Date of Learning: 19/04/2024
Time: 09:30 – 16:30
Title of learning activity: Decision Making And Care Delivery
Diary of Learning activity
During Today’s session we spent the day with Joicy and she introduced the new lecturer for the care delivery module. The new lecturer Jenny she came to spend the day with us to observe the dynamic of the class and to get to know us all. In our first session for the module Decision making , we focused into the fundamentals of Acute Kidney Injury (AKI). We discussed its definition, epidemiology, and pathophysiology. The class emphasized the importance of early recognition and intervention to prevent complications. We focused on the diagnostic approach to AKI. We learned about interpreting renal function tests such as serum creatinine and estimated glomerular filtration rate (eGFR).. Additionally, we discussed the role of imaging modalities such as renal ultrasound in assessing kidney function. We explored pharmacotherapy considerations in patients with AKI. We discussed dosing adjustments for renally cleared medications and the importance of drug selection to minimize nephrotoxicity. The class also covered the management of common comorbidities in AKI patients, such as hypertension and hyperkalaemia, highlighting the need for individualized treatment plans. During the afternoon session, Joicy exceptionally runt the Care delivery module and the topic was medicine management. We began by exploring the principles of rational prescribing and medication safety. We also examined the fundamental concepts of drug calculations. We discussed the importance of accuracy and precision in medication dosing to ensure patient safety. The class covered basic arithmetic operations such as addition, subtraction, multiplication, and division, which form the foundation of drug calculations. We also reviewed common units of measurement used in medication dosing, including milligrams, milliliters, and micrograms. We learned how to calculate drug dosages based on patient weight, age, and body surface area. The class practiced converting between different units of measurement and solving dosage calculation problems using dimensional analysis and ratio proportion methods. Emphasis was placed on double-checking calculations to minimize errors. At the end of the class we all completed a group mock test. After all I thought this was another great day.
KSBs addressed:
| B1 | Treat people with dignity, respecting individual’s diversity, beliefs, culture, needs, values, privacy and preferences |
| B2 | Show respect and empathy for those you work with, have the courage to challenge areas of concern and work to evidence based best practice |
| B3 | Be adaptable, reliable and consistent, show discretion, resilience and self-awareness |
| K32 | Understand what constitutes a near miss, a serious adverse event, a critical incident and a major incident |
| K33 | Understand when to seek appropriate advice to manage a risk and avoid compromising quality of care and health outcomes |
| K34 | Know and understand strategies to develop resilience in self and know how to seek support to help deal with uncertain situations |
| K35 | Understand own role and the roles of all other staff at different levels of experience and seniority in the event of a major incident |
| K36 | Understand the roles of the different providers of health and care |
| K37 | Understand the challenges of providing safe nursing care for people with complex co-morbidities and complex care needs |
| S17 | Protect health through understanding and applying the principles of infection prevention and control, including communicable disease surveillance and antimicrobial stewardship and resistance |
| 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 |
| S19 | Recognise when capacity has changed recognise and how a person’s capacity affects their ability to make decisions about their own care and to give or withhold consent |
| S20 | Recognise people at risk of abuse, self-harm and/or suicidal ideation and the situations that may put them and others at risk |
| S21 | Monitor the effectiveness of care in partnership with people, families and carers, documenting progress and reporting outcomes |
| S22 | Take personal responsibility to ensure that relevant information is shared according to local policy and appropriate immediate action is taken to provide adequate safeguarding and that concerns are escalated |
| 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 |
| S24 | Perform a range of nursing procedures and manage devices, to meet people’s need for safe, effective and person-centred care |
| S25 | Meet people’s needs for safety, dignity, privacy, comfort and sleep |
| S26 | Meet people’s needs related to nutrition, hydration and bladder and bowel health |
| S27 | Meet people’s needs related to mobility, hygiene, oral care, wound care and skin integrity |
| S28 | Support people with commonly encountered symptoms including anxiety, confusion, discomfort and pain |
| S29 | Give information and support to people who are dying, their families and the bereaved and provide care to the deceased |
| S30 | Recognise when a person’s condition has improved or deteriorated by undertaking health monitoring, interpreting, promptly responding, sharing findings and escalating as needed |
| S31 | Act in line with any end of life decisions and orders, organ and tissue donation protocols, infection protocols, advanced planning decisions, living wills and lasting powers of attorney for health |
| S32 | Work collaboratively and in partnership with professionals from different agencies in interdisciplinary teams |
| S33 | Maintain safe work and care environments |
| S34 | Act in line with local and national organisational frameworks, legislation and regulations to report risks, and implement actions as instructed, following up and escalating as required |
| S35 | Accurately undertake risk assessments, using contemporary assessment tools |
| S36 | Respond to and escalate potential hazards that may affect the safety of people |
| S37 | Participate in data collection to support audit activity, and contribute to the implementation of quality improvement strategies |
| S38 | Prioritise and manage own workload, and recognise where elements of care can safely be delegated to other colleagues, carers and family members |
| S39 | Recognise when people need help to facilitate equitable access to care, support and escalate concerns appropriately |