Scribd
Upload
1K views

Course 5 Clinical Assignment

Sara encounters a scenario where she must prioritize tasks as the on-duty healthcare aide. She finds a client, Mr. Smith, attempting to get out of bed alone, who is at risk for falls. Additionally, Sara needs to administer medications to clients and feed a client who missed their meal. Sara should first ensure Mr. Smith's safety by assisting him, then prioritize medications while asking another aide to feed the client who missed their meal. She must document all interactions and communicate with the appropriate care team members.

Uploaded by

AliSabit
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
1K views

Course 5 Clinical Assignment

Sara encounters a scenario where she must prioritize tasks as the on-duty healthcare aide. She finds a client, Mr. Smith, attempting to get out of bed alone, who is at risk for falls. Additionally, Sara needs to administer medications to clients and feed a client who missed their meal. Sara should first ensure Mr. Smith's safety by assisting him, then prioritize medications while asking another aide to feed the client who missed their meal. She must document all interactions and communicate with the appropriate care team members.

Uploaded by

AliSabit
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 5

HCA Course 5 Clinical Assessment

Course 5 - Clinical Assignment

Applying the Person-Centred Care Approach and


HCA CARE Principles

Alberta Government 2019


HCA Course 5 Clinical Assessment

Clinical Course Topic(s): Prioritization and Collaboration Care


Team
Instructions
This scenario assignment is part of the Course 5 learner evaluation along with
the clinical evaluation and reflection.
 Learners read the scenario below, answer the questions, and apply the
CARE principles to the scenario.
 This written assignment should be no longer than one page.
 This assignment is graded as complete/incomplete.
 The marking rubric is provided.

Scenario
The continuing care centre has four health care aides (HCA) assigned to wing B.
Annalise has been assigned four clients; one is Mr. Smith, who has been reported
to be combative and at risk for falls. Annalise is on break when Sara, a co-
worker, walks past Mr. Smith’s room. Mr. Smith is trying to get out of bed. Sara is
late in assisting with medications, and she also needs to feed Mrs. Kim because
she missed her lunch. In applying the CARE principles answer the following
questions.
 Explain how the four CARE principles apply to this scenario.
 Identify what Sara should do first and then prioritize the remaining
actions Sara should take. (Make a priority list.)
 What safety concerns must Sara monitor and for whom?
 How can Sara display teamwork in this situation?

Alberta Government 2019 2


HCA Course 5 Clinical Assessment

Marking Rubric

In order to get a grade of complete in this assignment, a learner must receive a


complete score in at least five of the categories in this rubric.

Criteria Complete Incomplete


Compassionate Caring Identifies all Does not identify or
through Competence applicable aspects of minimally identifies
 Dignity compassionate caring applicable aspects of
 Independence through competence compassionate caring
 Preferences that are appropriate to through competence
 Privacy scenario that are appropriate to
 Safety scenario
Accurate Observations Identifies all Does not identify or
 Identifies applicable minimally identifies
observations of the observations of body applicable
body systems systems that are observations of body
including cognition appropriate to systems that are
scenario appropriate to
scenario
Respond Identifies all Does not identify or
 Recognizes applicable aspects of minimally identifies
priority of the “respond” as applicable aspects of
situation appropriate to the “respond” as
 Acts by performing scenario appropriate to the
skills required scenario
 Reports to the
appropriate
regulated health-
care team member
 Records in a timely
manner
 Reflects on how to
improve

Alberta Government 2019


HCA Course 5 Clinical Assessment

Criteria Complete Incomplete


Enhance Quality of Life Identifies all Does not identify or
 Promotes client appropriate minimally identifies
independence components related to appropriate
 Ensures client enhancing quality of components related to
comfort life as appropriate to enhancing quality of
 Supports client scenario life as appropriate to
(e.g., scenario
communicating
appropriately,
collaborative care)
 Maintains safety
Prioritization Appropriately Inappropriately
 Prioritizes what prioritizes the actions prioritizes or does not
should be done the HCA should take prioritize actions the
first, second, etc. HCA should take
Safety Highlights key safety Does not highlight or
 Highlights key components minimally highlights
safety components applicable to scenario key safety components
applicable to the applicable to scenario
scenario
Teamwork Highlights key points Does not highlight or
 Highlights how the of teamwork minimally highlights
HCA in scenario applicable to scenario key points of
contributes to teamwork applicable
team work to scenario

Alberta Government 2019 4


HCA Course 5 Clinical Assessment

Answer Key
Compassionate Caring through Competence: Compassion is caring about
another person’s needs. In this scenario, Sara can show concern by ensuring the
clients’ safety. She should go to the client’s bedside, help them meet their needs
(e.g., toileting), and protect them from falling to prevent an injury (e.g., side rails
up, providing pillows for comfort) that may occur such as a head injury, broken
bones, bleeding from a wound caused by the fall, bruising, or skin tears.

Accurate Observations: Sara should respond to the situation as it is happening.


She should use her observation skills (e.g., is he experiencing pain) when
walking past Mr. Smith’s room to further investigate immediately. Sara should
not ignore the client’s needs even though the client was assigned to another
HCA.

Respond: Sara is a member of the collaborative care team, so she knows that
her responsibility is the overall care and safety of all clients on the unit and
ensuring client comfort. Sara should communicate with the assigned HCA,
Annalise, afterwards about what care she provided for Mr. Smith and what
precautions she took to prevent Mr. Smith from injuring himself. Both Sara and
the assigned HCA, Annalise, must document what occurred; Sara should
document the exact events using narrative charting, and Annalise should
document the care she provided afterwards.

Communication also includes communicating to the RN or LPN who is working


with the HCA, to the charge nurse, and to the staff coming on to the next shift.
This incorporates recording and reporting, which allows for continuity of care.

Enhance Quality of Life: By assisting the client, Sara would ensure the client is
feeling supported and that their needs are met. The client may have been trying
to get out of bed for a specific reason and unable to communicate to the staff by
using the call bell. The HCA might assist with toileting or other care needs as
required. This would ensure the client feels content and their needs are met; this
also shows support of members of the care team.

Prioritization List
1. Client who is in immediate danger
2. Medications
3. Feeding a client can be assigned to another co-worker if possible
Alberta Government 2019

You might also like