netp case presentation - christchurch hospital · •10 minutes presentation and 5 minutes question...
TRANSCRIPT
NETP CASE PRESENTATIONWhat you need to know
NETP INTERNET
http://www.cdhb.govt.nz/Hospitals-Services/Health-Professionals/netp/Pages/default.aspx
PRESENTATION DATES
• Group A 26th May 2015
• Group B 27th May 2015
• For those doing the Child Health Paper
‘The Acutely Unwell Child’, you do not have
to do this presentation.
REQUIREMENT
• Research and present and Case Study
• Demonstrating a nursing focus the incorporates holistic assessment skills, clinical reasoning, evidenced based research and reflection on practice
• Presented to your peers and to Nurse Educators
• Use of medical terminology,
• Do not use slang
• Do not be disrespectful or flippant
• Assessed by two Nurse Educators who have completed assessor training or equivalent.
• Two assessors are used to ensure a fair process, and provides moderation.
• A minimum of 60% must be achieved
• 10 minutes presentation and 5 minutes question time (15 minutes total)
you will be asked to stop
PRESENTATION FORMAT
• Power point
• Prezi
• Posters
• Pamphlets
• Hand-outs
• Directly speaking
• Skit
• If you are using
• You tube
• DVD
• Sound
• White board
• You need to let us know prior to presentation or this may not be available, don’t assume it will be readily available
• You may want to use props or provide hand outs
CONSENT
• Before gathering any information
• Gain consent from you intended patient, fully informing them of your intention
• Offer them an ‘opt out’ option
• Highlight that you will be accessing their notes, blood results etc.
• Use ‘permission for use of patient information form’
• Original is sent to Yvonne Thorpe, NetP Office, 5th Floor, TPMH• Kept on file for 18months
• To copy or not to copy
CRITERIA
WHERE TO START
• Decide on your patient
• Consent
• Gather patient information
• HSCV
• HCS
• Clinical Notes
• Patient interview
• Maintaining privacy
• What if you need further information and the clinical notes are in Medical Records?
• Decide on your topic for pathophysiology
• Perform literature search
• Evidence of well balanced reading
• How many articles?
• Formulate your presentation
IN THE BEGINNING
• Orientate your audience to what
will be presented
• Include
• Your name
• Topic
• Aims/objectives
• Confirmation of consent
1.0 HOLISTIC NURSING ASSESSMENT
• Use a chronological approach
• Presenting complaint/contributing
factors is always a good place to
start
• Use an appropriate assessment tool
• Review of systems appropriate to
complaint.
• Lifestyle factors appropriate to
illness identified
• Don’t forget social, psychological, physical, spiritual, cultural and
developmental (Erickson) factors
• Medications, OTC, remedies
• Past medical and surgical history
• Family history
• Relevant to presenting complaint
• Initial examination findings
2.0 PATHOPHYSIOLOGY• Expected to be evidenced based
supported by literature
• Focus on one component, keep the window narrow.
• E.g.: surgical procedure only not the condition or the condition and not the surgical procedure.
• Patient focused
• Use relevant literature
• Utilise librarians
• Utilise library resource on intranet
• Use Google scholar if using Google and recognised nursing/medical sources e.g. BMJ
• Don’t use Wiki etc
CDHB Library Link
http://cdhbintranet/corporate/canterburymedicallibrary/SitePages/Home.aspx
3.0 DIAGNOSTICS, TREATMENTS & INTERVENTIONS
• Nursing focus
• All relevant significant findings
• Abnormal and normal
• Identifying variants
• What was done to confirm diagnosis
• Tests performed and why
• What interventions were carried out
• Surgery, IVAB’s, Debriding of wound
etc.
• Remember your audience may
have no idea of your speciality
area.
4.0 NURSING CARE
• Care Plan inclusive of patient and
whanau
• Has nursing focus
• What have you done for this person
while they are in your care
• Be careful using unit care plans as
they can be cumbersome and you
may not be able to get through it
all.
• Speak to your plan
• Inclusive evaluation of contributing
factors
• Education
• Referrals
• Medications
Treaty of Waitangi
• Read the related guidelines on the NCNZ website
• This section relates to Maori patients and their whānau
• Briefly discuss how you would implement partnership, protection, participation
• If your client does not identify as Maori, briefly explain the principles of the Treaty of Waitangi, and how these could be implemented
• Person centred
Cultural Safety
• Read the related guidelines on the NCNZ website
• Briefly discuss the key principles of cultural safety with regards to this case presentation: some examples are:
• Reflecting upon your own culture and how this may differ, impact, or enable your client to feel safe
• How you enabled your client to feel safe and how/what you implemented to support this, in your care planning
• Person centred
4.0 YOUR CARE PLANNING INCLUDES:
5.0 EVALUATION/OUTCOME
• Evaluate the care plan – did they
progress as expected
• Do they have continual deficit and
require ongoing care
• Do they have an understanding of
event/illness
• Do they understand discharge advice
and ongoing therapies
• Do they know what to do once home
• Do they have follow up appointments
6.0 IMPACT ON PRACTICE• You need to discuss the impact on
your practice and development
• Are there areas you would like to have done better
• Outline positive aspects and challenges of the care process
• Demonstrate an understanding of your impact on the patient journey
• Highlight reflection on practice
• Discuss opportunities for further development and consolidation of practice
7.0 BEST PRACTICE & QUESTION TIME
• Best Practice
• Case study needs to be supported by best practice
• Literature
• Policies
• Guidelines
• Articles need to support rationale
for care
• Reference list APA 6th edition
• Question Time
• Provide question time
• We encourage your fellow
presenters to ask questions, if they
don't the assessors will
• Questions asked by peers can
impact on your final mark in a
positive way
• Questions asked by assessors will not
impact on final mark