Demonstrated Clinical Knowledge And Experience Assignment

Assignment Task

1. Demonstrated clinical knowledge and experience in the delivery of evidence based nursing care within a clinical setting

During my studies, I had the opportunity to participate in several clinical placements where I have gained hands-on experience in a range of clinical settings under my scope of practice as a student EN.

I have specific experience while working in the neurosurgical ward at Royal Perth Hospital. I allocated the patient who had a craniotomy. My task involved taking care of IDC and documentation on the FBC. My patient had low urine output instead of had adequate fluids. I did the bladder scan and had 450 ml of urine in the bladder. I notified the Buddy nurse. Under the supervision of my buddy RN, I tried to flush the catheter but got an obstruction. Then I inform the shift coordinator that the catheter needs to come out after bowel action for the patient in wards 5H. The shift coordinator asked my buddy RN and me to take out the catheter. I removed the catheter according to hospital policy, beginning with explaining the procedure, its rationale, and gaining consent. I used the aseptic technique and five moments of hand hygiene to prevent cross-contamination. I explained the TOV to the patient and provided the urine bottle. I measured the urine after the patient voided and did the bladder scan three times and document it on FBC.

These actions prevented the patient from complications and infection might have because of the blocked catheter. My management of this patient clearly demonstrates my knowledge, skills, competency and experience within the practice setting.

2. Demonstrated effective interpersonal, negotiation and conflict resolution skills within a clinical setting

I have developed sound interpersonal, negotiation, and conflict resolution skills as part of my college activities, work placements, and working as a medication competent PCA at Regis aged care at Port Coogee and Nedlands. As working in aged care, I communicate with residents with diverse backgrounds, residents affected by Dementia, families, co-workers, and other medical professionals. My recent experience while working as PCA, a resident called, and a staff member went to attend the call bell—the resident started shouting at him. I went to her room after hearing the sound. She was angry with my co-worker and wanted him to leave his room and tried to hit with the Walking Zimmer Frame. I used the “LASSIE” technique, listened to her actively, acknowledged her point of view, and asked the other staff to leave. To calm her down, I encouraged her to relax, take deep breathes and drink water. After listening to her actively, I realized that she did not like the male staff. I gave her reassurance that she will be attended by the female carer from now. After reassurance, the resident was in a much more positive mood. I used the sign on the door that indicates female carers only. I hand over to the following staff to avoid the same problem again. RN on duty showed appreciation to me for using clinical skills to manage aggressive behaviour.

This example showcases my abilities including communicating sensitively, negotiation, conflict resolution and problem solving to achieve positive health care outcomes.

3. Demonstrated effective written and verbal communication skills within a clinical setting

In both medication competent PCA and as an Enrolled student Nurse, I have demonstrated effective written and verbal skills throughout my career. While on placements and working as PCA, I gained experience at documenting a range of written documents integral to a Nursing role, including NCP, AORC, FBC, NVO, FNO, FRAMP, transfer form, progress notes, etc. I have specific experience during my primary health placement at REACH Clinic (Roaming Education and Community Health) at North Metropolitan Tafe, East Perth. My role was to interview the people in the community and perform the type 2 Diabetes Risk Assessment tool (AUSDRISK). I was performing the health checks on a person and then I found that his BGL was 3.9. The person had no diabetes. I found that he skipped his breakfast. I explain him the cause, what can be happened and asked him to eat something or drink the carbohydrate drink.

He came back after half an hour, and then his BGL was 5.5. I explained him his AUDRISK score and what he can do to reduce the score to reach 5 or less to achieve the low risk of developing type 2 diabetes within five years.

These actions prevent the hypoglycaemic episode and; also the person provided with the education regarding diabetes and was offered health promotion material. The person gave me excellent feedback on feedback form.

I also demonstrated my effective written and verbal communication skills during my PTE test and scored 82 and 80 in writing and speaking, respectively.

4. Demonstrated ability to work within a team in a clinical setting

I have worked in a team-oriented environment and believe the key to performing well is having a good relationship with the team members. As a Student Enrolled Nurse on placements and working as a medication competent PCA at Regis aged care, I have extensive experience working with multidisciplinary teams of health professionals. During my placement at Neurosurgical ward at Royal Perth Hospital, I was allocated a 77-year-old patient who had a craniectomy, history of CHF and was on fluid restriction. He was admitted on the HIVE (Health in a Virtual Environment) for continuous monitoring and to collaborate with the team to provide immediate care. My role was to escalate any changes in observations. I checked vital signs and performed FNO every 15 minutes and documented on the AORC. My patient’s blood pressure and oxygen saturation rate started dropping, and the patient had ADDS Score 3. I notified my Buddy RN and the shift coordinator. My buddy RN administered Oxygen via NP 3 L. I did ECG. I participated in discussing the care with the HIVE team. After some time, my patient had SBP 80 mmHg, and then I pressed the met call button immediately. Because I attended the “Code Blue training” at Fremantle Hospital, I participated confidently in clinical handover to Safe Team.

The result was that the patient had an immediate response, and the doctor prescribed IV albumin to treat the hypotension. I am confident that my team work skills will meet the fully requirements of this position.

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