academic essay

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Project Description

Length: 2000 words


Task: Pamela is a recently graduated registered nurse working in a small

private hospital. Within her workload is a client receiving Morphine by

intravenous infusion post-operatively. The client has been vomiting

intermittently during throughout the previous shift and it is now evening.

Pamela reports this to the senior nurse (Jane) on duty and requests that

the analgesia be reviewed. Jane tells Pamela to cease the Morphine

infusion and to give Metoclopramide 10mg slowly intravenously.

Pamela ceases the morphine via the patient’s IV line, but states there is

no written order for the Metoclopramide and that she is unwilling to

administer the anti-emetic without one. Jane then independently

administers the Metoclopramide intravenously. The client experiences

an allergic reaction which requires urgent medical intervention.



Discuss the ethical and clinical practice issues relevant to this scenario.

a.)legal aspects such as duty of care and negligence.

b.)scope of practice and standards of professional conduct, taking

cognizance of guidance (if any) provided for nurses via the

ANMAC competencies and/or Codes of Conduct and Ethics

c.) the responsibilities of the nurse-client and nurse-nurse


An exhaustive list of discussion points for each subtopic is not required,

rather, you should talk to a fewer number of points in depth.

Your arguments/discussion points should be logical and objective, and

address relevant issues. To achieve this, avoid “I feel” or “I believe”

statements. This style of writing is different to the journal. Write in the

third person using formal academic language.


1. Use CDU Harvard style as per the referencing guidelines on the

CDU Library Website;

2. Your reference list should contain a minimum of 10-12 peer

reviewed journal references that are not more than 10 years old;

3. Internet sites should be used sparingly. Websites used should be

those of reputable professional organisations such as ANMAC.

Do not use lay websites, Wikipedia, or personal blogs for


4 Use plain English. It is essential that you demonstrate that you

understand the nature of the topic.


1. Write in the third person; avoid personal pronouns such as ‘I’ and


2. Avoid long, confusing sentences and check that your tenses

(past, present and future) are consistent within the same

sentence; also avoid long, confusing paragraphs with multiple


3. Avoid posing questions; these detract from the strengths of your


4. Use plain English. It is essential you demonstrate that you

understand the nature of the topic;

5. Do not use headings.

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