Date of Learning: 23.06.2023

Time: 9:30 to 16:30

Title of Learning Activity: First placement experience.

I shared my experience in my first placements with the class. I am very pleased and happy as I found everyone in my first placement was very friendly and accommodating. It was a completely different setting compared to my ward. I met my Practice Assessor and Supervisors and nominated them on my ePAD. I completed the placement orientation and first initial interview on time. I was allocated to learn in the recovery room and learned a lot from highly skilled nurses.

On admission, I observed completing the pre-operative checklist. I learned to assist patients in preparation for surgery and conduct some tests (e.g. blood sugar check, urinalysis, checking patients’ vital signs, and educating patients in wearing compression stockings to prevent blood clots developing in the leg, which is known as deep vein thrombosis (DVT).

Recovery: I learned from recovery nurses when they received patients who had just come out of surgery and were under local and general anaesthetic. They used the SBAR tool and A to E assessments and constant monitoring. Offering patients something to eat and drink and monitoring bladder and bowel health.

Discharge: Patients were carefully monitored and assessed, educated on the post-operative plan, details about medication to take home, and given more information in case of emergency after discharge.

My other classmates also shared their experiences and we were given information on who to contact if we encounter any problems with our ePAD.

KBS addressed:

K7 Understand the importance of courage and transparency and apply the Duty of Candour

K19 Know how and when to escalate to the appropriate professional for expert help and advice.

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.

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.

K33 Understand when to seek appropriate advice to manage a risk and avoid compromising quality of care and health outcomes.

K36 Understand the roles of the different providers of health and care.

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.

S4 Take responsibility for continuous self-reflection, seeking and responding to support and feedback to develop professional knowledge and skills.

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.

S26 Meet people’s needs related to nutrition, hydration and bladder and bowel health.

S28 Support people with commonly encountered symptoms including anxiety, confusion, discomfort, and pain.

S33 Maintain safe work and care environments.

S35 Accurately undertake risk assessments, using contemporary assessment tools.

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: 09/06/2023

Time: 9:30 to 12:30

Title of learning activity:  Critical thinking

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):

What?

Lecture about critical thinking

Before the lecture, we had a catch-up session relating to our essay assignments.

Individual concerns and progress on the essay were mentioned.

I had a few concerns about my essay, and I was given guidance on what to do.

The submission of a draft essay was also discussed.

Definition of critical thinking and our own understanding of critical thinking.

Critical thinking in professional practice avoids making assumptions, making sure advice given is evidence-based, accurately assessing normal and worsening conditions and decision-making and problem-solving.

Key critical thinking skills

• Information seeking
• Interpretation
• Analysis
• Evaluation
• Inference
• Explanation

We discussed and shared our experiences with critical thinking. It was a very enjoyable lecture.

So What

This lecture helps me understand critical thinking and guide me on what is critical thinking and what to look for when in practice.

Now what?

This lecture made me understand critical thinking, I will try to develop my skills and be guided by what was discussed.

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.

K4 Understand the principles of research and how research findings are used to inform evidence-based practice.

K7 Understand the importance of courage and transparency and apply the Duty of Candour

K13 Understand the contribution of social influences, health literacy, individual circumstances, behaviours and lifestyle choices to mental, physical and behavioural health outcomes.

K18 Understand and apply the principles and processes for making reasonable adjustments.

K19 Know how and when to escalate to the appropriate professional for expert help and advice.

K20 Know how people’s needs for safety, dignity, privacy, comfort and sleep can be met.

K26 Understand where and how to seek guidance and support from others to ensure that the best interests of those receiving care are upheld.

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.

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.

S4 Take responsibility for continuous self-reflection, seeking and responding to support and feedback to develop professional knowledge and skills.

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.

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.

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: 09/06/2023

Time: 13:30 to 16:30

Title of learning activity:  Equality, Diversity and Inclusivity

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):

What?

Lecture about Equality, Diversity and Inclusivity

Now What?

We had a discussion about equality, diversity and inclusivity.

Each and everyone were asked to define equality and it seems there was confusion as everyone defined it as treating everyone the same or fairly but what stuck in my mind was it was defined as equal opportunities in your fullest potential.

Equality definition is making sure people are treated fairly, meeting individual’s need appropriately and challenging the factors that limit individual’s opportunities.

Three pictures was shown and each one shows different ways to treat each individual but the last picture was the best one, it removed the barrier so everyone has the chance.

Diversity was discussed and each of us gave our definition of it.

The importance of knowing and being aware of it.

The following were highlighted:

NMC Code (2018 1.3  to void making assumptions and recognise diversity and individual choice. Examples were given.

• NMC Standards of Proficiency 1.14 provide and promote non-discriminatory, person-centered 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

Inclusivity was also included in the discussion, and this is where came my given example.

For example: if a meeting will be in a venue and among the participants was a person with a disability like using a wheelchair. The people who arrange the meeting should consider a venue where there is access to lifts or ramps.

The protected characteristics were mentioned under The Equality Act (2010) which cannot be used as reasons to treat people unfairly. These are the following:

• Age
• Disability
• Gender-re-assignment
• Marriage and civil partnership
• Pregnancy and maternity care
• Race
• Religion and belief
• Sex
• Sexual orientation

So what?

This lecture helps me thoroughly understand what discrimination is. It reminds me what the things I experienced that I thought were okay but after the discussion it made me realise some are not.

Understanding equality, diversity, and inclusivity is easy but knowing the real definition could be tricky as all got similarities.

Now what?

This lecture will help me apply my knowledge and improve my skills in knowing what is fair and what is not and be mindful especially to individuals who are in protected characteristics.

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.

K4 Understand the principles of research and how research findings are used to inform evidence-based practice.

K8 Understand how discriminatory behaviour is exhibited.

K11 Understand the factors that may lead to inequalities in health outcomes.

K18 Understand and apply the principles and processes for making reasonable adjustments.

K19 Know how and when to escalate to the appropriate professional for expert help and advice.

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.

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.

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.

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.

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.

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.

S20 Recognise people at risk of abuse, self-harm and/or suicidal ideation and the situations that may put them and others at risk.

S32 Work collaboratively and in partnership with professionals from different agencies in interdisciplinary teams.

S33 Maintain safe work and care environments.

S43 Contribute to team reflection activities to promote improvements in practice and services.

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: 02/06/2023

Time: 9:30 to 12:30

Title of learning activity:  Introduction in using EPAD

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):

What?

Introduction to using EPAD

The responsibilities of a learner were mentioned.

We will have Practice Supervisors, Practice Assessors, and Academic Assessors. Their role and responsibilities were explained. The importance of their role in supporting and guiding us as learners?

The following documents are designed around the following component of assessment and feedback.

• Initial, Mid-Point and Final Interviews per placement
• Professional Values
• Proficiencies Episode(s) of Care
• Medicines Management
• Patient/Service User/Carer Feedback Form
• Record of working with and learning from others/interprofessional working
• Record of communication/additional feedback
• Record of peer feedback – PAD 2
• Ongoing Achievement Record

On orientation, it was explained what to do and what needs to be completed and signed on the EPAD.

And on the first week of placements, there are documents that must be completed. The dateline will show on EPAD.

Professional values must be upheld throughout.

So What

The EPAD will be my tool to use in providing evidence of what I achieved and completed for my placements.

It will give me guidance on what to do and needs to complete each week.

Now what?

I will use the EPAD in making sure I comply with all the evidence-based learning and on top of each document to complete for my placement.

KBS addressed:

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.

K4 Understand the principles of research and how research findings are used to inform evidence-based practice.

K6 Understand and apply relevant legal, regulatory and governance requirements, policies, and ethical frameworks, including any mandatory reporting duties, to all areas of practice.

K19 Know how and when to escalate to the appropriate professional for expert help and advice.

K30 Understand the principles of health and safety legislation and regulations and maintain safe work and care environments.

K36 Understand the roles of the different providers of health and care.

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.

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.

S32 Work collaboratively and in partnership with professionals from different agencies in interdisciplinary teams.

S33 Maintain safe work and care environments.

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: 02/06/2023

Time: 13:30 to 16:00

Title of learning activity:  SBAR, BLS and Simulation

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):

What?

Lecture about SBAR, Basic Life Support, and had to demonstrate it in the simulation area.

Basic Life – preserve life

Immediate life support

Advanced life support

Cardiopulmonary Registration (CPR)

SBAR -Situation, Background, Assessment, Recommendation

DRSAB -Danger Response Shout for help Airway and Breathing

So What

I learned more about SBAR, BLS and DRSAB.

I had the opportunity to practice in the simulation area and apply what I learned and reflect on what I am doing wrong and what I need to improve.

I left half an hour early but with permission beforehand and did a self-directed learning at home about SBAR and BLS.

Now what?

I became confident and more knowledgeable, and this will help me in my future practice.

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.

K16 Understand body systems and homeostasis, human anatomy and physiology, biology, genomics, pharmacology, social and behavioural sciences as applied to delivery of care.

K19 Know how and when to escalate to the appropriate professional for expert help and advice.

K20 Know how people’s needs for safety, dignity, privacy, comfort and sleep can be met.

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.

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.

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.

S4 Take responsibility for continuous self-reflection, seeking and responding to support and feedback to develop professional knowledge and skills.

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.

sharing findings, and escalating as needed.

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.

S43 Contribute to team reflection activities to promote improvements in practice and services.

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: 19/05/2023

Time: 9:30 to 13:30

Title of learning activity: The Nervous 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)

What?

Lecture about Nervous System

The following topics were discussed:

o   Functions of the Nervous system

o   Structural classification

o   Central nervous system

o   Peripheral nervous system

o   Human nervous system and neuron parts

o   The internal structure of the brain and 12 cranial nerves

o   Meninges and the spinal cord

We had an activity where we wrote about five neurological disorders, identifying the causes and effects on a person’s physical and mental well-being.

I wrote about Multiple Sclerosis, epilepsy, Parkinson’s disease.

It highlights the following in general: headaches, seizures, Parkinson’s disease, dementia, and disorders of the nervous system.

So what?

Before the lecture, I watched videos and read about the nervous system to gain a basic understanding. The lecture helped me understand the nervous system, but I don’t think I understand it fully as it is such a complex topic that I think I need to read it through again or watch movies to understand it more.

Now what?

I will read the slides again to understand them and maybe watch helpful videos to understand them more. As we go through it, I should make it a priority to fully understand it as part of my learning.

KSBs addressed:

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.

Date of Learning: 19/05/2023

Time: 13:30 to 16:30

Title of learning activity: Musculoskeletal system and injuries

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)

What?

Lecture about the musculoskeletal system but the

 The lecture focused more on the application of musculoskeletal injuries to practice.

The lecture discussed the following:

• addressing musculoskeletal injuries
• history-recent trauma and past medical history
• physical examination
• classification and management of musculoskeletal injuries with pictures

So what?

The musculoskeletal system was another big topic I struggled with understanding. I watched videos and slides for the lecture, but I still did not understand it.

However, when we discussed the injuries, I remembered my previous trauma patients from our unit. Though I have not seen the real injuries of the patients on my ward, this gives me an understanding of what the injuries looked like before they were moved to the trauma ward. The example pictures though not pretty, help me understand it better.

Now What?

I will need to read, learn and watch videos of the musculoskeletal system to get a more understanding of its parts and importance. For learning and understanding, I’ll observe patients who have the same injuries.

KBS addressed:

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.