The Australian Commission on Safety and Quality

Running head: NRSG367 ASSESSMENT 2 REFLECTION
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Student Name:
Semester 1, 2020
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NRSG367 ASSESSMENT 2 REFLECTION 2
Introduction:
With the global burden of disease, the need for comprehensive clinical practice
is intensifying for meeting the high demand of the patients. Therefore, in the clinical
setting, providing the best comprehensive care to the patient is a fundamental part of
quality nursing practice (Johnstone, 2016). To provide guidance in appropriate
clinical practice, The National Safety and Quality Health Service (NSQHS) Standards
were established with the assistance of the Australian Commission on Safety and
Quality in Health Care and the Australian Government (Www.safetyandquality.gov.au.,
2018).The combination with the patients and multidisciplinary team is considered as the
fundamental part of effective practice. This paper aims to provide an in-depth
discussion of one such standard (6.9) by using the reflective process in the following
paragraphs.
Description:
The chosen standard in this context is standard 6 of NHQSH, specifically
standard 6. 9 which suggested that clinicians and the multidisciplinary team must
involve in the clinical communication process for effectively communicating health risk
promptly so that clinical decision about the care can be taken and family members can
be informed regarding the changes (Www.safetyandquality.gov.au., 2018). The incident
I will be reflecting on occurred during the placement as a registered nurse within the
medical ward due to poor communication between registered nurses. In the clinical
placement, I was appointed to provide care of a diabetic patient of 46 years. The

NRSG367 ASSESSMENT 2 REFLECTION 3
registered nurse in charge provided me with a clinical handover regarding details of the
patient and suggested me to provide her with some food and assess the vital signs.
Since the registered nurse was in a hurry, she left after providing the clinical handover
with appropriate communication. After providing food and reviewing the clinical
handover, the estimated blood pressure was 165/ 90 and the patient stated that she had
high blood pressure in the morning. I was anxious and contacted my supervisor and
supervisor identified that the patient had high blood pressure which the nurse in the
previous shift failed to mention.
Feeling:
Prior to the clinical experience, I was mindful to involve in effective clinical
practice such as a comprehensive assessment of the patient and provide safe care to
the patient. However, after assessment of blood pressure, I was anxious and
apprehensive to handle a patient with high blood pressure. I was nervous that I failed to
provide adequate provide care to the patients. It impacted my clinical practice.
Evaluation:
This section of the reflection will reflect on both positive and negative experience
which will lead to an understanding of the experience of patients and my role as a
registered nurse. Considering positive experience, I have identified that the clinical
incident provided me with an opportunity to involve the patient in the effective
communication, assess the vital signs of the patient and gather proper skills of the
clinical assessment. However, the negative experience is that I failed to communicate