CNC Medical-Surgical - Thi Minh Tran - Nicholas Noble - Nursing Assignment Help

Assignment Task:

CNC medical surgical Assessment

( don’t worry about the ate mention there we have new due date)

During the new week 4 (online weekof April 6th) you were required to complete 2 8 hour shift plans for each patient provided

• Thi Minh Tran

• Nicholas Noble

Please submit these care plans to the turnitin portal in your week 4 learning materials. 

After submission you were then provided with a prompt card which identified key aspects of care which needed to be considered for each patient. Your role for assessment 3 is to use John’s Reflective Model to reflect on your plan of care for each patient, identify strengths in your clinical reasoning, limitations in your critical thinking and an action plan for how you will address your future learning to improve the areas where you did not perform as well as you wish. Please note that if you did not submit these plans of care by April 17th, you will be issued with 2 new case studies to complete instead, and the same process will apply. 

John’s reflective model requires you to address the following:

Description

• Describe what you did, how you feel that you performed, what information you used to develop your plan of care (this may be formal research or it may be personal experience such as working on a ward, or it may be that there was very little thought applied at all – note all of this here).

Reflection

• Did you have clear goals for each patient? What were you trying to achieve for each patient? Would your plan of care achieved these goals? Would you have caused any harm to your patient by doing things which should not have been done? Would you have caused harm by omitting care which should have been done?

• Did you consider the specific individual needs of this patient, or were you developing your plan of care based on routine things which should be done for everyone regardless of what the patient needs or wants?

• Was your plan of care evidence based – did it align with current clinical policies and guidelines? If there are no policies and guidelines around what you did, then consider what the evidence say in terms of what you did and associated outcomes of patients here.

• Would you plan of care for this patient affect anyone else (other staff, other patients, family members, public health resources) and is this impact reasonable to provide care for this patient?

• In developing your plan of care did you use high quality evidence to inform your clinical decision making (i.e. clinical guidelines, policies, systematic reviews of high quality evidence) or did you use lower quality evidence such as individual studies in journals or text books? Or was your evidence from dangerously low quality sources such as nursebuff.com and nurselabs.com? Would you be happy having your nursing plan of care developed from these sources?

Influencing factors

• Thinking about areas in your care plan which you did well, or which you did not do well, what were the factors that influenced these decisions? Consider internal factors (personal thoughts, limitations, confidence, and knowledge) and external factors (time, peers, and resources available).

• Did you use past experiences to help you, did you use EBP? Was time an influencing factor for you in developing the plan of care? What else influenced your decision making processes.

• Would these influencing factors play a role in the enhancement or hindrance of patient care in a real life clinical setting?

Improvement

• What could you have done better for these patients in developing this plan of care? How will you improve the patient’s outcomes?

• What would the consequences be of your suggested improvements and do the benefits outweigh any potential risks (eg. Is it too expensive with very little evidence based improved outcome?).

Learning

• What will change because of your experience in writing these care plans?

• What have you noticed is an area that you would like to improve your knowledge and skill on based on what you have reflected on?

• How will you go about improving this? This should address 3 clear, specific and measurable action plans. 

• • Do not write ‘read hospital policy’ as there are thousands, identify which exact policy you will read and reference it. The same goes for books, chapters, youtube videos, conferences, inservices. Do not write that you will vaguely attend these – these must be ones already scheduled which you can reference.

  • It must be an action that specifically addresses your ability to critical think, clinical reason and improve care for medical surgical patients

  • It may be something you should already know but has been highlighted in this assessment as an area of weakness (such as medication administration errors), however it should not be something you are already expected to know and this assessment has not highlighted any limitations in that area

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