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Category Archives: Year 2
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
Placement 1 Updated 3 minutes ago
FINAL
The following forms need to be completed by the end of your placement.
The student must complete this form towards the end of their placement.
RESPONSES (1)
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 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.