Demonstrated Clinical Knowledge and Experience in the Delivery Assignment

Assignment Task

When addressing each of the selection criteria below, please use examples from your clinical experiences to demonstrate your knowledge wherever possible. A 300-word limit applies to each question.

• Demonstrated clinical knowledge and experience in the delivery of evidencebased nursing care within clinical setting.
• Demonstrated effective communication and conflict resolution skills within clinical setting. Examples

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

Effective interpersonal, negotiation and conflict resolution skills are important nursing skills. This is because nurses need to be able to exchange viewpoints, wants and needs, to come to a sincere conclusion about what is important. During my medical ward placement, a patient was transferred to our ward from the emergency department. On a routine hourly check, I found the patient sitting on his bed, appears agitated and he demanded to leave the hospital immediately. Recognising that this was not the patient’s demeanour on arrival, I used the LASSIE approach to conflict resolution. I began by asking the patient the reason why he wanted to leave. He replied that he had been in the emergency ward since morning, while no one is at home looking after his dogs, and that the Doctors are not letting him know anything about his health. To demonstrate active listening, I reiterated the patient’s concern and acknowledged his frustration. I brought myself down to the patient’s sitting position and discussed possible options. Firstly, I asked him if he knew anyone that can help look after his dogs. He provided me with his neighbour’s number, and I told him that I will give it to the ward clerk to call and transfer to his room’s phone. I then informed him that I will get a Doctor for him to explain his health situation. I encouraged him to try these options, which he agreed to. By taking the time to have a conversation with the patient to recognise his needs and help to meet them, the patient agreed to stay in the hospital where he can be adequately treated. As outlined in the Nurse’s Code of Conduct (Nursing and Midwifery Board Australia [NMBA], 2018, Principle 4.4a), I acted with integrity and in the best interest of this patient.

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

Evidence-based practice in nursing is important because it helps give patients the most effective care available. This is provided through the implementation of critically reviewed nursing care for patients. During my clinical placement in an orthopaedic ward, I was tasked with administering intramuscular ondansetron to a patient for nausea under the supervision of my preceptor. To do this, I reviewed the medication chart, to check if the ondansetron was charted properly. I looked up ondansetron in the MIMS book, to provide the patient with appropriate education about it. I then accessed the hospital’s nursing practice guidelines for intramuscular medication administration on the hospital’s database and adhere to the steps in it (Nursing and Midwifery Board Australia [NMBA], 2016, Standard 1.4). These steps included checking the medication with the medication chart before and after drawing up the medication. In the patient’s room before administration, I ensured the six rights and checks, and explained the medication to the patient, including any possible side effects, to gain the patient’s consent. I performed appropriate hand hygiene and used gloves. Whilst ensuring the patient’s privacy, I located the correct anatomical site and used the Z-tracking technique before injecting the site to prevent the medication from leaking into the surrounding tissues. I aspirated the medication, to confirm that no blood vessel has been accidentally punctured and administered the medication. After administering the medication, I ensured the patient’s comfort, signed the medication chart, and checked for the effectiveness of the ondansetron after fifteen minutes. The result of taking these actions was safe medication administration using the best practice guideline, to meet the patient’s healthcare need in this situation, which was to prevent the patient’s nausea. I documented the entire situation in the patient’s progress note as outlined in the Registered Nurses’ Standard of Practice 7.3 (NMBA, 2016).

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