Students will write a short one-page reflection following the LEARN format surrounding something new they learned through the completion of the Registered Nurses’ Association of Ontario. e-Learning modules and how they will apply their new knowledge to clinical practice.

Aboriginal and Torres Strait Islander cultural safety framework provide the principles of cultural safety in Aboriginal and Torres Strait Islander health. Research this framework and explain briefly its guiding principles.

Multi A client who experienced a stroke and is now on a ventilator and receives nutritional supplements by tube feeding three times a day. The nurse checks the client for a residual volume before administering the next feeding.

What rationale supports this nursing intervention? Sele A Mixing fresh formula with older formula in the client’s stomach often causes nausea.

OB Aspiration of residual feeding is the best indicator that the tube is in the stomach. Oc Retention of feeding in the stomach increases the likelihood of regurgitation and aspiration OD The efficiency of gastric digestion should be determined by analyzing the pH of the residual feeding.

Adam was recently promoted to the position of acute care clinical director at Hospital X.  During Quarter three, several patients on multiple patient units under his scope of responsibility have suffered significant injuries from falls that included lacerations, two fractures, and internal bleeding.  Additional complications of these falls have been prolonged lengths of stay and increased cost of care.  Clearly, Adam must take immediate action(s) to prevent falls in the three patient care units where these injuries have occurred.

Should Adam decide what needs to be done quickly to address this situation; or, does this situation require a problem-solving approach?  Defend your answer.

Adam identifies two tactics he believes must be implemented immediately:

• Hourly/Purposeful Rounding
• Bedside Shift Report

While evidence-based practice should be the standard of professional nursing practice; Adam’s initial actions reflect his inexperience in making high stakes decisions and leading large-scale change.

• Identify two examples of gaps in Adam’s understanding of decision making/problem solving?
• Is Adam using the Economic Man or Administrative decision-making approach?  Explain.
• Identify two examples of gaps in Adam’s understanding of how to implement a successful change
• Does Adam’s behavior reflect elements of confirmation bias?  Explain.