Thursday, January 16, 2020

Reflection of Clinical Observation Experience Essay

I am a nursing student from Australian Catholic University. This role play is about the vital signs. Now, I am going to write a reflective write about the video of my role play of TPR which is a part of assignment and done by me and my other two friends. Firstly, in my video when I play a nurse role, first of all I asked about the patient’s condition such as how are you today. I also make the eye contact while taking to patient. But this is my first time to take vital signs. I found more challenging than my expectations while I communicate the patient. Verbal and nonverbal communication is a part of communication between patient and nurse. (Hamilton, 2007). But I forget to introduce myself to the patient. I realise that is my first mistake to communicate with patient. Secondly, I washed my hand properly before taking the patient vital signs. Alcohol based hand rub is simply most useful intervention in controlling infection (Australian commission on safety and quality in healthcare, 2009). When I go near to the patient I prepare each and every thing what nurses needed while taking vital signs. Such as patients recording file, pen and instrument for taking vital signs. Furthermore, before I start to check the patient I did make sure the she is the right patient or not which is written in her name, date of birth, MRN number and the doctor name in her hand band. I have always assumed that it is a simple process but I found that my expectation were far from my contract. Thirdly, I start to take the vital signs but before that I asked the permission from the patient. â€Å"Vital signs refer to the measurement of a patient’s temperature, pulse respiration and blood pressure. Vital signs commonly include temperature, blood pressure, pulse rate and respiratory rate which are used to access the most essential body function (Stomski, 2009). Firstly, I start from to take the patient’s temperature, pulse rate, respiratory rate .and blood pressure and records in the patient’s file. However, while taking the blood pressure I have to support patient’s hand by pillow or hand which I forgot at that moment. After that mistake I determined I never do that mistake in my profession. Finally, when I finished taking the vital signs I appreciate to the patient thank you for your Participation. After finished my role play I realise participation word is not appropriate. Instead of that I have to say thank you for your cooperation. I feel this is the best way to communicate between nurse and patient. I have always believed that the elderly do very little with their time. I found a positive aspect about the elderly – even though they are old, the patients were creatively active by own choice which makes them busy and so they have happy existence. In the low care unit people were doing recreational work such as painting and stick picture and cartoon on the paper. I found health professionals were polite and friendly with the patients. I also found patience in the staff and the patient when they are communicating with each other. The health professionals encourage patients to speak and genuinely interested in client’s word and encourage them to converse. This interaction impressed me a lot and I learned a new lesson how to motivate people. I am glad I went on this field visit because it demonstrated to me many positive qualities – most importantly, the empathy that I will need to have in order to be a skilled and caring nurse. . Moreover, right patient, right place and right way of taking the vital signs is also part of nursing skills. Also comfortable between patient and nurse is very important. Reference Australian commission on safety and quality in healthcare. (2009). National Hand aaaaaaHygiene Program Aims To Halve Hospital Superbug Infections. Retrieve from aaaaa http://www.health.gov.au/internet/safety/publishing.nsf Hamilton, S.J., Martin, D.J. (2007). Clinical Development: A Framework for effective aaaaaacommunication skills. Nursing Times. Retrieved from aaaaaahttp://www.nursingtimes.net/whats-new-in-nursing/296359.article Stomski,N (2009). Vital Signs. The Joanna Briggs Institute 25(3),1-5.

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