Transferable skills for future placements

25 Transferable skills for future placements





Reflecting on core nursing skills


During your cancer/palliative care placement, you may have learned, developed and demonstrated many of the clinical skills which meet the NMC standards of competence for pre-registration education (NMC 2010). The following activities highlight some of these core skills and encourage you to reflect upon your current practice abilities. The activities focus on patients with other medical conditions/heath problems to help you transfer your knowledge and skills into other clinical situations and fields of practice.


Each of you will respond to each activity in your own way and at a different level, depending on the stage of your course and your individual abilities, development and progress. You should discuss these activities with your mentor or personal tutor, using your practice document to help you identify your achievements, demonstrate your competency and highlight any learning needs and opportunities. Your mentor may find these exercises helpful to guide you and support your learning.



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The following activities explore some of the fundamental aspects that you need to consider when caring for patients to ensure you are providing up-to-date, relevant and comprehensive patient-centred care, while safeguarding vulnerable individuals.


Whatever stage you are at in your nursing education and irrespective of the healthcare setting, you are accountable for your actions and omissions and must work within the professional boundaries set out by the NMC (2008). As an accountable practitioner, you are accountable to the professional governing body (the NMC), your employer, the law and yourself. Think about how your responses to the questions above link to the key aspects or pillars of accountability which include:





Refresh your understanding of the underpinning background of accountable practice by reading Chapter 1 in Caulfield (2005). You should refer back to Chapter 5 to revisit the ethical principles. Develop your responses further using this additional reading to help you justify your decisions.





Communication is a core skill that is central to effective high-quality health care. As well as communicating with patients and their carers, it is essential that we communicate with other healthcare professionals to ensure information is shared appropriately and in a timely fashion. It is important that we think about who we are communicating with; what the purpose of the communication is; what the person needs to know; what the best method of communication is; and when the best time to communicate is.


As well as preserving confidentiality in terms of professional accountability, patients have the legal right to confidentiality under the Data Protection Act 1998, the Human Rights Act 1998 and the common law duty of confidence (Freedom of Information Act 2000). They have the right to ask for a copy of their health records and any other personal information that healthcare organisations hold about them. Find out what the process is in your healthcare organisation in order for patients to access their medical records.




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Communication


You are a final year student and preparing to hand over a critically ill woman to the nurses arriving on the next shift. The patient has been diagnosed with sepsis (see page 99) and is deteriorating. You have been caring for this patient for the past 4 days and have got to know her family quite well. Her husband has dementia.


Make notes on the important elements of what you need to communicate at this handover to the next shift under the following headings:



You can refer back to page 99 where you were introduced to the principles of caring for a patient with sepsis. Use this as a checklist to review how you have planned your communication.


Read Jootun and McGhee G (2011) (see References) for guidance on communicating with a person who has a diagnosis of dementia. This will help to focus on the needs of the husband.


At every handover, there is the potential that vital information may not be communicated correctly and this can have a detrimental impact on the experiences and outcomes for the patient, relatives and care team. Therefore, you need to structure the way you communicate and be systematic in your approach to providing this information.


NMC Domain 1: 1.4; 1.5; 1.6


NMC Domain 2: 2.1; 2.2; 2.7; 2.8


NMC Domain 4: 4.3; 4.6


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Now go back to your answers for the previous activity – Is there anything you would like to change? How might you act in future situations?


Think about possible or actual situations you may have encountered where information may have, or has, been disclosed. Remember, disclosure of information is only lawful and ethical if the individual has given consent to the information being passed on. Such consent must be freely and fully given. Revisit Chapter 8 which discusses consent.


Feb 25, 2017 | Posted by in NURSING | Comments Off on Transferable skills for future placements

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