WEEK 10 OF TEACHING TNA    7.5 HRS.

 MORNING SESSION:

 It’s a start of another week, another day. we had reflection as to ginger up for the start of the day/week. I was excited but a bit worried, since it was our last week of learning and a start of our placement. Exited because it is my dream to become a registered nurse and I know this is a steppingstone for me. Worried because things where not in place to meet the start of my placement.

We had a session on preparation for external placement, and the content of the session. We had a discussion about the set objectives, which are:

-To be an accountable professional.

-To promote health and prevent ill health.

-To provide and monitor care.

-To work as a team.

-To improve safety and quality care.

We discussed what is our expectation as a learner from our employers:

-To be able to provide safe and effective care.

-To be self-aware and be willing to take responsibility for self and others.

-To be able to demonstrate warmth and empathy and develop emotional intelligence and cultural competence.

-To be punctual and be able to manage time effectively.

We also discussed what is the university’s expectations:

-To be professional in all aspect of our practice and conduct during our placement.

-To demonstrate a keenness to develop our knowledge and practice through all opportunities made available.

-To complete the hour required.

We looked at the criteria for assessment during placement. I learnt that in this first year, it is a guided participation in care and performing with increasing knowledge, skills and confidence. These criteria should be achieved by the end of our first year. The guided participation is divided into:

* Knowledge, that is to be able to identify the appropriate knowledge base required to deliver safe, person-centered care under some guidance.

* Skills, a commonly encountered situations are able to utilise appropriate skills in the delivery of person care with some guidance.

* Attitudes and values, to be able to demonstrate professional attitude in delivering person centered care. To demonstrate positive engagement with own learning.

I learnt about the assessment for practice and the additional documentation such as the service user’s feedback (comments from any service user).

Reflection on learning from others (can be a specialist nurse, doctors, to name but a few).

Additional professional feedback and peer feedback (from other students within the same placement).

 Assessment from my Practice Assessor and my Practice Supervisor and their roles and what is expected from them. We had presentation on epad.

             KSBs ADDRESSED.

K1: Understand the code: professional standards of practice and behavior for nurses, midwives and nursing associates (NMC, 2018) and how to fulfil all registration requirements.

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

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

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

S5: Safely demonstrate evidence- based practice in all skills and procedures required for the entry to the registers: Standards of proficiency for nursing associates.

K7: Understand the important of courage and transparency and apply the duty of candour.

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 behavioral health challenges.

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

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

K22: Know how to meet people’s related to nutrition, hydration and bladder and bowel health.

              AFTERNOON SESSION

For our afternoon session, we had simulation, we were divided in three different groups with three different scenarios. In my own group we had subgroups of three, so everyone can participate in these scenarios.  The first scenario in our group was an elderly woman, who requested that she needs to be changed and that for the past hour nobody has checked on her and she cannot reach the call bell. The subgroup from the main group dealt with this situation. They introduced themselves to the patient, and she ended up requesting for help. She was saying sorry for what she has done, and at the same time thanking them for what they are doing. These two listened patiently to her request and they sorted it out by asking her if she want to be washed. she said she preferred just to be changed. They got the toiletry items ready, and they informed her by gaining her consent as the go to make her comfortable in every step. After everything they asked her if she wants to be repositioned and on which angle, she prefers, and they made her comfortable and she thank them for the work they have done.

The second subgroup, in which I was had a scenario of a patient who had a cut and was lying unconsciously with her head hanging in an uncomfortable position. We entered her room greeted her no response, and we notice the blood from the cut on her hand, I checked around for potential danger, I called her name loudly, shouted on her ears, shake her no response, we tried to lower the bed in a comfortable position as I shout for help, and I started chest compression. As the help arrive, I asked her to call 2222 for adult cardiac arrest and to get the defibrillator. When she arrives, she switched it on, while I was doing the chest compression until the she is ready to administer the defib, we made way for the connection by getting rid of her dress while the chest compression is still going on, we continue with it until the cardiac arrest team arrives.

                                             KSBs ADDRESSED

S3: Recognise and report any factors that may adversely impact safe and effective care provision.

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

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

S25: Meet people’s needs for safety, dignity, privacy, comfort and sleep.

S32:  Accurately undertake risk assessments, using contemporary assessment tools.

K41: Know the roles, responsibilities and scope of practice of different members of the nursing and interdisciplinary team, and own role within it.