene required after completing the procedure and use of apron and mask while performing the simple wound dressing. An efficient aseptic technique should be followed to avoid any further infection and avoid presence of pathogenic micro-organisms. 

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