Internal Code: MAHOZ14
The patients admitting in our critical care units are respiratory diseases who often required invasive and non-invasive ventilations, septic shock, severe trauma, post-operative patients who required high dependency or intensive care nursing, cardiac arrest patients, over dose consume patients and other serious medical conditions. Critical care nurses need to know evaluate the patient and recognise the complications, manage the situations with the coordination of other members of the critical care team by good communication. I am a registered nurse in critical care unit, my role in this unit is taking care of patients with different clinical conditions. In our unit we are getting patients of different categories like intensive care patient, high dependency patients, and cardiac patients and sometimes we get very sick children’s also. The main responsibilities of me as a critical care nurse is careful assessment and monitoring of patients with different disease conditions, in which patients can be suddenly deteriorate which requires emergency interventions. Administering medications and patients daily routine care such as patients, bathing, mouth, eye care and pressure area cares also important. Most of the critical care patients are unstable and required cardiac and respiratory monitoring, and sometimes on inotropic supports and I am responsible for adjusting the treatment according to the situations.
I do Assist the students for carry out the procedures safely I should be able to give regular updates to patients and their family members regarding the patient condition. The duty hours in critical care unit which I work has 12 hours shift and the situations can be change at any time. I believe Good communication skills and team work is very important to achieve the good outcome in difficult situations like cardiac arrest and patient deterioration.
*looking at case study when I am worked in the critical care(intensive care unit) where i looked after the patient with septic shock ,,Mr X 52year old male who came with two days History of Abdominal pain, Patient was diagnosed with septic shock ,and he was on continuous monitoring and inserted on invasive lines, Central venous pressure and arterial lines. Noted that the BP dropped to systolic 85, I informed the ICU doctor. Plasmolite500mls x 2 times blous administered as prescribed with mild effect, still BP was on lower side, I informed the ICU doctor again, Noradrenalin commenced as prescribed BP started to pick up. Mean arterial pressure>65 mm of Hg… Arterial Blood Gas level achieving the goals
*I would like to take care of more critical cases
Performing reflective writing has become a highlighted feature of professional practice as nurses aim to provide evidence of their continuing development and competence, which is essential for annual registration renewal. The Australian and Midwifery Council developed the ANMC Continuing professional development guideline (2016) to assist nurses, midwives and their employers to determine their scope of practice in regards to the ANMC registration
standards. This helps recognise learning needs, practice development strategies and demonstrate their continued competence to practice.
To show evidence of competence being maintained, nurses and midwives are continually evaluated using professional feedback and review, goal-setting, continuing professional development participation and reflection, which are all presented in their professional portfolio.
The Australian College of Critical Nurses also developed their own set of practice standards; Competency Standards for Specialist Critical Care Nurses (ACCCN, 2015) One being, Standard 3 – Demonstrates accountability for nursing practice
Element 1 – Accepts responsibilities for own actions
• Uses reflection to assess and identify areas for improvement in own practice
• Takes actions to improve and enhance own practice to maintain a consistent high standard
In this assignment the student is asked to engage in the process of reflection; encouraging professional learning and development by evaluating one’s practice, including thoughts, experiences, feelings and actions.
ANMC Continuing professional development guideline (2016)
ACCCN Practice Standards for Specialist Critical Care Nurses (2015)
Matthews, A (2014) ‘SMART goal setting’, Evoke Coaching available at http://evokecoaching.net/2014/02/smart-goal- setting.html
1. Reflect on your current abilities in the area of critical care, and level of professional competence as a registered nurse in your specialised field, highlighting areas of strength and personal attributes, using examples in your clinical practice
2. Identify areas of improvement (this may be knowledge, behaviour or skill-based) within your current standard of practice
3. Identify a set of short-term goals in relation to these areas of improvement, which are practical to achieve by the end of the Program (i.e. end of Critical Care 2).
4. How will you go about achieving these short-term goals? What resources will you use? For example, additional study/workshops/help from colleagues Ensure you demonstrate comprehension in SMART goal setting and planning.
5. How will you be able to demonstrate or show evidence that you have improved your practice in the areas you have identified by the end of this course? For example, being allocated more complex patients or patients with specific therapies, leadership roles, accreditations, personal attributes
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