NURBN 3024 Eportfolio Assignment Task 1B: Nursing Standards

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This eportfolio assignment for NURBN 3024 showcases a student's application of the seven nursing standards, demonstrated through their clinical experiences at TLC Aged Care. The assignment includes reflections on critical thinking, therapeutic relationships, and maintaining capability for practice. The student highlights their ability to conduct comprehensive assessments, develop nursing plans, and provide safe and responsive care. Furthermore, the eportfolio emphasizes leadership and management qualities, such as communication, teamwork, and organization. It also features reflective journal entries addressing challenging clinical scenarios, including medication administration and patient safety, along with inter-learning sessions focused on dementia and mental health care. The assignment also includes responses to key selection criteria, a resume, and evidence of clinical competencies and leadership qualities as required for a graduate nurse program application. The assignment also included the answers for the burnout module and time management strategies.
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RUNNING HEAD: NURBN 3024 Eportfolio Assignment Task 1B
NURBN 3024 Eportfolio Assignment Task 1B
Name:
Course:
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Seven Nursing standards by the Australian Nursing and Midwifery Board
I have demonstrated mastery of the seven clinical standards. One of the basic nursing
standards is the ability to think critically and analyze nursing practice. While working at Aged
Care Worker TLC Aged Care, Nobel Gardens, I was faced varying resident problems from
residents who needed medication after every few hours, or those who needed to be taken to the
wash room, or those who has special needs. My task was to assist the residents with their varying
needs and regularly report to the senior doctor about the progress of the residents. My ability to
think critically and analyze her role, she was able to satisfy the varying needs of the residents. As
a result, the residents felt comfortable, loved, and were always in good spirits.
The other nursing standard that I have satisfied is the ability to engage in therapeutic
professional relationships. While working at Aged Care Worker TLC Aged Care, I was required
to maintain a working relationship with residents. My task was to inquire about their feelings and
determine how they could be helped. I would deal with all residents on a personal level and made
them feel free to express their feelings. As a result, she was able to ensure their comfort and
address their concerns.
Another nursing standard that I have managed to fulfil was the ability to maintain the
capability for practice. When I joined her first work assignment, I was inexperienced in many
areas and there are many things I did not know. I was tasked with analyzing the condition of
residents, bonding with them, and compiling reports on their progress. Due to my willingness to
learn new skills and her passion, I was able to follow my mentors’ instructions and learnt in the
process. As a result, I’m now able to identify different medical conditions, I’m good with
abbreviations, and is capable of recognizing 6 rights and 3 pt.
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The other standard that I have mastered is comprehensive assessment. I have worked in a
facility where a nurse was required to spot whether a resident’s condition was improving or
deteriorating. I was also supposed to determine whether a resident had developed a new or rare
condition. I was quick to identify the signs of different conditions based on my learning and
reported them to my buddy nurse. This ensured that no complications went unnoticed and that all
residents were in perfect health.
I have also shown her ability to develop a plan for nursing practice. Working in a busy
ward, I was called upon to attend to my patients timely. I use a shift planner to ensure timely care
for my patients but where a shift planner is not viable, I was able to adjust accordingly. I was
capable of handling two patients with no assistance from my buddy nurse. As a result, I have
honed my multi-tasking and problem-solving skills.
The other essential nursing standard is the ability to provide safe, appropriate, and
responsive quality nursing practice. At the adult facility where I work, the residents have
different demands. Some require medication every now and then, other need to urgently go to the
washroom, while others may need to be urgently attended to when their condition worsens. I was
called upon to deal with these varying demands appropriately. My knowledge of nursing practice
ensures that all residents under my care are attended to promptly.
Last but not least, I have demonstrated the ability to evaluate outcomes to inform nursing
practice. I can reflect on my nursing interventions and assess whether they have been effective.
In the ward where I was assigned to, nurses are called upon to act on their feet and make
decisions quickly. Sometimes they are called upon to act independently when the buddy nurse or
senior doctor is not present. Some of these decisions may not provide the expected results.
Nurses are expected to evaluate their decisions and review the outcomes. I have demonstrated
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my skill in evaluating the outcomes of my nursing practice. This has helped me improve in my
decision making and provide services with better outcomes.
Leadership and Management Qualities
I have demonstrated a wide array of leadership and management skills that proves her
prowess as a leader. Firstly, I have demonstrated good communication skills. I was required to
maintain a professional working relationship with residents. This role required me to constantly
look into the concerns of patients and address them. I also proved good at following up on the
condition of my patients and reporting any alarming issues to her authorities.
I’m also good at working under stress. In the ward I was working in, there is a lot of
pressure. Patients have varying demands and schedules. I was expected to think on my feet and
make quick and effective decisions.
I’m also good at team work. My role as a nurse required me to report any incidences and
occurrences to the buddy nurse. I was supposed to liaise with other nurses to ensures the
demands of all residents were met. I would at times have to handle two patients without help
from my buddy nurses. As a result, I developed a good team work spirit.
I have demonstrated excellent organization skills. As mentioned earlier, one of the
standards of clinical practice involve developing a plan for your patients and assessing your
nursing care practices. I was called upon to organize myself and devise a plan that included all
the patients under my care. My good organization skills enabled me to attend to all my patient’s
needs appropriately.
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Reflective Journal
Essay 1
I was administering antibiotics to patients who had just undergone C section. I had not noted
that a patient was trying to get out of her bed to use the bathroom. The coordinator found the
weak lady and immediately asked another nurse to help me perform my responsibility
I felt embarrassed and disappointed in myself.
I think the incident was an eye-opener. I should be observant of my surrounding as I carry out
my duties.
My core responsibility y the code of ethics is to give care to my patients. It is one of the
requirements in the code of ethics.
I conclude by saying that this a common mistake made by nurses but my action plan is always to
be keen and observant. A nurse cannot be distracted.
Essay 2
I was responsible for responding to patient’s buzzers in newly constructed single room wards.
While attending to a patient, I had the patient in the next ward fall.
I felt frustrated and confused.
The incident got me thinking that maybe the hospital should install CCTV camera surveillance in
every room.
As a nurse, I should have an update of the patients well being such that when they press the
buzzer, ill be able to which patient to prioritize.
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Thus, my action plan is before I start my shift, I should take time to know about the health of all
the patients so I can handle them better next time.
Inter- learning sessions
Session 1
I was placed to work at Regis Aged Care, Blackburn. Mostly I interacted with patients who have
Dementia. My supervisor emphasized that I always had to introduce myself to most of the
patients every time I went to administer medication.
Sometimes I felt sad and exhausted, having introduced myself almost four times a day to the
same patients.
Now that I think of it, the nursing career requires a lot of patience and understanding. I can only
imagine how their relatives feel.
A program should be put forth to support relatives to patients with dementia. Also, nurses and
caregivers should learn to exercise patience with such patients.
Session 2
During another inter- learning session, I was placed at the mental health ward at Dandenong
Hospital. I was afraid of going there alone, and all the time my supervisor had to allocate me a
helper.
It was scary, and sometimes I would find myself crying in agony when I remember those
patients.
Now I think I failed to realize that these patients were just sick like any other patients. They did
not require my sympathy but my professional help and empathy.
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Next time if exposed to such an opportunity, I should take time to read the patients history to
understand their reactions. Thus, I will be more equipped to handle them.
References
Chang, E. M. L., & Daly, J. (2007). Transitions in nursing: Preparing for professional practice.
Marrickville, N.S.W: Elsevier Australia.
Daly, J., Speedy, S., & Jackson, D. (2010). Contexts of nursing: An introduction. Sydney:
Churchill Livingstone/Elsevier Australia.
Hamlin, L., Davies, M., Richardson-Tench, M., & Sutherland-Fraser, S. (2016). Perioperative
nursing: An introduction.
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In Levett-Jones, T., & Levett-Jones, Tracy. (2013). Clinical reasoning: Learning to think like a
nurse.
Koutoukidis, G., In Koutoukidis, G., In Stainton, K., In Hughson, J., & Mosby, Inc.
(2013). Tabbner's nursing care: Theory and practice. Chatswood, N.S.W: Churchilll
Livingstone Elsevier.
McSherry, W., McSherry, R., & Watson, R. (2012). Care in nursing: Principles, values, and
skills. Oxford: Oxford University Press.
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