Date of Learning:10/01/2025
Time: 09:30-16:30
Title of learning activity: Care Delivery 2
Diary of Learning activity
The day began with a comprehensive session led by Jenny, focusing on the theory behind nasal and oral suctioning. She explained the indications, contraindications, and the importance of maintaining a sterile technique to prevent infections. Jenny highlighted the anatomy of the upper airway, the physiology of secretions, and how to assess a patient’s need for suctioning. She also emphasised safety precautions, including monitoring oxygen saturation and avoiding trauma to mucous membranes. This theoretical foundation was supported by evidence-based guidelines and practical tips for effective suctioning. Key takeaways included the importance of assessing the patient’s condition before and after suctioning, recognising signs indicating the need for suctioning such as audible secretions and desaturation, and understanding potential complications like hypoxia and tissue damage and how to mitigate them.
After lunch, we changed into our uniforms and participated in practical scenarios to apply the theory learned in the morning. These scenarios were designed to simulate real-life situations, providing us with hands-on experience in performing care on patients. Jenny guided us through each step, offering constructive feedback and reinforcing best practices. The session also included role-playing to practice communication with patients, ensuring comfort and informed consent during procedures. Key learning points involved proper use of equipment, including selecting the appropriate dressings for medicating wounds and enhancing communication skills to reassure and support patients during procedures. Later in the afternoon, Joicy joined us to sign our tripartite documents. She reviewed our progress and provided clear guidance on what needs to be completed for final sign-off. Joicy’s feedback was encouraging and outlined specific areas for focus, ensuring we meet all competencies by the end of the placement.
KSB addressed:
| K1 | Understand the code: Professional standards of practice and behaviour for nurses, midwives and nursing associates (NMC 2018), and how to fulfill all registration requirements |
| K2 | Understand the demands of professional practice and demonstrate how to recognise signs of vulnerability in themselves or their colleagues and the action required to minimise risks to health |
| K3 | Understand the professional responsibility to adopt a healthy lifestyle to maintain the level of personal fitness and well-being required to meet people’s needs for mental and physical care |
| K21 | Understand co-morbidities and the demands of meeting people’s holistic needs when prioritising care |
| K22 | Know how to meet people’s needs related to nutrition, hydration and bladder and bowel health |
| K23 | Know how to meet people’s needs related to mobility, hygiene, oral care, wound care and skin integrity |
| K24 | Know how to support people with commonly encountered symptoms including anxiety, confusion, discomfort and pain |
| K25 | Know how to deliver sensitive and compassionate end of life care to support people to plan for their end of life |
| K26 | Understand where and how to seek guidance and support from others to ensure that the best interests of those receiving care are upheld |
| S1 | Act in accordance with the Code: Professional standards of practice and behaviour for nurses, midwives and nursing associates (NMC, 2018), and fulfil all registration requirements |
| S2 | Keep complete, clear, accurate and timely records |
| S3 | Recognise and report any factors that may adversely impact safe and effective care provision |
| 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 |
| 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 |