Legal and Professional Issues In Nursing Midwifery Council

Question: Discuss about theLegal and Professional Issues In Nursingfor Midwifery Council. Answer: Introduction The complained that had been lodged for the medical negligence and the death of Patient A was handled and investigated by the Nursing and the Midwifery Council of New South Wales depicting it under the Health Care Complaints Act 1993 no 105. The prime objective of this complaint act is to assess and analyze that the complaint lodged is serious enough to be prosecuted after receiving it. Once investigation finds out that the issue is serious enough to be required proper guidance and attention the complaint is to be overseen again and again thus citing utmost priority over to health concern and death due to negligence (Burkhardt Nathaniel, 2013). The nurse in the case study was accused of the negligence due to the carelessness that she portrayed in her profession which is not accepted from a nurse of her stature and experience. Her carelessness was investigated with proper evidences, which showed that she was indeed guilty of the unprofessional conduct and was held under 139B of the N ational Law (Johnstone, 2015). In spite of identifying that the condition of the patient was deteriorating when her blood pressure and respiratory rate was observed to be abnormal and had abdominal pain with diarrhea she did not take any step.. Not only that in spite of being the nurse in charge with a good number of years of experience she showed negligence to keep a record of the entire assessments of the patient. She also did not prepare a treatment plan for the patient in spite of seeing an urgent requirement of a doctor to be appointed for. From these above points one can definitely ascertain that as an experienced nurse she have not conducted her knowledge in her profession or her knowledge gained over the year has not been enough to handle patients in red zone (Douglas et al., 2014). When the nurse found that the condition of the patient was deteriorating and she herself could not manage the situation by herself, she should have immediately called a doctor to transfer the case in case when the patients assigned doctor was not available (MollaoÄÅ ¸lu elik, 2016). Moreover given the experience and the various knowledge she gained over the years, she should have handled the case successfully the situation with proper medication (Butler 2016). She completely neglected the entire episodes of events. The third negligence in her code of conduct was that she did not document the entire readings of the heart rate and blood pressure and even did not decide the entire planning of action that she should have taken at that particular time (Hoeve et al., 2014). She should have entirely documented her observations of the deteriorating patient and decided a course of plan. If she would have seen that the condition was going beyond her limit of handling she should have immediately summoned a doctor to attend to the case (Veenema, 2012). The nurse in charge said that as it was a busy shift she could not manage to provide enough attention. Moreover she had to provide a schedule 4 medicine to an emergency patient which could not be avoided at any cost. She also informed that the assigned doctor of the patient had already advised for an antibiotic. The nurse took into consideration that the antibiotic will start working and the patient will recover from the acute pain and diarrhea. However she accepted the facts that she was guilty of unprofessionalism and was ready to accept the penalty that would be imposed on her The Nursing and midwife board of Australia have introduced code of professional conduct that provides a guideline how the professional skills of the nurses should be conducted in order to practice safety and healthcare for the patients. It usually consists of ten main aspects out of which three of the code of conducts was found to have been breached by the respondent under prosecution (Nursingmidwiferyboard.gov.au, 2016). The first code of conduct is the practice of the nurses in a safe and competent manner that is she should possess the responsibility of developing her skills and knowledge with the gradual participation in the developing nursing profession so that her ways of dealing a situation becomes polished and management of her treatment becomes rapid and quick (Griffith Tengnah, 2014). In this case the nurse in spite of having a lot of experiences could not undertake proper management of the situation mainly because she could not develop herself with each of her experiences in the past. The second code of conduct that becomes applicable here is the standard of her practice that should be in accordance with the general standard of nursing in Australia and in respect with a wider health system (Nursingmidwiferyboard.gov.au, 2016). In this case the nurse though being given the respect of nurse in charge could not maintain the standard of the healthcare that a nurse of her stature is expected to. Her unprofessionalism and lack of exhibiting a proper standardized care to the patient breached the code of professional conduct as set up by the NMBA councils. The third code of conduct is the ethical practice performed by the nurse that should have a reflection of the standard that Australian citizens demand from their healthcare professionals. Nurses should provide ethical solutions to the pain and treatment of the patients and contribute to the development of the health of the patient (Masters, 2016). Taking the patients health as the priority of her duty she should have immediately taken a step that would have reduced the chance of the patients deteriorating and lead her to health state. However, none of the codes of conduct was maintained by her that showed that she completely breached the code of professional conduct set up by the NMBA. In the event of the mentioned situation, the first activity of the nurse in change would have been appointing an attendant nurse for the constant monitoring of the deteriorating patient (Bondi et al., 2016). She should have entirely documented the results of the decreasing heart beat and blood pressure and acute abdominal pain. The seriousness of the breathlessness should have been immediately informed to the nurse manager and then to the patients assigned doctor. If this doctor would not have been present at the situation, any doctor on the round should have been immediately summoned and the records should have been seen to him. Once a person is found to behave been in an emergency situation the course of treatment should have been immediately designed and herein lies the main standard of the practice that should have been provided (Smith et al. 2016). Negligence should be strictly avoided and a standardized way of performing nursing attributes should have been displayed. NMBA has set up a number of codes for professional conduct and standards for successful nursing that should be thoroughly studied and understood by the nursing practitioner or a student (Scanlon et al., 2016). In this case I should have attended the regular training session for a successful nursing and thoroughly base my practice areas on the codes and standards set by NMBA. The number of codes such as Standards of Nursing profession of Australia had to be maintained. I should follow the standards as much as possible such as critical thinking and analysis of the practices, perform professionalism in the working floor and establish a comfortable relationship with the patient. I should have the moral an d ethical thinking power as the strength for exhibiting a proper treatment plan and working it out even in emergency and as well as for the patient out of danger zone. When my treatment plan does not seem to be perfectly working with the patient resulting in the deterioration of her hea lth my immediate action would be to inform a well established doctor to take his advice and proceed accordingly. Busy schedules should be managed properly through time management strategy which has to be included so that every of my patients should get equal share of their caring and affection for me. 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