Apprenticeship Learning LOG Day 12
Date of Learning: 16th of May 2025
Time: @09:30am
Diary of Learning activity
Title of learning activity: Digestive System.
Today I had a session about Digestive System
KSBs addressed:
Date of Learning: 16th of May 2025
Time: @1:30pm
Diary of Learning activity
Title of learning activity: A-E Assessment.
This afternoon I
KSBs addressed:
Apprenticeship Learning LOG Day 12
Date of Learning: 9th of May 2025
Time: @09:30am
Diary of Learning activity
Title of learning activity: The Endocrine System.
Today I had a session about the Endocrine System
KSBs addressed:
Date of Learning: 9th of May 2025
Time: @1:30pm
Diary of Learning activity
Title of learning activity: Vital Signs, NEWS.
This afternoon I
KSBs addressed:
Apprenticeship Learning LOG Day 11
Date of Learning: 2nd of May 2025
Time: @09:30am
Diary of Learning activity
Title of learning activity: The Renal System.
Today I had a session about the renal system, anatomy, how the individual parts work, what their function is, what the individual parts are responsible for and what the effect of its action is.
I learned that the function of the renal system is to maintain homeostasis regarding the water and electrolyte balance in the body, the acid-base balance(pH) and the removal of waste from the body.
I’ll start with the anatomical composition:
Kidneys play an important role in filtering blood. Blood reaches each kidney through many small arteries. The kidneys filter the blood, separating toxins from nutrients. Vitamins, minerals, nutrients and proteins are returned to the bloodstream. Metabolic waste and urine move from the kidneys via the ureters to the bladder. The bladder stores urine until the person needs to use the toilet. Urine leaves the body via the urethra.
All organs of the renal system are located in the abdominal and pelvic areas. How does work organs from urinary system:
The kidneys are functioning all the time, and filter the blood in the body to make urine, but rest of the water with electrolytes are maintain in the body to balance acid-base condition. That organs are responsible for excretion of waste, and production and secretion of hormone stimulating formation of red blood cells (erythropoietin) and enzyme controlling the blood pressure (renin).Two kidneys, one on each side of the back of the abdomen, just below the ribcage. Each kidney is approximately the size of a fist. The kidney is encased in the outer fibrous capsule. Inside is the layer called cortex which surrounds the medulla. The medulla as a renal pyramids is innermost layer, consisting of pale, conical shaped, striated structures. At the end of pyramid is the papilla. The renal hilum is the entry and exit site for structures servicing the kidneys: vessels, nerves, lymphatics, and ureters.
In kidneys there is big importance of the knowledge about the blood flow through the smallest elements of the kidney from the renal artery, renal hilum, Cortex, Glomerular capsule, Nephrons (Proximal convoluted tubule /cortex side/ thick segment, Descending limb nephron loop/medulla side/ – Thin segment, Loop of Henle/medulla side/, Ascending limb nephron loop/medulla side/ – Thin segment, Distal convoluted tubule /cortex side/ thick segment) to the Collecting duct. Once again from the artery via Afferent arteriole, Glomerulus (capillaries), filtration via Bowman’s capsule, blood exit via Efferent arteriole, but next stage of filtration in Proximal convoluted tubule, Descending limb, Loop of Henle, Ascending limb, Distal convoluted tubule, return blood to the renal vein, but returning urea, water salts, toxins via collecting duct.
The ureters are two thin tubes inside the pelvis that drain urine from the kidneys to the bladder. Each ureter (hollow muscular tube) is about 25-30 cm long with a diameter of 3 mm and carry urine to the posterior wall of the bladder through peristalsis of the smooth muscle layer in the wall.
Urinary bladder when is empty is pear shaped, when holds urine becomes more balloon shaped. Urinary bladder is build from 3 walls (Outer layer, middle layer and inner layer).
The urethra is the tube via which urine passes from the bladder to outside the body. The two sphincter muscles (Internal and External) that close the urethra prevent you from urinating when person is not using the toilet. They can provide muscle control the flow of urine.
KSBs addressed:
Date of Learning: 2nd of May 2025
Time: @1:30pm
Diary of Learning activity
Title of learning activity: s.
This afternoon I
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Date of Learning: 25th of April 2025
Time: @09:30am
Diary of Learning activity
Title of learning activity: Ethical and Legal Considerations (Accountability, Capacity, Consent, Safeguarding) .
Today I had a lecture on the ethical and legal considerations that underpin the provision of safe, empathetic and professional care. As a nursing associate, I will have to manage complex situations where accountability, responsibility, legal capacity, consent and safety are important. the nursing profession is guided by a comprehensive set of ethical, professional, and legal mechanisms that ensure nurses provide safe, effective, and compassionate care.
Ethics in the nursing profession focuses on patient rights, moral principles, and the provision of compassionate care {(NMC) Code of Conduct; Core Ethical Principles (Autonomy, Beneficence, Non-maleficence, Justice) and Ethical Decision-Making}.
The legal framework ensures that nursing practice is lawful, protects patient rights and clearly defines liability {Safeguarding Laws; The Data Protection Act 2018 (GDPR); The Human Rights Act 1998; The Health and Social Care Act 2008; The Duty of Care }.
As a Nursing Associate I need to combine the knowledge of ethical, professional and legal mechanisms and behave as a good moral example to become a trusted and vital healthcare professional.
KSBs addressed:
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: 25th of April 2025
Time: @1:30pm
Diary of Learning activity
Title of learning activity: Basic Life Support – practical skills.
This afternoon I joined the practical session with care delivery during the life threatening situations (i.e. during cardiac arrest, lack of breathing and choking). The Basic Life Support (BLS) algorithm is nothing more than first aid instructions in a nutshell. This requires performing several steps one after the other, in exactly this order. This is important not only because of the correctness of the procedure, but also because it can be done automatically without thinking “what now?”
BLS algorithm – step by step (DRS ABCD)
It is important that sequence is changing for babies, infants or children. We are adding 5 rescue breaths, and check for response. There is a difference as well with tilting the chin because we don’t want collapse airway. For babies we are using 2 fingers for chest compressions, for infants might be 2 hand – 2 finger chest compressions, for a child one hand.
KSBs addressed:
Date of Learning: 24th of April 2025
Time: @09:30am
Diary of Learning activity
Title of learning activity: Anatomy and Phisiology.
KSBs addressed:
Date of Learning: 24th of April 2025
Time: @1:30pm
Diary of Learning activity
Title of learning activity: Effective communication.
This afternoon I was introduced to
KSBs addressed:
Date of Learning: 11th of April 2025
Time: @09:30am
Diary of Learning activity
Title of learning activity: .
KSBs addressed:
Date of Learning: 11th of April 2025
Time: @1:30pm
Diary of Learning activity
Title of learning activity: .
This afternoon I was introduced to
KSBs addressed:
Date of Learning: 04th of April 2025
Time: @09:30am
Diary of Learning activity
Title of learning activity: Introduction to academic writing .
KSBs addressed:
Date of Learning: 04th of April 2025
Time: @1:30pm
Diary of Learning activity
Title of learning activity: Respiratory System.
This afternoon I was introduced to
KSBs addressed:
Date of Learning: 03rd of April 2025
Time: @09:30am
Diary of Learning activity
Title of learning activity: Cells, Systems and Homeostasis.
Today I had another lecture recalling module ‘Cells Systems and Homeostasis’. I focused at more medical jargon regarding anatomical position, positional terms, body cavities and regions. I recalled levels of organisation in our body from chemical level (atoms, molecule), to many cellular level (e.g. organelle, smooth muscle cell), to many tissue level (for example smooth muscle tissue), to many organ level (for example blood vessels), to many organ system level (for example cardiovascular system) for organismal level (for example human organism). It reminded me of the chemical reactions and physical responses that take place in our body. I realised how complicated is moving from one structure of chemical level to the cellular level, and how important is to understand trillions of cells in our body and move further to help maintain homeostasis balanced. I know that my knowledge is still chaotic and that I moved far from one to another. The cells as a basic units of life when pair in group with similar structure and similar functions working together as tissues. After that some structures composition of tissues that perform specific function what contributes to the creation of an organ. Moving further meny organs working closely together to help maintain life reactions are making up to organ systems (e.g. the stomach, small and large intestines are all organs of the digestive system – cooperate closely to digest food, move nutrients into the blood and remove waste). Combination of many organ systems – of course closely working together – they form one efficient organism – individually living.
I can say that is so nicely combined, perfectly made up. And as I wrote before Homeostasis is balancing processes in biological organism to maintain stability when some changes from inside or outside happening (e.g. pH, fluid levels, body temperature, glucose levels etc.).
KSBs addressed:
K11: Understand the factors that may lead to inequalities in health outcomes.
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: 03rd of April 2025
Time: @1:30pm
Diary of Learning activity
Title of learning activity: Introduction to the module. Developing professional values and behaviour, Introduction to the NMC Code, the 6 C’s.
This afternoon I was introduced to module ‘Developing professional and academic skills for nursing associates – NRS020C112H’.
Developing professional values and behaviours is fundamental to the Nursing Associate role and each clinical role because I need to realise what is wright or what is wrong in every day patient’s care. NMC made the NMC Code and standardise the values which are required in the UK to protect the Public. As a Nursing Associate I am responsible to behave professionally by following rules of the NMC Code, and practising the 6 Cs of Nursing (Care, Compassion, Competence, Communication, Courage and Commitment). NA is making sure that every patient is cared with respect, kindness, compassion, and the practice is safe and effective. Thanks to this, NA manage to increase patients confidence and uphold public trust to healthcare professionals. The guidelines support reflective practice, ongoing education, commitment to common standards and can lead to deliver significant, person-centred care.
I acknowledge as a resident of UK that I am obligate to promote British Values ( in particular mutual respect & tolerance, rule of law, individual liberty and democracy), and realise that all of this values are prolonged in NMC Code.
As an honest person I have to boost professionalism and trust, to be aware of consequences or influences of others and act as a role model within the law. I need to learn a lot, obtain the necessary skills and acquire certain attitudes to become professional NA representing NMC and build trust to health profession.
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.
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
S2: Keep complete, clear, accurate and timely records.
S4: Take responsibility for continuous self-reflection, seeking and responding to support and feedback to develop professional knowledge and skills.
Date of Learning: 28th of March 2025
Time: @09:30am
Diary of Learning activity
Title of learning activity: Care delivery 1 – Practice Learning – Learning in the clinical area rather then working NRS040C115B .
Today I ordered my uniform for the clinical area at University and my external placement in a Hospital.
I was introduced to the module ‘Care delivery 1 – NRS040C115B’ in University website.
I was reminded about importance of possessing good math skills in my new role – the Nursing Associate.
Converting measurements to make sure that proper dosage of medication is given in relation to the tablet, or liquid concentration. Counting proper dosage of medication in relation to the patient’s weight. Calculating fluid balance for the patient, if patient is not getting dehydrated. I need to realise how dangerous might be wrong calculation for the dosage with the drugs, that is why is better to know that I am not sure about my calculation to confirm that with others.
I was shown clinical area – informed about the rules, how I should treat that areas.
KSBs addressed:
K27: Understand the principles of safe and effective administration and optimisation of medicines in accordance with local and national policies
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
S33: Maintain safe work and care environments
Date of Learning: 28th of March 2025
Time: @1:30pm
Diary of Learning activity
Title of learning activity: Stress Management and Well-Being.
In the afternoon we had small session about stress management and our wellbeing in relation to our first Induction and Welcome Week/ Introduction.
I know where to look for help on Moodle (with all information, instructions, learning outcomes and expectations) , I know about E-portfolio, and I know that I can have help in Nest.
KSBs addressed:
K5: Understand the meaning of resilience and emotional intelligence, and their influence on an individual’s ability to provide care
K34: Know and understand strategies to develop resilience in self and know how to seek support to help deal with uncertain situations
B3: Be adaptable, reliable and consistent, show discretion, resilience and self-awareness