Assignment Based on Transition
Added on 2020-04-13
7 Pages1521 Words41 Views
Healthcare and Research
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Running head: TRANSITIONTransitionName of the student:Name of the University:Author’s note
1TRANSITION1.Shared governance:Shared governance is a necessary responsibility of nurse to ensure proper teamcollaboration and effectiveness in work. It involves effective collaboration with multi-professional team to improve patient outcomes. Shared governance setting has improvessatisfaction level of nurses and improved retentions of nurse in practice (Butao et al., 2016).Ibelieve I have demonstrated this responsibility in my nursing practice by working together asa team and being accountable for the health of patient. While on placement in a hospital as a student nurse, I was assigned the role of caring for a55 years old patient with diarrhoea. I was working under the instruction of the senior nurseand the senior nurse instructed me to give certain antibiotics to patient during lunch time.However, the issue I faced at that time was that while the patient was taking his medication,he suddenly choked while swallowing water. I observed the patient panicked and he wasgasping for breath. I was aware about several such incidents when choking leadsunconsciousness and even death in person (Simpson 2016). Anticipating serious risk to thepatient, I immediately called the doctor as I was not aware about immediate intervention toclear the airway of patient. While the doctor was observing the patient, I also informedpatient’s family members about the issue after taking permission from doctor. The doctorperformed an abdominal thrust to clear the blockage of air. After the patient was calm aftersometime and he had to take his lunch, I consulted the dietician regarding any possiblemeasure or diet changes that is needed for patient. This process of consulting relevantmember of the health care team when required is in accordance with the national competencystandard for registered nurse. It helps in demonstrating accountability within nursing practice(Nursing and Midwifery Board of Australia 2017). I also asked patient about his conditionafter lunch and called the speech pathologist to finally maintain optimal health of patient. Inthis way, proper way of collaboration with inter-professional team helped me to prevent any
2TRANSITIONadverse event. Hence, it can be concluded that shared governance structure is necessary tosupport the nurse to take part in decision making and promote continuous improvement inprofessional skills. Clinical governance:Clinical governance is a system where health care staffs are accountable for continuouslyimproving the quality of service and maintaining high standards of care. A nurse canfacilitate clinical governance by contributing to a safe and healthy work environment (Smith,Latter and Blenkinsopp 2014). This is done by means of having right skills to accomplish thetask. In case of nurse, the practice of clinical governance means practicing in a competent,legislated and authorised manner.This means having the right skills for the job andengagingin quality processes, accountability and performance management in practice (Twigg andMcCullough 2014).I have demonstrated clinical skills in my role as a student nurse while administratingmedication to a 30 year old woman with acute pain. I was committed towards my work andcompleting the activity of medication administration in an appropriate manner. I followed allthe six rights of medication administration during my duty. For instance, right medication,right route, time, client, dosage and documentation are the 6 R’s of medication administration(Latimer et al. 2017). Firstly, I reviewed the medication order. I found the writing illegible, soI confirmed about the medication again by consulting my senior nurse. Before providing themedication on the given time, I also assessed the client’s condition and have brief report tomy senior nurse. As the medication needs to be given by IV route, I reviewed the Australiandrug handbook to get all information about IV medication. I also informed patient regardingcertain side effects of medication and being careful while getting up due to dizziness feelingafter taking the medication. Finally, I completed the responsibility of documentation by vital
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