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

    Participants The participants were randomly selected and derived from licensing lists from four states. Total of 1000 nurses, 250 nurses selected from each of the four different states, and census regions in the United State of America (Maryland, Massachusetts, California and Ohio), basically to describe and assess the type, frequency, occurring rate of stress of ethical dilemmas encountered by nurses in their everyday practice, (Ulrich, 2010). The second article, a group was selected from teaching hospital in Tabriz in Iran, 345 were nurses, and in-patients were 500, selected to assess knowledge and performance about nursing ethic codes, professional ethical care from nurses' to patients' perspective.…

    • 353 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Ethics is a topic that every nurse comes in contact with on a daily basis. It determines how nurses carry out the duties of the job and how the public perceives the profession as a whole. The College of Nurses of Ontario (further referred to as CNO) has outlined the ethical standard of nursing and has created a document that all nurses can rely on to build the foundation of their ethics in the workplace. Ethics in nursing has developed and changed over the course of the existence of nursing. This evolution is important to note as it highlights how the ethics in nursing developed from physician oriented to patient oriented and how different views may be held by the patients for the role of a nurse in their healthcare.…

    • 1324 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Nurses Role In Failure

    • 1058 Words
    • 4 Pages

    Failure to Rescue A nurse is caring for Mrs. W. who is recovering from a cerebral vascular accident and has been making a good recovery. The physician ordered vital signs and neurological checks every four hours. As the nurse is performing her first assessment the patient complains of a headache and had a moment where she forgot where she was. The nurse gives her Tylenol for her headache and goes about the rest of her assessments without documenting her patient’s complaint.…

    • 1058 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The barrier remains to find preceptors and providers willing to work in underserved populations and gain valuable experience working with marginalized populations. In Bemidji Minnesota, the CNS or DNP as the preceptor for underserved populations remains a plausible focus. This will require the National Association of Clinical Nurse Specialists (NACNS) to champion the role of the CNS in credentialing bodies, DNP schools of nursing to create curriculum changes to include 75 hours of clinical service to underserved populations, offer innovative clinical sites to schools of nursing with available preceptors, and create guidelines to include 75 hours of clinical service to underserved populations to renew an APRN license for state boards of nursing.…

    • 773 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Nmc Code Of Conduct Essay

    • 494 Words
    • 2 Pages

    NMC Code of conduct: In NMC Code of Conduct (2015) there are many guidelines associated to blood glucose monitoring. For example, the significance of requesting the permission of the patient and communicate in well behaved manner. A substantial assent must be given by the patient preceding any method.…

    • 494 Words
    • 2 Pages
    Improved Essays
  • Decent Essays

    The Purpose of the Code of Ethics and Code of Conduct for Nursing Student is an article written by Susan Stone, who is a nursing advocate, a nursing educator, and advisor for the NSNA Leadership University at Valencia Community College's Student Nurses Association. Her article includes her views on the importance and purpose of the NSNA Code of Ethics and Code of Conduct. The article talks about how when we were children, our parents helped us to develop our values and beliefs, they gave us guidelines that directed our behavior. Many of us had these positive actions reinforced in religious, educational, and social environments like while interacting with friends. Moreover, when we were kids, our parents taught us that if we did something…

    • 376 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    A health professional will need to follow a behavior code of conduct. While carrying out their work. To make sure they are treating those they are caring for in a correct manner. There has been a red alert at the charing cross hospital.…

    • 735 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    As a Registered Nurse, I begin my shift by accepting report from the previous nurse. I understand that I am orientating a new Licensed Practical Nurse who is almost complete with her orientation. I have three patients, and I am expecting a new admission from the Emergency Department, who presents with chest pain. My job is to delegate the appropriate patient or patients to a licensed practical nurse after I introduce myself and the LPN. It is very important for me to know how to prioritize the patient care.…

    • 1402 Words
    • 6 Pages
    Superior Essays
  • Superior Essays

    The nurses code of ethics has several aspects that make up the professional practice ethics code. The professional-client…

    • 2457 Words
    • 10 Pages
    Superior Essays
  • Improved Essays

    C304 Project In this paper I will explain the differences between different regulatory agencies in nursing and how they pertain to my practice in nursing. I will also discuss examples of provisions from the nursing code of ethics along with the traits from the code of ethics which I bring to my interdisciplinary healthcare team. Patricia Benner’s nursing theory and Florence Nightingale have also influenced my professional practice in several aspects. I will discuss these aspects along with different scenerios in which I have safeguarded different ethical principles in my practice.…

    • 1761 Words
    • 8 Pages
    Improved Essays
  • Improved Essays

    Literature review The principle of nonmaleficence involves the duty “to do no harm”. According to this principle, the nurse administrator stop all activities that taking part in doing harm to others and does not actively seek to improve the circumstances of individuals. Although the principle of nonmaleficence is closely related to beneficence, Beauchamp and Childress (2009) pointed that the duty to do no harm is viewed as a stronger obligation in health care. Following this principle, nurse administrators have a duty to create the environment in such a way as the nurses can deliver safe, quality patient care consistent with acceptable standards,.…

    • 488 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    The nursing profession is fortunate enough to hold an immeasurable amount of the public’s trust during their most vulnerable moments, in the hope of receiving optimal client centred care. A recent survey discovered that nurses are second to firefighters in a list of most trusted occupations (CNA, 2007). Moreover, nurses have the privilege of being in a self-regulated and self-governed profession. This means that the Canadian government believes that Ontario’s nursing regulatory body, College of Nurses of Ontario (CNO), is best qualified to appropriately define its own members’ norms of practice and boundaries (Schiller, 2014). It is incumbent upon nurses to continuously justify that they are deserving of this honour by delivering uncompromised…

    • 794 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    Health professionals want to maintain a perfect image, therefore, admitting to an error be challenging. Nurses need to maintain a high standard of behavior on and off duty and take full responsibility for their action and claim accountability of any mistake made. Documentation is a vital part of nursing as it contains all the information of the patient which then can be accessed by the government organizations during an audit. In RN Liz’s instance, she breached the code of rights, domains of the competence and standards of the principle in the code of conduct. She did not show professionalism and did not take proper responsibility while administering medication to Mr. A. she also failed to document the incident and to speak to or take advice from her co-workers or seniors RN’s in response to her situation of feeling…

    • 1927 Words
    • 8 Pages
    Great Essays
  • Improved Essays

    Nurses spend more time with the patient and family members than any other care provider in the hospital. In such situation, poor communication can lead to such events. The NSW code of conduct (Code of conduct 2015) #4.1 stated that we should promote a positive work environment with a collaborative work approach and productive working relationship. Also, NMBA Standard #1 (NMBA Standards 2016) states that we need to think critically and analyses nursing practice.…

    • 945 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Hygiene The concept of the week was Hygiene. It helps the nursing student to develop a skill on how to shower and bed wash a patient and how to promote Hygiene. According to World Health Organization (2016), hygiene is about practice that will help in maintaining good health or preventing spread of infections. Cleaning the environment, sterilizing the equipment’s, performing hand hygiene, using hand rubs, disposing medical waste are examples of basic skills that a nurse must practice in the hospital (World Health Organization, 2016).…

    • 1256 Words
    • 6 Pages
    Improved Essays