My name is kingsley Aliche, now i have begun to study Nursing at Savonia University of Applied Sciences. I have recently graduated from the University of Eastern Finland where i studied General Toxicology and Environmental Health Risk Assessment.

I hope to implement my previous knowledge and background in this field of healthcare.

thanks and see you all around soon.

Kiitos, danke. Obrigado.

 

NURSING ASSESSMENT AND INTERVENTION

LEARNING REFLECTION

week 1

The things i did during my first week of internship are :

checking of ulcer or bed  wound on patients  skin .

changing of patient`s cloth and bedding .

Body wash and feeding

Description :

My tutor nurse and I was with different clients  to assess them and take care of them and I was also asked to do the same as was done by the tutor nurse and I was allowed to start feeding patient.

Feeling :

While i was with the patient i felt confident and felt empathy for the client ,I was worried about the language barrier and how to communicate with the older patients. However having received theory classes on basic nursing intervention ,i had to implement it and tried to communicate and take my time with the client.

Evaluation:

On evaluation , my tutor Nurse was with me and said it was a good one.

Analysis:

on my reflection while we were with the patient i was able to interact with the patient also being able to carry him along ,informing him on what i was doing  made me to gain confidence in myself and reflect as a nurse that while practicing i need to always go back to my book to keep me informed and updated as well as doing the right thing.

Conclusion:

my conclusion is that if I find myself in that situation again i will handle it much better than i did, taking note of what my tutor nurse said and also remembering the positive comment will help build my confidence in caring out the plan .

Action plan:

my action plan in the future is that I be more relaxed and try to plan better on how to carry out the plan . also will like to prepare the things that will be needed to execute the my plan.

Week 2 :Things that i did in this week.

Bed cleaning

Bathing and bed sheet changing

Feeding.

giving patients medicine

having carried out all this duties in week 2 , i would like to base my reflection of learning on the general side of my learning

Description :

getting acquainted with the clients is a vital part of nursing and also with the people working there as it makes the job more harmonious.

Feeling :

In this 2 weeks, i have had different feelings ,since we all have different methods of performing our duties but one key fact that i have noticed is that the general principle of nursing is always followed.

Evaluation :

while administering the medication to a client my mentor nurse made me calm and asked me to relax and was with me all through the way, this made me really calm and wanting to do more.

Analysis :

before i carried the plan out i had to think of how to carry my plan and successful so i tried to understand the process of what i was doing and make the patient to know my plan so that  the patient can be calm.

Conclusion :

My conclusion is that i should always know what am about to do and always ask for advice and support on what to do by my tutor nurse.

Action Plan :

to try to be calm at always

Week 3.

Everyday morning duties such as

Bed cleaning of patients , morning shower, feeding patients.

Giving patients medication

doctor visit

Putting patients medicine into dosetti

Documentation

Changing bed patients position

Description:

carrying out morning routines with the patients like bed cleaning checking of bed wound and redness on the skin .also feeding the patient and assisting patient to take their bath either on the bathing wheelchair or  bathing bed ,giving medications to the patient making sure that they take in their medication.

learning how to use Hilkka, understood the method how medications are been arranged for each client in the home, had a meeting with the visiting doctor with a client .

Feeling:

while carrying out this plan i appreciated the human body more , knowing that daily cleaning of the skin keeps the skin healthy and free from skin diseases  and allows me as a nurse to monitor the patient skin if or when there is any skin ulcer, seeing how the skin changes as we go in life .this has made me understand the precision taking when it comes to patients medication. been with the doctor, also made me understand how the opinion of a mentally stable client is respected, no matter where they are or the condition they find themselves in and this conversation was carried on with a close family member.

Evaluation:

during my evaluation ,my tutor nurse encouraged me to take time to when handling patients medication (by always double checking), include patients in the there daily routine .

ANALYSIS :

Before i carry out my work description i always try to plan on how to make it a success ,this allows the patients to be clam .

Conclusion:

my conclusion is to concentrate  on my patients skin, feelings when attending to them and also be very careful and be patient.

Action:

my action plan is that concerning  bed cleaning and body wash is that i have to concentrate on the body especially drying up the body after bathing to avoid fungi growth around the hidden areas of the body.

Week 4

week 4 was about working independently on my own and nurses own time with patients.

Medication giving

nightly routine check up

Description

working  independently with the patients on my own ,doing morning routines such as morning wash, evening wash, feeding and medication handout. i was instructed to carry out this plan by my tutor nurse .

Feelings :

Carry out my morning routine on my own wasn’t difficult but support the patients out of bed was beginning to feel more like an understanding between myself and the clients

Evaluation :

my tutor nurse came in to check if everything was going on well with me and also asking patients if they where also OK. and after wards i have to evaluate their situation and give my tutor nurse  feedback of situation such as what was  wrong the patient and as a student nurse what do i think is the cause and how do we help the patient and my tutor was really pleased with me .

Analysis:

I feel and think that the patients allowing me to carry out this plan means that they trust me to it successfully therefore allowing me to gain more knowledge and confidence as a student nurse.

Conclusion:

my conclusion to my week 4 activities would be that practicing more will allow me to be perfect and allowing me to think of other means or ways to carry out the plan quick and in a safe manner.

Action:

My action plan will be to get more knowledge and to keep myself up to date to enable me carry out the plan successfully and for me to be able to inform the patients about the procedure and it benefits and side effects .

Week 5

worked independently and also assisting other health care workers.

Description:

worked independently on my own doing the daily routines morning and afternoon and practicing the nursing basic care clinical skills and also getting to know the patients at this point makes it easy for me to carry out the nursing care effectively.

Feeling :

carrying out my nursing skills independently made me happy with myself and also boosting my confidence and made me to realize that my tutor nurse me.

Evaluation :

carry out this plan and working independently with my tutor nurse supervision and support allows me to practice the clinical skills with confidence and able to carry it out successfully.

Action:

TO CONTINUE TO PRACTICE MORE IN MY NEXT INTERNSHIP.

Conclusion:

To update myself by reading more and keep practicing the clinical skills in future.

GOAL

Summary of learning in my basic nursing care and my Goals.

Learning skills.

I having  put some of  my theoretical knowledge into  practice such as the responsibility of a nurse in care giving, client privacy right, respect to co-workers, punctuality and time consciousness, obeying organizational rules.

Goal to be achieved in my next internship.

Is for me to practicalize my documentation skills in the workplace.

Clinical skills:

Having achieved some basic nursing care clinical skills allows me to carry out the basic nursing care as a nursing student , having learned the clinical skills in theory and practicing on manikins in school and during the internship am faced with the real life situations helps me to understand better what i have being taught. hence allowing me to achieve some of my goals ,and those which i was not able to practice i hope to do them in my next internship.

• Personal hygiene, clothing/dressing
• Urinary and Bowel elimination, urinary output, catheterization
• Skin integrity
• Positioning care
• Cardinal vital signs (temperature pulse blood pressure, respiration, oxygen saturation, pain, blood sugar)
• Bed washing and bed dressing

• Goals to be achieved in my next internship
• pharyngeal and nasopharyngeal suctioning
• The use of ABCDE-method to examine patient’s vital sings and ISBAR-method in reporting

• Breathing, oxygen therapy (respiratory frequency, SPo2)
• Oral care
• Fluid balance (fluid chart/urine output)

Teaching and Guidance

Having learned to guide  patient with memory loss and also guiding them and other patients through their daily actives and talking them through their medication .as well as rehabilitative nursing care and evaluating my patient’s guidance

Goal to be achieved in my next internship.

To guide patient relative

To also guide my patients with nutritional care.

Patient safety and quality of social and health care services

I have  learned to anticipate incidents in different work environments and pay attention to patient safety which includes physical, mental and social security of patients (fall risk and prevention) ,i also have knowledge on how to give report to my supervisor concerning patient well being and independently seek more information regarding patient safety in nursing care. therefore i would still like to achieve some of my goals in my next internship.

Goal to be achieved :

Factors affecting medication safety (Haipro-system).

ABCDE-method in patient’s examination

ISBAR method of reporting

Working community Competence

I was able to work as part of the nursing team this allowed me to have the Finnish  work life experience which was lovely to be part of and hoping to continue to find my-self in the working environment even as i continue in my internship.

Medical Internship

Learning Reflection

week 1

The things i did during my first week of internship are :

Getting to understand the ward and its protocols .

Accessing patients information and understanding the different diseases associated with the patients .

Assisting in NEWS information update for the patients and medication distribution

Description :

My tutor nurse and I was with different clients  to assess them and take care of them and I was also asked to do the same as was done by the tutor nurse and I was allowed to take some little responsibilies.

Feeling :

While i was with the patient i felt confident and felt empathy for the client ,I was worried about the language barrier and how to communicate with the patients. However having received theory classes on medical nursing ,i had to implement it and tried to communicate and take my time with the patient, as my tutor nurses were patient and really helpful.

Evaluation:

On evaluation , my tutor Nurse was with me and said it was a good one.

Analysis:

on my reflection while we were with the patient i was able to interact with the patient also being able to carry them along ,informing them on what i was doing  made me to gain confidence in myself and reflect as a nurse that while practicing i need to always go back to my book to keep me informed and updated as well as doing the right thing.

Conclusion:

my conclusion is that if I find myself in that situation again i will handle it much better than i did, taking note of what my tutor nurse said and also remembering the positive comment will help build my confidence in caring out the plan .

Action plan:

My action plan in the future is that I will be away to take on more responsibilities with the monitoring of my tutor nurses.

Week 2

The things i did during my first week of internship are :

Getting to understand the ward and its protocols .

Accessing patients information and understanding the different diseases associated with the patients .

Assisting in NEWS information update for the patients and medication distribution

Description :

My tutor nurse and I was with different clients  to assess them and take care of them and I was also asked to do the same as was done by the tutor nurse and I was allowed to take some little responsibilies.

Feeling :

While i was with the patient i felt confident and felt empathy for the client ,I was worried about the language barrier and how to communicate with the patients. However having received theory classes on medical nursing ,i had to implement it and tried to communicate and take my time with the patient, as my tutor nurses were patient and really helpful.

Evaluation:

On evaluation , my tutor Nurse was with me and said it was a good one.

Analysis:

on my reflection while we were with the patient i was able to interact with the patient also being able to carry them along ,informing them on what i was doing  made me to gain confidence in myself and reflect as a nurse that while practicing i need to always go back to my book to keep me informed and updated as well as doing the right thing.

Conclusion:

my conclusion is that if I find myself in that situation again i will handle it much better than i did, taking note of what my tutor nurse said and also remembering the positive comment will help build my confidence in caring out the plan .

Action plan:

My action plan in the future is that I will be away to take on more responsibilities with the monitoring of my tutor nurses.

Week 3.

Insertion of IV line

Giving patients medication

Assisting in biopsy

administration of medication

Documentation on Ariel and Medanet

Description:

learnt how to put IV line with the help of mentor nurse and understanding the different method involved in this process aseptically. assisting the doctors in the collection of biopsy from different patients. distribution and cross-checking of medication for several patients, to ensure that each of them has the right medication that has been prescribed by the doctor. i have fully began to document the activities of different patient in the ward and also documentation of their physically wellbeing

Feeling:

This has broaden my horoscope in the cannulation and also understood the concept of biopsy taking. also i have felt the essence of been careful and double checking in medication.

Evaluation:

during my evaluation ,my tutor nurse encouraged me to take time to when handling patients medication (by always double checking), include patients in the there daily routine and also be confident in myself .

ANALYSIS :

Before i carry out my work description i always try to plan on how to make it a success ,this allows the patients to be clam .

Conclusion:

my conclusion is to concentrate  on my patients skin, feelings when attending to them and also be very careful and be patient.

Action:

my action plan is that i will take more step in cannulation.

Week 4

week 4 was about working independently on my own and nurses own time with patients.

Medication giving

nightly routine check up

Description

working  independently with the patients on my own ,doing morning routines such as NEWS and weight check, raportti and medication handout. i was instructed to carry out this plan by my tutor nurse .

Feelings :

Carry out my morning routine on my own wasn’t difficult and something i would like to do more often

Evaluation :

my tutor nurse came in to check if everything was going on well with me and also asking patients if they where also OK. and after wards i have to evaluate their situation and give my tutor nurse  feedback of situation such as what was  wrong the patient and as a student nurse what do i think is the cause and how do we help the patient and my tutor was really pleased with me and gave more advice and idea on the patients situation .

Analysis:

I feel and think that the patients allowing me to carry out this plan means that they trust me to it successfully therefore allowing me to gain more knowledge and confidence as a student nurse.

Conclusion:

my conclusion to my week 4 activities would be that practicing more will allow me to be perfect and allowing me to think of other means or ways to carry out the plan quick and in a safe manner.

Action:

My action plan will be to get more knowledge and to keep myself up to date to enable me carry out the plan successfully and for me to be able to inform the patients about the procedure and it benefits and side effects .

Week 5

worked independently and also assisting other health care workers.

Description:

worked independently on my own doing the daily routines morning and afternoon and practicing the nursing clinical skills and also getting to know the patients at this point makes it easy for me to carry out the nursing plan effectively.

Feeling :

carrying out my nursing skills independently made me happy with myself and also boosting my confidence and made me to realize that my tutor nurse and other staff trust me in completing my duties.

Evaluation :

carry out this plan and working independently with my tutor nurse supervision and support allows me to practice the clinical skills with confidence and able to carry it out successfully.

Action:

TO CONTINUE TO PRACTICE MORE IN MY NEXT INTERNSHIP.

Conclusion:

To update myself by reading more and keep practicing the clinical skills in future.

GOAL

Summary of learning in my internal medicine internship and my Goals.

Learning skills.

I having  put some of  my theoretical knowledge into  practice such as the responsibility of a cannulation, administration of medications, Empathy, client privacy right, respect to co-workers, punctuality and time consciousness, obeying organizational rules.

Goal to be achieved in my next internship.

Is for me to practicalize my documentation skills in the workplace.

Clinical skills:

Having achieved some basic nursing care clinical skills and now my medical nursing, this has allowed me work more effectively and confidently as a nursing student , having learned the clinical skills in theory and practicing on manikins in school and during the internship am faced with the real life situations helps me to understand better what i have being taught. hence allowing me to achieve some of my goals ,and those which i was not able to practice i hope to do them in my next internship.

• Aseptics and hand hygiene
• Urinary and Bowel elimination, urinary output, catheterization
• Skin integrity
• Positioning care
• NEWS (Cardinal vital signs (temperature pulse blood pressure, respiration, oxygen saturation, pain, blood sugar)
• Blood transfusion
• Fluid balance (fluid chart/urine output)

• Goals to be achieved in my next internship
• pharyngeal and nasopharyngeal suctioning
• The use of ABCDE-method to examine patient’s vital sings and ISBAR-method in reporting
• Oral care

Teaching and Guidance

Having learned to guide  patient with cancer treatment and different medications and also observing how different chemotherapy method works. Insertion of different types oc Kannyli and leikut has really boosted my confidence so far.

Goal to be achieved in my next internship.

To guide patient relative

To also guide my patients with nutritional care.

Guidance on return to daily life after long stay in the hospital.

Patient safety and quality of social and health care services

I have  learned to anticipate incidents in different work environments and pay attention to patient safety which includes physical, mental and social security of patients (fall risk and prevention) ,i also have knowledge on how to give report to my supervisor concerning patient well being and independently seek more information regarding patient safety in nursing care. therefore i would still like to achieve some of my goals in my next internship.

Goal to be achieved :

Factors affecting medication safety (Haipro-system).

ABCDE-method in patient’s examination

ISBAR method of reporting

Working community Competence

I was able to work as part of the nursing team this allowed me to have the Finnish  work life experience which was lovely to be part of and hoping to continue to find my-self in the working environment even as i continue in my internship.

Perioperative Nursing

Learning reflection

week 1

The things i did during my first week of internship are :

Getting to understand the ward, its protocols.

What it entails to be a scrub nurse and different tools used in the surgical room

what is expected from you by your colleagues and other staff members .

learning from my mentor nurse on the process on becoming a scrub nurse

Description :

My mentor nurse and i has been in different surgical procedures, where i have been given the opportunity to scrub in as well under the proper supervision of my mentor. in as much as i have learnt basic skills of scrubbing in at school, i can say that the technique of wearing double gloves and taking of the gown has ben more enlighten. My mentor nurse, has tutored me on several techniques on the various ways to remember the tools used. Also, hand disinfection and sterile equipment been kept sterile has been also the focus of our practice in the first week.

Feeling :

It was quite astonishing at first, to see everything in plane sight and close proximity, the time it takes and the effort everyone puts into in every surgery in my first week. it made me understand he proper essence of team work and team understanding, as during the process you get to understand that even without spoken words, communication is passed on. My mentor nurse has been able to guide me this first week and also mentor me with patience and understanding.

Evaluation:

On evaluation , my mentor Nurse was with me and has given me good feedback and i intend to keep working hard on myself during this internship period..

Analysis:

on my reflection while we have been working on identify each tools in that are been used for each operation i have understood that sometimes the pattern are similar and with time it will get to you.

Conclusion:

my conclusion, i appreciate the immediate feedback and support from my mentor nurse and how the different staff members are willing to help me grow professionally, also, i think that as time goes on i will gain more confidence and more know how on how to handle things.

Action plan:

My action plan in the future is that I will be away to take on more responsibilities with the monitoring of my mentor nurse and also identification of tools properly.

Week 2

• Scrub nurse
• Instrument nurse
• understanding the different responsibility of every team member

Description :

I have been able to scrub in and make couple of mistakes still while wearing the double gloves the easiest way but my mentor nurse has been very helpful in this. i have been able to work aseptically and minimize the feeling of trying to put my hands down wile putting on the sterile gown.

I have been able to assist other scrub nurses in giving them different equipment and tools that could and will be used during the procedures and doing this has also made me feel that i can be trusted by the staff of the ward.

Been a scrub nurse or an operative nurse requires that you gather knowledge of the procedure and what might happen during the procedure and understand the function of everyone who is there as well. My mentor nurse has been rally informative and educating me on every procedure and this has made every procedure feel like i have been in the planning process, as i understand what is expected of each person before, during and after the procedure.

Feeling :

i feel much comfortable at this moment and glad that both my mentor nurse are giving me the guidance and opportunity i need to carry out this process and my questions are been answered when i ask.

Evaluation:

my mentor nurse has commended my effort and i appreciate the guidance

Analysis:

my reflection for this week, is the ability to handle the equipment and tools the right way and aseptically. i have been able to work on my confidence, trying to use Finnish language as well and feedback helped properly.

Conclusion:

is that with confidence it is able to come out one shell and perform my duties properly.

Action plan:

I plan to continue to learn and focus on the pathway which i have discussed with my mentor nurse and try to ensure that i can start to achieve them from the third week.

Week 4

Working with the Anesthesia Nurse

Taking of vital signs

Monitoring of vital signs during surgical operation

Medication

Description

During this week i have worked closely with the anesthesia nurse and doctor, and understood the routine of how things are done and the communication route between an anesthesia nurse, anesthesia doctor and other surgical team that makes the procedure move smoothly.

understanding of the vital signs and different parameters for different patients has been explained adequately to me, thereby making me able to follow on every patient that undergoes a certain procedural process.

I was able to follow up on the medication given to each patient and also monitoring the medications, thereby giving the opportunity to act as soon as possible.

i have understood virtually, the most important medications needed for a surgical procedure and know which drug comes first and which helps what in a certain situation.

Feelings :

I have felt much more calm understanding all this and appreciating the significance of why active an anesthesia nurse must be at all times.

Evaluation :

My mentor nurse has given a positive feedback on my willingness to ask questions where i feel lost and ability to understand different situations.

Week 5:

LEARNING SKILLS
In the beginning of the internship i came with an open mind to improve on what i have learnt from school and to embrace the learning skills of professionals in the working field.

ETHICAL COMPETENCE AND PROFESSIONALITY
I understand that even when a patient is on the surgical table either on general anesthesia or local, the right and privacy of that patient must be respected at all times and also the dignity of the patient.

WORKING SOCIETY COMPETENCE
I have worked and enjoyed working in this environment and the staffs has been cordial and helpful, for this i can say i have grown very well in this field of studies.

I have done my best to follow the working schedule and also tried to do so independently with the help of the each shift head and this has made my internship a success as well.

PATIENT-ORIENTED NURSING CARE
The patients has and its always my first concern and i have ensured to put their concern first before any other, also considering that every patient is different and has an individual need and as such must be treated as an individual.

EVIDENCE-BASED NURSING AND DECISION-MAKING
I have been able to make research on my own and also read couple of booklets here in the ward given to me by my mentor, also my mentor has explained holistically through the process of been in the anesthesia side or as an instrument nurse and this has helped me grow.

CLINICAL NURSING CARE
I can gladly say that my clinical skills has improved radically and this is a huge thanks to the staffs of the department and especially my mentors for their flexibility and willingness to let me try new things.

I have had the opportunity to try and learn everything at the ward and even more and this is a great tool for the future and shapes my idea of my future as a nurse.

I do believe that my goals were achieved and met my expectations and a big thanks to my mentors.

Goal to be achieved in my next internship.

in my next internship i do hope to work more in Finnish language and also communicate more and more with my mentors.

Pediatric internship

Learning Reflection

week 1

The things i did during my first week of internship are :

Getting to understand the ward and its protocols .

Accessing patients information and understanding the different types of admissions of premature babies who are our patients .

Assisting in NEWS information update for the patients and medication distribution

learning from my mentor nurse

Description :

My mentor nurse and I was with different clients  to assess them and take care of them and I was also asked to do the same and take some responsibilities in understanding measurement of different patients, understanding what it means to be breastfeed and to be feed by NG tube .

Feeling :

While i was with the patient i felt empathy for the client ,I was worried about the fragility of the babies and was concerned about not hurting or braking them but my mentor nurse gave me the confidence to be able to hold and access them.

Evaluation:

On evaluation , my mentor Nurse was with me and said it was a good one.

Analysis:

on my reflection while we were with the patient i was able to understand that even if the parents are there we still need to talk to the babies like they understanding everything we are saying and doing and also carrying the family along with every step of the way.

Conclusion:

my conclusion, i appreciate the immediate feedback and support from my mentor nurse and how they are willing to help me grow professionally, also, i think that as time goes on i will gain more confidence and more know how on how to handle them.

Action plan:

My action plan in the future is that I will be away to take on more responsibilities with the monitoring of my mentor nurse

Week 2

• feeding of babies
• supporting the mentor nurse
• changing baby positiong
• changing the diaper of the babies
• assisting with administration of medication
• administration of UV light (Blue light) for the treatment of Bilirubin treatment.
• Understanding the different incubation reasons and why babies come into the ward with infections

Description :

Different babies who might not be premature visit the ward due to infections and other reasons and also my mentor helped me properly understanding the different reasons for this and also how to go about them.

giving of the sinivalo is an important act of the reduction or stabilization of the bilirubin level in premature and my mentor nurse introduced me to this and also how to utilize them and how to also read the readings.

i have learnt different techniques on how to carry and position the baby in other to make them feel comfortable and reduce their pain to barest minimum without needing to interrupt sleep or rest.

Feeling :

i feel much comfortable at this moment and glad that both my mentor nurse are giving me the guidance and opportunity i need to carry out this process and my questions are been answered when i ask.

Evaluation:

my mentor nurse has commended my effort and i appreciate the guidance

Analysis:

my reflection for this week, is the ability to handle the babies and care for them holistically is achievable and confidently and feedback helped properly.

Conclusion:

is that with confidence it is able to come out one shell and perform my duties properly.

Action plan:

I plan to continue to learn and focus on the pathway which i and my mentor nurse has spoken about and ensure i can start to achieve them from the third week

Week 3.

giving of medication under supersion

bathing under the sink under suupervision of mentor nurse

understanding the different technique in feeding NICU patients

understanding the difference between the parent and the baby as a patient in the ward

going to the delivery room to understand how babies are transffered to NICU ward

resuscitation training

Description:

in the third week i have understood the different timing of when and why we have to give the medications are does specific timing as interaction of drugs are very important in the human body.

bathinfg the baby under the sink has given me a broadeer view of difference between lappupesu and sink washing, as i have seen and understood that most babies tend to be calm and enjoy the feeling of the flow of warm water on their body.

feeding is a very important role with NICU babies and also for babies in general but what is more important is feeding properly and with the right direction. with the help of my mentor nurse she has directed me and guided me in how to feed, timing of when to let the baby breath using diferent technique and i know this is helpful for my future career.

my mentor nurse has been able to make me understand how we treat parents in relation to how we treat our patients (which are NICU babies), i have understood in as much as we treat the family as a whole entity, our major concern and priority is our patientthe NICU baby.

Feeling:

honestly that the pressure in healthcare system is real and more hands needs to be on deck.

i do feel good in my progress and although ii have had some set back, i feel that more time here, will make do more, as i really want to do more.

Action:

i plan on updating myself with various articles and research on how to better the life of NICU patients and also to help the bonding of parents and babies go smoothly.

Week 4

surgical room for tracheostomy change

preparation of baby to the surgical room

Giving of Medication under supervioin through PICC and CVK

Observation of minor eye surgery (retinopathy)

Medication room

Description

The fourth week was a change in normal NICU ward responsibilities, as i had time to try various things and also see something totally different from the ward. i was given the opportunity to go with one of our babies to the surgical room, to observe how a new tracheostomy is been replaced in such type of environment and as such giving me a proper understanding of precision and timing when it comes to dealing with prematures.

I assisted in the preparation of a baby for surgery and also taking the baby to the surgical room with other health care professionals and assisted in returning the baby back to ICU ward of NICU and preparation of post operative surgery for the baby in our ICU room.

i having been able to give medication through PICC and CVK under supervision of nurses and this has gone properly well, especially because i have learnt from their method s of how it is done and also applications from my previous internship.

in this week one of the most intense thing was the retinopathy, as i also witnessed how that was done and i never imagined that such type of procedures are been carried out on babies despite knowing that this are one of the abnormalities associated in the retinal vascular development that occurs in premature infants.

I have been in the medication room and assisted in medication calculation and i have seen how precise and accurate things are done, also the sensitivity of how a little mistake could be hazardous and disaster to baby.

Feelings :

the whole situation has been very new, interesting little like in the movies especially in the surgery room but as well, i love the experience.

I understand on a daily bases , more and more the very importance of aseptic method in healthcare system and especially while dealung with delicate babies.

Evaluation :

overall i will say i did good and the nurses i was with where really helpful and has impacted so much knowledge into me.

Analysis:

my reflection for this week is that things change very quickly and i should be ready to evolve as things change as well.

Conclusion:

I have been able to handle this period profssionally and without panic and i do feel like this is an amazing experience.

Week 5:

LEARNING SKILLS
In the beginning of the internship i came with an open mind to improve on what i have learnt from school and to embrace the learning skills of professionals in the working field.

ETHICAL COMPETENCE AND PROFESSIONALITY
knowing the right of the child and respecting the family was a vital part of the internship and knowing this before the internship helped me understand the process and respectit moe in work practice.

WORKING SOCIETY COMPETENCE
I have worked and enjoyed working in this environment and the staffs has been coordial and helpful, for this i can say i have grown very well in this field of studies.

I have done my best to follow the working schedule and also tried to do so independently with the help of the each shift head and this has made my internship a success as well.

PATIENT-ORIENTED NURSING CARE
The patients has and its always my first concern and i have ensured to put their concern first before any other, also considering that their families are a huge source of support and that means handling the situatuation holistically.

EVIDENCE-BASED NURSING AND DECISION-MAKING
I have been able to make research on my own and also read couple of booklets here in the ward given tome by my mentor, this has helped me grow.

my goal is to see and know how to make every situation beter for every child and i think that this has helped me want to treat every baby with EBN method.

CLINICAL NURSING CARE
I can gladly say that my clinical skills has improved radically and this is a huge thanks to the staffs of NICU and especially my mmentor for her flexibility and her willing to let me try new things.

i have taken part in resuscitation simulation with my mentor and learned how to use NEOPUFF ventilator and changed from Cpap to optiflow. i feel so confident this days and i feel like my mentor has confidence in me as and this helped my morale as well.

i have been the opportunity to try and learn everything at the ward and even more and this is a great tool for the future.

I do believe that my goals were acheived and met my expectations and a big thanks to my mentor.

Goal to be achieved in my next internship.

in my next internship i do hope to work more in finnish language and also communicate more and more with my mentor.

Gerontology

Learning reflection

Week 1

The things i did during my first week of internship are :

Getting to understand the ward and its protocols .

understanding different patients of the ward .

Assisting in morning routines

ward round with doctor

Giving of Vaccination

Description :

My mentor nurses, where able to give me an understanding of the ward and what type of client that we have in the ward.

My mentor nurse and I was with different clients  to assess them and take care of them and I was also asked to do the same as was done by the mentor nurse and I was allowed to start feeding patient.

I was able to give out vaccination to the residence here and did a doctor round visit my mentor nurse.

Feeling :

While i was with the patient i felt confident and felt empathy for the client

Evaluation:

I have been able to communicate properly with each clients and also help when they are in pain.

Action Plan:

I plan to be more involved with the daily routine of every healthcare worker here.

Conclusion:

I think my first week has gone smoothly.

week 2

Medication distribution

familiarization with work environment and multi professionals

supporting other workers with morning duties

Description :

i have been able to keep on practicing my basic nursing skill in this osasto. practicing my distribution of medication and also working with other healthcare professionals.

Feeling :

I do feel that the environment is a unique one to help the growth of every patient, as the serenity of the environment gives various types of treatment and therapy.

Action Plan:

I hope to create a plan that will enable , get the best out of this internship.

Conclusion:

so far so good, am pleased with my learning curve.

Week 3

Mid-Evaluation

week 4

RIA

MNA

Distribution of medication

Doctor round

Administration of Vaccination

Assisting with morning washes.

Description :

I have been able to participate in the RIA assessment of own patient with the help of own mentor nurse and explanation of how or what each stage of RIA means and how to assess a client

I was able to carry out own MNA assessment for own patient and conversation went fine. client remember couple of things and client needed help in most things, overall client was happy and helpful.

After the assessment it was recorded in the client record and also used as a discussion with the doctor during the discussion round.

I have practiced more on the administration of vaccinations to clients and this has boosted my confidence in the administraation of vaccinations.

I have been able to partake more in the doctor round with my mentor nurse support and courage and also getting more involved in the discussion by asking questions.

Feeling :

i feel more confident about my activities and decisions are more informed.

Action Plan:

Work independently in my last week.

Mental Health

learning reflection

week 1

The things i did during my first week of internship are :

Getting to understand the ward and its protocols .

understanding different patients of the ward .

Having own Patient

Medication

Description :

My mentor nurses, where able to give me an understanding of the ward and what type of patience that we have in the ward. I was given advice on how to go about every patient in here (to know each patient personally before reading their files or documents), as this will help me understand each patient as a person instead of just looking at them as a patient.

I have been able to understand the ward protocol, especially its safety protocol and adherence. Also understanding how to take care of my own safety and inform the nurses on duty about my where about, as this wont make everyone wonder about my location.

I have been able to be assigned my own patient, and i have had 2 meeting already with my patient and we have started to build a reasonable ground fro different types of conversation.

I also have been in the medication room and my mentor nurse(s) has tried to explain the function and differences of the vital medications needed

I have been able to attend different student koulutus, that has enabled me understand the ECT treatment when i follow the patient there for treatment and the doctors and anesthesia doctor has been helpful as well during this various visit.

I have also attended the lääke koulutus and this has helped also create more awareness in the delivery of medication to a patient.

Feeling :

I have felt welcomed in my osasto and also i feel that every nurse here especially my mentor nurses are very willing to help me grow in this field of study.

Evaluation:

I have gotten feedback on good confidence in handling of medication, discussion with patients.

Action Plan:

I plan to discuss more with own patient and also get more involved in the multi professionalism of the ward, like speaking with the ward doctor, social workers, psychologist etc.

Conclusion:

I think my first week has gone smoothly and am happy with the well i was welcomed here and also the help that is been offered by the various personnel in this facility

week 2

Meeting with own patient

familiarization with work environment and multi professionals.

Administration of I.m injection and sorting of medication.

visitation of open wards

Extra curriculum activities

Description :

I was able to have more open discussions with my own patient, in other for me to be able to have or create a nursing care plan, that could function for him. various forms of discussion were held and also a game time during this process. this was to enable a free flow of conversation and not making it feel sort of Professional but also to help him ease out his stress while we discuss.

I was taken to different facilities in the hospital to see how the other aspects of the daily life of the patients and also interact with other multi professionals who help in the daily development of the patient.

I was able to practice the administration of intramuscular injections to a patient and also i watched how the nurse vigorously to enable all the medication mix properly. I have been able to practice more on the sorting of medications for the patients and this has really help boost my confidence in medication dispensing.

I had the opportunity to visit other open ward in the hospital and i understood and saw how different patients progress from stage to stage in their ability to handle their mental well-being and ability of the nurse of healthcare provider can trust a patient irrespective of their situation.

I have been able to have several extra curricular activities during this week with different patients, like playing of card games, listening of music that calms them down and walking around the vicinity for change of air and weather.

Feeling :

I do feel that the environment is a unique one to help the growth of every patient, as the serenity of the environment gives various types of natural treatment and therapy , which does not involve medication.

Evaluation:

feedback has been good from my mentors

Action Plan:

I hope to create a nursing plan this week and also try to join some team conversations that includes the doctors.

Conclusion:

so far so good, am pleased with my learning curve.

week 3

MID EVALUATION

week 4

CRT

Distribution of medication

Haipro

Nursing care documentation for own patient

Administration of I.m injection

Description :

I have been able to participate in the cognitive remediation therapy of my own patient and this has also given my another perspective of what is done in the matineanne of their mental state, cognitive level and most importantly their ability to see things from various angels.

I have continued my practice in the distribution and understanding of the medication in the osasto.

was able to be part of the Haipro discussion in the osasto, which took place amongst the health professionals in the osasto.

I started making the nursing care pan for my own patient and also getting ideas of other nurses on the best way to go about my care plan

I have practiced more on the administration of I.M injections and this has really boosted my confidence as a future nurse.

Feeling :

i feel more confident about my activities and decisions are more informed.

Action Plan:

Work independently in my last week and submit my nursing care

Nursing Developmental competencies:

Viikko 1

Perehdytys osastolla

Ymmärtää uuden osaston toimintatavat

Saada oma potilas

Antaa raportti omasta potilaasta lääkärille

Lääkkeiden käsittely ja iv pistos ohjaavan sairaanhoitajan valvonnassa

Mitä tehty:

Ohjaava sairaanhoitajani ja minä olemme työskennelleet erilaisten potilaiden kanssa. Oman potilaan kanssa työskentely on antanut minulle lisää vastuuta ja mahdollisuuksia kommunikoida potilaan kanssa sekä tehdä yhteistyötä lääkärin kanssa raportin aikaan.

Tunne/olo:

Minulla on ollut itsevarmempi olo tulla takaisin osastolle ja käyttää suomen kieltä potilaiden sekä henkilökunnan kanssa. Ohjaava sairaanhoitaja on auttanut minua löytämään oikean työskentelytahdin ja näyttänyt kuinka asioita hoidetaan.

Arviointi:

Ohjaava sairaanhoitaja on sanonut harjoittelun sujuvan hyvin ja taitojen paranevan ajan kuluessa.

Toimintasuunnitelma:

Ottaa lisää vastuuta

IV kanylointi

Katetrointi

Viikko 2

• Katetrointi
• Yhteistyö proviisorien kanssa
• Verinäytteiden otto
• Antaa raportti omasta potilaasta lääkärille

Mitä tehty:

Oman potilaan kanssa työskentely on antanut minulle enemmän vastuuta ja mahdollisuuksia kommunikoida potilaan kanssa, ymmärtää hänen lääkitystään ja ymmärtää syöpäpotilaan tunteita. Olen voinut tehdä katetroinnin, ottaa verinäytteet ja tehdä yhteistyötä lääkärin kanssa raporttihetkellä ja esittää kysymyksiä.

Tunne/olo:

Minulla on ollut itsevarmempi olo tulla takaisin osastolle ja käyttää suomen kieltä potilaiden sekä henkilökunnan kanssa. Ohjaava sairaanhoitaja on auttanut minua löytämään oikean työskentelytahdin ja näyttänyt kuinka asioita hoidetaan.

Arviointi:

Ohjaaja sairaanhoitaja on sanonut, että koulutus sujuu hyvin ja taidot paranevat ajan myötä ja rohkaisee minua suomen kielen käyttöön

Toimintasuunnitelma:

Ota enemmän vastuuta

IV-kanylointi

lääkkeiden jakaminen

Viikko 4

IV- Kanylointi

lääkkeiden jakaminen

katetrointi

Lannerangan puhkaisu

Mitä tehty:

Oman potilaan kanssa työskentely on antanut minulle enemmän vastuuta ja mahdollisuuksia kommunikoida potilaan kanssa, ymmärtää hänen lääkitystään ja ymmärtää syöpäpotilaan tunteita. Olen voinut tehdä katetroinnin, ottaa verinäytteet ja tehdä yhteistyötä lääkärin kanssa raporttihetkellä ja esittää kysymyksiä. Pystyin selittämään potilaalleni lääkkeen käytön ja tarkoituksen sekä ymmärtämään ja rauhoittamaan mahdolliset epäilykset ohjaajani avulla.

Tunne/olo:

Olen voinut osallistua erilaisiin toimenpiteisiin osastolla ja myös avustaa niissä. Olen myös saanut ohjausta hoitajaltani suorittaakseni IV-kanyylin asettamisen.

Arviointi:

Ohjaaja sairaanhoitaja on sanonut, että koulutus sujuu hyvin ja taidot paranevat ajan myötä ja rohkaisee minua suomen kielen käyttöön

Toimintasuunnitelma:

Ota enemmän vastuuta

Professional optional studies

Learning Reflection

Viikko 1

Perehdytys osastolla

• Ymmärtää uuden osaston toimintatavat.
• Mahdollisuus työskennellä oman potilaan kanssa.
• Lääkkeiden käsittely ja iv-injektioiden antaminen ohjaajan sairaanhoitajan valvonnassa.

Mitä tehty:

Ohjaava sairaanhoitajani ja minä olemme työskennelleet eri potilaiden kanssa. Oman potilaan kanssa työskentely on antanut minulle lisää vastuuta ja mahdollisuuksia kommunikoida potilaan, hänen perheensä sekä lääkärin kanssa raportointitilanteessa.

olo:

Olen tuntenut oloni itsevarmaksi työskennellessäni osastolla lasten kanssa ja käyttäessäni suomen kieltä niin potilaiden kuin henkilökunnankin kanssa. Ohjaaja sairaanhoitaja on auttanut minua löytämään oikean työskentelytahdin ja näyttänyt, kuinka asiat hoidetaan.

Arviointi:

Ohjaaja sairaanhoitaja on sanonut, että harjoittelu sujuu hyvin ja että kädentaitoni ovat hyvät.

Toimintasuunnitelma:

• Ottaa lisää vastuuta.
• Verinäytteiden otto CVK-linjasta.

Viikko 2

• Verinäytteiden otto.
• Osallistuminen raportointikokoukseen ohjaajan sairaanhoitajan kanssa.
• Likvornäytteen otto potilailta.

Mitä tehty:

Työskentely oman potilaan kanssa on antanut minulle enemmän vastuuta ja mahdollisuuden kommunikoida potilaan kanssa, ymmärtää hänen lääkitystään ja ymmärtää syöpäpotilaiden tunteita. Olen voinut seurata lasten likvornäytteiden ottoa ja siihen liittyviä toimenpiteitä, ottaa verinäytteitä ja tehdä yhteistyötä lääkärin kanssa raportointitilanteessa, kysyen tarvittaessa.

olo:

Olen tuntenut henkilökunnan halukkuuden auttaa minua kehittymään, samoin kuin lääkäreiden antamien toimenpideohjeiden merkityksen ja tuntenut oloni varmaksi suomen kielen käytössä niin potilaiden kuin henkilökunnankin kanssa. Ohjaaja sairaanhoitaja on auttanut minua löytämään oikean työrytmin ja näyttänyt, kuinka asiat hoidetaan.

Arviointi:

Ohjaaja sairaanhoitaja on sanonut, että harjoittelu sujuu hyvin, että taitoni paranevat ajan myötä ja että olen rauhallinen työssäni.

Toimintasuunnitelma:

• Ottaa lisää vastuuta.
• Avustaa näytteiden keräämisessä
• osallistua enemmän osaston keskusteluihin.

Viikko 3

Apuna lääkärille potilaiden näytteiden keräämisessä
Verinäytteenotto potilailta
Potilaiden PEWS-kertomusten kokoaminen ja saapuvien potilaiden hallinta
Yksittäiset keskustelut potilaiden vanhempien kanssa.

Potilaiden vieminen takaisin osastolle lääkkeiden antamisen jälkeen.

Seuraavan päivän potilaiden valmistelu.

Mitä tehty:

Tällä viikolla olin päiväosastolla, missä pystyin ymmärtämään paremmin ja näkemään lasten päiväosaston päivittäisen rutiinin. Valmistelin ennen potilaiden saapumista, varmistin, että kaikki tarvittavat välineet olivat saatavilla jokaisessa huoneessa ja tein heidät mukaviksi. Tein yhteistyötä eri terveydenhuollon ammattilaisten kanssa varmistaakseni, että lapsen päivittäinen elämä ei häiriintyisi. Pystyin myös avustamaan lääkäriä potilaiden näytteiden keräämisessä, ja sekä ohjaaja sairaanhoitajani että lääkäri antoivat minulle selvennystä tapahtumista.

Olo:

Tunnen itseni nyt rauhallisemmaksi päiväosastolla, ja se, että jokainen päivä voi olla jotain uutta, on todella kiehtovaa.

Arviointi:

Ohjaaja sairaanhoitaja on sanonut, että harjoittelu sujuu hyvin, taitoni paranevat ajan myötä ja olen rauhallinen työssäni.

Toimintasuunnitelma:

Haluaisin saada enemmän vastuuta, kun harjoitteluohjelmani lähestyy loppuaan.

Olisi myös mukavaa hoitaa omaa potilasta joka vuorossa ohjaavan sairaanhoitajan tai minua ohjaajan sairaanhoitajan valvonnassa.

Haluaisin myös osallistua saapuvien potilaiden suunnitteluun osastolle.

Viikko 4

Mid Evaluation

Viikko 5

Tehtävät:

• Potilashuoneiden valmistelu.
• Verinäytteiden ottaminen potilailta.
• Potilaiden PEWS-raporttien (Pediatric Early Warning Score) kokoaminen ja saapuvien potilaiden hallinta.
• Ohjaavan sairaanhoitajan avustaminen potilaiden lääkityksen seurannassa.
• Seuraavan päivän potilaiden valmistelu.

Mitä tehty:
Tällä viikolla olin päiväosastolla, missä syvensin ymmärrystäni lasten päiväosaston päivittäisestä rutiinista. Valmistelin potilaiden saapumista varmistaen, että kaikki tarvittavat välineet olivat saatavilla jokaisessa huoneessa ja potilaat tunsivat olonsa mukavaksi. Tein yhteistyötä eri terveydenhuollon ammattilaisten kanssa varmistaakseni, että lasten päivittäinen elämä ei häiriintyisi.
Avustin lääkäriä potilaiden näytteiden keräämisessä, ja sekä ohjaaja sairaanhoitaja että lääkäri antoivat minulle selkeitä ohjeita ja selityksiä prosessin aikana.
Minulle annettiin myös vastuuta saapuvien potilaiden hallinnasta, mukaan lukien heidän ohjeistamisensa päivän kulusta ja odotuksista sekä heidän terveydentilansa selvittäminen.

Olo:
Tunnen itseni nyt rauhallisemmaksi päiväosastolla, ja se, että jokainen päivä voi tuoda jotain uutta, on todella kiehtovaa.

Arviointi:
Ohjaava sairaanhoitaja on todennut, että harjoittelu sujuu hyvin, taitoni paranevat ajan myötä ja pysyn rauhallisena työssäni.

Toimintasuunnitelma:

• Haluaisin saada enemmän vastuuta, kun harjoitteluohjelmani lähestyy loppuaan.
• Haluaisin myös osallistua saapuvien potilaiden suunnitteluun osastolle.

Viikko 6

Tehtävät:

• Oman potilaan hoitaminen.
• Potilashuoneiden valmistelu.
• Verinäytteiden ottaminen potilailta.
• Potilaiden PEWS-raporttien (Pediatric Early Warning Score) kokoaminen ja saapuvien potilaiden hallinta.
• Ohjaavan sairaanhoitajan avustaminen potilaiden lääkityksen seurannassa.
• Seuraavan päivän potilaiden valmistelu.

Mitä tehty:
Tällä viikolla työskentelin sekä päiväosastolla että osastolla, koska paikat olivat muuttuneet. Tämä on antanut minulle paremman käsityksen sairaanhoitajan päivittäisistä haasteista ja osaston yleisestä toiminnasta sekä siitä, mitä terveydenhuoltojärjestelmä kohtaa päivittäin. Olen saanut paremman ymmärryksen lasten onkologian osaston ja päiväosaston päivittäisestä rutiinista ja alkanut sopeutua siihen. Valmistelin potilaiden saapumista varmistaen, että jokaisessa huoneessa oli kaikki tarvittavat välineet, ja tein potilaista olonsa mukavan. Tein yhteistyötä eri terveydenhuollon ammattilaisten kanssa varmistaakseni, ettei lasten päivittäinen elämä häiriintynyt. Avustin myös lääkäriä potilaiden näytteiden keräämisessä, ja sekä ohjaava sairaanhoitaja että lääkäri antoivat selkeitä ohjeita ja selityksiä prosessin aikana. Minulle annettiin myös vastuuta omien potilaiden hoidosta, mikä sisälsi heidän kanssaan keskustelun hoitoprosessin kulusta ja odotuksista sekä heidän terveydentilansa kartoittamisen.

Tunteet:
Yhteistyö apteekkarin kanssa on antanut minulle lisää tietoa ja ymmärrystä aseptiikasta sekä lasten lääkkeiden päivittäiseen hoitoon liittyvistä laskelmista. Olen myös saanut nähdä, miten he tekevät yhteistyötä muiden tiimin jäsenten kanssa parhaiden hoitosuunnitelmien saavuttamiseksi potilaille.

Arviointi:
Ohjaava sairaanhoitaja on todennut, että harjoittelu sujuu hyvin, taitoni paranevat jatkuvasti ja olen rauhallinen työssäni.

Toimintasuunnitelma:
Työskentely itsenäisesti ja omien potilaiden hoitaminen.

Viikko 7

Loppu arvointi

Article

Role of Nurses in The Treatment of Acne in Both Healthcare Settings And At Home

CV

video CV

https://media.savonia.fi/View.aspx?id=93259~5p~Jiu9baKxgY

Infographic