Apprentice Learning Log

Learning Log

Date: 28/02/25

Time: 9:30-13:00

Title of Learning: Behavioral Change and Motivational Interviewing

During the session, we explored the principles of behavioural change and the application of motivational interviewing techniques. MI is a collaborative, person-centered counselling method designed to elicit and strengthen motivation for change by helping individuals explore and resolve ambivalence. We practice core MI skills, including:

Open-ended question; encouraging clients to express their thoughts and feelings without restrictions.

Affirmations: recognising and acknowledging the client’s strengths and efforts.

Reflective listening: demonstrating empathy by accurately reflecting the client’s statements.

Summarising: recapping discussions to reinforce understanding and progress.

These techniques are collectively known as OARS and fundamental in guiding clients towards recognising and implementing behavioural changes.

This training highlighted the significance of adapting a client-centred approach to facilitate behavioural change. By employing MI techniques, I learned the importance of resisting the righting reflex, which is the tendency to correct clients or push them toward change. Instead, understanding the motivations, listening with empathy, and empowering them to take ownership of their change process are crucial. Practicing these skills made me aware of my own communication patterns and the need to create a supportive environment where clients feel understood and motivated. I realised that facilitating change is less about guiding clients to articulate their reasons for change, thereby enhancing their commitment.

To integrate these insights into my practice, I plan to:

Enhance my MI skills: engage further training and seek feedback to refine my use of open-ended questions, affirmations, reflections, and summaries.

Apply MI techniques: incorporate MI strategies into client interactions to better support their behavioral change journey.

Reflect regularly: engage in self-reflection after client sessions to assess the effectiveness of MI techniques and identify areas for improvement.

By committing to these steps, I aim to foster more collaborative and empowering relationships with clients, facilitating meaningful and self-directed behavioural changes.

Knowledge

K 1-20, 24, 30, 33, 36, 39-41, 43

Skills

S 1, 5, 7-9, 13-16, 35

Behaviour

B 1, 2, 3

Apprentice Learning Log

Learning Log

Date 26/02/25

Time: 13:00-16:30

Title of Learning: Subcutaneous Injections

Last Wednesday, I participated in a practical session focused on administering subcutaneous injections. The training involved understanding and appropriate techniques, selecting suitable injection sites, and adhering to safety protocols. I had the opportunity to practice the procedure on simulation models under the supervision of an experienced instructor.

This hands-on experience was crucial in enhancing my confidence and competence in performing subcutaneous injections. Initially, I felt apprehensive about causing discomfort or making errors during the procedure. However, the guidance provided helped me understand the importance of proper technique to minimise patient care, as subcutaneous injections are commonly used for administering medications like insulin and anticoagulants.

To build upon this experience, I plan to seek additional opportunities to practice subcutaneous injections in clinical settings under supervision. I will also review current guidelines and best practices to ensure my technique remains up-to-date. Furthermore, I intend to engage in reflective practice after each procedure to identify areas for improvement and consolidate my learning.

Knowledge

K 1-20, 24, 30, 33, 34, 36, 39-41, 43

Skills

S 1, 5, 7-9, 13-16, 35

Behaviour

B 1,2,3

Apprentice Learning Log

Learning Log

Date of learning: 25/02/25

Time of learning: 15:00-1800

Title of Learning:  Delivery of  Safe and effective Person-Centred Care

Person-centred care is a holistic approach that treats individuals as unique beings, respecting their preferences, needs, and values. it emphasises collaboration between patients and healthcare professionals to develop personalised care plans. The goal is to ensure that care is not only clinically effective but also aligned with what matters most to the patients.

Implementing person-centred care is crucial because it leads to improved patient satisfaction, better health outcomes, and more efficient use of healthcare resources. By involving patients in decision-making, they are more likely to adhere to treatment plans and engage in self-care. This approach also fosters trust and strengthens the therapeutic relationship between patients and providers. It addresses the ethical imperative of respecting patient autonomy and dignity.

To enhance the delivery of safe and effective person-centred care, healthcare organisations and professionals can take the following steps:

Training and education provide continuous education for healthcare professionals on person-centred practices, communication skills, and cultural competence.

Policy and development establish policies that prioritise patient involvement in care planning and decision-making processes.

Environment optimisation creates a welcoming and accessible healthcare environment that accommodates diverse patient needs.

Feedback mechanisms implement systems to regularly gather and act upon patient feedback to improve care quality.

by adopting these measures, the healthcare system can move towards a model that not only treats illnesses but also honors the individual experiences and preferences of each patient, ensuring care that is both safe and effective.

Knowledge

K 1, 4-13, 15-30, 33, 36, 39-41

Skills

S 1,2,5,17,18,21,23,25,-28,30,32,35

Behaviour

B 1,2,3

Apprentice Learning log

Learning Log

Date of learning: 24/02/25

Time of Learning: 1600-19:00

Title of Learning: Promoting Health and Well-Being

The reading emphasised that health promotion is a continuous process relevant to all life stages. it highlighted the importance of early interventions and preventive measures and the role of education and community engagement in fostering well-being. Key points included the need for tailored health strategies for different age groups and the benefit of preventive healthcare practices.

Understanding that health promotion is an ongoing journey underscores the necessity of adopting healthy habits early and maintaining them throughout life. This perspective shifts the focus from reactive healthcare to proactive well-being management. Recognising the role of community and education suggests that individual health is interconnected with social structures, implying that collaborative efforts can lead to more effective health outcomes.

it is essential to integrate  this holistic approachinto daily life by:

Implementing preventive measures—schedule regular health check-ups and adopt a balanced diet and exercise routine suitable for each life stage.

Engaging community initiatives—participates in local health programs or supports policies that promote public health.

Continuing education: Stay informed about health topics at different life stages to make informed decisions.

by embracing these steps, we can contribute to our well-being and support a healthier community.

Knowledge

K 1-20,24,30,33,36,39,41,

Beahaviour

B 1,5,7-9,13,16,35

Skills

S 1,2,3

Apperentice Learning Log

Learning Log

Date: 15/02/25

Time: 13:00 – 18:00

Title of Learning: Ward Floater

During my shift as a floater in the ward, I assisted nurses with a variety of tasks, including administering nebulizers, suctioning patients, and topping up the tracheostomy trolley. My role involved responding to patients needs and supporting the team. in maintaining patient care standards. I worked closely with nurses to provide respiratory support to patients with tracheostomies, ensuring they were comfortable and their airways remained clear.

This experience helped me develop my skills in patient care, particularly in respiratory management. assisting with nebulizers and suctioning reinforced my understanding of airway clearance techniques and their importance in preventing complications. Topping up the tracheostomy trolley also made me realise how crucial it is to keep emergency supplies readily available for quick outcomes. I felt a sense of responsibility and teamwork, knowing that my contributions helped ensure smoother patient care. However, I also recognised areas for improvement, such as becoming more confident in performing suctioning independently and enhancing my efficiency in preparing equipment.

Moving forward, I will continue to build my confidence in tracheostomy care by seeking more opportunities to practice suctioning under supervision. I will also take the initiative to familiarise myself further with the ward’s protocol for nebuliser administration and emergency airway management. Additionally, I will maintain the habit of checking and restocking essential equipment to support the nursing team actively. By refining these skills, I can become a more effective and reliable member of the team in providing high-quality patient care.

Knowledge

K 1-8, 12, 20, 26, 30, 33, 34, 36, 41

Skills

S 1,4

Behaviour

B 1,2,3

Apprentice Learning Log

Learning Log

Date: 14/02/2025

Time; 20:00- 22:30

Title of learning; Viral Swab

As trainee nursing associate this morning a doctor demonstrated how to perform a viral swab on a patient’s mouth and nose. the doctor explained the correct technique, emphasising the importance of proper specimen collection to ensure accurate test results. they first took a throat swab, ensuring the swab made contact with the tonsillar area  while avoiding the tongue and teeth.this step was crucial to prevent contamination and obtain adequate sample. Next,  they performed  a nasal swab, inserting the swab gently into one nostril and rotating it for a few seconds to collect the sample. the swabs were then placed in a transport medium, properly labeled, and sealed for laboratory testing.

throughout the procedure, the doctor re assured the patient, explaining each step to reduced anxiety.they also emphasised infection control measures, such as wearing infection control measures, such as wearing PPE(gloves, apron, and mask), handling the swab aseptically, and disposing of clinical waste safely. observing this procedure allowed me to understand both the technical and patient care aspects of viral swabbing.

this experience was valuable because it reinforced the importance of proper technique, infection. control, and effective communication. I learned that incorrect swabbing techniques can result in false -negative results, which may delay diagnosis and treatment. ensuring the swab reaches the correct site is essential for obtaining an adequate sample. I also observe how some patients may feel discomfort anxiety during the procedure, especially the nasal swab. the doctors approach explaining the process, maintaining a calm demeanour, and reassuring the patient help minimised distress.

In the future I will practice the technique under supervision before performing it independently, improve my patient communication skills by observing experienced professionals and practicing clear, reassuring explanations. reinforced my infection control knowledge buy reviewing  best practices for PPE use, safe specimen handling and disposal of clinical waste. seek feedback from mentors or senior staff when I start performing viral swabs to ensure cam using the correct technique.

this experienced has increased my confidence in performing a viral swab while emphasising the need for precision, patient comfort and strict infection control. I now feel more prepared to carry out this procedure safety and effectively.

Knowledge

K – 1-8, 12, 20,26,30,33,34,36,41

Skills

S – 1,4

behaviour

B – 1-3

Apprentice Learning Log

Learning Log

Date: 13/02/25

Time: 13:00 – 16:00

Title of Learning: Tracheostomy Training

During my tracheostomy training, I learned how to care for patients with tracheostomy, including suctioning, inner cannula care, and monitoring for complications. I observed experienced nurses performing these procedures and had the opportunity to practice under supervision. The training emphasised the importance of maintaining airway patency, preventing infections, and ensuring patient comfort.

This training was essential in building my confidence and competence in tracheostomy care. Before the training, I felt unsure about handling a tracheostomy, especially in situations where a patient might become distressed or require urgent suctioning. However, after learning and practicing the techniques, I gained a better understanding of how to provide safe and effective care. I also realised the importance of clear communication with patients, especially those who rely on nonverbal communication due to their tracheostomy. This experience reinforced the significance of patient-centred care and the need to be vigilant for signs of complications.

To further develop my skills, I will continue observing and assisting with tracheostomy care whenever possible. I plan to review relevant guidelines and seek feedback from senior staff to improve my technique. I will focus on enhancing my communication. with tracheostomy patients, ensuring they feel heard and reassured during care procedures. By continuously reflecting on my experiences and learning from them, I aim to become more confident and proficient in tracheostomy care.

Knowledge

K 1-8, 12, 20, 26, 30, 33-34, 36,41

Skills

S 1,4

Behaviour

B 1,2,3

Apprentice Learning log

Learning Log

Date: 03/02/25

Time: 13:00 – 16:00

Title of Learning: Escorting Patient to A and E

On the 3rd of February, I escorted the patient to A and E due to their deteriorating condition. My role was to ensure the patient’s safety, monitor their condition during transport, and communicate important details to the A and E team upon arrival. I reassured the patient throughout the journey and made sure they were comfortable. Once at A and E, I handed over the necessary information to the staff, allowing them to continue the patient care.

This experience made me realise the importance of clear communication, both with the patient and the A and E staff. I felt a sense of responsibility, knowing that my ability to provide accurate information could impact the patient’s treatment. While I managed to stay calm and professional, I did feel slightly anxious about making sure I relayed all the necessary details effectively. I also became aware of how crucial it is to stay composed in urgent situations as the patient looks to me for reassurance. This experience highlighted the importance of preparation, teamwork, and confidence in handling emergency situations.

I will take steps to improve my confidence in emergency scenarios. I plan to review A and E protocols and practice patient handovers to ensure I am fully prepared for similar situations to identify areas where I can improve. Additionally, I will continue working on staying calm under pressure, knowing that my composure directly affects the patient’s experience. By reflecting on experiences like this, I can continue to develop my skills and provide better care in urgent situations.

Knowledge

K 1-8, 12,20,26,30,33,34,36,41

Skills

S 1,4

Behaviour

B 1,2,3

Apprentice Learning Log

Learning log:

Date: 29/01/2025

Time: 17;00-19:30

Title of Learning: Pharmacology

This morning lecture I learned about how drugs move to the body, Pharmacology which covered the key topics such as drug classification, mechanisms of action, pharmacokinetics ADME Absorption, Distribution, Metabolism, and Excretion the four key processes which describe how drugs and chemicals get into the body, what happens to them while they are there and how they are eliminated. partly we discussed the legal and ethical responsibilities of nurses in drug administration Right patients, Right medication, Right dose, Right time, Right route, and right documentation.

Understanding pharmacology is essential for ensuring patient safety and providing effective care.as a nursing associate student, I need to develop a strong foundation in drug knowledge to support registered nurses and confidently administer medication when I am qualified. the lecture helped me recognise the importance of double checking medications, monitoring for adverse reactions, and following the rights of medication administration. I also realised how pharmacokinetics influence how drugs work in different patients, reinforcing the need for individualised care.

I will continue expanding my knowledge of pharmacology by studying different drug classes and their effect on the body. I will practice drug calculations to ensure accuracy and shadow experience nurses during medication rounds to observe best practices. I plan to review the case studies where medication errors occurred to understand how to prevent them in the future practice. I will ensure to follow the NMC Code and my work place policies regarding medication administration to promote patient safety and high quality care.

Knowledge

K 1-8, 12,20,26,30,33-345,36,41

skill

S 1,4

Behaviour

B 1-3

Apprentice Learning Log

Learning Log

Date: 17/01/2025

Time of learning: 19;30 – 2200

Title of Learning: Differences Between Cellulitis and Skin Redness

During my supernumerary in my own ward, I encountered a patient presenting with red, swollen, and warm area on their lower leg. initially I thought it was general skin redness caused by irritation or a rash.however, after  further assessment and discussion with the nurse, it was identified cellulitis, a bacterial infection of the deeper layers of the skin and underlying tissues. the situation highlighted the importance of distinguishing between cellulitis and other forms of skin redness’s cellulitis requires urgent medical intervention, such as antibiotics, to prevent complications.

this experienced emphasised the critical need to assess skin conditions thoroughly and understand the key differences;Cellulitis is typically characterise by localised warmth, tenderness, and systemic symptoms like fever.in contrast general skin redness such as rash, may not involve deeper tissue, warmth, or systemic signs. recognising these differences is essential to ensure timely treatment and avoid progression to severe conditions like sepsis. it also reinforced the importance of working collaboratively with the healthcare team to make accurate diagnosis.

I will ensure to conduct thorough assessments when faced with skin redness paying attention to sign such as swelling, warmth, and systemic symptoms., I will also seek guidance when unsure and continue to study skin conditions to enhance my clinical knowledge. by applying this learning, I can contribute to prompt diagnosis and appropriate management of conditions like cellulitis, improving patient outcomes.

Knowledge

K 1-8, 12, 20, 26, 30, 33-34, 36, 41

Skill

S 1, 4,

Behaviour

B 1-3