WEEK 5  OF TEACHING TNA.    7.5HRS.

MORNING SESSION:

We start our day with a reflection as we normally do, to ginger us up for the start of the week, which I think helps us. The topic for this week’s learning is: DEVELOPING PROFESSIONAL RELATIONSHIP IN NURSING. We looked at THE ROLE OF EFFECTIVE COMMUNICATION and outlined the aim of the session and reasons for effective communication. Communication is the transfer of information between a source and the receiver.  I learned that nurses spend an extended time with patients (building rapport ) and they develop a trusting relationship. There are times patients do not wish to share their thoughts and feelings, nurse(s) should be able to recognise and respect this.

We looked at the effective communication skills which are  written communication, verbal communication, non verbal communication, active listening, trust, personal connections to name but a few.

We looked at the NMC  code of conduct (2018)  – every standard set in the code relates to communication to some degree.  Standard 1 of NMC, 2018 recognises that people should be treated as individuals and their dignity must be maintained. According to Hibbard and Greene 2013: If communication has been effective for patients, then they will feel empowered to make decisions about their care and treatment.  NMC2018 : Communication is also important when obtaining consent . It is very important for Healthcare professionals to inform patients of the risk and benefits of their treatment or procedures before the patients can make their informed decision  about whether they would like to give or refuse consent.

We also looked at the different ranges of people, ( stages in the lifespan) and how this relates to communication. Communication with children and  young people, young children rely on adults to make decisions on their behalf because they lack the necessary understanding of their condition and associated treatment. As they grow older there comes increasing understanding and the ability to be involved in their care decisions.

In summary of communication as part of the morning session, the  age and stage of development of individual with whom you are communicating has a significant impact on how you should communicate with them.

People at various stages of life are subject to both stereotyping and stigma, but these should not affect the relationship between a nurse and their patient.

And must be mindful of the emotions and actions and maintain compassionate, effective communication with patients.

                        KSBs  ADDRESSED FOR MORNING SESSION:

S2:  Keep complete, clear, accurate and timely records.

S4: Take responsibility for continuous self reflection, seeking and responding to support and feedback to develop professional knowledge and skills.

S6: Act as an ambassador for their profession and promote public confidence in health and care services.

S7:  Communicate effectively using a range of skills and strategies with colleagues and people at all stages of life and with a range of mental, physical, cognitive and behavioural health challenges.

S8:  Recognise signs of vulnerability in self or colleagues and the action required to minimise risks to health.

S9: Develop, manage and maintain appropriate relationships with people, their families, carers and colleagues.

S11: Report any situations, behaviours or errors that could result in poor outcomes.

S13: Apply the aims and principles of health promotion, protection and improvement and the prevention of ill health when engaging with people.

S14: Promote preventive health behaviours and provide information to support people to make informed choices to improve their mental,  physical, behavioural health and wellbeing.

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

S18:  Apply knowledge, communication and relationship management skills required to provide people, families and carers with accurate information that meets their needs before, during and after a range of interventions.

S23 : Work in partnership with people, to encourage shared decision making, in order to support individuals, their families and carers to manage their own care when appropriate.

                  AFTERNOON SESSION:

  We looked at Vital signs and NEWs ( National Early Warning score) and the learning outcomes. That they detect and monitors health. The consist of Blood Pressure, Heart rate, Respiratory rate, Oxygen saturation(pulse oximetry)Temperature and Conscious level (ACVPU).

I learnt about the normal values of healthy adults that:

Bp -systolic100 – 140, diastolic 60 – 90.

Pulse – 60 – 100 Bpm

Resp rate – 12 – 20bpm

Pulse oximetry – 94 – 98%

Temp – 36 – 37.5’c (low grade pyrexia 37.6 – 37.9’c, pyrexia 38’c +)

Conscious level – using ACVPU – A= Alert.  News2 was first introduced in 2012 and updated in 2017. As healthcare workers News  should always record for clinical reviews. News is an easy way that helps to recognise a deteriorating patients. News can be used in conjunction with clinical judgement, high score may not trigger a response(end of life). I also learnt about the NEW score, frequency of monitoring and the clinical response.

We were divided into group of two, to practice how to do the vitals and record the scores in the NEWs chart manually.

                                         KSBs ADDRESSED.

S15: Identify people who are eligible for health screening.

K20: Know how people’s needs for safety, dignity, privacy, comfort and sleep can be met.

K24: Know how to support people with commonly encountered symptoms including anxiety, confusion, discomfort and pain.

S24: Perform a range of nursing procedures and manage devices, to meet people’s need for safe, effective and person-centred care.