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Length: 2000 words Background Task: Pamela is a recently graduated registered nurse working in a small private hospital. Within her workload is a client receiving Morphine by intravenous infusion post-operatively. The client has been vomiting intermittently during throughout the previous shift and it is now evening. Pamela reports this to the senior nurse (Jane) on duty and requests that the analgesia be reviewed. Jane tells Pamela to cease the Morphine infusion and to give Metoclopramide 10mg slowly intravenously. Pamela ceases the morphine via the patient’s IV line, but states there is no written order for the Metoclopramide and that she is unwilling to administer the anti-emetic without one. Jane then independently administers the Metoclopramide intravenously. The client experiences an allergic reaction which requires urgent medical intervention. Question: Question: Discuss the ethical and clinical practice issues relevant to this scenario. a.)legal aspects such as duty of care and negligence. b.)scope of practice and standards of professional conduct, taking cognizance of guidance (if any) provided for nurses via the ANMAC competencies and/or Codes of Conduct and Ethics c.) the responsibilities of the nurse-client and nurse-nurse relationship An exhaustive list of discussion points for each subtopic is not required, rather, you should talk to a fewer number of points in depth. Your arguments/discussion points should be logical and objective, and address relevant issues. To achieve this, avoid “I feel” or “I believe” statements. This style of writing is different to the journal. Write in the third person using formal academic language. Referencing 1. Use CDU Harvard style as per the referencing guidelines on the CDU Library Website; 2. Your reference list should contain a minimum of 10-12 peer reviewed journal references that are not more than 10 years old; 3. Internet sites should be used sparingly. Websites used should be those of reputable professional organisations such as ANMAC. Do not use lay websites, Wikipedia, or personal blogs for example; 4 Use plain English. It is essential that you demonstrate that you understand the nature of the topic. Writing 1. Write in the third person; avoid personal pronouns such as ‘I’ and ‘you’; 2. Avoid long, confusing sentences and check that your tenses (past, present and future) are consistent within the same sentence; also avoid long, confusing paragraphs with multiple ideas; 3. Avoid posing questions; these detract from the strengths of your discussion; 4. Use plain English. It is essential you demonstrate that you understand the nature of the topic; 5. Do not use headings.
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