Date of Learning: 25/09/2024

Learning activity

Tripartite Meeting Arrangement,

Respiratory System

Introduction of academic writing

we discussed the importance of the tripartite meeting and how to fill the form as well as setting up the date for upcoming meeting. This meeting will give me the opportunity to identify if there is any area of leaning require for improvement and recognise achievement. Also to identify any issues or concerns that may impact on my success on this course.

We also looked the stages of academic writing and the importance of referencing it and what I learnt today will assist me while writing my assignments.

Respiratory system

We looked at the anatomical structures and the normal function of the Respiratory system. The primary function of the respiratory system is to provide life-sustaining oxygen to all the cells of our body and to remove byproduct of cellular metabolism, carbon dioxide through the process of gas exchange.

The cells in our body require oxygen to make energy. It is brough in via the lungs and delivered to the cells by the bloodstream. The carbon dioxide is removed away from the cells to the lungs, and it is expired from the body via the lungs. this shows that the pulmonary and cardiovascular system is intimately related to the body’s metabolic process.

The respiratory system contains:

• Upper respiratory track,
• Lower respiratory track
• Lungs
• Thoracic cavity.

The upper respiratory track consists of:

up the nose, mouth, the sinuses, the pharynx, the larynx, and its main functions are to transport air from the atmosphere into the lower respiratory track and to protect it from foreign matters, to warm, filter and humidify inhaled air.

Lower respiratory track consists of:

Trachea, bronchial tubes, and lungs and housed within the thoracic cavity.

The key role of the lower respiratory track to transport air to the site of gas exchange

Respiratory muscles,

The diaphragm is the main muscle in the respiratory system and forms the floor of the thoracis cavity and the roof of the abdominal cavity. It plays a crucial role in inspiration and expiration process.

The diaphragm contracts and flattens when inhaled, resulting the chest cavity to enlarge and creates vacuum which pulls air into the lungs. during exhalation, the diaphragm relaxes and return to its shape and push the air out of the lungs.

Regulation of the respiration

During inhalation, the brain signals the phrenic nerve, and the phrenic nerve stimulate the diaphragm to contract and when diaphragm contracts, it moves down, making the thoracic cavity larger and pulls air into the lungs. when exhaling the phenic nerve stimulation stops, resulting the diaphragm to relax and move up in the chest cavity. As a result, volume of the thoracic cavity is reduced, and the intrapulmonary pressure is increased causing the air flow out of the lungs to the lower atmospheric pressure.

Human anatomy and physiology of the respiratory system is one of the most important systems in the body. It plays a key role in maintaining life by facilitating the gas exchange which is essential for cellular metabolism.

Learning the anatomy and function of the respiratory system will assist me to understand the normal function respiratory system. This knowledge is useful for me as I look after long term ventilated patients with complex respiratory requirements. This will enable me to recognise when patients/residents having issues with their breathing and assist them or escalated in necessary.

KSB Addressed:

K15: Understand human development from conception to death, to enable delivery of person-centred safe and effective care

K16: Understand body systems and homeostasis, human anatomy and physiology, biology, genomics, pharmacology, social and behavioural sciences as applied to delivery of care

K24: Know how to support people with commonly encountered symptoms including anxiety, confusion, discomfort and pain

K43: Understand the influence of policy and political drivers that impact health and care provision Skills

S1: Act in accordance with the Code: Professional standards of practice and behaviour for nurses, midwives and nursing associates (NMC, 2018), and fulfil all registration requirements

S4: Take responsibility for continuous self-reflection, seeking and responding to support and feedback to develop professional knowledge and skills

Date of Learning: 24/09/2024

Learning activity

NMC and the Code

Developing professional values and behaviour

Social media and professionalism

Introduction Anatomy and Physiology, systems, cells, and homeostasis

NMC and the Code

Nursing, Midwifery and Nursing associate is regulated title by the Nursing and Midwifery Council (NMC), and they are expected to adhere to the professional standards that are set out in the NMC code practice.

The NMC code is there to protect the public by ensuring that nurses, and nursing associate are delivering high standard and patient centred care to their patients to their patients.  These professionals are responsible for actions and must maintain a professional duty of care as well as working within the limits of their competence.

The Code has four themes

• prioritising people: you must put the patient needs first and treating them with respect, kindness and to provide effective care.
• Practising effectively: you maintain communicate effectively and use terms that that patient, colleagues and the public can understand.
• Preserving safety: you must work within the limits of your competence and work with your colleagues to preserve the safety of those receiving care as well as competing the necessary training before conducting a new role.
• Promoting Professionalism: as a nurse, you must have the ability to demonstrate professionalism and exhibits compassion, empathy and commitment as well as providing high standard and patient centred care while upholding the values of accountability and integrity.

Social media and professionalism

As a Nurse, it is important to maintain professionalism across certain areas of personal life including social media presence and in a more extreme case, criminal convictions which can lead to tribunal and being struck off.  This may also be relevant to consider at local or trust level as improper use can lead to dismissal.

Recap Introduction Anatomy and Physiology, systems, cells, and homeostasis

Today we revised the introduction of the anatomy and the physiology of the systems, cells as well as homeostasis. We learnt anatomical position, hierarchy for organization of life and different types of cells and their characteristics as well as homeostasis. I will have better understanding how different systems of the body work together and the importance to maintain stable internal environment to sustain normal cell function, despite changes in external conditions.

As Trainee Nursing Associate, it is very important to aware of the standard requirements that are set out in the NMC code of practice and to delivery top quality of care to my patients. It also essential to be aware of how my conducts outside work can impact my fitness to practice and registration. I have learnt that professionalism plays an important role in nursing and nursing professionals must uphold the standards that are set out in the NMC Code.

KSBs Addressed:

K1: Understand the Code: Professional standards of practice and behaviour for nurses, midwives and nursing associates (NMC, 2018), and how to fulfil all registration requirements.

K2: Understand the demands of professional practice and demonstrate how to recognise signs of vulnerability in themselves or their colleagues and the action required to minimise risks to health

K3: Understand the professional responsibility to adopt a healthy lifestyle to maintain the level of personal fitness and well-being required to meet people’s needs for mental and physical care

K6: Understand and apply relevant legal, regulatory and governance requirements, policies, and ethical frameworks, including any mandatory reporting duties, to all areas of practice

K18: Understand and apply the principles and processes for making reasonable adjustments

K19: Know how and when to escalate to the appropriate professional for expert help and advice

S4: Take responsibility for continuous self-reflection, seeking and responding to support and feedback to develop professional knowledge and skills

S6: Act as an ambassador for their profession and promote public confidence in health and care services

S7: Communicate effectively using a range of skills and strategies with colleagues and people at all stages of life and with a range of mental, physical, cognitive and behavioural health challenges

S18: Apply knowledge, communication and relationship management skills required to provide people, families and careers with accurate information that meets their needs before, during and after a range of interventions

Date of Learning: 20/09/2024

Learning activity five day:

dress code and ordering uniform.

sessions in the Clinical Simulation

SWOT and SMART Objectives

We discussed the importance of adhering to uniform policy during the external placement and during sessions in clinical simulation  centre. The trainee nursing associates have professional responsibility to comply with the policy in accordance with NMC Code of practice. Also, ordered uniforms for all the students.

We looked at SWOT and SMART goals which are two powerful tools that enables us to measure and track our professional objectives in a timely manner. This is especially useful when writing our assignments.

We conducted practice learning in the clinical simulation room. We practised how to check patient vital signs such as Oxygen saturation level, pulse, and respiratory rate. The respiratory rate is a key vital sign to detect early changes when monitoring or investigating unwell patient.

During the practical nursing skills session, we practiced on each other and manikins to take the vital signs such as respiratory rate, pulse rate and oxygen saturation. These vital signs measurements are important aspect of patient’s assessment.

As a trainee nursing associate, the skills that I learnt to today will help me during the placement while enhance my confident and I will be able to apply the skills in the clinical setting.

KSB Addressed: 

S24: Perform a range of nursing procedures and manage devices, to meet people’s need for safe, effective and person-centred care

S25: Meet people’s needs for safety, dignity, privacy, comfort and sleep

S30: Recognise when a person’s condition has improved or deteriorated by undertaking health monitoring, interpreting, promptly responding, sharing findings and escalating as needed

S35: Accurately undertake risk assessments, using contemporary assessment tools

S36: Respond to and escalate potential hazards that may affect the safety of people

Date of Learning: 19/09/2024

Learning activity day four

Library tour

Tripartite meeting

Theory hour log

NMC & 6Cs

We had a tour at the library and met the library staff who show different areas of library and provided us information and sources that are necessary for our course. We also looked at all the relevant information about theory hour log and tripartite meeting form.

NMC & 6Cs

We discussed the importance to comply with the NMC Code of conduct and relevance of the 6Cs. The NMC Code is there to protect the public by making sure all their registrants deliver high standard of care to their patients.

The Code sets out standards of education, practice and conduct. Registered nurses, midwifes and nursing associates are expected comply with the Code. These professionals are responsible for their behaviors’ and action.  The Code contains four themes: prioritise people, practice effectively, preserve safety and promote professionalism and trust.

The 6Cs are the key principle that guides nursing practice and plays a crucial role for provide high quality and patient centred care. These 6Cs are defined as: care compassion, communication competent, courage and commitment.

As trainee nursing associate it’s important that I understand the standards NMC Code practice and to comply with it as well as the 6Cs and their importance in nursing.

KSB Addressed: 

K1: Understand the Code: Professional standards of practice and behaviour for nurses, midwives and nursing associates (NMC, 2018), and how to fulfill all registration requirements

K2: Understand the demands of professional practice and demonstrate how to recognise signs of vulnerability in themselves or their colleagues and the action required to minimise risks to health

K3: Understand the professional responsibility to adopt a healthy lifestyle to maintain the level of personal fitness and well-being required to meet people’s needs for mental and physical care

individual’s ability to provide care

K6: Understand and apply relevant legal, regulatory and governance requirements, policies, and ethical frameworks, including any mandatory reporting duties, to all areas of practice

K7: Understand the importance of courage and transparency and apply the Duty of Candour

K8: Understand how discriminatory behaviour is exhibited

Date of Learning: 18/09/2024

Learning activity day three

E-Portfolio

Module outline

Common terminology

Cells Systems and Homeostasis

Today we looked at the introduction of the anatomy and the physiology of the systems, cells as well as homeostasis. We learnt anatomical position, hierarchy for organization of life and different types of cells and their characteristics as well as homeostasis.

I will have better understanding how different systems of the body work together and the importance to maintain stable internal environment to sustain normal cell function, despite changes in external conditions.

This involve regulating several physiological parameters, such as temperature, pH, hydration, and electrolyte balance to ensure optimal functioning of cells and systems within human body. I will have enhanced understanding of what is going on inside someone’s body such as spiking temperature and hopefully have more confidence.

KSB Addressed:

K16: Understand body systems and homeostasis, human anatomy and physiology, biology, genomics, pharmacology, social and behavioural sciences as applied to delivery of care.

Date of Learning: 17/09/2024

Learning activity day two

Group work presentation.

Introduction VARK learning style.

SURETY SOLAR

Group presentation, working as a team and delivering presentation in class.

Introduction VARK learning style is a questionnaire to identify an individual learning style. SURETY SOLAR reading and critiquing research articles to assess the quality of data presented.

During the group presentations, we learnt about the importance of professionalism, accountability, and teamwork as well as NMC code of conduct. We also learnt about the role of nursing associate. We also expanded on our critical thinking skills with regards to reading and critiquing research articles to assess the quality of the data presented.

Everything that was presented will provide the foundation required to as a nursing associate and will provide me all the necessary skills and knowledge to be built with further learning and training, ultimately enabling me with means to provide high standard and people centred care to all patient under my care.

KSB Addressed:

K1: Understand the Code: Professional standards of practice and behaviour for nurses, midwives, and nursing associates (NMC, 2018), and how to fulfil all registration requirements.

K2: Understand the demands of professional practice and demonstrate how to recognise signs of vulnerability in themselves or their colleagues and the action required to minimise risks to health.

K3: Understand the professional responsibility to adopt a healthy lifestyle to maintain the level of personal fitness and well-being required to meet people’s needs for mental and physical care.

K6: Understand and apply relevant legal, regulatory and governance requirements, policies, and ethical frameworks, including any mandatory reporting duties, to all areas of practice.

Date of Learning: 16/09/2024

Learning activity day one

Programme overview

Requirements of an Apprenticeship

Adult Learning and code

Introduction to reflection

Moodle

Today we looked at the programme overview and the requirement of an apprenticeship which provides all the necessary information about the trainees nursing associate course as well as the main requirement that needed to be met to qualify as nursing associate. We also looked at the importance of time management, adult learning, and code. We also learnt the importance of reflection in nursing in general. We learnt how to use Moodle so that we can access all the course information and materials.

Everything that I learnt, will provide the foundation required to practice as nursing associate and it will enable me to better understand the importance of self-reflection. We discussed the importance of reflection and process that assist you to review a personal experience and then learn from it. Reflecting of what you have leant vital for self-improvement as it can build my confident to become more competence which will enable me to provide high standard of to the patients.

KBS Addressed:

K1: Understand the Code: Professional standards of practice and behaviour for nurses, midwives, and nursing associates (NMC, 2018), and how to fulfil all registration requirements.

K2: Understand the demands of professional practice and demonstrate how to recognise signs of vulnerability in themselves or their colleagues and the action required to minimise risks to health.

K3: Understand the professional responsibility to adopt a healthy lifestyle to maintain the level of personal fitness and well-being required to meet people’s needs for mental and physical care.

K26: Understand where and how to seek guidance and support from others to ensure that the best interests of those receiving care are upheld.

K31: Understand how inadequate staffing levels impact on the ability to provide safe care and escalate concerns appropriately.

K33: Understand when to seek appropriate advice to manage a risk and avoid compromising quality of care and health outcomes.

K35: Understand own role and the roles of all other staff at different levels of experience and seniority in the event of a major incident