Clinical Experience In Nursing

Improved Essays
During my clinical placement as a student overseas registered nurse. I was working under the supervision of my preceptor caring for 5 patients. It was really a good clinical exposure in term of knowing the different health care management system, policies, legislations, pre-operative pathways and scoring system for the early identification of emergency call. As reflected in the care provided to the health consumers, it is one of my experiences during my clinical placement and it is based on the principles of code of conduct. The relevant principle is providing a safe and competent care, documentation of the event and ask for advice and assistance from the registered nurse and the coordinator of the day. To enumerate my experience I am using …show more content…
X was diagnosed as decompensating chronic heart failure. I had been asked to check his vital signs. I checked the vital signs and found that his blood pressure was low to his baseline blood pressure level. According to my observation I had informed to the registered nurse (preceptor) and the coordinator of the day. Accurate documentation is one of the key factors in nursing practice. As per the protocol of early warning sign (EWS) scoring chart, the score was 1. According to the EWS if the score is 1, inform the coordinator of the day. Secondly, the 2hourly monitoring of the vital signs need to be charted and notified to the coordinator, if the blood pressure is still at lower side than further management will be carried out by the emergency team as per the protocol of Early Warning Sign(EWS). I had been asked to monitor the vital sign and asked to notify if any discomfort experienced by the patient. As per the protocol I had done 2 hourly vital signs and documented and informed to the RN and the coordinator of the day. The client seems to be stable and all his vital were within the normal …show more content…
A survey was conducted on the registered nurses on the perception of the nurses for the code of conduct in Hong Kong (Chau J et al., 2010). It found that if the nurses are educated they become more assertive in safeguarding the patients’ rights and provide a standard care to the health consumers. It is also essential to work in team with colleagues to best meet the needs of the clients. The other most significant practice is documentation as one of the important function of professional nursing practice.Okaisu et al., 2014 emphasized on the importance of documentation in nursing practice, the action revealed that evidence –based practice was underpinning in change of system to produce visible improvement in standard of care in clinical practice.
Action Plan
Gibbs reflective cycle is really making sense of the situation and very helpful to put all the learning experience to positive use in my future practice as registered nurse. My action plan is to research on modified early warning sign (MEWS) to protect the safety of patient by providing competent care. This reflection has emphasized to increase my knowledge and understanding the professional standard related to safety and quality healthcare.

Related Documents

  • Improved Essays

    SBAR is created for the positive outcome and the effectiveness to communicate with health care agencies and staff members of which the acronym stands for: Situation: This helps the nurse to fully give detailed accounts of what has occurred and communicate in an effective way. Background: The nurse is able to determine or explain by the surroundings, what really was going on and explore it to the…

    • 1253 Words
    • 6 Pages
    Improved Essays
  • Superior Essays

    Four Domains Of Nursing

    • 1028 Words
    • 5 Pages

    Theses domains provides a framework of how a nurse should practice and maintain her competency. I have chosen domain one, which relates to professional responsibilities. In this domain nurses are reminded of how to uphold the standards of behaviour in a professional manner. This tells the public of what to expect from a nurse, as a professional. Nurses’ key concern is patient care, which is achieved by promoting health and well-being with the help of knowledge gained to maintain professional development.…

    • 1028 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    Peplau’s theory focuses on health education and building upon what the patient already knows, which is essential in nursing practice. Attentive listening and counseling skills are implemented in this theory as well (Penckofer, Byrn, Mumby, & Ferrans, 2011). Advanced practice nurses need to build a trusting nurse-patient relationship in order to guide and encourage the patient to make good life choices. In this way, the patient is more involved in their own care. Nursing theories provide a framework to explain the phenomena that is experienced in health.…

    • 1387 Words
    • 6 Pages
    Improved Essays
  • Great Essays

    The purpose of this paper is to discuss the different interdisciplinary methods of patient-clinician communication. This topic is important to me because having the ability to be effective in my communication results in satisfaction, fulfillment, quality, safety, contentment, and peace. After writing this paper I hope to learn the many different techniques and skills to increase and sharpen my level of communication. I hope this new knowledge will inspire me to continually keep an open mind, while being considerate, to all the different channels of communication that can be implemented into my practice. Nurses need to know the benefits of communication because in our profession, we interact with patients during their most vulnerable states.…

    • 1294 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    NMC Code Analysis

    • 1148 Words
    • 5 Pages

    The new NMC Code is a guide for nurses to reflect and reinforce their knowledge and skills they hold to ensure they practice effectively and safely to provide excellent care. The code is the core of the NMC standards and which nurses and midwives are required to follow. (Goldsmith, 2011) The NMC Code is separated into four main areas; Prioritise people; Practice effectively; Preserve safety; Promote professionalism and trust. Person centred care is based upon forming trusting relationships between nurses, patients and families. It highlights patient’s values and beliefs, promotes respect and understanding and empowers patients to be at the centre of decisions to improve the care provided (McCormack et al.…

    • 1148 Words
    • 5 Pages
    Improved Essays
  • Great Essays

    Clinical Leadership Theme The aim of this Clinical Nurse Leader (CNL) project is to improve the communication and collaboration among the nurses at Rosewood Care Center’s sub-acute unit. The implementation of bedside reporting to standardize the process of shift handoffs will be part of an evidence-based nursing quality improvement project of the unit. The goal is to develop a change in nursing practice that will ensure the delivery of safe, quality, and effective patient care. The project focuses on the CNL’ core curriculum of Quality Improvement and Safety under the role of an Outcomes manager, who integrates data, knowledge, and information to assess and promote positive patient outcomes (AACN, 2013). The CNL functions within the microsystem…

    • 1164 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    That theory relates to my nursing philosophy of providing patient-centered care and to use everything I have learned provide the best care I can offer. My nursing philosophy shows what’s valuable and important and to obtain that we can use the nursing theory propositions to help guide us to that…

    • 1492 Words
    • 6 Pages
    Improved Essays
  • Great Essays

    Additional to Watson’s theory, a nurse must not only possess the ability to perform technical skills appropriately but also promote patient health by a caring relationship and interpersonal skills. *Communication: Nurse–patient communication and nurse–healthcare team communication are both important attributes of nurse competence. Peplau (1991) is the first one identified the importance of interpersonal relationships in nursing. Interpersonal relationships are also important in nurse competence. Patients associate nurse competence with how they perceived they were treated; therefore, nurses’ interactions and communications with patients are one of the greatest influences on a patient’s care experience (Calman, 2006; Shattell, 2004).…

    • 1456 Words
    • 6 Pages
    Great Essays
  • Great Essays

    Clinical Nurse Leader Introduction and Background The CNL is a master’s prepared registered nurse trained as a generalist who will provide clinical leadership in the emergency department (ED) at the point of care (Reid & Dennison, 2011). In conjunction with the unit manager and educator, the CNL will contribute leadership and knowledge at the microsystem (unit) level (Perry, 2011). The CNL will improve patient quality and safety outcomes via addressing organizational needs and assisting in the redesign of care delivery in the ED. In addition, the CNL, as a conduit between leadership, clinical staff, and providers, will improve staff and provider relationships. Consequently, care fragmentation will decline as the CNL unifies the multiple disciplines…

    • 1210 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    The nurse will be supportive as she guides that care and assists the patient in regaining normalcy. By applying Orem’s Self-Care Deficit Nursing Theory, nurses have a model for offering the nursing care required. It gives nurses a foundation which guides them through theory, concepts and goal setting (Bernier, 2002). The theory is universal for it drives the nursing care no matter what specialty is required to fill the deficit. Ultimately, self-care agency is restored and better patient outcomes obtained.…

    • 1106 Words
    • 4 Pages
    Improved Essays