NETP CASE PRESENTATION What you need to know

NETP INTERNET

http://www.cdhb.govt.nz/Hospitals-Services/Health-Professionals/netp/Pages/default.aspx

PRESENTATION DATES

• Group A 28th October 2014

• Group B 29th October 2014

• 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

• Emailed through prior to presentation date.

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

• 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

• 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

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 factors

• Medications, OTC, remedies

• Past medical and surgical history

• Family history

• Relevant to presenting complaint

• Initial examination findings

PATHOPHYSIOLOGY

• Expected to be evidenced based

supported by literature

• Focus on one component, keep the

window narrow.

• 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

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.

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

• Relates to Maori patients not other

cultures

• Identify if your patient is not Maori

and what you would implement to

meet these principles if they were

• 3P’s

• Include the patient in what you

present

Cultural Safety

• Relates to all other cultures

• Even if your patient may not want

Chaplin service you still need to

discuss other things you would

implement

• Socialisation to the ward, identifying

toilets, call bells, nurse station etc.

• Privacy

• Interpreter

INCLUDE IN YOUR CARE PLAN…

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

IMPACT ON PRACTICE

• You need to discuss the impact on

your practice and development

• What has it meant for you looking

after this patient

• Are there areas you would like to

have done better

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