Time: 9:30 AM – 4:30 PM

Title of learning activity: Clinical Simulation Reflection – Mrs. Ethel Matema

During this simulation, I encountered an 81-year-old patient, Mrs. Ethel Matema, who was admitted following a fall at home. She exhibited concerning signs, including confusion, drowsiness, and poor fluid intake. Her vital signs indicated a raised temperature (38.2°C), hypotension (BP 89/54mmHg), and dark, reduced urine output. Additionally, she was speaking to her deceased husband, which suggested possible delirium.

My first priority was to conduct a full assessment, recognising the possibility of a developing infection, likely a urinary tract infection (UTI), given her catheter, fever, and discoloured urine. I ensured infection control measures while obtaining a catheter specimen of urine (CSU) for analysis. Encouraging hydration was also essential due to her poor oral intake and history of low blood pressure.

After completing her NEWS2 assessment, I promptly escalated my concerns to my Practice Assessor using the SBAR handover framework, ensuring clear communication of her deteriorating condition. This experience reinforced the importance of early recognition of sepsis indicators, effective communication, and holistic patient care, particularly in elderly patients with frailty and cognitive changes.

Overall, this simulation helped me develop my clinical decision-making, prioritisation, and assessment skills, preparing me to respond effectively in real-life scenarios.

Time: 9:30 AM – 4:30 PM

Title of learning activity: Airway management and suctioning

As we talked about managing airways and suctioning for endotracheal (ETT) and tracheostomy tubes, I learnt more about the processes, reasons why they shouldn’t be used, and the role of the MDT in making things better for patients. Airway suctioning is indicated for patients with ineffective cough, excessive secretions, or respiratory distress due to mucus obstruction. Preparation for suctioning involves gathering necessary equipment, including a suction catheter, sterile gloves, a suction unit, normal saline, and a Yankauer suction device for oral suctioning. The procedure requires aseptic technique to minimize infection risks. The MDT is very important for making sure patients are safe and getting the best results. Doctors, physiotherapists, and nurses work together to evaluate respiratory function, determine the need for airway clearance, and avoid problems. Because oral suctioning using a Yankauer device lowers bacterial colonisation in ventilated patients, good oral hygiene is also essential for preventing infections. Our discussion highlighted the need of MDT in cooperation in airway care, the necessity of sterile technique in preventing infection, and the importance of appropriate suctioning to promote oxygenation. I want to use these ideas in clinical settings going forward to improve respiratory health and patient safety.

Time: 9:30 AM – 4:30 PM

Title of learning activity: Searching for relevant literature evidence

Our discussion on searching for relevant literature to support evidence-based practice (EBP) highlighted the importance of integrating research into clinical decision-making. I learned that using credible sources, such as peer-reviewed journals and clinical guidelines, ensures that care is based on the most current and reliable evidence. One important thing I learnt was that looking for literature needs to be done in a structured way, which includes coming up with clear research questions, using the right databases, and using critical thinking skills. This process not only helps me give better care, but it also strengthens the link between study and clinical practice.