BSBMED301_AE_CS

Assessment event 2 of 2: Case study Criteria Unit code and name BSBMED301 | Interpret and apply medical terminology appropriately Qualification/Course code and name Select your Qualification/Course code and name from the dropdown . Student details Student name Student number Document title: BSBMED301_AE_CS2of2 Page 1 of 23 Resource ID: POP_23_001_BSBMED301_AE_CS2of2

Version: 20230622 Date created: 29 April 2022 © TAFE NSW 2023 RTO Provider Number 90003 | CRICOS Provider Code: 00591E This assessment can be found in the TAFE NSW Learning Bank . The content in this document is copyright © TAFE NSW 2023 and should not be reproduced without the permission of TAFE NSW. Information contained in this document is correct at time of printing: 11 February 2024. For current information please refer to our website or your teacher or assessor as appropriate. Document title: BSBMED301_AE_CS Page 2 of 23 Resource ID: POP_23_001_BSBMED301_AE_CS

Assessment details Instructions  A submission checklist  Assessment feedback (not included here) Note : This assessment may contain links to external resources. Access to the long URL is provided via the External resources – Links and URLs section located at the end of this document. Unit assessment guide Refer to the unit assessment guide (UAG) for more details. Special assessment conditions This assessment will be conducted under the following special conditions:  Role play with the assessor, another student or video evidence required. Submission instructions When you complete this assessment, submit it for marking:  keep a copy of all the electronic and hardcopy assessments you submit to TAFE NSW  make sure you have completed the assessment declaration before you submit. Document title: BSBMED301_AE_CS Page 4 of 23 Resource ID: POP_23_001_BSBMED301_AE_CS

Task instructions The assessor will use the criteria outlined in the following tasks to determine if you have satisfactorily completed this assessment event. Follow these instructions to ensure you demonstrate the required knowledge and skills. Read all instructions carefully and complete all requirements of the assessment. This case study is based on the simulated organisation Indigo Community Services and Health Hub . For each of the 2 case studies, you are working at Indigo Community Services and Health Hub. Your role requires you to assist with various tasks for multiple patients. To complete this part of the assessment, read the scenarios and complete the following parts. Part 1: Case study 1 Scenario Patient: Jasmine Balik Date of birth: April 4 1988 Jasmine Balik has recently consulted with her gynaecologist for a routine check-up and Pap smear. Jasmine is generally a healthy, active woman with no previous history of abnormal readings on her smears. Please review the report below and then answer the following questions. Patient report Table 2 Patient report Patient BALIK, Jasmine Date to be admitted May 9, 20XX Chief diagnosis Right ovarian cyst History of present illness Jasmine is a 34-year-old Caucasian female who had a routine examination on April 21, 20XX, at which time the examination revealed the right ovary to be enlarged approximately two to three times the normal size. Otherwise, examination was normal. The Cervical Screen test (CST) performed at the time revealed atypical cells of undetermined significance. The patient returned for a colposcopy, which showed squamous epithelial-like lesions CIN I-II. Biopsy returned with a diagnosis Document title: BSBMED301_AE_CS Page 5 of 23 Resource ID: POP_23_001_BSBMED301_AE_CS

Task 1: Short answer questions – Patient report Read each question and answer in the spaces provided. Your answer should meet the word count, where indicated. Ensure all medical terminology used is spelt correctly. 1. List and explain the surgery performed on Jasmine Balik in 2020. Write the surgery name in full. (Between 10 – 30 words per surgery) 2. Jasmine Balik is due to be admitted to hospital. List and explain the surgeries that have been planned for this admission. (Between 8 – 30 words) Document title: BSBMED301_AE_CS Page 7 of 23 Resource ID: POP_23_001_BSBMED301_AE_CS

Task 2: Short answer questions – Written and oral handover from theatre Note: You will complete this part of the assessment in class as a group, either face-to-face in the classroom, or remotely using Microsoft Teams. Jasmine Balik has returned to your ward from theatre. You are responsible for receiving the handover from the recovery nurse. Complete the following:  Read the extract of the doctor's theatre notes for Jasmine Balik provided below.  Listen to the oral handover provided by your teacher, who will perform the role of the recovery nurse.  Answer the short answer questions in the spaces provided. Ensure all medical terminology is spelt correctly. Theatre notes extract Table 3 Theatre notes Theatre notes for Jasmine Balik Date 10 May 20XX Time 1355 Surgery Planned exploratory laparotomy and R Ovarian cystectomy. Cyst successfully removed -to pathology. Ovary preserved. Abdominal incision sutured. Blood loss is minimal. Post-op Ambulate as able with assistance Diet as tolerated Analgesia as required for pain Document title: BSBMED301_AE_CS Page 8 of 23 Resource ID: POP_23_001_BSBMED301_AE_CS

Task 3: Written progress notes Jasmine Balik has returned to the ward from theatre. You assess Jasmine's condition. She is alert and answers questions appropriately. She states she currently has minimal discomfort. You complete observations – blood pressure 120/75, pulse 86, respirations 10, temperature 36°, and oxygen saturation 98% on room air. Dressing checked on the abdomen, intact with minimal old blood ooze. Fluid and buzzer placed in reach of the patient. As per organisational requirements, make an entry in the progress notes referring to the patient's return from the theatre, and submit this to your Teacher/Assessor for verification. Use the template below and ensure that you:  note the observations you have made  use correct medical terminology, spelling and abbreviations  use a minimum of 5 abbreviations for medication terms and associated processes. Progress Notes Table 4 Progress notes Progress notes Patient name Patient MRN Date of birth Date and time Entry Signature Document title: BSBMED301_AE_CS Page 10 of 23 Resource ID: POP_23_001_BSBMED301_AE_CS

Task 4: Verbal shift handover Your shift is about to end, and you are handing over to the nurse on the incoming shift. Complete a verbal handover for Jasmine Balik using the correct medical terminology and pronunciation. A checklist for this task is provided on the following page. Performance Discuss this activity with your Teacher/Assessor and agree on one of the following options to complete this task: a) Arrange a convenient time to complete the handover face-to-face with one of your teachers. or b) Record your handover as a video and upload it to the online learning platform for marking. If you are submitting video evidence, you must:  Provide a video clearly meeting all requirements.  Follow the Video recording instruction (pdf). This one-pager includes useful tips, links to resources, and a demonstration video. URL: https://share.tafensw.edu.au/share/items/744af7d4-a241-45e2-adb0- 0e13f2fe4950/0/?attachment.uuid=01c3c87a-4599-48c2-91f0-68a00b5bbb4c Document title: BSBMED301_AE_CS Page 11 of 23 Resource ID: POP_23_001_BSBMED301_AE_CS

Part 2: Case study 2 Scenario Harry Singh has had a history of feeling unwell, loss of appetite, and losing weight. After consultation with his family doctor, Dr Stevens, Harry was admitted to the hospital for additional testing. He has now come under the care of Dr Ellis (Oncologist). He is to remain nil by mouth until testing is complete. Please review the reports below, then answer the following questions. Patient report Table 5 Patient report 2 Department of Oncology/Haematology Patient Report Patient SINGH, Harry Date to be admitted March 25, 20XX Mr Singh is a 58-year-old man seen for myelodysplasia while hospitalised on March 17, 20XX. He was transfused with 4.0 U of packed cells during that hospitalisation. A bone marrow biopsy revealed histology consistent with chronic myelomonocytic leukaemia (myelodysplasia). A follow-up blood count was obtained through Dr Stevens' office on March 20, 20XX, and revealed a haemoglobin of 11.0 G/DL and a haematocrit of 31.0%. There have been no fevers, sweats or anorexia, but he has noted some weight loss. There has been no bleeding. There has been no nausea, vomiting or dark and bloody stools. On examination Weight: 78 kg. Blood Pressure: 120/50. Temperature: 37°C. Pulse: 88. Respirations: 18. Mild gum atrophy and inflammation. Neck: Supple. Lymph nodes: There is no adenopathy. Lungs: Clear. Cardiovascular: Normal. Abdomen: Soft and non-tender. The spleen is enlarged. Extremities: No oedema Current laboratory results CBC reveals a total leukocyte count of 6600/cu mm, a haemoglobin of 8.0 G/DL, a haematocrit of 23.0%, and a platelet count of 149,000/cu mm. Clinical diagnosis Chronic myelomonocytic leukaemia (myelodysplastic syndrome). The patient is transfusion dependent. The patient will be typed and cross-matched today and will be transfused with 2.0 U of packed red blood cells through the Oncology Day Facility tomorrow at 1100. I have asked the patient to make appointments and follow up with Dr Stevens on April 1 20XX, at 1000 and with me on April 8 20XX, at 1200. Anna Ellis MD A ELLIS, MD Document title: BSBMED301_AE_CS Page 13 of 23 Resource ID: POP_23_001_BSBMED301_AE_CS

Indigo Medical Centre Department of Oncology/Haematology Laboratory report- Blood results PATIENT: SINGH, Harry LOC: Test DATE: March 20, 20XX DOB: 2/2/1951 MR# Test—226 AGE: 58 Years ACCT# 168946701 SEX: Male M63558 COLL :20/03/20XX REC: 20/03/20XX CBC WBC 4.1 (4.5—10.5) K/UL RBC 2.93 (4.6—6.2) M/UL HGB 9.1 (14.0—18.0) G/DL HCT 25.3 (42.0—52.0) % MCV 86.2 (82—92) FL MCH 31.1 (27—31) PG MCHC 37.0 (32—36) G/DL PLT 90 (150—450) K/UL Auto Lymph% 8.3 (20—40) % Auto Mono% 32.6 (1—11) % Auto Neutro% 57.8 (50—75) % Auto Eos% 1.0 (0—6) % Auto Baso% 0.3 (0—2) % Auto Lymph# 0.3 (1.5—4.0) K/UL Auto Mono# 1.3 (0.2—0.9) K/UL Auto Neutro# 2.4 (1.0—7.0) K/UL Auto Eos# 0.0 (0—0.7) K/UL Auto Baso# 0.0 (0—0.2) K/UL Document title: BSBMED301_AE_CS Page 14 of 23 Resource ID: POP_23_001_BSBMED301_AE_CS

2. Review Harry Singh's laboratory report from March 20 20XX and expand each of the abbreviations related to the blood results. Table 7 Short answer question Abbreviation Expansion of Abbreviation CBC WBC RBC HGB HCT MCV MCH MCHC PLT Lymph Mono Neutro Eos Baso 3. Mr Singh has asked when he will be able to have something to eat and drink. This has not been noted in his progress notes, and the doctor is currently unavailable. Who could you ask within your ward to gain this information for Mr Singh? Document title: BSBMED301_AE_CS Page 16 of 23 Resource ID: POP_23_001_BSBMED301_AE_CS

4. You have called Harry Singh's wife to advise that he is ready to be collected. Mrs Singh would like an update on the plans for Harry. Refer to the Indigo Community Services and Health Hub Privacy and Confidentiality Policy . Can you give Mrs Singh details relating to her husband when she requests it? Explain the reasons for your response and what action would you then take. Task 2: Verbal conversation with patient Mr Singh asks you what the plan is from here. Verbally respond to Mr Singh's question, including the future treatment and appointments. Ensure you use terminology that Mr Singh can understand. A checklist for this task is provided on the following page. Performance Discuss this activity with your teacher/assessor and agree on one of the following options to complete this task: a) Arrange a convenient time to complete the verbal response face-to-face with one of your teachers. or b) Record your verbal response as a video and upload it to the online learning platform for marking. If you are submitting video evidence, you must:  Provide a video clearly meeting all requirements.  Follow the Video recording instruction (pdf). This one-pager includes useful tips, links to resources, and a demonstration video. URL: https://share.tafensw.edu.au/share/items/744af7d4-a241-45e2-adb0- 0e13f2fe4950/0/?attachment.uuid=01c3c87a-4599-48c2-91f0-68a00b5bbb4c Document title: BSBMED301_AE_CS Page 17 of 23 Resource ID: POP_23_001_BSBMED301_AE_CS

Task 3: Written communication for patient Using the following template, provide a written summary of the future plans for Mr Singh's care. Include future treatment and appointments. Table 8 Template Name Appointment/ Treatment Person/ type Date and time Document title: BSBMED301_AE_CS Page 19 of 23 Resource ID: POP_23_001_BSBMED301_AE_CS

Part 3: Trolley Checklist Task 1: Resuscitation trolley checklist You have been asked to complete the daily check of the resuscitation trolley. A picture of one drawer has been provided for this task. Refer to the provided photo and complete the checklist on the following page to indicate if all items required are present. If the item is present, enter Y (yes) or if the item is missing, enter N (no). Figure 1 Resuscitation Airway Drawer Document title: BSBMED301_AE_CS Page 20 of 23 Resource ID: POP_23_001_BSBMED301_AE_CS