NUR1299 Laboratory Attendance And Clinical Skills
Question:
Part 1. Laboratory Attendance and Participation.
Attendance at on campus clinical laboratory or residential school will be recorded and students awarded 5% marks for each laboratory session attended.
Part 2. Clinical skill self-reflection
For this part of the assessment, you are required to select three (3) skills from the list below to practice during your clinical laboratory or residential school. Ask a fellow student to perform a peer appraisal using the appropriate appraisal form from the textbook (templates attached to Study Desk) and capture a minimum of 4 photos taken during the procedure to assist in the self-reflection.
You do not need to perfect the skills however you are expected to analyse the appraisal forms and the photos of your skill and based on your current knowledge write a 500 word self-reflection of what you did, what you may have forgotten, and how you could improve your practice. Submit the 3 Clinical Skills appraisal forms as 1 PDF document. The photos do not need to be submitted. No introduction or conclusion is required.
Students should select 3 skills from the following list (do not select 3 medication skills):
- Bed bathing
- Basic dressing technique
- Staple/suture/clip removal
- Medication administration (select either oral, rectal, topical)
Part 3. Clinical Care plan
For this part of the assessment, you are required to demonstrate your understanding of fundamental nursing cares The topics include:
- mobility and falls
- hygiene
- pressure area and wound care
- nutrition and elimination
- sleep
- psychosocial aspects
You are required to develop a 1000 word care plan incorporating all of the topics above for one of the simulated patients introduced during the clinical laboratory or residential school, (Please see the assignment resources attached to Study Desk, for the case studies and background for the simulated patients). As the patients are from different age and cultural groups, you need to plan the care using a patient-centred approach, based on the patient’s care needs. You will need to incorporate clinical interventions necessary to manage the care of the client within the specified context. We encourage you to take a multidisciplinary approach and identify other health care providers (e.g. Physiotherapist) that may assist in providing comprehensive care. Make sure you include patient education aspects in your care plan (e.g., a client with diabetes may require education about diet and medications). Although a range of topics are discussed, many will overlap. The best example of this are the psychosocial aspects, which may be contributing to the patient’s illness.
Clinically, there are many different examples of care plans and/or clinical pathways. For this assignment, we have chosen a very simple one and have provided the template for you to use. (see Assignment resources)
An example care plan (using the nursing process) for Mrs Palmer is provided on Study Desk (see assignment resources).
- Assessment/Cues: These can be based on the weekly topics, such as mobility and falls.
- Problem: Issues identified
- Planning/Implementation: The interventions you propose to address the problems/issues.
- Evaluation: How will you measure the success of these interventions, describe a successful outcome/desired patient outcome.
Do not copy and paste the information from this care plan to your own.
Part 4. Medication management module. Med+Safe
In this part of the assessment, students are required to complete the following assessments within the Med+Safe online module assessment (linked to Study Desk).
Medication ‘Rights’ – Tablet and Capsules
Medication ‘Rights’ – Oral Liquids
The Med+Safe learning materials and assessments will be open until the due date for the assessment. Students will receive a certificate on successful completion of the module assessment. Students may attempt the module assessments as many times as required to obtain the certificate of completion. Upload the certificate of completion (PDF) to the USQ Study Desk.
Answer:
Oral Medication Administration.
During my practical on administration of oral medications, I had pretty much perfected my knowledge and skills. Before drug administration, I reviewed the medication chart to make sure that there was a valid order for administration and ensured that the oral route was the most appropriate route for the type of drug being administered. In additional, I reviewed the medication mode of action, pharmacokinetics and sides effects to anticipate any adverse reaction and then performed the hand hygiene before starting the procedure. At this juncture, I had already collected all the required instrument and materials such as medicine cup, drinking cup and water and pill cutter. During the procedure, I introduced myself, check whether the patient had any alleges and obtain the drugs to be administered. Then checked the five RIGHTS of medication, calculating the correct dosage and checking the medication expiry dates. Secondly, I compared the label of the drug and the medication chart and dispensing the medication into medicine cup using non-touch technique . Thirdly, rechecked the FIVE RIGHTS of drug administration, assisting the patient to take medication, return the instrument and repeat the hand hygiene. I did not forgot any section of the procedure but I need to improve on frequent hand hygiene.
Simple Wound Dressing.
When preparing and planning for this procedure, I had already ascertain myself for the indication and pain management of the procedure and gather the required equipment and sterile items for the procedure. However, this procedure required a more materials than I have anticipated and thus I had to recheck twice. When performing the procedure, I explained the importance of the procedure and why it was needed to the patient and obtain concent. Later, I prepared the patient, applied the face mask and clean gloves, setup the sterile field, remove the dresing, clean the wound and removed the sutures. However, I did forfort to acess the condition of the wound and rechecking whether the surrounding needed to be cleaned. In my future practice, I will always confirm and asses whether the wound need to be dressed, indication, patient condition and health status, wound status, and whether pain managemnt is required.
Staple/Suture/Clip Removal.
Before performing this procedure, I ascertain myself with the indication for the procedure and gathered the appropriate equipment such as sterile sticher cutter, forcepts and steri-strips. During the procedure, I explained the procedure to the patient, obtain conset, prepare the patient, remove dressings, establish sterile field, clence wound, remove stutures and applied the steri-strips. I later recleances the wound and plly dressing. I did foorget revieweing the current and the previous data post procedure. In fiture practice, I will always remember to perform hand hygiene where necessary, document all the assessment and procure correctly, reports any problem, and review all the current and previous assessment data to make sure that the objectives for the indication of the procedure are met.
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