I attended my outreach today on my last day of placement on Infection and Prevention Control

There was a short orientation of 20 mins starting from 8:30 am with the Infection and Prevention Control compliance worker in regards to the purpose and compliance of the audit (due to post Covid)

I participated in going through six wards within the organisation that needed to have an audit being done

I participated in being able to do one audit and following the thorough processing method and interacted with the Charge Nurse of the ward for the day and discussed the feedback from the audit process

The entire outreach session finished at 12:06 noon

Supported a patient today who has some challenging behaviour during personal care

I had helped assist with redirecting the patient when they started becoming agitated

I helped support the patient and the carers with complying with the standards of care with maintaining privacy and dignity for the patient

I complied with the organisations moving and handling protocols and had support from the carers

These are the things that I have learned when I have observed joining a Compass session with a patient.

Supporting Brain Injury service users who have a capacity and who are under DOL’s, in doing leisure based activities. The group of patients being supported don’t have any activities during the day.

The computer room uses a variety of different types of technology such as computers, touch screens and sensor based technology to help with executing simple-complex tasks. This depends on the level of movement of the patients and can help improve their hand-eye coordination overtime.

The purpose of the sessions help patients with a variety of acquired brain injury that focuses on their goals of managing their mood, managing patients with challenging behaviour and supporting patients who want to enjoy watching cultural based videos. This helps to ensure that any service user attending the session is accommodated to the patients preference.

The computer room also holds a space to do assessments for how patients quality of life can improve with Augmentative Assistive Devices which can help in the patients everyday life. Members of the multi-disciplinary team are present to participate in order to help collate information from each speciality such as Speech Language therapists and Occupational Therapists and more.

Volunteers are present when supporting patients, in order for service users to engage with them which helps increase their mood and morale in doing the activities.

Supported a patient during a personal care episode

Following the patients moving and handling guidelines and working with one of the healthcare workers

Completed the entire personal care episode and providing and supported the patients privacy and dignity. Communicated effectively the different steps in order to engage with the patient and let them be involved with their physical hygiene

Properly dressed the patient and appropriately transferred them to their wheelchair and gave oral hygiene.

Learning Log on TNA Supernumerary Shift 22/05/25

What was Learned:

Being able to join ward rounds and case reviews with the Charge Nurse and the multidisciplinary team(MDT).

Having an in-depth perspective on what happens for new admissions and sorting out how to aid with discharge reports and what the MDT can provide support. This can either be a therapist can join a patient during their discharge and can do a final assessment during discharge on how to properly tranfer and make the patient independently support themselves within their own home.

The Ward rounds with the doctors has helped create an understanding of how they can provide support and immediate changes to the patients medications and the doctors providiing some medical insight on how to support the patients and how it can be implemented it into the ward level through the Nursing team.

Time:AM

Date: 16/05/25

Title: Digestive System/Introduction to what happens during Placement

What?

Learning about the digestive system and learning about what will happen during the placement

So what?

Learning about the different parts on a micro level that are involved in the digestive system. There are different parts of the G.I. Tract and how the entire process helps with the absorption of nutrition and how the body eliminates the waste products in the digestive system.

Now what?

Learning about the different types of the digestive system as a Nursing Associate. Has helped me undergo a deeper level of understanding of the different parts that are involved of the digestive system. This helps create an awareness on how to support patient groups if ever, a part of their digestive system is being to impacted and how I can support my patients.

Time:PM

Date: 16/05/25

Title: Clinical Skills- A-E Assessment

What?

Learning about how to assess patients using the A-E Assessment

So what?

The A-E Assessment helps with looking into the:

Airway of the patient- is it blocked? Are there any complications??

Breathing- what is the patients Respiratory Rate, Blood pressure and what does this indicate on the NewS2

Circulation- Doing a blood sugar test when needed, to show if the patient has low blood sugar or high. Blood gas using the 5 second hold on a finger and seeing a 2 second reaction when colour comes back. If it takes more time for the colour to comeback, the patient has higher level of CO2( Carbon Dioxide)

Disability- does the patient have any medical history. Do they have any health issues that can be easily noted, during an assessment that can help pinpoint a general idea of the patients presentation

Exposure- what can we escalate and inform the Nurses and Doctors to help with the patients well being and quality of life.

Friends or Family- during the incident with the patient, do they have family with them? Do they need their family or friends to be contacted in an emergency? Are they aware of the patient/clients condition and how this can be relevant to pinpoint how to support the patient

Now what?

As a Nursing Associate, learning about how to do an A-E assessment helps with creating an understanding on how to support a patient and how to develop the critical thinking skills when working with the Nurses.

KbS Learned

Date:

Title: Immune System (Self Directed)

What?

Learning about the different parts of the immune system

So what?

Learning about the different parts of the immune system. The parts are able to help filter out toxins and help build immunity for the body

Now what?

As a Nursing Associate, learning about the Immune System has helped create an understanding of how to support patients when they are undergoing an infection and how I can help treat them.

KBS Learned