My 1st internship Nursing Assessment and Interventions Practice Summary
Learning Skills
Level of competenc:
I have got great competence:
- work in accordance with the nursing values, principles and statutes
- understand the limits of his or her responsibility
- interact professionally with the client/patient and respect his or her personality and individualism
- identify the client’s/patient’s nutritional health, daily functional ability and need for nursing care
- help the clients/patients maintain their functional abilities and advise them on basic nutrition issues and provide respectful nursing care
- work aseptically correctly according to the infection prevention principle
- Aseptic and infection control, nursing interventions: taking care of hygiene,
- nutrition/fluid therapy and secretion, vital functions: monitoring blood pressure
- pulse, respiration, temperature, consciousness and Blood Sugar
- medical treatment: implementing medical treatment and monitoring the effectiveness, functional ability and nutrition: monitoring daily functional ability and assessing nutritional health, structural documentation
- use essential nursing methods and instruments
I also tried to use all my personal characteristics which are rationality, responsibility, versatility, sociability, and empathy. It turns out during shifts you need to be not just on the alert, you have to follow everything 360 degrees .
My experience during this practice:
- Vital functions monitorin: Blood Pressure, Pulse, Respiration/ Respiratory Rate /Oxygen Saturation SpO2, Temperature, Consciousness, Blood Glucose;
- ABCDE Approach to Health Assesment
- Reporting to Doctor, ISBAR
- Taking care of patient daily hygiene, Bath Bed
- Nutrition treatment. Helping with feeding
- Fluide balance monitoring
- Medical treatment: implementing medical treatment and monitoring the effectiveness, using Duodecim database.
- ECG recording
- i.m. , i.v. , subcutinious (insulin) injections
- Cannulations
- Fluid transfusio
- Blood sampling for laboratory tests
- Urinary catheterisation (male). Take urina for laboratory tests (infection test)
- Documentation. Work with Pegasos database. start to filling the eMedical Passport.
Additionally I have got really great expereance with:
- Blood transfusion. I was working with my colleague Jasmin for twice control Blood group and I have don cancelation and Vvtal status reaction and monitoring.
- Post-mortem care. I have not participation, because it was not mine patient. But I was attention observing haw it was managing by my colleague.
- Familiarise and well understood how do work with Hipro database
Even though having a lot of practice is great and combining it with theory will give me great result!
Goals and objective: Basically , I am really interested in learn how to fill in the eMedical passport.internal life hacks and good habits of medical professionals which can be adopted.
Self-Evaluation: I learned how to use eMedical passport and fill it in . I will continue using it in my future Internships . I also tried to use all my personal characteristics which are rationality, responsibility, versatility, sociability, and empathy. It turns out during shifts you need to be not just on the alert, you have to follow everything 360 degrees .
Ethical knowledge and professionality
Level of competency: Therefore, I may clearly recognize the principles of dialogic interaction . Besides , I am eager to learn to act and behave correctly accordingly nursing .
Goals and objectives: Under such circumstances , I hope that I will learn to reason and think more critically , as well as develop my cognitive functions such as quick analysis and memory .
Self-Evaluation: Throughout the whole practice, I followed absolutely all the rules of conduct for a nurse such as respect of patient privacy , for example . I always observed patients’ confidentiality , never discussed or divulged patients’ records. In terms of the importance of the nursing value and fundamental nursing concepts I tend to agree and mean that it is rather significant and those ideas ought to be known by medical staff
Clinical Skills
Level of competency: trained and I know how to apply into practice the help with functional ability of a patient by using different scales and processes such as physical activity , memory, coping with everyday activities and nutritional condition ). Also I completely acknowledge that if I do not comprehend some peace of information I have to straight forward ask my sypervisor to clearify the situation as I have to mentor the client/patient accordingly to the principles guiding the maintenance & promote the finctional ability & rehabilitation . Of course ,I always remeber about the aseptics is it the major basic knowledge and habit which must be absorbed by the cerebral cortex . It is 100 percent crucial to always have clean/washed and antisaptic hands . So I realize how important it is to work in environment which is aseptically clean . Just recently I had a lecture about working ergonimically correctly as it improves medical professionals’ effort.
Goals and objectivies: It would be really great to improve my ergonomical skills during this internship because it is an absolutely new thing for me
Self-Evaluation: Throughout the practice, I monitored the asepsis of my hands, carried out all procedures with gloves, after which I washed my hands with soap and applied an antiseptic. Also, to be comfortable for both the patient and me, I used all the ergonomically advantageous postures while working.
Teaching and guidance
Level of competency: Moreover, I am eager to study how to carry out rehabilitative nusring care. I suppose that I might need a slight help in guiding the client’s / patient’s relatives if necessary because sometimes it happens so I cannot find the right words to explain the situation/case.
Goals and objectives: In my opinion, during this and futher going interships I have to develop a very essential skill which is proper self evaluation and better ability to communicate with the patient and his or her relatives in their native language (Finnish)
Self-Evaluation: I had a little trouble understanding what the patients were saying, what they wanted, and so on. But over time, I already learned their habits, and could use some of the memorized phrases and words, as well as communicate with them non-verbally.
Patient safety. Quality of Social and Health Care services
Level of competency: No matter what , I always tent to take into account the factors affecting the physical , mental and social security of the client /patient . Also fact affecting medication safety , for instance, Haipro-system
Goals and objectives: I really want to hone my skills in both taking and explaining the ABCDE method and ISBAR method.
Working community competence
Level of competency:It goes without saying that every medical staff member have to know how to communicate and work in the community as a whole . It requires from the professionals to be active, open and have communicative lifestyle which is not a problem for me as I am a considerate, open-minded, and agile person.
Goals and objectives: Communicate with as many people as possible , make new acquauntances and connections . Be cheerful and friendly in general.
Self-Evaluation: As an open and friendly person, I tried to stay with them for these five weeks. Despite the fact that the entire medical staff is much older than me, I still tried to somehow establish contact. I tend to suppose that I did it.
Description
I saw and understood a lot during this internship. This is naturally an invaluable experience. I worked in the morning shift, evening and even at night. I know what I need to pay attention to in varying degrees. I was able to try to carry out procedures not on a manikin at the university but on living people! It is very interesting to work with different people, therefore you need to find your own unique approach to everyone.
I also want to mention that the emotions of people who are happy about something simply cannot be expressed in words, it must be felt.
Feelings
All the excitement and experiences remained at the very beginning of the internship , as now I stand firmly on my feet and know what and when to do. Naturally, I am still learning how to manage my emotions and experiences, but I believe that I have made a big step forward!
Evaluation
I described a detailed assessment of my knowledge and skills above, but here I can emphasize that I myself realized that now I can and can, and what else I need to learn and that’s great!
Analysis
The main point of this point is control, understanding, analysis of the situation and willingness to help at any moment.
Conclusion
I am glad for the opportunity to get to know my future profession better, now I am sure that despite all the difficulties, I was tired and sometimes even fatigued – I am glad that I chose this profession, because I believe that helping people is important! And not everyone can do it disinterestedly and conscientiously.
Action Plan
Now that I have an understanding of what real Basic Nursing it is about , I can definitely go further and develop my knowledge and skills in medicine, because thanks to this internship , I learned the very concept of nursing & now I know where it all begins .
With worm of my hert I am deeply graceful to my Tutor Nurses Saara, Niina, Riita and Tarja for hight professional supervising, teaching guidance me and provide me very-very useful wise advises.
Mentor teacher Sari for controlling my first Internship . Also I want to say thank you to every practitional nurse at my department for assissting me in my journey ! You all truly helped me
Olen sydämin kiitollinen ohjaajalle – sairaanhoitajilleni Saaralle ja Niinalle korkean ammattitaidon ohjaamisesta, opettamisesta ja minulle erittäin-erittäin hyödyllisistä viisaista neuvoista.
Haluan myös kiittää jokaista osastollani toimivaa sairaanhoitajaa, joka auttoi minua matkallani!
Te kaikki todella auttoitte minua!
You are the Best❤️

INGA
Inga on perusluonteeltaan avoin, empaattinen, rauhallinen ja äärettömän ystävällinen ja kauniskäytöksinen. Inga suhtautuu kaikkiin työyhteisön jäseniin ystävällisesti ja tasavertaisesti. Inga on sosiaalinen ja häntä on helppo lähestyä. Inga on aina siististi pukeutunut ja huoliteltu. Noudattaa työelämän ja työyhteisön yhteisiä sääntöjä tunnollisesti.
Harjoittelun alussa Inga kertoi taustastaan ja aiemmasta kokemuksestaan. Alusta saakka Inga on ollut äärimmäisen motivoitunut ja halukas oppimaan uutta. Harjoitteluun laaditut tavoitteet olivat realistiset.
EETTINEN OSAAMINEN JA AMMATILLISUUS
Ingan käytös on äärettömän ystävällistä ja toisia kunnioittavaa.
Toimi sairaanhoitajan eettiset ja hoitotyön arvot huomioiden. Kunnioittaa vaitiolovelvollisuutta ja huolehtii, ettei potilaan yksityisyyttä loukata. Inga toimi harjoittelun aikana moniammatillisen työyhteisön jäsenenä ja teki yhteistyötä kaikkien osastolla toimivien henkilöiden kanssa. (sairaanhoitajat, lähihoitajat, lääkäri, laitoshuoltajat, fysioterapeutti, sihteeri) Inga ymmärtää osaamisensa rajat sekä opiskelijan roolin toiminnassaan. Ingan toiminta harjoittelussa oli vastuullista ja osaa pyytää apua, jos ei tiedä, osaa tai ymmärrä.
KLIINIEN OSAAMINEN
Inga kohtaa potilaat ystävällisesti ja asiallisesti. Käyttäytyy potilaita kohtaa tasapuolisesti ja potilasta kuunnellen. Harjoittelun aikana Inga tulkitsi, raportoi kirjallisesti ja suullisesti potilaiden vointia. Osastolla voinnin seurannassa käytössä NEWS- pisteytys. Inga osaa tulkita muutoksia potilaiden voinnissa ja raportoi niistä asianmukaisesti ja toimii potilaan voinnin parantumista edistävästi. Inga osaa käyttää osastolla käytössä olevia mittareita ja laitteita asianmukaisesti. Osastolla mitataan päivittäin verenpainetta, happisaturaatiota, pulssia, lämpöä, verensokeria, hengitystaajuutta. Osaston päivittäiset rutiinit tulivat harjoittelussa tutuiksi.
Ingan toimi aseptisesti ja hygieniasuosituksia noudattaen. Huolehti potilaiden puhtaudesta ja siisteydestä. Auttoi potilaita perushoidollisissa asioissa. Ymmärtää puhtauden merkityksen osana potilaan hyvinvointia.
Huolehti potilaiden ruokailusta ja tarvittaessa auttoi potilaita ruokailussa. Syöttäminen ja juottaminen onnistui luontevasti ja hyvin. Ymmärtää ravitsemuksen merkityksen osana potilaan hyvinvointia.
Inga jakoi useita kertoja potilaiden lääkkeet tarjottimelle valmiiksi seuraavaksi päiväksi. Lääkkeiden jakaminen oli aseptista, tarkkaa ja huolellista. Hallitsee lääkelaskut. Jakoi lääkkeet potilaille varmistaen potilaiden henkilöllisyyden ja auttoi potilaita ottamaan lääkkeet. Harjoittelussa Inga antoi lääkkeitä myös silmään, inhaloitavia lääkkeitä ja nebulisaattorilla annettavia lääkkeitä.
Lisäksi Inga antoi injektioita sc., i.m. Pistäminen onnistui aseptisesti, rauhallisesti ja oikein. Ennen lääkkeiden antoa varmisti lääkkeen, potilaan ja antotavan oikeiksi.
Harjoittelussa Inga harjoitteli useita kertoja kanylointia. Kanylointi onnistuu hyvin, rauhallisesti ja toiminta on aseptista. Inga huomioi tarkkaan kanyylia ympäröivää ihoa. Inga antoi lukuisia kertoa lääkkeitä suonensisäisesti. Toiminta lääkkeitä antaessa aseptista. (iv. antibiootti, iv. furesis) Inga valmisteli iv. antibiootit ennen lääkkeiden antoa ja asetti infuusioletkut paikoilleen tarkasti ja huolellisesti. Suonensisäistä nestehoitoa harjoiteltu.
Harjoittelun aikana Inga otti laskimoverinäytteitä, katetroi, otti EKG:n, hoiti erilaisia haavoja, poisti ompeleita ja hakasia haavoilta, osallistui verensiirtoon. Inga kirjasi asiallisesti potilastietojärjestelmään (Pegasos) potilaiden voinnista, mittauksista ja lääkkeistä. Tutustui Haiprojen tekoon. Lääkehoitopassia täytetty.
Inga harjoitteli kuntohoitajan ja kaikkien hoitajien kanssa ergonomista työskentelytapaa ja osallistui kuntohoitajan kanssa potilaan intensiivisempään kuntoutukseen.
YHTEENVETO
Ensimmäisestä päivästä lähtien Inga sopeutui työyhteisöömme todella hyvin. Ingan avoimuus ja halu oppia on ihailtavaa. Inga käyttäytyy todella kauniisti. Siinä on myös meille muille opittavaa. Inga on todella motivoitunut ja halukas oppimaan ja tekemään mahdollisimman paljon asioita oman oppimisensa eteen.
Minulla ja koko meidän työyhteisöllämme on vain pelkkää positiivista sanottavaa sinusta. Osaat perushoidon ja sinulla on hyvät kädentaidot. Olet huolellinen ja tarkka. Osaat tarkkailla potilaita ja toimia heidän vointiaan edistävästi. Olet ahkera ja toimelias. Sinulla on hyvät sosiaalisettaidot ja tulet toimeen aivan kaikkien kanssa. Olet empaattinen ja näet ihmiset kokonaisuutena. Näen sinussa ihan valtavasti potentiaalia. Sinusta tulee aivan loistava sairaanhoitaja!
Opiskele ja ”kasva” rauhassa sairaanhoitajaksi. Kukaan ei ole koskaan valmis ja osaa ja tiedä kaikesta kaikkea. Joka ikinen päivä oppii uutta. Jatkossa opit entistä paremmin hyödyntämään tietoasi käytännössä ja kokonaisuuksien hahmottaminen on helpompaa. Sinulla on hyvä asenne ja osaat jo niin paljon.
Saara Karppinen
Viitasaarella 18.5.2022
LEARNING COMPETENCE
You have done the internship tasks carefully. You recognize your own strengths and know what you should pay attention to in the future. You have actively discussed with your tutor nurse the development of your skills. You can utilize theoretical knowledge in practical work.
ETHICAL COMPETENCE AND PROFESSIONALISM
You know the ethical principles of a nurse and have acted professionally and responsibly. Your interaction skills are good. You know how to treat patients holistically. You know what the role and responsibilities of the nurse are.
CLINICAL COMPETENCE
Based on your description, you have learned a lot new with this practice, you have previous experience and it has helped you a lot. You have learned the treatment process and treatment path for an internal ill patient and from this practice. You recognize the most common internal symptoms diseases and how to treat them.
You know how to measure, monitor and evaluate the patient’s vital functions, taking into account different aspects diseases and the treatment goals set for them. You will be able to take drug treatment using different routes of administration. You know how to work to promote medication safety, very good. You have good clinical skills and are professionally skilled.
HEALTH AND FUNCTIONAL ABILITY PROMOTION
You understand the importance rehabilitative nursing and you implement it. You know how to work to promote patient health.
GUIDANCE AND TEACHING COMPETENCE
You can also act independently and guide patients in Finnish, very nice. Your guidance skills are good and you know how to use different methods. You have acted professionally and confidentially in the treatment relationship. You are empathetic and kind to everyone and you have acted with respect for everyone in the work community, great.
Patient Case
You have identified the patient’s illnesses and clearly describe why the patient was hospitalized. You tell the patient’s medication accurately and carefully, very good. You can justify why these medicines are being given to a patient. Based on your description, you will be able to interpret the laboratory results. You have described the patient’s care and treatment results clearly and comprehensibly.
You have done a nice job.
Please, put this task in the space provided in Moodle and follow the instructions there.
It has been a pleasure to follow your professional development, you have done a good job, I can be very proud of you.
All the best in your life and study.