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Author Archives: Philomina Donkor
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swot analysis
SWOT Analysis and BEEF planning
APPENDIX 3
What are my Strengths?Organizational and planning skillsI am able to prioritizes schedules tasks and responsibilities to provide proper care to all patients. Also, been able to maintains accurate and timely patient documentation. Communication Skills I make sure I have understood the conversation by asking relevant questions. When I communicate with patients and their families I adapt my style of communicating to meet their specific needs. I am able to articulate complex information clearly and in simpler terms if necessary. I ensure we have a shared understanding of the conversation by asking questions to confirm that they are clear about what has been discussed.
Empathy and Compassion Another area of strength that is necessary for success as a student nurse is to possess empathy and compassion for others. No matter where I may choose to work as a nurse, you will encounter patients experiencing a wide range of physical or psychological issues. Because of this, I will need to interact with patients who may display a variety of emotions including fear, anxiety, depression, resentment and anger. To interact with them effectively and help them cope, I need to show them you care, try to understand them and help them to cope with their concerns Problem-solving skills Problem-solving skills assist in recognizing a problem’s origin and identifying the appropriate solution within a reasonable time. As a student nurse, I require problem-solving skills, as my days can be full of surprises, and it’s essential that I can help deflate stressful situations. For example, they may notice a change in a patient or their patient’s behaviour and employ my skills to identify the potential cause. ENDURANCE This skill involves my ability to withstand difficult physical conditions for reasonable periods. Students require endurance, as they commonly remain standing for up to 12 hours a day. Possessing the ability to work under these conditions and maintain a positive attitude is an essential strength for a nurse.
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How can I Build on my strengths?
By focusing on my achievements, demonstrate my clinical skills and emphasize my communication skills
I can develop these skills by continuously learning and updating my medical and clinical skills to improving my proficiency in the field. |
What are areas of Weakness?Lack of confidence Prone to procrastination. Uncomfortable with public speaking. Uncomfortable with delegating tasks.
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How can I Eliminate the weaknesses?
Understand where I fall short to improve on my weaknesses Educate myself well on these that I need to achieve. Make goals for myself and work to meet them. Celebrate small achievements Don’t forget what you’re good at. Work with people who complement you well |
What Opportunities are there?To present teaching session to HCA and nurses team at a meeting
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How can I Exploit (make good use of) the opportunities?
Always look up to areas where colleagues or team mates might not have the confidence to operate effectively and support them there. |
What are the Threats?
Technological changes Legislation Competition
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How can I Face or reduce the threats?
Every trust has their own policies and legislation and so I will have to always practice according to each trust policy and the type of software they operate with. |
feedback 1
Practice Assessor feedback
Based on the student’s reflection, your observation and discussion of the episode of care, please assess and comment on the following:
(Refer to Criteria for Assessment in Practice)
If any of the Standards are ‘Not Achieved’ this will require a re-assessment and the Academic Assessor must be informed.
Standard of proficiency
Promoting health and preventing ill health
Discusses the possible influences on the person’s/group of people’s mental health and physical health and can highlight a range of factors impacting on them and the wider community.
Yes – Achieved
No – Not achieved
Comments
Philo was given medication to elderly patient and she given medication very gently and asked if she need any help. Philo promoted health promotion by encouraging more fluids.
Assessing needs and planning care
Utilises relevant knowledge and skills to undertake a comprehensive assessment, continually monitoring a person’s condition, interpret signs of deterioration or distress and escalate appropriately.
Yes – Achieved
No – Not achieved
Comments
Philo was observing effectiveness of medications eg: She was given laxactives and she observe if the patient opened bowel.
Providing and evaluating care
Applies relevant knowledge and skills in the provision of more complex person-centred, evidence-based care demonstrating effective communication skills and the ability to document effectively.
Yes – Achieved
No – Not achieved
Comments
Philo has effective communication skills, she explained action of each medication, she is aware of some of the medications as well. She was asking the pain score of the patient so that she recognised the effectiveness of painkiller.
Improving safety and quality of care
Undertakes relevant risk assessments, discusses risk management and can propose improvements to enhance the quality of care.
Yes – Achieved
No – Not achieved
Comments
Patient was taking blood pressure tablet and she observed blood pressure before giving medication. If low BP escalating to doctor’s attention.
Coordinating and leading nursing care
Supports the person/persons receiving care and their families in maintaining independence and minimising disruption to their lifestyle, demonstrating understanding of the need for multi-agency working.
Yes – Achieved
No – Not achieved
Comments
Philo asked patient when discharge home, should any one help for medication or self administrating. She always concerned safety of the patient.
reflection 1
Student reflection on an episode of care
Within your reflection describe the episode of care and how you assessed, planned, delivered and evaluated person-centred care.
During my placement in Cedars ward I had the opportunity to work under a nurse supervision of my practice assessor.
During my medication rounds today that Cedars ward, I had the opportunity to work under the supervision of my practice assessor for 87 year old who had a fall and was admitted into hospital for treatment and rehabilitation. She was complaining of pain and I did assured her that her medication was due . Before the rounds I gained consent from the patient and also identified them by checking their names and date of birth and allergies before administering medication. I made sure she had water to her reach. I ensured I adhered to the “6R” guide lines and infection control guide lines f the trust.
I administered the medication as per the doctor’s recommendation.
This trust isn’t electronic and so most of the work are paper based. We had five patient in the bay and administering medication went on smoothly until the last patient I couldn’t check properly to see the drug charts were two and so after the first chart I needed to check the second one.
My assessor then prompted me to recheck the charts again to make sure everything was done properly and effectively. After administration I made sure that I have given and signed each medication and also prior to this I will explained to the patient what she is having and if there is anything that I should know.
What did you do well?
What I did well was during the rounds is that, I was able to communicate effectively with the patient. I also identify the patient, check the dose, time, route, any allergies the medication (expiring date and right dose). I act holistically by asking her if she will needs help to take the medication example half it for her to make it easier.
What would you have done differently?
What I will have done differently was to check the drug charts properly so see how many charts that I need to use before even administering the medication.
Additional, I will document this and was reflect on it so that in future this will not repeat again.
Additional she was constipated and so after given her medication, I encouraged her to drink plenty of fluids.
Describe how you have begun to work more independently in the provision of care and the decision making process.
During my placement whenever I had to administer medication to any patient I made sure if the patient is on level one fluid I will add fluid thicken to their water to enable them to swallow smoothly.
Furthermore I will ask them if I needed to half the medication and add yogurt if possible for them to be able to swallow. Finally make sure the patient is comfortable sitting or laying in where they are before moving away.
What learning from this episode of care could be transferred to other areas of practice?
Wherever, I go whether paper or electronic I should always check and recheck any medication before I administer to the patient and always remember the 6Rs.
Furthermore, always make sure all control drugs are signed or witness with two qualify nurse and also given any critical medication on time to prevent any further harm or deuteriation.
reflection 1
Student reflection on an episode of care
Within your reflection describe the episode of care and how you assessed, planned, delivered and evaluated person-centred care.
During my place in this surgical ward, I was allocated to work in one of the bay under a nurse supervision. After the handover, the first thing to do is to do the safety checks in the bay you are allocated, introduce yourself to your patients and also gain their consent. After all this then you start with the medication round. During the handover we were inform that one of the patient was not feeling well during the night shift and so when we got him we had to check his observation done by the night nurse and we saw that his saturation was low and he also the time was sweeting profusely.
We had to quickly do a set of observation on the patient and we noticed that not only his saturation but his blood pressure and temperature too was high. We asked him and he said he was in pain and also feeling very hot and so we quickly put oxygen for him and also put wet towel on his head and also turn the fan on for him. We quickly then had to escalate this to the nurse in charge because he was scoring 5.
After escalating we came back and gave him his painkillers and his other medication. During all this time another patient was also complaining about his glass that he can not find after he came back from his dialysis. And it was his time for his medication he refused to take his medication and we had to explain him the consequences of him refusing his medication. He became so furious and we had to persuade him to take his medication which he did toke and after all the medication rounds we came and search through his bag and we found his glass for him.
What did you do well?
In a cardiothoracic ward, one of the main things that you know is your perimeters and how to escalate them properly when the need arises. What I did well was when we saw that his perimeters were not within his normal range I quickly escalated this to the nurse in charge and also him on oxygen before escalating it.
And with the other patient too was also explaining the consequences of him not taken his medication and also explaining to him which one should be attended to first.
What would you have done differently?
What I could have done differently for the other patient was to asked the HCA or any other team member who free and available to support and look for his glass for him before he gets furious.
Describe how you have begun to work more independently in the provision of care and the decision making process.
One of the qualities you need to have is to be able to work independently and during this placement in the surgical ward example whenever a a patient is brought from theatre to the ward after the handover the first thing to do is to post observation on the patient and during this you will looking after the patient and escalating any on usual changes on the patient to the nurse and better still if the need arises inform the doctors. To be able to work independently, you need to know how to prioritize you time and also make decision properly at will be in the interest of the your patients.
What learning from this episode of care could be transferred to other areas of practice?
What I learnt here is all to be on top of your perimeters and also escalating on time and also knowing how to prioritize your patient needs depending on situation, time and condition.
feedback 1
Chooses an appropriate care activity for the junior learner/peer to engage in and considers the learner’s needs and their current level of knowledge and skills.
Philomina has proactively decided to share her reflection on this episode of care with further learning about basic life support. This is encouraging because it shows her continuous interest on learning and improving her Nursing Practice.
She did accept well some constructive feedback and respond properly to some questions.
Effectively prepares the junior learner/peer and provides them with clear instructions and explanations about the care activity they are to engage in.
She was prepared and in time for the meeting and presentation and reacted very fast to some last-minute changes. Philomina introduced herself, explained what to expect, went straight to the point, respond to questions and all with exquisite time-management.
Improving safety and quality of care
Undertakes a risk assessment to ensure that the person(s) receiving care is not at risk from the learner/care activity. Continuous supervision and support is provided to the junior learner/peer throughout the care activity.
During the activity there was no risk at all and everything went well from the beginning to end with no concerns at all.
Effectively communicates throughout the care activity, evaluates the care given and provides the junior learner/peer with constructive verbal and written feedback.
Student conducted session effectively with no problems and no need to support at all. She keeps learning in every chance that she is offered. Proactive attitude to improve constantly.
reflection 1
| Reflective account: |
| What was the nature of the CPD activity and/or practice-related feedback and/or event or experience in your practice? |
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During this placement period I was allocated to general practice where I happens to be the only student on placement that particular time for the practice. I had to be allocated to work independently under my PA supervision and so on this particular day, I was allocated to work with one of the HCA during one of their vaccination clinics in the morning. We had this young patient that came in for her blood samples taken. After introducing ourselves and explaining the procedure to her I gained her consent. The HCA started to feel for her vein and she couldn’t find any and I stepped to take over and I then asked her to drink water. It was during this time that the patient fainted (syncope). The HCA was very confused at this point and I told her to calm and call for help while I check to see there was not any danger around. There was nothing around that could cause any further harm and that she was breathing properly when I checked her airway. We then positioned her properly. My PA and all the other members of staff came in to support where we checked all her observations to see everything was good. She later informed us that she always had this whenever she is having her blood taken and that she is needle phobic and her veins are quite difficult to find. She always has it done in the hospital.
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| What did you learn from the CPD activity and/or feedback and/or event or experience in your practice?
I discussed this with PA to provide some teaching sessions with the HCA on basic life support in which she agreed. I prepared some resources to enable me to support my presentation. I looked at each step of basic life support and explored the evidence base behind the steps. We went through each step and explored the rationale behind each and the significance of each step that can use to achieve care holistically. I also emphasized the importance to ask the patient about their previous experiences and whether they are needle phobic or not. |
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| How did you change or improve your practice as a result?
After this incident I was offered the opportunity to teach basic life support to a group of the nurses and HCAs during one of their clinical meetings. They asked questions related to basic life support in which I was able to answer and educate accordingly.
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| How is this relevant to the Code?
Select one or more themes: Prioritise people – Practise effectively – Preserve safety – Promote professionalism and trust. During one of my clinical sessions under my practice assessor supervision, I had a young patient who came in for her blood test. I happen to be the clinician in charge of that clinic for the day. Due to my previous experience of a young patient collapsing while having her blood test done, I reflected on how to prevent this from happening again. I felt very calm and relax when the young patient came in. In order to promote professionalism and trust, I did introduce myself, confirm she is the right patient and gained her consent. In order to practice effectively I asked her about any allergies and she informed me that she was needle phobic and that she always collapsed whenever she is having a blood test. In order for me to preserve safety and practice effectively I I encourage her to lay on the bed for the test. I assured and encouraged her and talk her through out of the procedure and made her felt more relaxed and calmer. After the procedure I offered her to lay down for some time and she informed me after a few minutes that she was feeling very dizzy. I encouraged her to lay down and offered her water and also did observations on her to be assured that everything was normal with her before she left. Analytically, I decided to prioritise the patient and also act professional while maintaining patient safety by inquiring about her allergies, and talk her through before and after the procedure to ascertain patient was doing well and safe before leaving the clinic. In conclusion I can confidently say I was able to preserve patient safety by prioritizing her due to her age and did practice effectively by caring for her holistically before and after to promote professionalism
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reflection 6
Within your reflection, describe the episode of care and how you assessed, delivered and evaluated care.
In this reflection I will be discussing about medication and ECG procedure that I supported while on placement in a cardia ward. This patient complained about chest pain in the morning and I was asked to do ECG for her in which I exhibited care and compassion towards her. Prior to this procedure she was administrated. Bisoplor medication beta blocker) and diver tics medication (furosemide) she was on. The nurse in charge took some blood from her and was given morphine to reduce the pain. Her observation was also monitored and the doctor was called on the phone to discussed further procedure for her. In the process I had to speak to her in a clear low tone manner and assure her she was going to be fine although she was in pain. Later on during the day, the doctor requested that she should be on telemetry to monitor the heart rate.
What did you do well?
What I did well was when I was doing the observation with ECG machine I realised it was not reading properly so I had to esclate to and HCA for support and they noticed that two of the skin tact were not properly stick to the patient skin and I had to rearranged them properly for the machine to record.
What would you have done differently?
What I should have done differently