[ANSWER]NUR3201 Assessment 1: Early Detection and Communication of Clinical Deterioration: The Registered Nurse’s Accountability – Troy Almond’s Case Study

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Communication Clinical Deterioration: The manner in which RN Avis handled Troy points to deficiencies in his knowledge of paediatric care and recognition and communication of patient deterioration. The Recognising and Responding to Acute Deterioration Standard stipulates that clinicians should document and monitor changes in observations to help in the detection of patient deterioration, evaluate probable causes of patient deterioration, and, most importantly, communicate concerns to the relevant staff so that action can be initiated immediately to prevent fatal outcomes (ACSQHC, 2018). This standard was not fully adhered to in the case of Troy. Whereas Troy’s vital signs showed improvement after medication administration, they were not checked prior to discharge (O’Sullivan, 2018).

Additionally, though the boy’s heart rate had reduced to 158bpm at the time of discharge, it was still in the yellow zone, hinting at further clinical investigations. What is more, RN Avis keyed in Troy’s vital signs in iView, a system that does not provide colour-coded notifications of patient deterioration. While Dr. Tajvidi was partly to blame, Avis’s actions demonstrate clinical competence deficiencies in paediatric care as well as detecting and communicating patient deterioration.

As the nurse in charge of Troy’s care, Avis ought to have insisted on blood testing to ensure a proper diagnosis of the boy’s condition. RN Avis could have responded to Troy’s deterioration more appropriately had he made use of Early Warning Tools (EWTs)…: [Buy Full Answer for Just USD 9: 2286 WORDS](Communication Clinical Deterioration)

[Communication Clinical Deterioration: SOLUTION DESCRIPTION]

Type: Essay

Word Count: 2286

Grade/Mark: 96 (Distinction)

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