infant feeding 2022safeguarding children level 1 2021domestic violence and abuse 2022
certificate
Reply
Category Archives: Year 1
certificate
certificate
certificate
certificate
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 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
reflection 5
Within your reflection, describe the episode of care and how you assessed, delivered and evaluated care.
On this reflection, I will be discussing about personal care that I supported CPR patient while at the ward for my placement. This patient is bedbound that need her observations to be taken. I introduced myself and the purpose of the procedure explained to the patient. Patient consented for the visit and was supported to stripped wash and dress up. She was always anxious of fall, I had to communicate in low tone and clear manner for the patient to understand and assure her that she was safe. In support with her personal care, I exhibited dignity and respect by closing all the curtains and covering her body parts that were not attended to. Her observations were taken and documented. Although she was always anxious to fall I always had to show care, compassion, communicate and courage and assure her that she was safe and doing well.
What did you do well?
I Communicated in a clear low tone manner for the patient to hear and understand and was very patience with the patient.
What would you have done differently?
Will always try me best to escalate any issues first before it gets out of hand
reflection 4
Reflect on your learning in outreach/short placements or with members of the multi-disciplinary team who are supervising your learning.
Where the learning took place
The name or description of the practice area
Center court vaccination center
When the learning took place
You can provide a single date or date range
19/04/2022
Who you learnt from
You can list one or more people or provide a team name
Carrol
Sandra Masonga
Student reflection
Today at the center, a patient came in for her vaccine. The team asked her question and she consented to have the vaccine.
This should be her spring booster and she was informed that her vaccine which was Pfizer was not available in the morning and it was moderna that was been administer. She then declined to have it but rather she will come back later during the day for her preferred vaccine which is Pfizer.
The lesson that was learnt here was that, whenever patients are booking their vaccine online the centres that I have provided what vaccine the centre will be given for the day should appear on the system for patient to choose for their own preferences rather for them to turn up and be disappointed.
Practice Supervisor’s comments:
The problem should be escalated to NBS to advertise respective vaccines against the centres name so patients don’t have to come later for the vaccine.
reflection 3
Student reflection
The angiogram procedure is meant for people with cardiovascular problems The purpose of this procedure is examined the heart and identify any usual activity within the heart and if there is anything that needs to be done to correct the heart movement. A small cut is made in the skin over 1 of your arteries, usually near your groin or wrist and a local anesthseic is used to numb the area so it does not hurt. A long, thin, flexible tube (catheter) is inserted into the artery and is carefully guided to the area being examined and the patient may feel some pushing and pulling when this is done, but it should not be painful. A special dye (contrast agent) is injected through the catheter and a series of X rays are taken as the dye flows through your blood vessels. Sometimes treatment may be done at the same time, such as inserting a balloon or a small tube to open a narrowed artery. This is known as angioplasty.
After the procedure, the catheter is removed and pressure is placed on the cut to stop any bleeding. Stitches are not needed.
Practice Supervisor’s comments:
Philomena has finished her angiogram recovery exposure