Aged care placement at TLC aged care (4 weeks)
Dec 2021- Jan 2022
The key tasks I performed there was:
- To attend the personal needs of the resident including all activities of daily living, social emotional support in accordance with the care plan and at the direction of the supervisor care leader/ Duty nurse.
- To protect the rights of residents and ensure care provided maintains resident's dignity and privacy.
- To support resident's choice and decision making.
- To follow correct Manual Handling Procedure.
- To report and document any changes in a resident's health and well-being.
- To recognize health and environmental hazards and reports damages, faults, and problems, using appropriate incident reporting.
- To provide patient-centred care based on care plan.
1ST Year of Nursing placement at Calvary McDonald (4 weeks)
0ctober 2022- November 2022
My duties were:
- Provided support and reassurance to residents with dementia and other mental health conditions
- Attending promptly and respectfully to residents' activities of daily living (ADL's) needs
- Safely lifted and moved patients using the correct manual handling procedures including the stand lifter and sling lifter.
- Providing emotional and psychological support to the patient.
- Vital signs and daily assessment of clients (Including a head-to-toe assessment, falls risk assessment, and pain assessments).
- Gained experience in diabetic care including blood Glucose monitoring and observation of administration of regular ordered insulin and sliding scale insulin. Diabetic assessment and diabetic education for the client.
- Assist the EN With Medication administration, utilizing the eight rights of medication administration, including eye drops and puffers and spacers and nebulizer.
- Assessment and planning daily for wound assessments including simple wound dressings of skin tears, pressure injuries and venous ulcers. Understanding of primary and secondary wound dressings
- Falls risk assessments including recognizing and responding to a client who has had a fall and monitoring their condition as per the facilities guidelines (neurological assessment and follow up for the fall).
- Shadowing and working with the team leader EN and RN and providing support and assistance with the tasks they are required on a shift.
- Listen to and participated in daily handovers handover with the team.
- Utilized the computer (ICare) for documentation and update of care plans, document vital signs, pain assessments, wound assessment chart, BGLs and completed a progress note.
Completed 2nd Year of Nursing placement at TQEH (4 weeks)
May 2023- June 2023
- Provide care that demonstrate awareness of relevant legislation and CALNH policies, is ethical and is respectful of individual needs and culture and is supported by evidence-based practice whilst under the supervision of nursing team member
- Perform and document observations, informing the registered nurse of all observations performed in a timely manner.
- Able to recognize and respond appropriately to clinical deterioration. Immediately communicate observations to supervising RN when observations are in yellow zone and continue to support patient observations hourly under supervision of Registered Nurse until resolved.
- Calm and professional when providing support to distressed family members
- Assisted in early detection of patient deterioration by close observation and assessment of patients, vital signs, and related tests
- Strictly following infection control policies of the hospital to minimize infection and to promote safe environment to the patient, visitors, and health care workers.
- Keeps patient environment clean, performs comfort rounds, keeps hallways clear of obstruction, reports safety issues and broken equipment appropriately and adheres to patient safety precautions.
- Demonstrates good verbal and written communication skills with other healthcare team members.
- Communicating patient conditions to the nurse and the doctor.
- Administration of medication (oral, Subcutaneous, IV, IM) under the supervision of RN following all checks and rights
- Develop and implement nursing care plans for patients and coordinate with multidisciplinary team members to facilitate integrated and comprehensive care.
- Documentation includes progress note, transfer letter, booking appointment, review letter for other multidisciplinary team (physiotherapy, social worker, occupational worker), discharge note.
- Conducting neurological, neurovascular observation, electrocardiogram, bladder scan, removing drainage bag, irrigation, flush out and surgical wound dressing under the supervision of RN.
- Providing education to the patient if there are any changes in their medication.
- Participated in wound dressing using ANTT technique.
- Participate in taking and giving bed side handovers.
Completed 3rd Year of Nursing placement at Repat Health Precinct.
Experience:
- Administered IV, IM and subcutaneous medication by following 8 right of medication under the supervision of registered nurse.
- Observed and practiced clinical skills such as drain removals, TOV (trial of void), complex medication regimes, full hygiene, and comfort care.
- Monitored blood glucose level and administered insulin injection when required by following the sliding scale chart under supervision.
- Assisted with patient admissions and discharges under preceptor guidance, ensuring smooth transitions and comprehensive discharge planning.
- Promptly notified Doctor of any changes in patient condition and followed up as necessary.
- Developed individualized care plans based on patient needs with the assistance of registered nurse.
- Collaborate with interdisciplinary teams to optimize outcomes and promote patient-centred care.
- Provide ISBAR handover and by the end of shift each day, seek feedback from RN whom I worked with and seek feedback twice a week from preceptor.
- Monitored urinary catheter drainage and intervened as needed to prevent complications and ensure patient comfort and safety.
- Managed a workload of 3-4 patients per shift, consulting senior nurses as needed to prioritize tasks and address complex patient needs.
- Actively sought learning opportunities to expand clinical knowledge and skills, participating in facility provided education sessions and professional development activities.
- Performed peg feeds under supervision, ensuring patient safety and nutritional support in accordance with established protocols.
- Carried laboratory specimens, results, and charts to appropriate departments, ensuring accuracy and confidentiality in record-keeping.
- Administered blood transfusion with nurse assistance, ensuring adherence to transfusion protocols and patient safety.
- Educated patients thoroughly before discharge, providing comprehensive instructions for self-care and promoting continuity of care at home.