Portfolio PLP3
Name: xxx
Student number: xxx
Name supervisor: xxx
Name mentor: xxx
Course code: xxx
Name department: Emergency Medicine Department (EMD)
Date: 13/01/2025
,Table of contents
Ch. 1: Introduction 2
Ch. 2: Care management 3
Ch. 3: Quality and safety assurance 18
Ch. 4: Anti plagiarism statement 45
Bibliography 46
Appendices 52
Appendix 1: Survey on ampoule use 52
Appendix 2: Evaluation forms 56
Appendix 3: Methodological reflections 64
Appendix 4: Competence scan 74
1
,Ch. 1: Introduction
This portfolio shows the modules ‘care management’ and ‘quality and safety assurance’,
which are about care coordination and ensuring quality and safety within clinical settings.
Both modules helped to develop the right set of skills to handle complex care situations while
fostering professional growth and leadership in nursing practice.
In ‘care management’, the focus was on coordinating care in a high-complexity situation. For
this module, a critical care scenario was identified where multidisciplinary collaboration was
vital to ensure continuity and quality of care. The process included analyzing the situation,
planning and executing coordination tasks, and reflecting on actions taken. This experience
demonstrated the importance of structured decision-making and effective communication in
managing complex patient cases.
‘Quality and safety assurance’ revolved around improving patient and staff safety and care
quality by addressing specific departmental challenges. For this module, a targeted
improvement proposal was developed, implemented, and evaluated to ensure alignment
with safe practices. The module integrated theoretical models and practical strategies
demonstrating the ability to critically assess and enhance care processes. This module
highlighted the importance of proactive measures and collaborative efforts in sustaining high
standards of care.
Throughout these modules, nursing leadership played a central role. Whether coordinating
care or implementing quality improvements, the focus remained on driving change through
evidence-based strategies and teamwork. The CanMEDs roles, such as collaborator,
communicator, and scholar, guided the actions, ensuring a comprehensive and balanced
approach to professional practice. By applying these roles, care outcomes were improved,
and safety principles were embedded into daily workflows.
This portfolio showcases the application of theoretical knowledge in practice, highlighting the
ability to coordinate care, address safety challenges, and lead improvements in a
multidisciplinary context.
2
, Ch. 2: Care management
Ch. 2.1: Case study
Sex: female
Age: 26 years old
Children: 2
Insurance: no
The patient came into the emergency department on 11 November with overall body edema
and difficulty in breathing. She got diagnosed with hypertension two weeks prior, and uses 5
mg of amlodipine daily. Her vitals upon arrival were the following: BP 160/109, HR 132, RR
21, sat 99%, RBG 5.3, and temperature 36.2. A KUB ultrasound, ECG, and chest X-ray were
ordered, and 100 mg of IV furosemide was administered. A catheter was placed to monitor
urine output, and blood was drawn to check for crossmatching, full blood count, electrolytes,
albumin, urea and creatinine. There was a suspicion of chronic kidney failure, which is yet to
be determined.
Ch. 2.2: Interdisciplinary care process
This chapter highlights the roles of the various disciplines within the EMD (Table 1), and
analyzes the differences between the nursing care process and the medical treatment
process.
Table 1: Disciplines in the EMD
Discipline Responsibilities
Nurse There are three types of nurses in the EMD at KCMC: enrolled
nurses (EN), assisting nursing officers (ANO), and nursing officers
(NO). They work in all the different sections of the EMD; triage,
adult, pediatrics, and trauma. Enrolled nurses have an entry-level
nursing role, based on a certificate that takes two years to obtain.
They perform basic assessments and bedside care (e.g. basic
medication administration, personal care), under supervision of
higher-level nurses or physicians. They assist higher-level medical
staff, and have fewer responsibilities regarding clinical
decision-making. Assisting nursing officers have a diploma that
takes three years to obtain, and are trained to handle more complex
cases and perform more advanced clinical tasks (e.g. advanced
wound care, complex IV therapy). Their responsibilities include
3
Name: xxx
Student number: xxx
Name supervisor: xxx
Name mentor: xxx
Course code: xxx
Name department: Emergency Medicine Department (EMD)
Date: 13/01/2025
,Table of contents
Ch. 1: Introduction 2
Ch. 2: Care management 3
Ch. 3: Quality and safety assurance 18
Ch. 4: Anti plagiarism statement 45
Bibliography 46
Appendices 52
Appendix 1: Survey on ampoule use 52
Appendix 2: Evaluation forms 56
Appendix 3: Methodological reflections 64
Appendix 4: Competence scan 74
1
,Ch. 1: Introduction
This portfolio shows the modules ‘care management’ and ‘quality and safety assurance’,
which are about care coordination and ensuring quality and safety within clinical settings.
Both modules helped to develop the right set of skills to handle complex care situations while
fostering professional growth and leadership in nursing practice.
In ‘care management’, the focus was on coordinating care in a high-complexity situation. For
this module, a critical care scenario was identified where multidisciplinary collaboration was
vital to ensure continuity and quality of care. The process included analyzing the situation,
planning and executing coordination tasks, and reflecting on actions taken. This experience
demonstrated the importance of structured decision-making and effective communication in
managing complex patient cases.
‘Quality and safety assurance’ revolved around improving patient and staff safety and care
quality by addressing specific departmental challenges. For this module, a targeted
improvement proposal was developed, implemented, and evaluated to ensure alignment
with safe practices. The module integrated theoretical models and practical strategies
demonstrating the ability to critically assess and enhance care processes. This module
highlighted the importance of proactive measures and collaborative efforts in sustaining high
standards of care.
Throughout these modules, nursing leadership played a central role. Whether coordinating
care or implementing quality improvements, the focus remained on driving change through
evidence-based strategies and teamwork. The CanMEDs roles, such as collaborator,
communicator, and scholar, guided the actions, ensuring a comprehensive and balanced
approach to professional practice. By applying these roles, care outcomes were improved,
and safety principles were embedded into daily workflows.
This portfolio showcases the application of theoretical knowledge in practice, highlighting the
ability to coordinate care, address safety challenges, and lead improvements in a
multidisciplinary context.
2
, Ch. 2: Care management
Ch. 2.1: Case study
Sex: female
Age: 26 years old
Children: 2
Insurance: no
The patient came into the emergency department on 11 November with overall body edema
and difficulty in breathing. She got diagnosed with hypertension two weeks prior, and uses 5
mg of amlodipine daily. Her vitals upon arrival were the following: BP 160/109, HR 132, RR
21, sat 99%, RBG 5.3, and temperature 36.2. A KUB ultrasound, ECG, and chest X-ray were
ordered, and 100 mg of IV furosemide was administered. A catheter was placed to monitor
urine output, and blood was drawn to check for crossmatching, full blood count, electrolytes,
albumin, urea and creatinine. There was a suspicion of chronic kidney failure, which is yet to
be determined.
Ch. 2.2: Interdisciplinary care process
This chapter highlights the roles of the various disciplines within the EMD (Table 1), and
analyzes the differences between the nursing care process and the medical treatment
process.
Table 1: Disciplines in the EMD
Discipline Responsibilities
Nurse There are three types of nurses in the EMD at KCMC: enrolled
nurses (EN), assisting nursing officers (ANO), and nursing officers
(NO). They work in all the different sections of the EMD; triage,
adult, pediatrics, and trauma. Enrolled nurses have an entry-level
nursing role, based on a certificate that takes two years to obtain.
They perform basic assessments and bedside care (e.g. basic
medication administration, personal care), under supervision of
higher-level nurses or physicians. They assist higher-level medical
staff, and have fewer responsibilities regarding clinical
decision-making. Assisting nursing officers have a diploma that
takes three years to obtain, and are trained to handle more complex
cases and perform more advanced clinical tasks (e.g. advanced
wound care, complex IV therapy). Their responsibilities include
3
