1st placements-reflection before the final interview
Student’s self-assessment/reflection on progress: Reflect on your overall progression referring to your personal learning needs, professional values and proficiencies. Identify your strengths and document areas for development.
Knowledge:
During these five weeks on this placement on general surgical ward I have learnt a lot of new things and I have improved a lot since pervious interview with my PA, such as the observing the patients teen of BP to see the average BP range for that patient, if there are any changes or concern it must be reported and recorded, as well as, applying my knowledge of what I have learnt previously.
On my fifth week of placement I have done several Urine analysis, while analysing my supervisor guided me through as to why it is important to do a urine analysis; this is because from urine sample we can find out the following: acidity, glucose, blood and proteins etc. During my past two days of my work placement I have learnt to use the bladder scan, which is used to measure how much urine is your bladder. This is done couple of time to see if the bladder is working alright when passing urine.
One of day during my shift, on the ward we had a serious cardiac arrest and all the seniors had to go to the patient room and once the chest compressions were under control the other staff reached out for the emergency team and gathered the emergency resuscitation equipment. During this time I also approached and helped by grabbing certain equipments the Senior Nurse needed such as the ECG machine and the IV stand, but also had my active listening in place just in case they needed anything else to proceed forward with the situation.
Skills:
Since my previous interview I have Improved more in doing vital signs, taking glucose levels and communication skill has massively increase due to the interaction with my patients and my colleagues. I have also improved and explored the skill of being compassion and showing empathy to patient, this was shown through when my patients would as for something or would ask me to sit with them while they would be expressing how they feel.
I have also developed the skill of being able to adapt myself to a unique days on the ward, such as from caring for the patients to the sudden and unexpected situation you may deal with.
In addition to this, developing the skill of being a strong-minded nurse is very important, this is important skill for me because doing a shift from 7:30 am to 8:00pm is a very long time, so as a nurse it’s important for me to put the patients well-being and emotions before my own. This skill is used everyday because it can effect the care and prioritising the patients needs.
Under supervision one of my colleague, I have learnt the skill of how to give medication and when to give medications, this was a little bit difficult but if I need help or I had questions about a certain medication she would explain the reason why this medication was given or what dosage it must be given. On the same day I learnt how to document few thing under the supervision of the same colleague, I was told that documenting every detail of a patients on Cerner is important because if anything happens there will be previous details to help out with the care plan of the patient if needed. However what I need to develop and understand more of is referral of patients, as I found it difficult doing it by myself.
Attitudes and values:
During this placement I have learnt all different values and attitudes which need to be applied as a nurse. I have developed the core values of being a nurse such as being honesty and consider human dignity while working with my patients and colleagues.Having and developing the attitude of paying attention to details of a patients and empathising with the patient is very important because it gives them a a sense of being valued and listened as you are putting your self in their shoes and trying to understand everything they are trying to say to.
my Final interview Reflection on my practice During my first placement at Croydon University Hospital