Apprenticeship Learning Log

Date of Learning: 07.05.2025

Time: 0930 – 16.30

Title of learning activity: Health Promotion. Babies and Children and PEWS

Diary of Learning activity

Apprenticeship Learning Log

Date of Learning: 30.04.2025

Time: 0930 – 1300

Title of learning activity: Paediatric Assessment

Diary of Learning activity

The morning was taken up by two Paediatric specialist tutors who taught us about Pead’s assessment. I got a lot from this lesson, as I work in Paediatric Emergency.

I already knew a lot of the information, and I used the time to reinforce what I learned. However, some interesting points were raised that will improve my practice in the future. For instance, how to bond with your patient using touch. A friendly hand on a shoulder may differ between a compliant and a non-compliant child. I could understand how this basic action would calm some children, and they would not perceive you as a threat. It is prudent to recognise that this technique will not appeal to every paediatric child you treat, and you may need to adjust your tactics dynamically to accommodate the relationship with the patient and their family.

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

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

K5: Understand the meaning of resilience and emotional intelligence, and their influence on an individual’s ability to provide care

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

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

K8: Understand how discriminatory behaviour is exhibited

K9: Understand the aims and principles of health promotion, protection and improvement and the prevention of ill health when engaging with people

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

K12: Understand the importance of early years and childhood experiences and the possible impact on life choices, mental, physical and behavioural health and well-being

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

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

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

K31: Understand how inadequate staffing levels impact on the ability to provide safe care and escalate concerns appropriately

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

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

K42: Understand and apply the principles of human factors and environmental factors when working in teams

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

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

Apprenticeship Learning Log

Date of Learning: 05.03.2025

Time: 0930 – 1630

Title of learning activity: Session 1: Care

Diary of Learning activity

This morning, we examined the formulation of care plans and, using the Roper, Logan, and Tierney structure, how this is implicated. After being given an insight into the theory, we were given a case study and asked to prepare a care plan. Our character had already been treated and was mobilising after a severe UTI, so we focussed on the discharge plan required for this patient. We looked at various care packages and assessments that would be needed to have been implicated before discharge to maintain the patient’s independence and health as we advance.

This exercise helped me think outside the box and consider the individual’s holistic and basic health requirements for her to continue to live independently. This will undoubtedly help me plan for the following assessment we have been set for the Summer and prepare me for future care plans I may have input into.

KSBs addressed:

K5: Understand the meaning of resilience and emotional intelligence, and their influence on an individual’s ability to provide care

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

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

K9: Understand the aims and principles of health promotion, protection and improvement and the prevention of ill health when engaging with people

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

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

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

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

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

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

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

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

Apprenticeship Learning Log

Date of Learning: 26.02.2025

Time: 0930 – 1630

Title of learning activity: Session 1: Planning and Monitoring Care – Formative Workshop. Session 2.injection Techniques

Diary of Learning activity

This morning session was how to plan care using various models and acronyms. Roper, Logan and Tierney was one of the models we looked at when planning care for a patient – be mindful that not all the panels will apply when in the planning stages. I found this session very interesting and can see how my further practice as an NA, how using these techniques will help me to plan safe, effective person-centred care.

The afternoon was a practical session on Injection techniques for Subcutaneous and intramuscular injections. We were taught the difference between the two types of injection and that sub cutaneous injections take longer to have an effect whereas intramuscular work much quicker as the muscle is much more vascular allowing movement into the blood stream to be easier and faster. Sub cutaneous injections are where you slightly pinch the skin and insert the needle at a 45-degree angle and an intramuscular injection uses a flattening of the muscle technique using your index and middle finger and inserting the needle at a 90-degree angle (dart).

KSBs 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

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

K5: Understand the meaning of resilience and emotional intelligence, and their influence on an individual’s ability to provide care

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

K9: Understand the aims and principles of health promotion, protection and improvement and the prevention of ill health when engaging with people

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

K14: Understand the importance of health screening

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

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

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

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 sel

Apprenticeship Learning Log

Date of Learning: 19.02.2025

Time: 0930 – 1630

Title of learning activity: Session 1: Introduction to Public Health, the Principles of Health Promotion and the Role of the Nursing Associate

Session 1: Person-Centred Care

Diary of Learning activity

This session will introduce the module, the concepts of public health, and the principles of health promotion and education. It will also explore the role of the Nursing Associate within these areas. Understand the principles of health promotion, Discuss the importance of engaging in health promotion activities and consider your impact as a role model to patients, service users and the wider community.

We also looked at person-centred care and shared decision-making in practice, considering the benefits of using these approaches whilst also considering barriers to their implementation. We will also review the origin of these principles and supporting legal and ethical frameworks. Using a range of nursing models when planning care plans for our patients. We identified the principles of person-centred care and applied these to practice.

Explore the barriers and facilitators to person-centred care; and

Identify how person-centred care is advocated through policy and regulated by law.

KSBs 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

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

K9: Understand the aims and principles of health promotion, protection and improvement and the prevention of ill health when engaging with people

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

K14: Understand the importance of health screening

S6: Act as an ambassador for their profession and promote public confidence in health and care services

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

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

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: 12.02.2025

Time: 0930 – 1630

Title of learning activity: Session 1: Introduction to Public Health, the Principles of Health Promotion and the Role of the Nursing Associate

Session 1: Person-Centred Care

Diary of Learning activity

This session will introduce the module, the concepts of public health, and the principles of health promotion and education. It will also explore the role of the Nursing Associate within these areas. Understand the principles of health promotion, Discuss the importance of engaging in health promotion activities and consider your impact as a role model to patients, service users and the wider community.

We also looked at person-centred care and shared decision-making in practice, considering the benefits of using these approaches whilst also considering barriers to their implementation. We will also review the origin of these principles and supporting legal and ethical frameworks. Using a range of nursing models when planning care plans for our patients. We identified the principles of person-centred care and applied these to practice.

Explore the barriers and facilitators to person-centred care; and

Identify how person-centred care is advocated through policy and regulated by law.

KSBs 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

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

K9: Understand the aims and principles of health promotion, protection and improvement and the prevention of ill health when engaging with people

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

K14: Understand the importance of health screening

S6: Act as an ambassador for their profession and promote public confidence in health and care services

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

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

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: 05.02.2025

Time: 0930 – 1630

Title of learning activity: Medicines Management

Diary of Learning activity

Today’s lecture was on medicine management.

Part 1. Explain the ethical, legal and professional issues involved in medication administration. Part 2 – Identify processes involved in the safe administration of medications. Part 3 – Discuss actions required should an error or adverse event occur.

You must be a registered member of the NMC register to give medicines. The registered nurse is professionally and personally accountable for his/her actions and any omissions in care. It is vital to adhere to the law surrounding the administration of medicines, the standards and policies of the employing organisation, and the standards and policies of the Nursing and Midwifery Council, as well as to consider our own moral and ethical judgements.

We learnt about the three types of medicines available: General Sale Medicines (GSM), pharmacy-only medicines (P), and prescription-only medicines (POM). Refer to the BNF for guidance. We also read about contraindications, allergies, and acronyms.

KSBs addressed:

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

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

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