Assessment $1$: Safeguarding patient care This assignment examines the roles and responsibilities nurses have in making decisions about the practice to keep patients safe in Australian healthcare. As a core skill for nurses, reflection is a conscious effort to think systematically about an activity or incident that allows us to consider the impact on individuals and their professional futures. In preparation for the assessment task View $-$ the script below of the case study review $$ the associated relevant documents below i$.$ Review the NMBA Registered Nurse Standards of Practice https:$//$www$.$nursingmidwiferyboard.gov.au$/$Codes$-$Guidelines$-$Statements$/$Professional$-$standards$/$registered$-$nurse$-$standards$-$for$-$practice.aspx ii$.$ Australian Commission Safety and Quality in Health Care National Safety and Quality Health Service $($NSQHS$)$ Standards: Partnering with consumer standards and following the link Partnering with patients in their own care. iii. Code of conduct; Code of Conduct for Nurses iv$.$ Code of Ethics; Code of Ethics for Nurses from $1$ March $2018,$ the International Council of Nurses Code of Ethics is in effect for all nurses in Australia Part $1$ Written Essay $(1500)30$marks $($to be written in essay format$)$ Registered nurses, enrolled nurses, and midwives are responsible for making professional judgments about when an activity is within their scope of practice and, when it is not, for initiating consultation and collaboration with, or referral to$,$ other healthcare team members. Differentiate and critically discuss the ethical, legal and clinical issues that is associated with the Ms Smithfield? Identify and integrate the relevant Codes and the Australian Registered Nurses$$ Standards of Practice that aims to prevent these events throughout the discussion. $(20$ marks$)$ Determine and discuss how the registered nurses$$ values and attitudes impact their responsibilities in keeping patients safe. $(10$ marks$)*$ You are expected to support this section with quality scholarly journals, books, policies & professional standard references applicable to the Australian context in APA Version $7$ Style in$-$text and end referencing list. Part $2$ Recorded Reflection $(500$ words equiv$)(4-5$ minutes$)10$marks Through an audio recording, reflect on how Ms Smithfields' story impacts you and your values, beliefs and attitudes about your future role as a Registered Nurse and your strategies in safeguarding patient care. Within this, present professional practice challenges that may arise within the nursing practice; What do you believe are the most important ways to demonstrate your integrity as a health professional? And how will you evaluate your professional practice and your professional identity? Referencing the audio recording $-$ Identify the reflection references separately to your written reference list with an additional heading; Reflection references. The Case Study $26$ May $2019,$ Ms Christina Smithfield was given a directive to monitor a patient who had taken a fall in an aged care facility for signs of injury to the brain. Ms Smithfield failed to conduct any neurological observations and recorded in progress notes that the patient had settled throughout the night with no behavioural issue of concern. The patient then deteriorated and spent time in the hospital, only to return to the facility for palliative care. On $5$ June $2019$ the patient died. Out of concern for professional and personal ramifications, Ms Smithfield made amendments to the progress notes and recorded false neurological observations. When questioned, Ms Smithfield denied making any changes, but when confronted with time stamps, alleged that her observations were written on a piece of tissue at the time and she forgot to transfer the details into the progress notes that night. Ms Smithfield$$ employment was terminated on June $2019,$ and a notification was made by the facility to the Australian Health Practitioner Regulation Agency $($AHPRA$),$ and the Nursing and Midwifery Board of Australia $($NMBA$).$ The NMBA initially proposed immediate action in the form of suspension, as at this time Ms Smithfield maintained that she had made the necessary observations. The NMBA imposed conditions on her registration which, among other things, required her to be supervised by another registered nurse when practising. March $2020,$ the NMBA referred Ms Smithfield to the NSW Civil and Administrative Tribunal $($the tribunal$).$ Ms Smithfield formally admitted to falsifying the patient$$s progress notes and that she failed to conduct the necessary observations of the patient. The tribunal found that Ms Smithfield had engaged in professional misconduct and ordered that she: be reprimanded have her registration cancelled, and be disqualified from applying for registration until $1$ May $2023.$ The tribunal agreed with the NMBA that a fundamental assumption made by patients, clients, colleagues, employers and the community in gener