• Subject Name : Law

Health Practitioner Regulation National Law

Table of Contents


Case summary.

Incidental professional mistakes.

Proposed changes with respect to the event



Introduction to Recognising and Responding to Acute Deterioration Standard

Nursing is the profession, in which the professionals need to maintain a code of conduct to perform their job roles effectively and in a patient-satisfying manner. Hence, the care giver would like to be confident enough to make decisions sometimes on behalf of their patients. In this discussion, it can be identified that a clinical mistake has been done by one of the medical professionals while leaving from his duty. More ion-depth analysis of the case, it can be identified that the Health Care Compliant Commission cautioned the responsible healthcare professional for the unethical actions within the healthcare unit. The following discussion is concentrating on the decision-making of the appointed regulatory body against the care giver.

Case Summary

After going through the available information sets, it can be identified that a visitor has come to Bungarribee House at about 3 pm on 28th February for seeing her husband, who has been admitted in that care home for mental health disorders. In that time the responsible RN was Prasad Prasad, who had returned from shift handover, has response to the visitor. The case study also helps to identify that the responsible RN could not find the patient after a serious search within the care home. Then the professional was found to be ordered to her co-workers to find the missing patient in the bathroom of that patient’s room. The course of the study then includes that the patient was found collapsed in the floor. The suspense continues, as the attached case study includes that another RN, namely Harivadan Pandya was the earlier RN, responsible in that ward before Sunitra. However, the former professional left the ward almost half an hour before to join another shift. The process had been made without offering prior notice by the professional to the authority of the care home, nor to the next shift holder. Thus, Prasad has respond on the mentioned crisis at about 2: 40 pm, before she had offered any details by the predecessor. After the patient’s death within the care home without timeline treatment and care, the governing committee of Professional Standards Committee has accused both the responsible RNs of that care home for their unprofessional attitudes within the healthcare institutes.

In-depth analysis of the appointed regulatory committee has found that the actions by RN Pandya were much lower in nature with respect to the professional norms of the care givers. Thus, it is rightly found that the committee has rightly reprimanded the aforementioned RN for his unprofessional attitudes while ending one shift. The committee also has been found to restrict the employability of the person as well for his unprofessional attitudes within the workplace. A supervision team has been made by the concerned committee to undertake the further actions of thee accused employee within the workplace and the regulatory body has decided to train RN Pandya further for making him understand about the professional norms of the healthcare professionals.

Besides all these detailed analysis of the incident, the concerned case study also identifies that the appointed regulatory committee has ordered under clause 7 (1) (b) (iv) of schedule 5D of the National Law to not publish any information regarding the patient and the incident or public usage. This decision has been made by the regulatory body at the initiation of hearing for the case and it ordered to be continued till the final decision regarding the case. Both the RNs were accused by the committee and decided to involve in a detailed inquiry under s170 of the Health Practitioner Regulation National Law (NSW).

Incidental Professional Mistakes

In the current case, several professional errors can be identified. One of the major complaints and discrepancy can be identified in case of RN Pandya under the National Law Section 139(1)(a). there are five noticeable breaching of nursing standards have been identified (legislation.nsw.gov.au, 2020). He did not notify or providing early notice about his early departure to the team leader as well as any other staffs. Being a nursing staff in acute care unit, this was an unexpected behaviour which has caused a service time gap between the departure of Pandya and arrival of Prasad. On the other hand, another breaching has been done in terms of employment in Briginshaw by leaving early than his normal duty hours. This has caused lack of surveillance of a critical care patient. Other than that, no handover is an issue as he has left without informing others. Apart from this, any kind of observation has not been conducted by him that led the patient left from the bed. Keeping record was his another duty which has been also breached by Pandya. As per the guidelines of Health Practitioner Regulation National (NSW), inquiry needs to be done on Pandya’s conducts. Along with this, he also be supervised and provided with training under Professional Standards Committee. For conducting these offences and showing reluctance in his duty, responsibility, nursing standards and patient-centred care, NSW health policy has been breached. As per the NSW Health Policy Documentation, the breaching of policy has been conducted by Pandya by ignoring the patient condition and his nursing responsibilities (health.nsw.gov.au, 2020).

On the other hand, in case of RN Prasad also, care breaching can be observed in the same day of 28 February 2014. The main claim was unsatisfactory conduct in nursing duties which has been exercised with the concerned patient. As per the National Law, section 13B(1)(a), standard off reasonability has been imposed on the clinical behaviour of RN Prasad (legislation.nsw.gov.au, 2020). As RN Prasad was working on the same shift off Pandya and she has been provided with the responsibility of 3 patients only, it was expected to look after other patience’s urgent medical need. The most significant issue is inappropriate signing of observation to the clinical ward. Along with this, she has also left the clinic floor inappropriately without informing others instead of knowing about insufficient number of staffs on floor and she has ignorant about patient A’s condition. On the contrary, she did not search in the bathroom and there was an issue in locating patient A. This is due to poor judgement issue. However, she has been considered under the protective order and provided with training and more knowledge due to poor judgement ability (health.nsw.gov.au, 2020).

Proposed Changes with Respect to The Event

After accumulating relevant sets of data regarding the incident from the above section, it can be identified that the accused professional has not follow the professional norms within the mentioned care home, which caused the death of the patient. Hence, it is considered that certain changes are needed to be done in the actions o the healthcare professionals to improve their quality of actions and the improvement reduces the chances of patient’s death without care and treatment. However, in detailed manner, it can be considered that the changes in professional can be made only by the directions of National Safety and Quality Health Service Standards along with NMBA Standards for Practice document.

Based on the former healthcare standard, it can be advised that the communication with the patient, their families, and with the co-workers are needed to be increased by the care givers. By this, the responsible official can share the vital information about the patient’s condition and monitoring the changes in health of the patients as well (safetyandquality.gov.au, 2020). With respect to this, RN Pandya needed to inform the administration of the care home about his early exit and about the health condition of the patients as well. The process can help the next professional to handle the crisis more likely. Besides this, National Safety also guides the administrators of the care home to make good working standards for the professionals (safetyandquality.gov.au, 2020). In this they would perform their duties in a structural manner to avoid incidents like the attached case study. NMBA standards directed that the nurses are needed to think about their profession in a critical note. Based on the case study, RN Prasad needed to gain relevant information from the patients with acute condition before handed over the charge, and the information can be gained from the administrator or the family member of patient as well. This can be effective for the professional to find the patient early and give him required medical supports. The professionals are guided under this norm to engage themselves by professional relationships and therapeutic with the patients for managing their health requirements (nursingmidwiferyboard.gov.au, 2020). As opined by Nagle et al. (2016), the professional would like to maintain their capability for practicing well-skilled professionalism in healthcare. This can be helpful for the accused care givers to manage their professional norms to treat the patient.

Conclusion on Recognising and Responding to Acute Deterioration Standard

In a collective note, the concern discussion is concentrating on the decisions by the Health Care Compliant Commission against the accused healthcare professionals, namely RN Pandya and RN Prasad from Bungarribee House in NSW. The detailed analysis depicts that there was certain breaching in professional norms by the care givers and this caused death of a patient. The current study specifically identifies the professional issues and guides with relevant changes in care giving profession or the betterment of future service. The factors have been proposed with respect to the requirements of the issued case for contextual discussion.

References for Recognising and Responding to Acute Deterioration Standard

Hardman, S. (2018). The identification of the role and competencies of the graduate nurse in recognising and responding to the deteriorating patient in an acute ward environment: A mixed methods study. https://researchonline.nd.edu.au/cgi/viewcontent.cgi?article=1186&context=theses

health.nsw.gov.au (2020) Policy and procedure manuals Retrieved from: https://www.health.nsw.gov.au/policies/manuals/Pages/default.aspx

legislation.nsw.gov.au (2020) Health Practitioner Regulation National Law (NSW) Retrieved from: https://www.legislation.nsw.gov.au/view/html/inforce/current/act-2009-86a

Nagle, C., Heartfield, M., McDonald, S., Morrow, J., Kruger, G., Bryce, J., ... & Stelfox, S. (2016). NMBA Development of Midwife standards for practice: phase one (a) report. Retrieved from: https://researchonline.jcu.edu.au/51085/

nursingmidwiferyboard.gov.au (2020) Professional standards Retrieved from: https://www.nursingmidwiferyboard.gov.au/codes-guidelines-statements/professional-standards.aspx

nursingmidwiferyboard.gov.au (2020) Registered nurses STANDARDS FOR PRACTICE Retrieved from: https://www.nursingmidwiferyboard.gov.au/documents/default.aspx?record=WD16%2F19524&dbid=AP&chksum=R5Pkrn8yVpb9bJvtpTRe8w%3D%3D

safetyandquality.gov.au (2020) Recognising and Responding to Acute Deterioration Standard Retrieved from: https://www.safetyandquality.gov.au/standards/nsqhs-standards/recognising-and-responding-acute-deterioration-standard

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