Upon visiting Mrs A it was clearly evident that she was not herself, and seemed confused. At this point it was realised by a clinician who checked his medical notes, that Mr Smith had had a previous incidence of a gastrointestinal GI Haemorrhage bleed but this information had not been passed on during the handover report which I felt was vital in this case and could have been detrimental to his outcome.
The care delivered was patient-centred and teamwork was integral to providing this care. I documented his vital signs and on checking the EWS score 4this triggered me to alert the nurse in charge and medics on the ward, in accordance with SPSPs driver diagram on what action should follow.
This relates to the need to maximise potential and achieve a sense of personal fulfilment, competence, and accomplishment Maslow, I will also take into consideration my role as a supervised student nurse and analyse the roles and responsibilities of those supervising me and what influence this has on my practice.
Overall I have learned in order to deliver safe practice I must use a combination off all the skills I have learned. Sharing important information and concerns regarding patients with relevant multi-disciplinary team members is vital for patient outcome and also for my personal learning.
The EWS system allows for any adverse reactions to be detected early, as severe reactions are more likely to occur within the first 15 minutes of infusion and in the case of an adverse reaction the infusion would be stopped; medical staff and haematology informed Ackley et al, B Saunders Company Maslow, A.
Open University Press Related. A short time later staff came from radiology to escort Mr Smith for his ultrasound scan, he was scoring 1although his abdomen was very distended and painful.
I found by reflecting on this personal experience I have learned the importance of reflection and plan to use it in future practice as it has helped me gain insight into how to develop all my skills further in the nursing role. I delegated to the support workers to obtain a urine sample which was tested and confirmed that Mrs A had a urinary tract infection, antibiotics were prescribed by her GP.
His temperature, respiratory rate and oxygen saturations were within normal range. Prentice Hall Gopee, N. The surgical team were informed, and blood was sent to haematology. It was unclear whether history of his previous GI haemorrhage had been known at this point but it was not highlighted at the hand over report.
This episode of care was managed effectively as the underlying cause of the patients confusion was discovered and treated, a risk assessment was completed and a referral was promptly made to medicine management and a dossett box was supplied to Mrs A, to help her manage her own medications safely.
During this placement an 88 year old patient, to be known as Mrs A, was due to be discharged from a rehab centre following recurrent falls, issues with safety at home, and self neglect, the referral had been made by a concerned General Practitioner.
Issues and theories relating to leadership qualities and management styles will also be explored, taking into consideration any legal, ethical and political factors that may have impacted on patient care.
Action Plan Reflecting on this personal experience has given me a good understanding on the importance of communication in relation to the care delivered to patients. I proceeded to check his vital signs.
It has taught me that although practical skills such as observing vital signs is important, observational skills, communication skills and clinical judgement must be considered for patient safety. I remained with Mr Smith and monitored his vital signs closely, checking for changes.
One of the key elements is to enhance communication skills between inter-professional practitioners in all departments, through education, Scottish Government, To understand nursing management it is crucial to understand what nursing management is and the theory behind it.
One of the Physiotherapists called Ken, had commented during handover, that Mrs A had seemed confused during their session together, and asked if the nurses would go in and review her. Following discussion with my mentor I felt that Mrs A was not safe to administer her own medication.
During my extended practice placement there were many opportunities to develop these skills and manage my own caseload of patients and arrange many complex aspects of their care. He was becoming increasingly agitated because he wanted to be left alone.
However with the use of the EWS system his deterioration was identified and protocols were followed accordingly, reducing further harm. I have learned that it is important to have as much background information about patients as it may influence decisions regarding appropriate care planning.
The Scottish Government established targets which aim to reduce avoidable harm to patients. However it has been suggested there is scope for error using EWS if scoring is not carried out properly and factors such as knowing the patient and pattern; recognising deterioration; appropriate referral; time of day and day of the week may be causes for error, Odell et all, First will be a discussion on the importance of self awareness and how this awareness enabled a more assertive and confidant approach to be made to managing patient care.
However the SBAR tool is not always followed properly and can result in communication errors, increasing risk of harm to patients Royal College of Nursing, Mrs A consented to this, thus reducing a great risk of Mrs A causing her-self harm.Manual Handling: a Reflection Essay example Words Mar 1st, 5 Pages Three years and a few months ago, I can still recall the memories of being a nursing student, I was studying in a university wherein our professor taught us a lot of things in the field of the health care profession.
This reflective essay will focus on my experiences while I worked to attain my goal of becoming more proficient in moving and handling surgical patients. Using the Gibbs () Reflective Model, I would be reflecting on my practice to promote more avenues of learning about this topic in the future.
1 EXAMPLE REFLECTIVE ESSAY FOR Critical Thinking and Writing for Nursing Students Bob Price and Anne Harrington This example of a reflective essay is presented in association with Price, B and Harrington, A () Critical Thinking and Writing for Nursing Students, London, Learning Matters.
Reflection on a Significant Incident from Practice Introduction The intention of this written essay is to demonstrate an understanding of my views on the art and science of reflection and the issues surrounding reflective practice.
It is based on a significant incident from my own area of. Essay about Moving and Handling Hsc It is important to ensure that you move individuals in accordance with their care plan and the companies moving and handling guidelines to prevent causing injury.
Muscles will only move the bones at the joint as far as the joint will allow. Shipping Material Handling Principles 1. Planning Principle 2. This reflective essay will be about moving and handling skill, which took place during my placement where I was supposed to learn and practicalised my nursing skills.Download