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.
Hi!
Write here your first week reflektion.
Have a nice internship.
Hei!
You have described the learning situation and your own experiences as well as the feedback from tutor nurse, very good.
You recognize your own strengths and know what you need to pay more attention to. It is great that you understand the significance of the Finnish language for its interaction. Together with the tutor nurse you can write short and important sentences in English and Finnish in a small notebook, It will definitely make it easier for you to communicate with the clients.
The link below will take you to the reflection guide
https://moodle.savonia.fi/mod/book/view.php?id=228177&chapterid=3996
Remember write reflection every week.
Mid-internship evaluation according to the competencies of the evaluation form, recorded in the blog before the mid-internship evaluation and also record what goals you could set for the final internship.
Prepare by thinking, looking at the contents of the evaluation form and identifying what is successful and natural for you, feels easy.
Identify things / situations that have not yet become sufficient for you to be a “leader” in the patient / client care situation, for example
The aim is to be able to act in the role of a nurse as required by each unit, leading the planning, implementation and evaluation of patient care in care situations
Have a nice internship!
The internship has started well. You communicates well with the residents. You works calmly which is important with the old people. You are friendly for everybody. You will also be able to work independently.
Develops in follow working times becouse you are often a little late.
Välikeskustelu/Mid-Evaluation 1.3.2022 Kingsley, Suvi, Sari
Me sovimme, että Kingsley harjoittelee kirjaamista:
Englanti/Suomi yksi tarve prosessin mukaisesti.
We agreed that Kigsley would be practicing
documentation: English / Finnish one need according to the process.
Lääkkeiden jakelu, tarkastelu ja anto asiakkaille, s.c-injektio.
Distribution, check and administration of medication to clients, s.c injection.
Kingsley kertoo joka päivä turor hoitajalle mitä tänään oppi ja kysyy palautetta miten päivä meni.
Kingsley tell each day the turor nurse what he learned today and asks for feedback on how the day went.
23.3.2022
You have reflected for weeks. your reflection has developed during exercise. You describe well the learning situations and your own feelings, how you felt, very good. You have made good observations and conclusions. You know what things you need to pay attention to in the future.
In the next exercise you can communicate more with the patients, so in the future you will also highlight the patient’s experiences and the tutor nurse feedback.
Mid-Evaluation 1.3.2022 is missing?
I cannot accept your internship if there is no mid-evaluation review so write it soon in here and also final evaluation.
Kingsleyn harjoittelu hyväksytty.
Kommunikoi kivasti asiakkaiden kanssa, oppinut hyvin suomenkielisiä sanoja sekä lauseita. Lääkkeiden jako tarjottimelle ok sekä lääkkeidenanto p.o. ja s.c. onnistunut virheettömästi. Pystyy itsenäiseen työskentelyyn sekä oma-aloitteisuutta on. Toiminut työpaikan sääntöjen mukaisesti ja sulautuu hyvin työporukkaan. Työskentelee aina huomioiden asiakkaiden turvallisuuden. Pääsi asettamiinsa tavoitteisiin. Tervetuloa kesätöihin!
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