Scoring, triggers nurses to take appropriate action and referrals to clinicians, Odell. However it has been suggested there is scope for error using EWS if scoring is not carried out properly and factors such as knowing the patient and pattern; recognising deterioration; appropriate referral; time of day and day of the week may be causes for error, Odell et all, However the SBAR tool is not always followed properly and can result in communication errors, increasing risk of harm to patients Royal College of Nursing, It was unclear whether history of his previous GI haemorrhage had been known at this point but it was not highlighted at the hand over report.
By the time I had reached Mr Smith, whilst carrying out routine vital signs on patients, it was obvious by observing a pattern of his vital signs, EWS score, pallor and pain level that he was deteriorating.
The surgical team were informed, and blood was sent to haematology. The EWS system allows for any adverse reactions to be detected early, as severe reactions are more likely to occur within the first 15 minutes of infusion and in the case of an adverse reaction the infusion would be stopped; medical staff and haematology informed Ackley et al, I remained with Mr Smith and monitored his vital signs closely, checking for changes.
He was becoming increasingly agitated because he wanted to be left alone. A short time later staff came from radiology to escort Mr Smith for his ultrasound scan, he was scoring 1 , although his abdomen was very distended and painful.
The Scottish Government established targets which aim to reduce avoidable harm to patients. One of the key elements is to enhance communication skills between inter-professional practitioners in all departments, through education, Scottish Government, However with the use of the EWS system his deterioration was identified and protocols were followed accordingly, reducing further harm.
Although there was not a diagnosis for Mr Smith initially, his symptoms on admission should have triggered regular observations using the EWS system, checking his past medical history and the use of effective clinical judgement. Reflecting on this personal experience has given me a good understanding on the importance of communication in relation to the care delivered to patients. I have learned that it is important to have as much background information about patients as it may influence decisions regarding appropriate care planning.
I have identified that importance should be placed on patients without a diagnosis and closer observation given. Sharing important information and concerns regarding patients with relevant multi-disciplinary team members is vital for patient outcome and also for my personal learning.
I have a good understanding of the EWS system and the benefits it has in identifying deterioration or improvement of patients, however I have learned observational skills are also a good tool in clinical judgement, which I will use.
Overall I have learned in order to deliver safe practice I must use a combination off all the skills I have learned. It has taught me that although practical skills such as observing vital signs is important, observational skills, communication skills and clinical judgement must be considered for patient safety.
I found by reflecting on this personal experience I have learned the importance of reflection and plan to use it in future practice as it has helped me gain insight into how to develop all my skills further in the nursing role. Data Protection Act [Online] Available: Odell et al Detecting Deterioration [Online] Available: Royal College of Nursing Patient safety: Human Factors-Communication [Online] Available: He complained of low self-esteem and is feeling fed up and depressed because of pimples and spots on his face.
The consultation took place with just myself present, no other nurses were in the room at the time of the appointment. The consultation lasted around half an hour, during which time myself and the patient discussed the history of his problems with his skin and the emotional distress that the spots were causing him. The patient disclosed that he had begun to get spots at around age 14 when he had started puberty and that it had begun to make him feel extremely self-conscious. The patient described the negative effect that the acne was having.
For example, he has been bullied at school and is feeling apprehensive about starting sixth form in September because he believes that he will be the only sixth former with spots. Based on the reasonably lengthy history of the acne, the presence of acne on the face and the negative emotional effect that the acne was having, a three month dosage of oxytetracycline was prescribed for the patient.
During the consultation I had a number of feelings. Primarily I felt sympathy for the client because his situation reminded me of my own time as a teenager. I suffered from bad skin from the ages of 14 to about 20 and it severely affected my own self-esteem. However, the review also found that acne treatment may lead to improvement of the psychological disorder that are so often co-morbid. This made me feel re-assured that prescribing oxytetracycline had been the right thing to do.
My own experiences of acne also meant that I was able to relate well to the patient. I also felt some anger during the consultation. I also felt regret and guilt.
I regretted not referring the patient onwards for emotional support and for not exploring the psychological impact of the acne in more detail. I also felt a sense of pride that this young man had the courage to come to the clinic by himself to seek help for his acne.
I remembered how upsetting acne was as a teenager and I remembered that I would have been too embarrassed to have ever gone to a clinic or to have sought help from an adult.
In turn, I also felt happiness. I felt happy that this young man had come to the clinic and I felt happy that I was able to help him. On evaluation, the event was good in a number of ways. Firstly it added to my experience of dealing with young people and in dealing with the problems that are unique to this population of patients.
I have not had many young patients during my nursing career and I welcome the opportunity to gain experience with this group. Furthermore, it re-affirmed my career choice as a nurse.
During your career you always have doubts as to whether you have chosen the correct path. However, there are points in your career when you feel sure that you have made the right choice. However, there were also some negative elements. Firstly, the appointment was quite short and I am worried that this may have made the patient feel rushed and uncomfortable.
After the consultation I did some research into the effects of acne in young people. In particular, the authors found that directly asking about suicidal thoughts should be encouraged during consultations with young people. This information only served to make me feel more anxious and I wished that I had bought this up with the patient. On reflection, being able to relate to the patient increased my ability to deal more effectively with the situation. I feel that the patient was able to open up more to me because he sensed my sympathy for him and his situation.
It was found that the ability to connect to them was extremely important and so I think this is why the patient felt comfortable opening up to me. On reflection, I am also now convinced that the patient coming to see me was a very positive event. The patient could have chosen to go on suffering and could have chosen not to open up and talk about the problems his acne was causing.
In a review of the literature, Gulliver, Griffiths and Christensen found that young people perceived embarrassment and stigma as barriers to accessing healthcare. Therefore, it could have been very easy for the patient to have avoided coming and seeking help. I felt a range of both positive and negative emotions during the consultation, and I think this re-affirmed for me that I enjoy nursing and enjoy helping others.
It is important to genuinely care about patients and to provide them with the best care possible. This would be hard to do if you did not feel empathy for patients. The experience also helped me realise that I need to actively search out training and learning opportunities regarding working with young people with mental health issues. If the same situation was to arise again I think that I would approach it in a slightly different way. In particular, I would have offered to refer the patient to further support services.
During the consultation the patient mentioned that he felt that the spots on his face made him unattractive to the opposite sex. In addition to providing medication to get to the biological and physiological roots of the problem, on reflection I think it would have been beneficial to the patient to have provided information about charities that offer self-esteem and confidence building. Such charities that offer these services include Young Minds http: In retrospect, I also believe that I should have given the patient a longer consultation time in order for us to have explored the psychological impact of his acne in more detail.
Coyne has found that young people are rarely involved in the decision-making process when it comes to their consultations.
Student Nurse Reflective Essay In order to help me with my reflection I have chosen Gibbs (), as the model to help guide my reflective process. This model comprises of a process that helps the individual look at a situation and think about their thoughts and feelings at the time of the incident.
Reflection Of Clinical Practice Nursing Essay. Print Disclaimer: This essay has been submitted by a student. This is not an example of the work written by our professional essay writers. You can view samples M., Gerrish, K., and Ermami, A. Student nurse's experiences of communication in cross cultural care encounters.
Nursing Reflection as a Student Nurse Words 3 Pages The following essay is a reflective account on an event that I, a student nurse encountered whilst . Reflective: Patient and Student Nurse. Topics: Nursing, This is a reflective essay which will address a recent experience gained from the Intensive Treatment Unit (ITU) that occurred during my placement and while under the Overseas Nurses Programme. This will utilize John’s Model for Structured Reflection (MSR).
Student nurse tips: Learning and moving on, ending your reflective essay neatly Ok, so you’ve talked about the ethics of care, and the importance of the 6Cs. You’ve applied these to your experience, and you know why you felt like you did. Database of FREE nursing essays - We have thousands of free essays across a wide range of subject areas. Sample nursing essays!