Chiedza has demonstrated an excellent level of insight and clinical reflection in the last 12 weeks of her critical care placement. She has taken a proactive approach through consolidating theoretical knowledge and has applied it effectively in practice. Also, she has shown ability to link an understanding with clinical reasoning particularly in interpreting ABG results, ventilation settings and pharmacological interventions. She shows a compassionate and holistic approach to care which is important in ICU settings. I acknowledge her recognition to areas of further development, which just shows self-awareness and a commitment to lifelong learning.

Chiedza has shown great progress in developing skills in her entire placement in ITU. Her ability to apply ABCDE approach in patient assessment and a systematic approach shows good clinical skills. it is commendable how she embraced opportunities in developing procedures such as IV administration, transfusion and IV titration under supervision. She also practiced safe handovers using SBAR and ITU protocol just demonstrates strong situational awareness and communication. I am impressed with her proactive learning of non verbal communication strategies including picture boards and lip reading, which is important in this settings, whilst also balancing multiple demands in a high-acuity environment is no easy task. She has shown improvement in responding to patient needs effectively. Chiedza, your reflection suggests a solid foundation for continued development in safe and centered critical care.

Her reflection reveals a deeply compassionate and grounded approach to nursing. it is heartwarming to see how she has prioritized preserving patient dignity and promoting autonomy especially to patients who were sedated and non verbal. Her awareness of how small gestures can maintain human connecting in this setting reflects emotional intelligence and empathy. Also, she has shown collaboration and teamwork by raising concerns, advocating her patients through discussion with doctors and pharmacist during ward rounds. Her emphasis on involving families in care decisions and facilitating communication during recovery highlights her commitment to holistic care. Overall, her development in this area shows that she is not only clinically competent but also value-driven and prepared to advocate for those in her care.

Learning and Development Needs:

As a newly qualified nurse, I encourage her to continue building confidence in leading complex patient care discussion especially in multidisciplinary rounds. Further practice with advanced procedures and complex infusions to enhance technical proficiency. Developing greater independence in managing deteriorating patients using clinical judgement, and take opportunities to enhance leadership skills by initiating care planning and contributing to decision-making in the team.

I am a band 5 nurse, while the student was in the unit I supervised her when doing bloods/cannulation for patients. Delegated the student to handle a patient for blood transfusion from start to finish.

The student will need more exposure to patients needing blood tests and cannulation, she will need supervision while doing it as well. She is competent when preparing and giving oral medications. Will need minimal supervision when preparing IV medications and giving to patients. She is able to start blood transfusion and monitor but will need supervision if blood reactions will happen. She has initiative and establishes rapport well with patient and the team.

(Practice Supervisor Band 5 nurse)