The Australian Nursing and Midwifery Council has developed the National Competency Standards for the Registered Nurse to guarantee competence in nursing pattern. Harmonizing to the ANMC, these criterions reinforce duty and answerability in presenting quality attention through safe and effectual work pattern. For pupils like myself, it is imperative that I inculcate these criterions in my pattern for they are the benchmark for entry as a Registered Nurse.
The first sphere of the ANMC criterions falls under professional pattern. The range of professional pattern includes competences specific to legal facets of patient attention. As a foreign pupil, it is really of import to do certain that I follow relevant statute laws refering the pattern of my profession here in Australia. I take excess attempt to analyze their differences with that of my place state ‘s statute law. This helps to do certain I adapt to this new environment and that I perform effectual professional attention congruent with the Torahs of the Commonwealth.
The Australian Capital Territory ( ACT ) Government ‘s Consent to Treatment Policy and Procedure ( 2011 ) guided me one twenty-four hours when I was managing the pre-operative checklist for one of my patients ( Competency 1.1 ) . Sing that the patient was of sound head and competent to give consent, we verified with him if he understood the account given by the doctor. We besides asked if he had any inquiries about the process. As there was none, I gave him the consent missive which he quickly signed without undue duress.
This policy makes certain that the cardinal ethical rule, that every individual has the right to find what happens to his ain organic structure, is complied with. The policy states that “ It is assault to execute a physically invasive intervention, nevertheless minimal the invasion might be, without the individual ‘s consent or unless there is an exigency ” . It farther explains that it is the clinician ‘s responsibility of attention to inform the patient sing material hazards built-in in the process and that breach of this responsibility could give rise to legal action for carelessness.
The professional pattern sphere besides requires nurses to pattern ethically and professionally. This includes sing single penchants when supplying attention and clear uping with single petitions to alter attention with relevant members of the wellness attention squad as stated in competence 2.3. An case wherein this peculiar competence point became evident was when I was caring for an aged patient. I was helping the said patient with her breakfast when I explained to her that I will be giving her a bath after her repast to advance hygiene. The patient rapidly replied that she does non necessitate a bath. I asked her gently why she feels that manner and she hesitatingly said that she feels embarrassed because she has ne’er been given a bath by a male nurse before. Sing her ailment at easiness with me giving her a bath, I offered her the option of holding a female co-worker assist her alternatively. She instantly beamed at the thought and looked positively relieved. I so informed my don of the patient ‘s penchant and we arranged for a female nurse to give the patient her bath in stead of myself.
CRITICAL Thinking AND ANALYSIS
Nursing pattern is expected to be in conformity with agreed upon criterions. One of the most paramount of these criterions is the ANMC National Competency for the Registered Nurse. Of peculiar importance to a get downing practician such as myself is the critical thought and analysis sphere. Critical thought is indispensable to safe, competent, adept nursing pattern ( Berman, Erb, Kozier, & A ; Snyder, 2008 ) . It is critical to the decision-making procedure that nurses pattern every twenty-four hours. Therefore, we need to exert activities that promote and hone our critical-thinking accomplishments. To show competence in this sphere, the beginning nurse must be able to self appraise, engage in professional development and incorporate research into clinical pattern.
An eye-opening experience happened to me during one of my displacements in the medical ward. My patient started holding thorax strivings. I instantly checked his critical marks and oxygenation position. Upon acquiring the information I needed, I reported to my don and suggested that we give the patient O and his medicine instantly. Under my don ‘s counsel, I proceeded to execute the intercessions antecedently suggested. I supported him and encouraged him to loosen up while we were waiting for the medicine to ease his hurting. I could see that he was really dying and afraid. It troubled me that I could n’t make more to ease his hurting while waiting for the medicine to take consequence.
After my displacement of responsibility, I researched on methods that could assist my patient with the hurting in instance the state of affairs of all time happens once more ( Competency 3.1 ) . The Australian Journal of Advanced Nursing was of enormous aid. An article on utilizing relaxation to alleviate cardiac thorax hurting provinces that “ although medical direction and pharmacological intervention of thorax hurting is of critical importance, there are nursing steps that can be used to complement medical intervention ” ( Day, 2000 ) . Relaxation is one of those nursing steps in that it eases musculus tenseness, hurting and anxiousness. It should, nevertheless, be taught prior to episodes of hurting to be effectual. Using the techniques I garnered from the article, I applied myself to assisting my patient choose and pattern a relaxation technique that he can use the following clip he experiences chest hurting or any other hurting for that affair.
This experience besides made me recognize my demand for extra cognition and accomplishments in managing exigency state of affairss ( Competency 4.2 ) . Hence, I attended a workshop on exigency nursing given by the College of Emergency Nursing Australasia. The workshop surely filled in spreads in my cognition of the capable affair. I am cognizant, though, that my acquisition does non halt at that place. Learning in the field of nursing is dynamic and uninterrupted. That is why I attended most in-service preparations in our infirmary and extensively utilised our infirmary ‘s e-learning plan. I besides do non waver to inquire my don for information and counsel whenever an unfamiliar state of affairs arises.
PROVISION AND COORDINATION OF CARE
Hospitals and other using installations trust that the freshly graduated registered nurse is adequately prepared and competent at a get downing degree. Competency of a registered nurse is assessed based on the bing ANMC ‘s Competency Standards for Registered Nurses. Under this is the 3rd sphere, direction of attention, which refers to competences associating to the nursing procedure.
Nursing procedure is the systematic, rational method of planning and supplying nursing attention. It is, harmonizing to Yura and Walsh ( as cited in Leana Uys, , Monika Habermann, p.3 ) “ … the nucleus and kernel of nursing: it is cardinal to all nursing actions ; ” . A four-phase nursing procedure consists of appraisal, planning, execution, and rating. A get downing nurse like myself has to be familiar with all of these stages in order to place a patient ‘s wellness attention position and wellness demands, set up programs to run into the identified demands, and present specific nursing intercessions to turn to those demands.
A peculiar instance of mine can outdo demo how I provided competent attention utilizing the nursing procedure. One of my patients had an order for hemoglobin transfusion. Together with my don, I went over the order and protocols of hemoglobin transfusion sent by the pharmaceutics. First among the nursing procedure is assessment. After geting the informed consent from my patient, I proceeded to garner informations through interview pertinent to the process at manus. I so checked his critical marks and the current endovenous line ( Competency 5.2 ) . After the patient has been cleared for transfusion, my don and I agreed on a program of attention to transport out the process ( Competency 6.1 ) .
During the transfusion, I was entrusted by my don to look into for any unusual or inauspicious consequence every 15 proceedingss ( Competency 7.1 ) . After the successful completion of transfusion, I still checked for any inauspicious reactions every 30 proceedingss during the first hr and every hr for the following 4 hours, as dictated by infirmary protocols ( Competency 7.2 ) .
Documentation was carried out as needed during the whole process and rating of curative effects taken into consideration in revising the program of attention ( Competency 8.2 ) .
COLLABORATIVE AND THERAPEUTIC PRACTICE
The nature of the ANMC ‘s Competency Standards is to supply a national model for measuring competency. One of the aims being that of an entry degree standards for the rubric Registered Nurse that is recognized across the provinces. The 4th sphere of the ANMC Competency Standards, collaborative and curative pattern, sets down competences associating to the curative relationship between nurse and patient, and the nurse ‘s coaction with other members of the wellness squad.
Nurse-patient relationships are referred to by some as curative relationships or assisting relationships. These relationships help patients pull off their jobs and develop them to go better at assisting themselves in their mundane lives. They may develop over hebdomads of working with a client, or within proceedingss ( Berman, Erb, Kozier, & A ; Snyder, 2008 ) . One cardinal factor in developing an effectual curative relationship is good communicating.
Communication is used to show empathy, set up resonance and supply support to the patient. At the start of my displacement, I read my patient ‘s chart. This gives me an thought of who he is and how I can outdo convey my involvement in his public assistance. I greet him and present myself, doing certain I give him some clip to acquire used to my presence. Smiling and other gestural gestures are really of import at this point to make an ambiance of good will and trust ( Competency 9.1 ) . I find it best to inform my patient till what clip of the twenty-four hours I will be with them so as to put proper outlooks. I perform my appraisal in an unhurried mode, giving them ample clip to reply my inquiries ( Competency 9.2 ) . I so proceed to working with them in developing a reciprocally agreeable program of attention, that manner they are active participants in their ain wellness attention ( Competency 9.3 ) .
Communication besides allows the transmittal of information in patient instruction. Nowadays, much emphasis is placed on patient instruction non merely in pull offing the patient ‘s status and doing informed picks, but more significantly, in giving the patients a sense of control over their ain wellness attention. For illustration, I had a patient who was late diagnosed with Diabetes Mellitus. I took the clip to measure foremost his apprehension of the disease and started to construct his cognition from there ( Competency 9.3 ) . By larning about his status and how to best manage it, I am enabling him to hold better control of what happens to his organic structure.
Throughout a patient ‘s stay in the infirmary, it is of extreme importance to supply a continuity of attention. As the first individual who assesses the patient ‘s status at the start of the displacement, I am responsible in pass oning my findings to the remainder of the wellness attention squad and doing referrals to allow suppliers if needed ( Competency 10.3 ) . One really good illustration of this was when I had a patient who had get downing troubles. Upon appraisal, it was evident that the patient besides had trouble speaking caused by his disease status. Upon blessing of my don, I referred the patient to speech pathology ( Competency 10.1 ) . At the terminal of my displacement, seamless service is provided for by doing certain that relevant informations is passed on to the following nurses on responsibility ( Competency 10.2 )