Assignment on the Job Functions of Nursing
Added on 2021-01-01
11 Pages3730 Words265 Views
NURSING
Table of ContentsINTRODUCTION...........................................................................................................................1MAIN BODY...................................................................................................................................11. Female Catheterization............................................................................................................12. Under water seal drainage.......................................................................................................33. Intravenous medication...........................................................................................................44. Complex wound management.................................................................................................6CONCLUSION................................................................................................................................7REFERENCES................................................................................................................................8
INTRODUCTIONNursing is the critical job functions as it is patient centric approach and is directly relatedto quality of care and safety for service users. It is the responsibility of health care organisationto recruit the best practitioners in order to maintain quality of health and care practices. Thereport will focus on 4 examples of different clinical practices, that is, female catheterization,under water seal drainage, complex wound management and intravenous medication. However,to develop critical understanding over clinical practices, the portfolio will outline description ofall 4 cases with the activities which are performed correctly. This analysis will assist in analysingthe improvement measures with specific motive. However, the four skills in study will be based on specific category that is catheterizationwill be focused on insertion of Foley catheter. Water seal drainage will be related to service userwith Coronary artery bypass grafting surgery. Intravenous medication will be focused onantibiotics and complex wound management will be focused on diabetic patients. Thus, theanalysis of research will be based on secondary evidence where views of different author onclinical practices will be discussed. MAIN BODY1. Female CatheterizationFemale Catheterization is a critical process as it is related to insertion of medical devicesin human body in order to treat diseases. My experience on second week of placement is relatedto Foley Catheter insertion of 65 years old aboriginal woman. The discomfort of woman wasanalysed when she refused to take treatment from male nurse and therefore, I raised my hand toproceed with insertion process. The process was new and I was doing it for the first time.Therefore, one registered female nurse joined me for the process. The service users were anxiousand uncomfortable but it was my responsibility to calm her before proceeding in order to makefurther process smooth. I came up with catheterization trolley which has Foley catheter of twosizes that is 12 and 14. In addition, there was antiseptic solution, catheter bag, 10 ml of syringewith sterilised water, lubricant, catheterization pack and sterile gloves (Urinary Catheterization,2017). The best part of process was sizes of catheter which assisted me in easy insertion as percomfort level of women. 1
However, I realized that before insertion, it is important to clean perineal and vaginal areain order to reduce the chance of infections. In addition, supervisor nurse helps me in openinglabia for insertion of tube. With the help of RN nurse, I was able to inflate balloon with 10 mlsyringe of sterile water. The lady was trying to interrupt the process with her hand as she wasfeeling pain and was uncomfortable. But, on the other hand, I managed successfully insertion ofcatheter and I felt relieved when I saw urine output dropping in catheter bag. The best part was support from supervisor nurse which helped in making insertionsimpler, because the lady was feeling uncomfortable at time of catheterization. However, all theactivities in process were performed correctly because of catheterization trolley, in which clinicalinstruments were placed systematically. Like, cleaning of perineal and vaginal area helped inreducing the chances of urinary infection to lady. Moreover, the help of RN nurse to open thelabia more widely helped me in successfully insertion of catheter.It is important to improve female catheterization process because the process is critical aswell as complex for which it is important to make use of anaesthesia which will help inmanaging safe insertion without interruption of patient. Apparently, this will assist in improvingprocess without interruption of patients. The motive behind improvement is to ensure safepractices regardless of differentiating between male and females practitioner. According to McClurg and et.al., 2018, it has been analysed that Female catheterizationis the clinical practice which is related to facilitating direct drainage of urinary bladder. Inaccordance with this, it is important to follow step wise process in order to maintain patient’ssafety and appropriateness of clinical services. As per the views of Inserting an indwellingurinary catheter in a female patient, 2004, it is important for the practitioner to first focus oncleaning the vaginal area. Further, it is important for the nurses to ensure safe from inflammationand abnormalities before insertion of Foley Catheter. The most common part of entire process iscleaning of areas with swab sticks in order to prevent contamination. The process is conducted intwo ways where the catheter is inserted in and out for immediate drainage whereas, there aresituations when catheter is left inside body for short term drainage. The short term drainageclinical practices is named as self-retaining device which is done for chronic urinary retention. Shlamovitz and et.al., 2016, has outlined equipment required for successful femalecatheterization that is disposable sterile gloves, curtains, lube, cotton balls with container,2
End of preview
Want to access all the pages? Upload your documents or become a member.