Clinical Nursing Experience Reflective Journal 1
This week during my clinical day, we learned how to properly put on PPE, or Personal Protective Equipment.
We were told about each aspect of PPE, and different reasons why they are used, and the different situations and diseases that they help to protect both the nurses, and the patients, from. We also did a PPE relay, where we were split into groups and tried to be the fastest to properly put on all of our PPE. It was very useful, and I felt that it was helpful in learning the proper order to put on PPE. My group for the relay was not the first one done, but we did take our time, and check the list on the board lots to make sure that we were putting things on in the right order. Everyone was very helpful in reminding others in our group which order things were supposed to be put on.
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Home Healthcare Now states that “Although using PPE is important, it is also essential that staff don and remove PPE in a manner that minimizes further spread of contamination,” (p.
113). It is just as important to know how to properly don and doff PPE in order to break the chain of infection. During the relay, while we might have donned and doffed our equipment in the proper order, nobody was checking to make sure that it fit right, was tied on properly, and we were all lazy in taking it off, in order to try and do it the fastest. In the past, I had a co-operative education placement in the Chatham-Kent Health Alliance, and learned there that it is more important to put things on properly, than to put them on
quickly. From this situation, I learned that more care should be attached to the process of doffing PPE, in order to limit the risk of being exposed to pathogens. PPE falls under the “primary” output of nursing behaviour, due to it being a protective/preventative behaviour (Bevis 2009), and as such, if I could repeat the experience, I would attach more thought and care to the procedure of doffing my PPE. In the future, I plan to pay more attention while donning and doffing PPE in order to make sure that not only is it being put on in the right order, but it is being put on in a way that limits my risk of. I also plan on reading over the order in which PPE should go on and be taken off, and reviewing the information about PPE in the Canadian Fundamentals of Nursing text book (2014).
Not only was it easy to demonstrate, but I hit the main concepts of professionalism which accountability, autonomy, and teamwork. While in my acute care clinical, I came dressed appropriately with all my supplies I needed for the day. I also was able to be a good representation of the nursing profession and DMACC by following the ADN student outcome's professionalism. This included me being accountable when I came to clinical. I kept fidelity when I would keep my promises of coming back to the patient when I said I would. I also made sure to get my mentoring nurse, when I was unsure how to do a skill a client was asking me to do. However, I maintained a sense of autonomy when I was able to answer the questions and preforming skills by myself. However, when I needed help from a peer or the working patient care technician (PCT), I did not hesitate to ask. I also did what I could to help my nurse and PCT with their work load depicting teamwork in professionalism. As it can be seen, I had no problem demonstrating professionalism in clinicals through following DMACC's ADN student outcome's professionalism. It was feasible to be an excellent team player while maintaining accountability and autonomy (DMACC, 2017-2018,
This is to reflect on my experience and skills gained during a 7th week clinical placement. I was designated to join social care with Alzheimer's Scotland. In order to sign off my oar (ongoing achievement record), I need to demonstrate how to meet residents with imperative needs in connections to continence care and promotion of hand washing in the placement area. My learning outcomes needs to achieve and demonstrate by activity, and sign off by my mentor and able to discuss achievement of the skills. Continence and hand hygiene are special skills we have completed during first semester in skills lab. The training we have cultivated in school are very significant in utilising the concept to practice. This is to determine the confidence and proficiency can be structured to the next level semester. Hand hygiene training course was first accomplished in skills laboratory in which we are thought the appropriate way of washing our hands, paying considerations on the surface of your hand, wrist, and under fingernails. Proper rinsing with under running water and use of paper towel to dry.The WHO guidelines on hand hygiene imposed to all healthcare settings while delivering care to patient(2009).This is achieved on essential skills cluster:Infection Prevention and Control. This is presented by encouraging service user to wash hands and use of soap after using the toilet. Wearing aprons and hand hygiene while giving meals to the service users, signed and date by practice mentor.While management for continence care I need to demonstrate and resolve conflict and maintain safe environment.This is accomplished when recognised signs of aggression and responds accordingly to keep safe and others.This is achieved by seeing one resident fidgety...
During patients education there are a host of other things to be explained to the patient in order to increase the patient’s awareness. According to Noble 2009, educating patient on the reason for the use of personal protectiveequipment will increase their awareness and the need for active involvement in the reduction of the spread of MRSA. Other information to be explained to the patient includes hand hygiene explanation of colonization and the scientific rationale for every item explained to the patient.
Educators need to be prepared for any accidents that may occur, make sure there is a first aid kit that is well stocked and checked on a regular basis. Food must be handled properly and a well balanced diet should be followed. Food safety guidelines need to followed to preven...
“Failure to attend to hand hygiene has serious consequences: it has a negative effect on patient safety and the quality of patients’ lives, as well as on their confidence in healthcare delivery. However, the prevalence of hand hygiene omission is still high” (Canadian Disease Control, 2016 p 1). Washing hands before and after patient contact seems like a simple solution to prevent the spread of bacteria between patients. But it is not as simple as it seems.According to new CDC data, “approximately one in 25 patients acquires a health care-associated infection during their hospital care, adding up to about 722,000 infections a year. Of these, 75,000 patients die from their infections ( CDC, 2016 p 1).” Leaving a finacial burden on Canada’s health care
In this essay, I will discuss three clinical skills that I undertook during the six weeks placement: Giving an insulin injection, hand washing and dressing a trauma wound.
... others may need pictures to follow. Many in this group will benefit highly from demonstration and repetition. With some effort, most of the students could be able to self monitor and self evaluate their actual skill level. Another accommodation available in the transition program is the availability of paraeducators working with small groups or individuals on specific skills. Achievement of proper hygiene and self-care will have a positive impact on vocational situations of the student and in many cases will improve the quality and availability of employment opportunities.
“The ultimate value of life depends upon awareness and the power of contemplation rather than upon mere survival” (Aristotle, n.d.)
Developing confidence, and competence is a challenge faced by novice nurses (Morrell & Ridgway, 2014). Over the course of my nursing degree developing, and maintaining confidence in my clinical practice has always been a personal challenge. During my preceptorship placement, I have the opportunity to continue to cultivate my confidence, and prepare to begin my practice as an independent graduate nurse. In the reflection, I will discuss how I have gradually become a confident practitioner through my experiences in my clinical placement, and especially those in my preceptorship placement.
Adult nursing is a subject I am passionate about. In my opinion, there is nothing more important than the health, safety and security of one’s self and others. I aspire to achieve these attributes for individuals in everyday life and this course will help me to do so. I find helping people rewarding and adult nursing provides a professional platform to achieve this target. It also helps me to progress to a stable job that is solely concentrated on making a positive difference in someone’s life. For this reason, I would feel privileged to be accepted on to this course.
In this instance, I will reflect on how the incident aided my learning. I will also look at how effectively I educated the patient.
"Personal Protective Equipment." Rutgers School of Public Health. Rutgers, The State University of New Jersey, n.d. Web. 29 Apr. 2014. .
A meaningful event from my clinical experience was during week four when my RA and I along with the nurse helped a client who had an unwitnessed fall. I came back to the unit after my break, and then it was my colleague’s turn to go for her break. We had to monitor each others clients during break time. Before she left, she told me that her client is in his room having breakfast and let her know about the client’s foods and drinks intake. He needs one-person assistance and he uses walker. She also told to assist the client to take off his pajamas and change into day clothes if he allows. I went along with another colleague to the client’s room, he was just sitting on the couch and he ate 25% of the foods and drank half cup of juice.
I attended the in service training and actively participated in the continuous professional development (CPD). I also supervised less experienced physiotherapists and physiotherapy assistances. I experienced working in a very busy schedule which acquired me the necessary skills of time management, working under pressure, prioritization and changing plans as required. I maintained accurate, computerized and professional documentation that respected patient's/client's dignity and
Although students were not allowed in the recovery unit, I was able to talk to one of the recovery nurses. I learned that a nurse’s duty of care includes monitoring the patient’s vital signs and level of consciousness, and maintaining airway patency. Assessing pain and the effectiveness of pain management is also necessary. Once patients are transferred to the surgical ward, the goal is to assist in the recovery process, as well as providing referral details and education on care required when the patient returns home (Hamlin, 2010).