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 other professionals in the working field.
ETHICAL COMPETENCE AND PROFESSIONALITY
I understand that every patient here in the service home is unique, different and has to be respected in that way. I also realized that the needs for for each client is different and time is important to be considered in the daily care and attention of each client. irrespective of the situation and condition the client rights must respected, also explaining whatever that is going on to the client is also important even if we might think it is not important.
WORKING SOCIETY COMPETENCE
Working in this environment has come with its own challenges, as i have noticed that most people/colleagues here prefer to have discussions about the student behind their back, which i do feel its not professional, as this doesn’t make the student feel welcomed. I have done my best to follow the working schedule that i created,as there have been misunderstanding in my work shift between i and my mentor. I think an open environment should be created to allow both student and staff members discuss openly irrespective of whatever barrier that might be there.
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 on how to improve the daily livelihood of gerontological patient. this has enabled me work independently as well.
CLINICAL NURSING CARE
I can gladly say that my clinical skills has improved radically and this is due to the help i have gotten from my second mentor and her flexibility and willingness to let me try new things.
I have really improved in the distribution of medication and i think this has really boosted my confidence in the understanding and knowledge of most medication that are used in the treatment of gerontological patient/client.
During this internship, i have also understood more about mental health, dementia, RIA, MNA and other illness that maybe associated with elderly people.
During this 5 weeks internship, my clinical skills in this field has been well motivated and enhanced.
Cultural Competence: In my realization, i do not think everyone i do not think that both patient and staff, has treated each other with both respect, dignity and mutual understanding for a safe environment and i think this can be improved in the work place, so it does not become a toxic environment.
Multicultural competence: working with different healthcare staff has broaden my knowledge and the support and care that are rendered for each patient.
Goal to be achieved in my next internship.
In my next internship i will be practicing or using more of my of Finnish language and also communicate more and more with my mentors and also seek to have an open, honest conversation from the beginning of my internship.
Kingsleyn loppuarviointi 20.11. – 24.12.23
Ensimmäisen harjoitteluviikon aikana Kingsley oppi huolehtimaan asukkaiden hygieniasta ja ravitsemuksesta. Vuodepesut, suihkutukset, syöttäminen ja asukkaiden siirrot sujuvat hyvin. Kielitaidon puutteellisuus ja haluttomuus suomen kielen käyttämiseen vaikeuttavat asukkaiden ja työkavereiden kanssa kommunikoimista, joten suomen kielen harjoittelemista kannattaa jatkaa ahkerasti. Vaikka kielitaito onkin puutteellinen, asukkaille kannattaa jutella rohkeasti myös hoitotoimien aikana, koska asukkaille jutteleminen ja asukkaiden ohjaaminen suomen kielellä on tärkeä osa hoitotyötä. Läsnäoloa kannattaa myös harjoitella. Kingsley on ollut rohkea kokeilemaan ja oppimaan uusia asioita koko harjoittelun ajan. Hän ei ole kieltäytynyt mistään työtehtävästä, vaan on rohkeasti lähtenyt kokeilemaan myös uusien asioiden tekemistä. Asukkaiden kanssa toimiessaan hän toimii vastuullisesti ja pyytää tarvittaessa apua ja neuvoja, jos on yhtään epävarma tekemästään asiasta, ja näin pitääkin toimia. On tärkeää, ettei lähde tekemään asioita mutu-tuntumalla, vaan mieluummin kysyy apua ja varmistaa osaavansa tehdä asian oikein.
Kliinisissä taidoissa Kingsley on saanut hieman kokemusta ja oppia. Hän on ottanut asukkailta verinäytteitä oikeaa tekniikkaa noudattaen ja mitannut verenpainetta, sekä happisaturaatiota. Hän on ollut mukana myös rokottamassa asukkaita ja osaa rokottaa oikeaa tekniikkaa ja aseptiikkaa noudattaen. Kingsley on tutustunut vanhusten yleisimpiin sairauksiin ja lääkehoitoon, sekä jakanut lääkkeitä useasti. Hän on opetellut tulkitsemaan lääkelistoja ja jakamaan lääkkeitä asukaskohtaisiin annoksiin lääketarjottimelle. Lääkkeenjaossa hän on tarkka ja hän osaa jakaa lääkkeet oikein.
Kingsley on tutustunut tarkemmin kahden asukkaan hoitosuunnitelmiin ja lääkelistoihin ja ollut ohjaajan mukana tekemässä yhden oman asukkaansa RAI-arviointia. Hän on tehnyt yhdelle asukkaalle myös MNA- testin ja ymmärtänee testin tarkoituksen ja tulosten tulkitsemisen. Kingsley on osallistunut useaan kertaan lääkärinkierrolle ja on esitellyt yhden asukkaan asiat lääkärille ohjaajien avustuksella. Hän kykenee auttamaan asukasta aamutoimissa täysin itsenäisesti, ja ilmeisesti keskustelee asukkaan kanssa suomeksi silloin, kun ohjaaja ei ole paikalla. Hän on opetellut hieman kirjaamista ja harjoitellut raportointia myös suullisesti suomen kielellä. Suullinen raportointi on sujunut melko hyvin, joten suomen kielen taitoon kannattaa luottaa ja suomen kieltä kannattaa käyttää rohkeasti.
Työaikojen noudattamisessa on ollut ongelmia koko harjoittelun ajan. Kingsley on toistuvasti myöhästynyt töistä ja tullut töihin 30 – 60 minuuttia myöhässä esim. tekemiensä yövuorojen vuoksi. On täysin ymmärrettävää, että opiskelija tekee harjoittelun ohella myös palkkatyötä, mutta työelämän pelisääntöihin ei kuulu se, että myöhästelee jatkuvasti sovitusta työvuorosta jopa ilmoittamatta asiasta ollenkaan etukäteen tai ilmoittaa poissaolostaan vasta 5 tuntia työvuoron alkamisen jälkeen. Meitä kaikkia työntekijöitä ja opiskelijoita koskee samat säännöt, ja työaikojen noudattaminen kuuluisi perusosaamiseen, joten tähän asiaan kannattaa panostaa jatkossa.
Harjoittelu on hyväksytty.
Kingsley`s final evaluation 20.11. – 24.12.23
During the first week of training, Kingsley learned to take care of the residents’ hygiene and nutrition. Bed washing, showering, feeding and transfers of residents are going well. Lack of language skills and reluctance to use the Finnish language make it difficult to communicate with residents and colleagues, so it is worth continuing to practice the Finnish language diligently. Even if the language skills are lacking, it is worth talking to the residents boldly also during care activities, because talking to the residents and guiding the residents in Finnish is an important part of nursing work. It is also worth practicing presence. Kingsley has been brave to try and learn new things throughout his training. He has not refused any work assignment, but has bravely set out to try new things as well. When working with the residents, he acts responsibly and asks for help and advice if necessary, if he is at all unsure about what he is doing, and this is how he should act. It’s important not to start doing things with a dumb feeling, but rather ask for help and make sure you know how to do it right.
In clinical skills, Kingsley has gained some experience and learning. He has taken blood samples from residents following the correct technique and measured blood pressure and oxygen saturation. He has also been involved in vaccinating residents and knows how to vaccinate using the correct technique and aseptic technique. Kingsley has familiarized himself with the most common diseases and medical treatment of the elderly, and has distributed medicines many times. He has learned to interpret medicine lists and to distribute medicines into resident-specific doses on the medicine tray. He is precise when dispensing medicine and knows how to dispense the medicine correctly.
Kingsley has gotten to know the treatment plans and medicine lists of two residents in more detail and has accompanied the mentor nurse in doing the RAI evaluation of one of his own residents. He has also given one resident an MNA test and understands the purpose of the test and how to interpret the results. Kingsley has participated several times in the doctor’s round and has presented the issues of one resident to the doctor with the help of mentor nurses. He is able to help the resident in the morning activities completely independently, and apparently talks to the resident in Finnish when the mentor nurse is not there. He has learned a little about recording and has also practiced reporting orally in Finnish. The oral reporting has gone quite well, so you should trust your Finnish language skills and use the Finnish language boldly.
There have been problems with working hours throughout the internship. Kingsley has repeatedly been late for work and has come to work 30 to 60 minutes late, for example due to the night shifts he has worked. It is completely understandable that a student also does paid work in addition to an internship, but the rules of the working life do not include being constantly late for the agreed work shift even without notifying the matter in advance or announcing your absence only 5 hours after the start of the work shift. All of us employees and students are subject to the same rules, and compliance with working hours is a basic skill, so it is worth investing in this issue in the future.
The internship has been approved.
Hi Kingsley,
According to your blog and feedback from your mentor, looks like you have achieved your goals for this internship. It was a pleasure to read that you have learned new thing and also you were able to practice things in which you already have some experience.
In the future, your next internships and overall in your work life, I recommend that you should pay attention to work times and be on time at workplace. You should also understand Finnish work rules and regulations for example you can’t take a sick day from one job and at same the time go to another job.
From here, you can continue your studies.
I wish you joy in learning 🙂
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