Apprenticeship Learning Log
Date of Learning: 28/04/2023
Time: 9:30 to 13:30
Title of learning activity: The digestive system
Diary of Learning activity
(Itemise learning activity and reflect on the main points of learning from each. You should identify for each entry the relevant KSB)
Reflection on Learning Activity (include model of reflection e.g. Driscoll or Gibbs):
Reflection based on Gibbs reflective cycle (1988)
Description -what happened?
Lecture about the digestive system
Feelings-what were you thinking and feeling?
I feel confident that I can contribute to the lecture on the digestive system. The night before, I watched a few videos and read my anatomy book about it. I am so excited to learn more about the topic.
Evaluation -what was good and bad about the experience? What went
The positive thing about it is that I know what most parts do and it was explained thoroughly. I learnt technical terms like mastication for chewing, deglutition for swallowing, and propulsion which is the movement of food along the digestive tract.
I enjoyed the individual activity where we were asked to draw the digestive system before the lecture started. I enjoyed the group activity where we were assigned to make a dough model of different parts of the digestive tract. ( digestivetrack )
It will be beneficial to have the learning slides in advance so that I can review the topics and read or watch videos about it.
Analysis -what else can you make of the situation?
I could ask the lecturer for a copy or upload my presentation in advance.
Conclusion -what else could you have done?
I could be more pro-active in asking more questions and request a copy of the learning presentation.
Action plan -if it arose again, what would you do?
I will request a copy of the presentation in advance.
I will apply the theory knowledge I acquire at work.
K10 Understand the principles of epidemiology, demography, and genomics and how these may influence health and well-being outcomes.
K11 Understand the factors that may lead to inequalities in health outcomes.
K15 Understand human development from conception to death, to enable delivery of person-centred safe and effective care.
K16 Understand body systems and homeostasis, human anatomy and physiology, biology, genomics, pharmacology, social and behavioural sciences as applied to delivery of care.
K17 Understand commonly encountered mental, physical, behavioural and cognitive health conditions as applied to delivery of 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.
K28 Understand the effects of medicines, allergies, drug sensitivity, side effects, contraindications, and adverse reactions.
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.
S17 Protect health through understanding and applying the principles of infection prevention and control, including communicable disease surveillance and antimicrobial stewardship and resistance.
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.
Apprenticeship Learning Log
Date of Learning: 28/04/2023
Time: 13:30 to 16:30
Title of learning activity: Vital signs and NEWS
Diary of Learning activity
(Itemise learning activity and reflect on the main points of learning from each. You should identify for each entry the relevant KSB)
Reflection on Learning Activity (include model of reflection e.g. Driscoll or Gibbs):
Reflection based on Gibbs reflective cycle (1988)
Description -what happened?
Lecture about Vital signs and NEWS
Feelings-what were you thinking and feeling?
I am confident because I used NEWS and checked the vital signs of patient at work. I am excited to learn more about the topic.
Evaluation -what was good and bad about the experience? What went
The lecture proceeded well, and we had also simulation after.
Analysis -what else can you make of the situation?
It was very interesting to learn from others and those without experience using NEWS. I found taking vital signs using the manual blood pressure machine challenging since I am unfamiliar with it. I learned a lot from my perspective as a patient. Taking vital signs should be done while considering the patient’s feelings and condition.
Conclusion -what else could you have done?
It was a very engaging lecture, and the simulation was very beneficial. I could have practiced more on the manual blood pressure machine.
Action plan -if it arose again, what would you do?
I will apply all I learned from today’s lecture to improve my nursing skills. I will also make the patient more comfortable while staying in the hospital.
KBS addressed:
K1 Understand the code: Professional standards of practice and behaviour 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 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.
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.
K27 Understand the principles of safe and effective administration and optimisation of medicines in accordance with local and national policies.
K28 Understand the effects of medicines, allergies, drug sensitivity, side effects, contraindications, and adverse reactions.
K29 Understand the different ways by which medicines can be prescribed.
K30 Understand the principles of health and safety legislation and regulations and maintain safe work and care environments.
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.
K36 Understand the roles of the different providers of health and care.
K39 Understand the principles and processes involved in supporting people and families with a range of care needs to maintain optimal independence and avoid unnecessary interventions and disruptions to their lives.
K40 Understand own role and contribution when involved in the care of a person who is undergoing discharge or a transition of care between professionals, settings, or services.
K41 Know the roles, responsibilities and scope of practice of different members of the nursing and interdisciplinary team, and own role within it
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.
S4 Take responsibility for continuous self-reflection, seeking and responding to support and feedback to develop professional knowledge and skills.
S5 Safely demonstrate evidence-based practice in all skills and procedures required for entry to the register: Standards of proficiency for nursing associates Annex A & B (NMC 2018)
S6 Act as an ambassador for their profession and promote public confidence in health and care services.
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 behavioural health challenges.
S8 Recognise signs of vulnerability in self or colleagues and the action required to minimise risks to health.
S9 Develop, manage, and maintain appropriate relationships with people, their families, carers, and colleagues.
S10 Provide, promote, and where appropriate advocate for, non-discriminatory, person-centred, and sensitive care at all times, reflecting on people’s values and beliefs, diverse backgrounds, cultural characteristics, language requirements, needs and preferences, taking account of any need for adjustments.
S11 Report any situations, behaviours or errors that could result in poor care outcomes.
S12 Challenge or report discriminatory behaviour.
S13 Apply the aims and principles of health promotion, protection and improvement and the prevention of ill health when engaging with people.
S14 Promote preventive health behaviours and provide information to support people to make informed choices to improve their mental, physical, behavioural health and wellbeing.
S15 Identify people who are eligible for health screening.
S16 Promote health and prevent ill health by understanding the evidence base for immunisation, vaccination, and herd immunity.
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, 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.
S39 Recognise when people need help to facilitate equitable access to care, support and escalate concerns appropriately.
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.