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Process of a reflective essay
Process of a reflective essay
Process of a reflective essay
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FACULTY OF NURSING
NURSING, CPD. PROGRAMME
ASSIGNMENT COVER PAGE
Student’s Name MARSILA JOSEPH
Student’s ID Student’s NRIC 851029-12-5268
Year/Semester 2017,SEM 1 Lecturer’s Name MR.PARTHIBAN
MDM.EVANGELINA
Faculty Nursing
Programme Nursing, CPD. Programme
Subject Name Teaching and Learning 1
Assignment Title Reflection on Nursing Care of Patient, patient fall incident.
No. of Page (excluding this page) 6
Required words 1000 – 1500 words Actual # of words 1316 words
Date submitted Due Date 20TH FEBRUARY 2017
Soft copy included Yes / No
DECLARATION BY STUDENTS:
I certify that this assignment is my own work in my own words. All resources have been acknowledged and the content has not been
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My senior colleague remind me to inform the sister on call regarding this critical incident which was I realized I forgot to inform the nursing supervisor on call after the shocking incident.
3. FEELING
Before the incident, I delivered my nursing care well. I am pretty sure nothing is going to happened and everything will be fine as all the patients are stable and we have enough staff nurses on duty. I was also thinking that my shift will end in a short while.
During the incident, I was shocked and never realize that this incident would ever happen to me. As all know, the incidence of patient falls will be the huge thing in every health care centre. I am worried if Madam Y experienced any complications, I might not be able to forgive myself. This critical incident made me feel sad, guilty and disappointed in myself. After this incident, I started to blame myself for the fall and this affected my nursing practice until the end of my shift. I still being uncomfortable and not confident on that day while performing my nursing skills and felt sad throughout the day. Even until now the incident still affect my daily routine of nursing care. I became more paranoid to patient and afraid it will happen
Nurses are central to patient care and patient safety in hospitals. Their ability to speak up and be heard greatly impacts their own work satisfaction and patient outcomes. Open communication should have been encouraged within the healthcare team caring for Tyrell. Open communication cultures lead to better patient care, improved outcomes, and better staff satisfaction (Okuyama, 2014). Promoting autonomy for all members of the healthcare team, including the patient and his parents, may have caused the outcome to have been completely different. A focus on what is best for the patient rather than on risks clinicians may face when speaking up about potential patient harm is needed to achieve safe care in everyday clinical practice (Okuyama,
While in medical Justine was struggle allowing the nursing to check her wound. After getting treatment Justine was able to leave the nurse suite and walking into the 502 hallway. Once she reaches the 502 hallway she sat down on the floor and removed her protective boot and began to removal her wound dressing. Staff attempted to use caring gestures and hurdle help to support Justine and encourage her to use her words so that could understand what’s going on. Justine was able to removal her dressing and staff placed her in a seated restraint from 4:40pm to 4:48pm. Justine was able to recovery and come down to baseline. Staff remains seated next to using caring gestures and encourage Justine to allow the nurse to redress her wound. Nurse Carol
Health Improvement Scotland coordinated the Scottish Patient Safety Programme created to improve the safety of patients across Scotland (NHS Scotland, 2010a). Four groups were created to manage patient safety, one of which was established to supervise care within an acute adult setting (NHS Scotland, 2010a). During my practice learning experience a male patient was brought into the accident and emergency department following a serious assault, he had suffered severe lacerations to his head, face and hands. Prior to arriving, ambulance staff did not call to warn nursing and medical staff. As a result, the team were unprepared and the patient was brought into the wrong area within the department. The patient should have gone straight into the resuscitation area where the appropriate equipment is available, in case of patient deterioration (Brooker and Nicol, 2011).
Florence Nightingale was the Nurse of Nurses. In nursing school she is the first person you will hear speak of. She is known as “The lady with the lamp”. Her theory focused on the adjustment of the environment provided to protect the patient. She thought that a sleeping patient should never be awaken. Noise should always be avoided because it can startle the sleeping patient. This was a serious problem to her. She delegated tasks to other nurses, always keeping the patients safe and away from harm.
Licensed practical nurses (LPN 's) fill an important role in modern health care practices. Their primary job duty is to provide routine care, observe patients’ health, assist doctors and registered nurses, and communicate instructions to patients regarding medication, home-based care, and preventative lifestyle changes (Hill). A Licensed Practical Nurse has various of roles that they have to manage on a day to day basis, such as being an advocate for their patients, an educator, being a counselor, a consultant, researcher, collaborator, and even a manager depending on what kind of work exactly that you do and where. It is the nursing process and critical thinking that separate the LPN from the unlicensed assistive personnel. Judgments are based
Nursing 231 has helped me grow academically and it has also helped me become more confident in myself. Prior to 231 I had little confident in myself due to my test grades. My grades have not improved nor have they gotten worse, but I now have a different mindset. I have realized that I am a bad test taker and that is what I need to improve. However, I am an excellent nursing student and I will soon become an excellent nurse. I have learned that I should not let a C average discourage me because that does not reflect on the type of nurse I will be.
As conversed throughout this case, nurses play a vital role in the health care setting. They are those who are there from the beginning to the end to improve quality of life for each individual. Nurses peruse quality of life by performing specific appropriate for the client; these include assessment tools, setting goals and interventions to provide the best possible outcome. Thus, the importance of this case is to demonstrate the nursing skills regarding to an individual and their health situation. Allowing the nurse to enhance the quality of care and ensuring safety at all times is achieved for the individual and overall performance.
In this reflective assignment, I am going to be discussing a critical incident encountered in practice early 2015. My second point will focus on reflection; define reflection, types of reflection used and why it is important to reflect in practice. I will apply Driscoll model of reflection. (Driscoll, 2007 cited in Nunn, 2012). Under critical incident, I will define and explain our feelings during the time of incident and what was implemented after the incident. Martin (2014) defines critical incident as an event or episode that deviates from the expected or desired cause and could have potentially negative effects for patients care and safety. The incident shocked and left the staff that was on duty traumatized, but at
Many years from now, I will take this experience with me to better myself as a nurse. I know for the future that it is in my patient’s best interest, if I collaborate with other health care professionals. In order to maintain patient safety, I must always remember to work together with my fellow collogues to obtain a positive working environment. In order to be a good nurse, I need to always understand that I am part of a team to help those in need. I want to incorporate providing efficient care to each and every patient the best way I possibly
As a result, she breached the standard 6 which states that “registered nurses should provide a safe, appropriate and responsive quality nursing practice” (NMBA, 2016). In line with this standard, nurses should use applicable procedures to identify and act efficiently to address potential and actual risks such as unexpected changes in a patient’s condition (NMBA, 2016). Through early identification and response by the nurse, this will ensure that the patient’s condition is recognised and appropriate action is provided and escalated (Australian Commission on Safety and Quality in Health Care, 2011). Moreover, the nurse did not immediately escalate the patient’s deteriorating condition to the members of the health care team.
In nursing one small mistake can cause loss of life. There are many common mistakes like high drug dosage,
Reflecting upon this term brings about feelings of joy, excitement, and sadness that this term is soon coming to a close. Throughout this paper I summarize my personal learning throughout the semester, clarify two nursing roles I have assumed throughout the same timeframe, reflect upon my experiences throughout the semester, and will bring about experiences that reflect my personal learning and development in becoming a professional registered nurse.
I certify that this submission is my original work and meets the Faculty’s Expectations of Originality
With increasing rates of harms, increasing efforts are required by all health care organizations to transform practices to reduce the risk of harms. Along with all other health care teams, nurses can play a significant role in ensuring patient safety by establishing care related policies and procedures, educating, disseminating and ensuring its compliance for patient care processes. Roger et al (2007) mentioned that procedural errors accounted for almost a third of total errors like vigorous suction in high intracranial pressure patients or head elevation to spinal surgery patient etc. Therefore, risk factors related to processes should be examined for their role in error prevention, discovery and correction. Further, we need to develop and implement some harm reduction program to attain international patient safety goals (IPSG) during patient care. There are various barriers such as lack of organization support and authority, lack of involvement in quality initiatives, interruptions during work, long working hours and fear of disciplinary actions etc. faced by nurses leading to decrease contribution of nurses in future harm prevention. Therefore, organization and nurses’ leaders need to establish some strategies to overcome these barriers. Organization needs to appreciate the role of nurses so they can also participate in detecting, reporting and preventing most of the hospital incidence. Organization
According to Burns & Grove a theory is defined as a set of statements and concepts