c.

Written Asignment ( 30% )

i) Negligence is the “failure of individual not to perform an act ( omission ) or

to perform an act ( commission ) that a reasonable, prudent person would or
would not perform in similar set of circumstances” ( Sullivan & Decker - 2001 )

Discuss ONE case of negligence in your clinical practice. Why do you say it is
negligence?.

ii) Outline of the Assignment:

 Introduction – Definition and brief account on Negligence

Nursing malpractice can be defined as negligence on the part of nurses which brings
physical or emotional damage to the patient under their care. This includes mistakes
while assisting in the delivery of a child, failures with medications, or causing any loss
and/or injury by not working well.
  Description – the scenario of the Negligence ( what , why and how it
happened)

The scenario of the Negligence happen in labour room when the midwife did not follow
standard of procedure while doing stitches to episiotomy wound. There two staff mid
wife senior and junior on shift duty that day.

Staff midwife( senior ) using gauze to dap wound in the vagina while looking for the ‘
apec’ . the wound oozing so the midwife kept the gauze to apply as pressure to the
wound and stop bleeding temporary .This will help the midwife stitch easily without
messy from the oozing wound. The mid wife continue doing the stitches’ , it is about
75% of finishing stitching the episiotomy wound, the other pregnant women in active
labour and need to delivered her baby by assisted vaccum as instruct by specialist
oncall. The specialist want senior midwife to assist her while doing the procedure. So
the senior midwife left the procedure stitching the episiotomy wound to the junior staff
midwife to continue without informing the junior regarding the gauze inside the vagina.

The patient was sent to ward after the vital sign post delivery taken. Anyway the junior
staff midwife did expel the blood from vaginal and post vagina examination done after
the episiotomy stitches completed.

May be in lacking of experience she did feel the gauze in posterior fornix. The patient
was sent home the next day.

During day six of postnatal period the patient had high temperature due to infected
foreign body ( gauze). She also had severe lowered abdominal pain and can afford to
hold the baby to breast fed.

Patient husband took his wife for further investigation and treatment to our clinic O&G.
The couple was informed there is foreign body( gauze ) in the vagina, The head of
department was informed regarding the scenario and and emergency conference done .

With a sincerely apology by the head of department the couple excepted.

Discussion – your view from legal and/ or ethical perspective .

( Address the principle / code of Ethics – Malaysian perspective )

Recommendation

Conclusion

References – APA style

Huraian - senario Negligence ( apa, mengapa dan bagaimana ia berlaku)

Perbincangan - bicara tuan daripada sah and/ atau perspektif beretika .

( Mengalamatkan prinsip / kod Ethics - Perspektif Malaysia )

Syor

Kesimpulan

Sebutan-sebutan - Gaya APA

111111111111111111111111

According to standard of procedure when doing the stitches to episiotomy the staff
midwife should not used any gauze to dap or inserted to the vargina

The staff midwife must used tampon while doing the stitches to dap or to apply pressure
to any cut to varginal wall .

Membincangkan kes ONE kecuaian dalam amalan klinikal anda. Mengapa anda
berkata ia adalah kecuaian?.
ii) Garis Kasar Tugasan:

• Pengenalan - Takrif dan keterangan ringkas pada Negligence

Description – the scenario of the Negligence ( what , why and how it happened)

Discussion – your view from legal and/ or ethical perspective .

( Address the principle / code of Ethics – Malaysian perspective )

Recommendation

Conclusion

References – APA style

Huraian - senario Negligence ( apa, mengapa dan bagaimana ia berlaku)

Perbincangan - bicara tuan daripada sah and/ atau perspektif beretika .

( Mengalamatkan prinsip / kod Ethics - Perspektif Malaysia )

Syor

Kesimpulan

Sebutan-sebutan - Gaya APA

c. Asignment Bertulis ( 30% )

I) Kecuaian adalah “kegagalan individu supaya tidak menjalankan satu tindakan

( peninggalan ) atau membuat persembahan satu tindakan ( suruhanjaya ) itu satu
orang yang munasabah, cermat akan atau tidak akan menjalankan dalam set serupa
keadaan-keadaan” ( Sullivan

Discuss ONE case of negligence in your clinical practice. Why do you say it is
negligence?.

Membincangkan kes ONE kecuaian dalam amalan klinikal anda. Mengapa anda
berkata ia adalah kecuaian?.
ii) Garis Kasar Tugasan:

• Pengenalan - Takrif dan keterangan ringkas pada Negligence