Date: 16/10/24

Time: 09.30 am – 16.30 pm

Title : Ethical and Legal aspect of Nursing  / Vital signs and News score

Morning section

Today we started by discussing the time frame for our first essay submission and due date for the 14/2/25 , we also discussed  when we are due to sit our first Moc exams which will be taken on campus  sometimes in January 2025 .

We went further on how to write a good Essay and how our Essay should have a learning outcome in relation to the NMC code of practice at all times and to make sure the references are in Harvard forma t and to use Gibbs reflective essay.

We discussed in details the Ethical and Legal aspect of Nursing . We spoke about Autonomy , which is the opportunity given to Patients to be able to make decision for their own care and putting individuals at the centre of their own care at all times. We also went on to look into Beneficence which is doing good actively, by doing what is beneficial for the Patient in a good way by making things much better for the individual we provide care for , we also discussed about Non- Maleficence not to make things worse and Justice which is equality and fairness at all levels in the course of our duty as a Nursing Associate.

We went further to discuss about the NMC code 2018 Accountability vs Responsibility which is acceptance and carrying out a task when delivery care in our line of duty as a Nursing Associate. Furthermore we discussed the Mental Capacity act which enable Patients to make informed decision, we went on to discuss the function of the Mental capasity act which helps to work in the best interest of a Patient, provides the check list of the things to be met as well as the provision of care and or treatment as long as the capacity and the best interest of a Patient as been properly assessed then we can give care to a Patient that lacks capacity .

Lastly we discussed the care model of ethical decision making and the 4 Quadrants that looks into the Medical implication, Patient preference, Quality of life and Contextual factors.

Moving forward I understand the need to give all individual the benefit that they have the capacity to make informed decision regarding their care unless it has been proven that they lack the capacity to do so in my line of duty as a Nursing Associate , and also to make the NMC code section (11) 2018 and important aspect in the way and manner I deliver care as a Nursing Associate .

In the afternoon section we had a practical section on how to check Blood pressure manually in the simulation room , we were paired up in 3 in each groups and we checked each others blood pressure and learnt when to leaning to the first beats has the systolic reading and when the beats stops as the diastolic reading . It was a very interesting section and was very informative as well. we made sure we introduced ourselves to each other and gained consent to proceed with care delivery at all times.

KSBs

K3: Understand the professional responsibility to adopt a healthy lifestyle to maintain the level of personal fitness and well-being required to meet people’s needs for mental and physical care.

K4: Understand the principles of research and how research findings are used to inform evidence-based practice

K5: Understand the meaning of resilience and emotional intelligence, and their influence on an individual’s ability to provide care

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: 09/10/24

Time: 09.30 am – 16.30 pm

Title : Anatomy and physiology of the Nervous System / Importance of communication / Professional values relating to Nursing practice.

ANATOMY AND PHYSIOLOGY OF THE NERVOUS SYSTEM :
In the morning section we learnt about how the nervous system is important in the human body , how it detect and responds to changes inside and outside the human body and its fast response to reactions. We discussed the components of the nervous system, the Central which comprises of the brain and spinal cord as well as the Peripheral which consist of the sensory division and the motor division which splits into Somatic and the Autonomic which then goes further to split into Sympathetic( response to panic /shock : (increased breathing, heart rate ,BP) and the Parasympathetic   which is the response to stimuli.

We discussed about how the Central Nervous system is made up of the brain and spinal cord , and how its acts as the body’s control centre and coordinates the body’s activities and how the brain has approximately 100billion nerves cells and receives information around the body. The Peripheral nervous system on the other hand  is made up of nerves that carry message  to and from the central Nervous system. They both work together to make changes in the body and respond to  stimuli.

We went further to discuss about Neurons which is the basic unit of structure and function in the nervous system. it conduct impulses made up of dendrites( which receives impulses and carry them towards the  cells body and Axon) and Axon ( single extension of the neurons that carries impulses away from the cell body) .

We discussed about the brain and its 3 main sections  . Cerebrum (controls memory, intelligence, language) Cerebellum ( controls balance, posture, coordination)  and the Brans term  . we also discussed the Lobes of the brain and it corresponding function, we talked about the Frontal lobe( personality, intelligence, plaining and problem solving ) The Parietal lobe ( reception and processing of  sensory information from the body) Temporal lobe (memory, emotion , hearing , smell ,judgement ) and the Occipital lobe ( vision input )

We discussed about the brain stem which consist of the midbrain , Pons and the medulla oblongata . The outer layer of the brain and spinal cord which is the Meninges which protects and supports the central Nervous system .and to ensure adequate support of the blood to the Central nervous system  via thousands of blood vessels to produce cerebrum fluid .

Moving forward I have learnt how important the Nervous system is to the body and how the brain works in connection to the entire human body. I know how bleeding in the brain can cause to much pressure and damage the brain , I am aware of the different role of the Nervous system and how it plays a very important role in the human body as the electrical wiring system of the body.

IMPORTANCE OF COMMUNICATION / PROFESSIONAL VALUES RELATING TO NURSING PRACTICE.

I the afternoon section , we discussed about the importance of communication in our job role as a Nursing Associate , good communication and the use of effective communication in our role helps us to give person centred care to our Patients as well as being able to pass message between us and the people we care for at all times .

We had a group activity to discuss how upholding the NMC values in relation to good and effective communication and how it protects the Patients and ourselves as a Nursing Associate in our line of duty as a care giver. We discussed about the importance of good and effective communication, being a good listener , being open and honest at all times ,leaving room for questions when relating to our service users , make sure we document for future reviews of events ,simplify message for better understanding of the Patients we care for , as well as know how to safeguard and advocate for our service users when needed.

Moving forward I know how important a good and effective communication is in my job role as a Nursing Associate and how Professional values underpin all aspect of professional practice (Baillie / black 2015) this professional values can influence or attitude both in a positive and a negative way.

Moving forward I understand how communication can be a very difficult barrier and how I can do things better and communicate differently to make communication easier in my role as  a Nursing Associate to the people I care for to have a good and better outcome in my line of duty.

KSBs

K1: Understand the Code: Professional standards of practice and behaviour for nurses, midwives and nursing associates (NMC, 2018), and how to fulfill all registration requirements

K2: Understand the demands of professional practice and demonstrate how to recognise signs of vulnerability in themselves or their colleagues and the action required to minimise risks to health

K3: Understand the professional responsibility to adopt a healthy lifestyle to maintain the level of personal fitness and well-being required to meet people’s needs for mental and physical care

K4: Understand the principles of research and how research findings are used to inform evidence-based practice

K5: Understand the meaning of resilience and emotional intelligence, and their influence on an individual’s ability to provide care

K6: Understand and apply relevant legal, regulatory and governance requirements, policies, and ethical frameworks, including any mandatory reporting duties, to all areas of practice

K7: Understand the importance of courage and transparency and apply the Duty of Candour

K8: Understand how discriminatory behaviour is exhibited

K16: Understand body systems and homeostasis, human anatomy and physiology, biology, genomics, pharmacology, social and behavioural sciences as applied to delivery of care

K17: Understand commonly encountered mental, physical, behavioural and cognitive health conditions as applied to delivery of care

Date :20/09/2024

Time : 9.30 am – 16.30 pm

Title : Uniform and named badge ordering / Blood Oxygen Practical section..

UNIFORM AND NAMED BADGE ORDERING

At mid day we ordered our Nursing Associate Student Uniform and Named badge on line via teams with Grahame Gardner , He talked us through how to place our order correctly to avoid any mistakes . We also filled out the online forms for our Hello Named badge .

We later went to the library to get ourselves familiar with the place , we met with one of the library  coordinators  whom inducted us on how to use the library, borrow books and when to return loan books in time . She also showed us how and where to locate book for our Nursing Associate related courses and how to seek help when needed. She explained what our printing entitlement was and how to top up our Croydon College ID cards with more money to be able to print when we run of our free printing

BLOOD OXYGEN PRACTICAL SECTION

In the afternoon section we all went as a class to the simulation class , we were paired up to check each others blood oxygen’s level, heart rate and respiratory rate . we had to do this the professional way  , by first introducing ourselves to each other and gaining consent to check each others vitals signs .

We discussed about how the pulse oximeter measures the blood colour.I learnt that bright red colour of blood is antiviral. If the colour of the blood is  dark that means there is oxygen in the blood for proper blood flow and waste is not been taken away from the blood in the body which makes the blood dark red in colour.

Going forward I now know that the most important vital sign in the human body is the Respiratory Rate.

Date: 02/10/2024

Time: 09.30 am – 16.30 pm

Title : General discussion points for Apprentices / Bloods / Manual Handling.

GENERAL DISCUSSION FOR APPRENTICES.

Today we had an extensive discussion on how to fill out the tripartite form for our next meeting between the University, Employer and the Apprentice , we also had a brief discussion  on what to tick on the form and filled out the form together in class. we also discussed about some of the things we will be discussing in the meeting .

We also talked recapped on how to fill in our daily learning logs as well as or theory and practical learning logs .

We went further to discuss about the supports available  to us as students , as well as career opportunities available to us after we finish our course and qualify as a Nursing Associates.

We spoke more about the assessment for theory module  which will be due in February 2025, and our first external placements .

I have learnt in this section how to fill out the tripartite forms for the upcoming meeting , learning log and more on how to write my Essays.

BLOODS .

In the mid day we learnt about the structure and function of Bloods .

We learnt that bloods carry oxygen around the body as well as sends hormones around the body.

The blood helps to transport gases (Oxygen and Carbon dioxide) , waste product , Nutrient , removes toxins from the body as well as maintenance of core body temperature.

We also talked about the composition of blood, the volume in adult body is about 5l and its made cellular material in a fluid called plasma which makes up of 6 – 8%. the circulating tissues consisting of 3 types of cells , Red blood cell, White blood cells and Platelets. The formation of blood consist of  Hematopoietic : which is the formation of the development of blood cells , The cellular element , in adult produced in the bone marrow and white blood cells which is produced in the lymphatic  tissue and bone marrow . Blood cells need a lot of nutrients to form properly. Examples of the nutrient the blood cell needs are iron, folic acid and vitamin B12.

We talked about some of the diseases associated with bloods like Anaemia which is red blood cell disorder. which is caused by Low red blood cell count, low haemoglobin concentration( iron deficiency) and deformed red blood cell (sickle cell anaemia)

we spoke about white blood cell which is the largest sized blood cells , which is form in the bone marrow and some lymph gland. it is also the primary cell of the immune system, the life style is from 24 hours to several years and it contains nuclei with DNA. White blood cells generally contributes to the immune system.

We went further to learn about different types of blood groups and the 4 major ones consist of  A,B,AB,O.

We learnt about the Cardiovascular system, which supplies  oxygen to the tissues , it transports carbon dioxide from the tissues back to the lungs and nutrients to the tissues of the body, remove waste products from excretion from the body to the kidney and liver and helps to maintain homeostasis.

In the afternoon section we went to the stimulation room for practical section, we washed each others faces in pairs and reflected on the the way we felt being cared for and relate it to the way we will care for Patients in our job role as a Nursing Associate, also we went further learn how to wash Patients in bed and reflected on the way we attend to Patient and how to manoeuvre with the help of the Manual handling training.

We later also had a practical  section on using the hoist and the step by step of how to hoist a Patient from a chair safely , it was well explained in details and it was a very interesting section.

Moving on from what i have learnt today, I am able to do my theory and practical learning log, more confident in attending to Patient during personal care and safe manual handling of Patient in their vulnerable state.

Date: 25/09/24

Time : 9.30am – 16.30pm

Title: Respiratory System / Introduction to academic writing

RESPIRATORY SYSTEM:

Today we discussed  about the respiratory system and how it functions in the human body .

The respiratory system function to provide our body with oxygen and remove carbon dioxide  , oxygen is required by our cells to make energy and this is brought in through the lungs  and delivered to the cells by the blood stream. I also learnt that Carbon dioxide is carried away from from our cells to the lungs and this is expired from our body through the lungs.

Further more I learnt  about the respiratory system consisting of the Thoracic cavity, upper and lower respiratory tract and the Lungs, the muscles of the respiratory system which consist of the Diaphragm that plays one of the major role  in the respiratory system , it contract to allow for oxygen inhalation into the respiratory system through the nose which filters the out the air we breathe in ,or the mouth into the lungs. And these turns into waste product in our body (carbon dioxide ) which is expired from the body through the lungs.

Moving forward putting what I have learnt about the respiratory system into practice ,I now have more insight into the respiratory system of the human body and I will be able to implement this in my work role,  knowing the importance of free air way for oxygen passage into the lungs is now more clearer and I am now more confident about using what I now know into my job role , also  my training in Basic life support  as a fundamental training skill will be put to use in a more reliable way. I will also be able to identify and support people with respiratory distress.

ACADEMIC WRITING

In the afternoon section of the day , we learnt about Academic writing level 4.

we learnt about how to write essays , and how to apply the Bloom’s Taxonomy , which give us the guideline of how to write a good essay by following the pattern: Create , evaluate, analyse, apply, understand and remember.

I also learnt the importance of referencing and how to use it in my essays writings. I also learnt how to proof read my essays as well as use references at the end of each quote ,and not at the end of the essay. Also in this section I learnt how important it is to use the full word Nursing Associate when writing my essays rather than using abbreviations like NA in essays.

Moving forward I have learnt how to write essays better in a more reflective way  , also use full words rather than using contractile English, also to use own words and not direct words from a third party.

Also the use reference DIO number as the quote can be easily traced and remain in the internet space , instead of the full source of reference which can not be trace again in the future for verification of reference

KSBs

K16: Understand body systems and homeostasis, human anatomy and physiology, biology, genomics, pharmacology, social and behavioural sciences as applied to delivery of care

K4: Understand the principles of research and how research findings are used to inform evidence-based practice

Date: 24/09/24

Time: 9.30 am – 16.30 pm

Title : Developing professional values and behaviour / Anatomy of physiology  , System, Cells and Homeostatic.

DEVELOPING PROFESSIONAL VALUES AND BEHAVIOUR

In the morning section we learnt about the NMC code of conduct which contains the standard that Nurses, Midwives and Nursing Associates must uphold in direct PT care and leadership research and education.

I also learnt about the NMC 6Cs which comprises of Compassion, Communication, Competence, Courage, Commitment, and Care , including duty of candour and how we are bind by the NMC to implement them in our role as Nursing Associate.

We went further to discuss the British Values which we need to adhere to in our profession and how to implement them in our dad to day role . Also we discussed about what is expected of Nursing Associates in our job role and to know our limitations on what we can and cannot do as a Nursing Associate.

Moving forward I have learn what is expected of me as a Nursing Associate and how to implement the NMC 6Cs in my day to day care delivery as well uphold and promote British values in my line of duty, and also apply duty of candour in my practice.

ANATOMY OF PHYSIOLOGY : SYSTEM, CELLS AND HOMEOSTATIC

During the afternoon section we discussed about the body system and cells and the concept of homeostatic. I also learnt about Anatomical positions which tells us about our body positioning and language when dealing with Patients in our role as a Nursing Associate.

we went further to discuss  the Anatomical positioning which  includes , Standing upright, Forward facing, arms at the side, Palms forward, Feet parallel as well as knowing Patients positioning from the right and left positioning when dealing with people in our line of duty. we also discussed the level of organisation of the body which includes the Chemical level, Cellular level, Tissue level, Organ level, Organ system level and the organismal level.

We learnt about Zygote , which is formed when the ovum and spermatozoon fuse, and that Normal cells know when to divide to create new cells, repair or die.

We discussed about Homeostasis which is described as the body’s ability to maintain relatively stable internal body conditions . we went further in this section to discussed  the 2  examples of Homeostasis mechanism which is Blood glucose and Blood pressure.

Moving forward I  know the 5 essentials  of survival in the human body which is water, temperature, nutrients , oxygen and pressure as well as the types of  skin cells that can become cancerous . Also I know how to response  to hypothermia . I will also put into practice the Anatomical body positioning  in my line of duty as a Nursing Associate.

K1: Understand the Code: Professional standards of practice and behaviour for nurses, midwives and nursing associates (NMC, 2018), and how to fulfill all registration requirements

K7: Understand the importance of courage and transparency and apply the Duty of Candour

K9: Understand the aims and principles of health promotion, protection and improvement and the prevention of ill health when engaging with people

K16: Understand body systems and homeostasis, human anatomy and physiology, biology, genomics, pharmacology, social and behavioural sciences as applied to delivery of care

Date : 19/09/24

Time :9 am – 16.30 pm

Title :Introduction to the module Developing professional values and behaviour Introduction to the  NMC Code the 6 Cs . 

In today’s lessons we talked about professional values of Nursing Associates and our job role and the code of conduct as laid down by the NMC to be adhered to by Nurses , Midwives and Nursing Associates. We spoke about the importance of courage speaking up and transparency in our line of duty, report any near miss during in line of duty as a Nursing Associate.

We went on to discuss about the British values as describes my the NMC , and the importance of good communication skills in our job role as a Nursing Associate.

We also learn about  personal organisational skills and the ability to identify and plan which will help us meet our learning requirements as described by the NMC code of conduct.

We also talked  again bout the NMC 6Cs which is Care, Compassion, Competence , Communication , Commitment and Courage ,  demonstrating  the 6Cs is  very importance to help us as Nursing Associate to achieve our oal in our job role as a Nursing Associate .

Moving forward I will implement the NMC 6Cs in my job role as a Nursing Assistant , be reflective in my role and learn to be open about mistakes and to deliver good standard of care to all persons in my job role , to demonstrate the British values and be reflective .

AFTERNOON SESSION

In the afternoon section we discussed about Reflective thinking, and how to write our first essay writing which is a reflective report from our first clinical placement to address professional relationships and communication.

we talked about how we should always talk about our role as a Nursing Associate  and the definition of a Nursing Assistance when we write our learning outcome in our essays .  We went on to  discussed  about referencing a bit and we were made to understand we will have a session for it in the coming week.

Further more we talked about how to write our individual theory and practical hour log sheet  and what can be recorded in the log. We were told where to record our mandatory training times,as well as times spent in hand over can be recorded in our theory learning log and this must be approved  and signed by our Managers .

We went on to visit the Library , we met the library staff who talked us through how to have access to books and journals, as well as how to loan books and when it should be returned . We were also told we also have access to the printers to print our work and that eat student get credits loaded on their Croydon College  ID cards  and if this is exhausted we can top up at the Library for as low as a pound.

At the end of the days section , we again went through modules done Monday  to Wednesday and also was told about Uniform ordering on Friday and a brief about going into one of the simulation rooms .

KBS

K7: Understand the importance of courage and transparency and apply the Duty of Candour

K1: Understand the Code: Professional standards of practice and behaviour for nurses, midwives and nursing associates (NMC, 2018), and how to fulfill all registration requirements

K19: Know how and when to escalate to the appropriate professional for expert help and advice

Date: 18/09/24

Time : 9.30 am- 16.30 pm

Title: Introduction to cells , system and homeostasis.

In the morning section we learnt  about cells, system and homeostasis and the several cavities of the human body which contain the organs  known as the dorsal cranial and vertebral and ventral which is the thoracic, abdominal, pelvic.

We also discussed  about Homeostasis , which is the balancing of all the system in our body to be able  to function well as survive.

We went further to discuss the abdomen which can be divided into 4 sections ,consisting of the right upper ,right lower, left upper and the lift lower region, further more we learnt about the level of organism in the human body which are the , Chemical level ( Electrolytes) this is very important for the body to function well as they conduct electricity which helps the muscle and nerve to function well. It also helps to resist pH changes in the body and also  help to keep body fluid where they are to be.

we went on to learn about cell membrane and transport, in which we went on to discussed passive transport ( no energy)  under which we have Osmosis and diffusion .  We had an example to to describe what diffusion is and this was compare with a dry lettuce put into a bowl of water that helps it bounce back to life.

We also went on to discussed about tissues in the human body and under this topic we talked about the various times of tissues in the human body

1.Epithelial or epithelium – found covering the body and lining hollow organs and tubes. It protects underlying structures from drying out, can excrete e.g. mucus membranes or can absorb.

2.Connective – found in all organs; functions are binding (e.g. ligaments binding bones), support, protection, transport and insulation. Blood is a fluid connective tissue which are large numbers of cells , classified by size , function and shape.

we also discuss about the 4 main types of tissues which are Nervous tissue ,  Muscle tissue, Connective tissue and the Epithelial tissue.

WE spoke about the organ which is part of the body that consist of different tissues .

We also discussed the 5 essential for human to survive , which is water, normal body temperature, nutrients, oxygen and normal pressure

KSBs

K16: Understand body systems and homeostasis, human anatomy and physiology, biology, genomics, pharmacology, social and behavioural sciences as applied to delivery of care

Date: 17/09/24

Time : 9.30 am- 16.30 pm

Title: Group work /Learning style /Surety solar

LEARNING STYLE

In the morning   section we discussed about learning style which we went about to discuss reflective learning. Under this topic we learnt about concept of reflection and gained more insight into the models of reflective thinking and how to apply it in our job role as a Nursing Associate.

we learnt how to be confident in our job role as a Nursing Associate , be able to speak up when we make mistakes  and be able to undertake reflection to do our job in a professional way and learn from our mistakes

Moving forward I will be able to reflect on the standard in which i deliver care  , learn from my mistakes in my line of duty as a Nursing Associate, and work to deliver my job to standard set out for Nursing Associates by the NMC

GROUP WORK

In the afternoon  section today we worked in groups to discuss the role of a Nursing Associate within our scope, accountability, code of conduct and duty of care.

My group put together a power point slide to discuss the topic and this was presented to the whole class by the 5 members in my Group.

We went on to talk about NMC code of conduct for Nursing Associates, dress code and how to write our leaning log in our e portfolio account .

We also learnt about referencing , when and how to add references and the use of abstract and how we need to always write our conclusion while writing our essays .

Going forward I have learnt more about my job role as a Nursing Associate , I have also familiarise myself more to the NMC code of conduct and what is expected to me as a Nursing Associate to achieve my goal

KSBs

K1: Understand the Code: Professional standards of practice and behaviour for nurses, midwives and nursing associates (NMC, 2018), and how to fulfill all registration requirements

K7: Understand the importance of courage and transparency and apply the Duty of Candour

Date : 16/09/24

Time :9.30 am -16.30 am

Topic : Preparation of study week

PREPARATION OF STUDY WEEK.

In class today we discussed about our new role as a Nursing Associate and what is expected of us to reach our goals , we also got out University log in  details and created our Roehampton student account , we also went further to  learn how to use the Module  and e-portfolio on the school sites and also completed our ID card forms to enable us get our student ID card .

In the afternoon section we learnt how to do our daily learning logs of what we learnt each time we attend University . We also discussed about Adult learning and time management and introduction to Reflective learning. we also discussed our first assignment and when it is due and also discussed time management on how to start planing ahead of time. Balancing work , studies and life style was key and time management plays a big role to achieve our goals in our aim to achieve our goal as a Nursing Associate in our first year .

Further more  we discussed about the programme hours required by the NMC to be registered as  a Nursing Associate . This includes 1150 hours of theory and 1150 hours of practical and we also had a look at the programme structure of the Nursing Associate course.

We also discussed the modules  for this year which is Understanding Health and Illness Across the Life span and how the  assessment  will be in the form of multiple questions .

As this is my first day in University , it feels a bit overwhelming at the moment but I believe I will settle down as the week ahead unfolds .