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.
You wrote weekly reflections (2) on the blog as instructed, nice.
You identify one’s own strengths and development needs, actively seek feedback and utilize it in one’s professional development.
It’s great that you’ve talked to patients in Finnish, your language skills improve when you use it boldly.
I believe that you have done very well.
You have described your experiences nicely and you have clear goals for how you will act in the future, very good.
Hey Kingsley !
Week 1 & 2 went really fast. I have read your reflection about these past weeks.
You really have improved a lot, in such short time ! From day one, to day 13 you have honed your skills. You are swift, motivated and courageous. You dont hesitate to ask if something is on your mind and you are questing tutors (why are we doing, what we are doing), which is great !
Your hand-skills (with IV,S.C.meds and fluids) have been improved. You monitor patients, and question the vitals (which vital signs are on a good level etc.).
Even there is a slight language-barrier between you and the patients, i think your finnish is improving daily ! And you have managed the finnish-talking situations with great attitude !
Keep up the nice work!
For the weeks 3, 4 and 5, we are honing your skills even further. We discussed that you will be having your ”own patients” during these last 3 weeks of internship. We will also be focusing medication (p.o. s.c., i.m. i.v).
See you in the next shift!
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