L— University of New England School of Health Professional Entry Nursing Courses CLINICAL RECORD BOOK THIRD YEAR i HSNS 364 professional Practice: Application of In amide hata sheceanallioted STUDENT NAME: STUDENT CONTACT TELEPHONE: STUDENT ID NUMBER: HOSPITAL/HEALTH AGENCY: PRECEPTOR/FACILITATOR/ CLINICAL PARTNER: PRECEPTOR CONTACT TELEPHONE: LOCATION (eg: town name): WARD/UNIT: PLACEMENT DATES: hat el | POUT 2ZE524 QDOVF8SC S. St Gear ge Hospital Sve watson O00 HOD 45 { Koapnsoh, Sydney Rehab cdos 4 FROM 27/07 /2020TO 04/08/2020 | Gaagfia Kt For more information, additional copies of documents or questions related to your Clinical Record Book please contact the Clinical School staff. 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UtPD] or aueM| op Ay | gusBa] o3 IUEM | OP 1eUM e2uaPIAa ABaveNS: ‘ jeuoney jeop rs Scanned with CamScannerCLINICAL PLACEMENT ATTENDANCE Rep, Facilitator/ precey i Por time | Time | Total pate | start | Finish | HOUrs | Name, Signature, and Designation Monday 27 [o7 [1300 | o\a0 | Sb AOI ry qussdet 07 | 1330 oo | & Acris a Wednesday [9 (07 | 1430 _| 2200 | g Ss at 7 al uhorgey 10 (07 | 1430 | 2200 2 Friday ra is a pro] 8 |b ye Qn) Zn) Saturday ‘Sunday Day won Be [1a%» | 9200] @ [Vs Lam Tuesday ufok |as0 | 2200] ¢ _ |S.waitort A Wednesday él0oQ [1340 oo Lk q fs a a rocsey 0 130 00 Ruy Ato! Friday ory 1330 200 Ie E.warion Nak el ‘Saturday ‘Sunday, | | ‘Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday ‘Tuesday Wednesday Thursday Friday Saturday Sunday [ONE HSNS364 Clea! Record 800k. : Scanned with CamScanner= JS PROCEDURE ACHIEVEMENT SUMMARY ‘Theos thes at the ser ac hice rel anor rac ebeatin th apt ae) ‘rested uss eared oan ee prcedieatheapopt ce Scena me gu conpynhctnestere pint race of ay il ; pace ores sp ST mee la Zee [oulel SR eo aS TT TTT = u Tea Savor TSUERTSN WRT scene SDT ONTO a > RA; Teapag sapped ‘Document and interpret a basic care plan and integrated patient notes Nw 171 ea mea mn FTL I = Sa cragnEany Te ay bate SS ana Tape Te bia elie NE Tea oan, mM wT TOTTTS Lata. Fe ara aa otra ee mS FS PATER Teron he Weipa ad avi oT HUPDOR eae alt Cae aT Satan NTT oe TT TOT Saar Conpsiae RARE ‘Pressure area assessment - foal ee eT ance sand eee ede fepnninerss Sana — Neurological assessment eqie Seem a Scanned with CamScannerSandad/adational precautions Gneaing PFE) Hana hygiene Disposal ef sherpa ‘Managing biood ard Baap id sp Aseoti Non Teach Technique Collesion ofa specimen (WSU, CU, Faw wound nab) Removal of an VC Removal of sureties Wound are nding a iy Dressing +_Conplex wounds nelting gaan, RR Tnielan/enovalimantenance ofan ioe Trseton/emorl management oF feeding WDE NOT assessment Maragenent ofa Cental Une (ACC, Cray Patent Care [Sani Assisting patients with nuttonal needs exdud Assisting with hygiene across the fespan (mouth ear, Assisting with personal hygiene across the Wespan bed Assisting with general elimination needs tlleing, bed Assisting ith elimination needs related to stoma care Assisting wth mobility and use of mobility aids Assisting with ressute area care Assisting vit iting and postiring of Cate of the inmunocompromised person Care ofthe person under palative care Basic ie su Care of body ater death Nast suctonin Cultural competent culturally safe are es crn tet Se T ents with wallowing dificulies bath or assisted shower) ns, urinals, commedes) ties using safe manval handling echngues shaving, hai care and na ewe, ac) Scanned with CamScannerwmunieation and ent education | neal handover MEIC = lation and on Jement of onygen ther tation and ongat ace maskNasal ination and ongo erent of intravenous Nuids management of Patent Controlled Analgesia PCA) ulate and administer doses of medicatlons: ‘Oa Sublingual oucel “Topiealransceral PV/PR Ocie(Oeugr intranasal ineramascular/svbeutaneous Tntravenous(blus or infusion) oo Scanned with CamScanner} ADDITIONAL ACTIVITIES pecord details of any additional activities such as in services or learnin Record dees canbe coped/prnted and added as required, oP Porites, (Reponoemomae | nies —f OMMD tage, ‘Attachments (cg, Atendance carticate) ‘Summary of learning What nave you leat? How the CPD activ ‘contributes to your body of knowledge and skiey ‘Outcomes Tov con ou opp this leasing to your work and iterate the knowledge and ning into practice? sas Further learning) What further learning could you undertake? NawelDyas oF acres (¢3. Atendance certificate) — ae ‘Summary of learning [athe you loan? How he GB aby cas a Yury tig and se? a 3 ‘What further learning could you un Zul) [UNE HSNS364 Cline Record Book Scanned with CamScanner\ Student Name: Oo are) —gehame |code: HeyGe 26y ‘ave SSional Proce DLO TESS i setting (Ward: | Qevan Wot dd Placement Dates: ara pected behaviours and practices not performed {GB 4. fopectd behaviours and practices performed below the acceptabe/satisfactory standard 7 cespected behaviours and practices performed ata satisfactory/pass standard 1c expected behaviours and practices performed at a proficient standard $. Bxpected behaviours and practices performed at an excellent standard N/A= not assessed eNotes a rating 1 8/or 2indicates thatthe STANDARD has NOT been achieved Geos te Laas WMA Ne 4-8-9020. 8-7-1030 S TS aaTe 726 7 ‘Assessment item Cirel |e je one number. = complies and practices according to relevant legislation and local policy 1] 27374] S[ wa Uses an ethical framework to guide decision making and practice 1}2 [34 [pw Demonstrates respect fr individual and cultural (including Aboriginal and Torres Strait slander) [4 | preference and differences 3a] 4 |) wa ° Erol cn snl See ene nh we ETSY wala l«lalwe Maintains the use of clear and aezufate documentation PRES EROS 2 ‘Engages in therapeutic and professional relationships Communicates effectively to maintain personal and professional boundaries 1[273]4/@[ Na S—Coaborstes ith the healthcare team and others to share inowedge that romiesnenor [31 | a | 4 1] wa centred care = Fartipncs ov av ave member ofthe healthcare team to acheve optimum health outcomes [7 [2 [3 [a s Wa | t-Rorostter respect fora perso’s rights and wishes and advocates on their behalf tp2 Ts T« [e)iwa | [Be Maintains the capability for practice ie ‘Demonstrates commitment to life-long learning of self and others 1]2;ays a WA | |e fetlectson practice and responds to feedback for continuing profesional development t}2}3}4 [wa > Denote ith eson ori propo mateo nd tae on os fea [@] = fm = Heshnies and respond appropriately when own or others capably for pracice 6 mpared "| 3 | 2 Fa] @[s [WA 5 Demonstrates accountability for decisions and actions appropiate to their role tz bas LNA “4 Comprehensively conducts assessments + “Competes comprehensive and systematic assessments using appropriate and avaiable sources 2 PSS [wa = Accurately analyses and interprets assessment data to inform practices 12 ba 4 SNA “5 Develops a plan for nursing practice z ‘© Collaboratively constructs a plan informed by the patient/client assessment 1[2 fag 4 [OTA ~ Plans care in partnership with indlvidvals/significantothers/health care team toachieve expected |, | > [131] 4 |@| wa outcomes E Provides safe, appropriate and responsive quality nursing practice ‘= Delivers safe and effective care within their scope of practice to meet outcomes 1] 2 fay 4 [OA = Provides effective supervision and delegates care safely within their role and scope of practice | 1| 2 | 3 @I 8 | WA © Recognise and responds to practice that may be below expected organisational, legal or 2/2 [51] = [ma regulatory standards a 7. Evaluates outcomes to inform nursing practice ‘+ Monitors progress toward expected goals and health outcomes T[2 [a] 4 Oo] Na = Modifies plan according to evaluation of goals and outcomes inconsuRation wih theheatthare | > [gi] 4 [@| wa team and others | GLOBAL RATING SCALE - in your opinion as an assessor of student performance, i performance of this student in the clinieal unit was: fs [Unsstistectory C] United] Satefocroy J Good KL iscusseo: (e) No ‘ADDITIONAL PAPERWORK: YES 6:3, $0300 ea HEROES) \NE- HSNS364 Clinical Record Book OLAN wat oN Digeed sno i SIGNATUR Pe n Scanned with CamScannerPr _— a /ANSAT ANSAT~ Australian Nursing Standards Assessment Too) oe LE wathas the student done well throughout this placement?) Sangh. Aumanclintin Shy caw vorpal | come of co glouy ad porate. Shy chuuLton 0 wok Inowlukge of MUL petite MIO ~[origainittion : Rilo ond plow of Cor. Lowe ober de rowan Sede antk Na poncnig AUICIAG Cae oe Wadi hu en say rrcunred Bonny Plan af LAL Lay What strategies can the student use to advance their learning in future placements? To wordinve de ke outrly Jangeyad ve Yoor Merruns, 24 you Lown been doin Bnd fine Vu Ve minor gy cummed vod, LHS woth ger to Row mum ation 3, Any further comments? x Sone, wt Gat wll pod mw Napul{ol oak Oh nif Mrcainy ok wail Callao Welw th ANG. ey Krowl Or UL A CAM (of protien wth uoke jatd Ly vee of SUM Lat VU NO wade. lL Senyte, RHUL veo MeO VA ed uk Utley, SUPERVISOR COMMENTS: ; uk cules Utiflertinr {lory Me ENE an raged wh. sea Mis ti his Virgenes. be Atvusties Gh Sante BRD Tr chle to Ud doe aNalung Yo Wu Prati, Of tun provite rabonml BS cud plowttwon, ard problim colul Wen Tisuin oer. sient Lew Woh ss ee STUDENT COWWENTS wan MeeuaoU Noe PlueaMeEnt Take A-y PaRenr load And way Crowe xs x 2 Qostenr kt ASEKOVESCULAY CONTNON TOS a ene OO nace sane POMONA Eas NIG GeAdCOQ PEL I HEAsd Ser vakKON” SAG Near O ae Psa Yegperience Ao Seo Poeiedt date:__b “2 P00 . AS ORO’ 3 aon a RES REP AM Beers wdegendand yo beh WRAAHENATT v0 Signature: EELS. Ling, HS Hee © 4 Bex Cra : rons Nee) ‘Sw Date: ob /og [ 2020 ° Scoring rues: Cle N/A (oot asese4) ONLY + anne Mt eb ttn oan eno rele ONLY ONE number for each tem Ne *S*8! ANSAT scores adjusted forthe missed tern sor falls between numbers. on the 1 enon tetarene see ot S00 th it sb akin an cst coed “Sree aM Brace re apa for tee eeton Le HNS864 Ce esr Sok a Scanned with CamScannerSearch and To assist you to familiarize yours equipment and supplies in the war ind column provided. 10. uu. 12. 13. EQUIPMENT Fire Exits Fire Extinguishers and what fires they are used for. Fire Blanket Fire Hose Emergency Arrest Buzzer Emergency Trolley - Adult Emergency Trolley - Paediatric Defibrillator ECG Machine Procedure & Policy Manual Infection Control Manual Drug Cupboards - D.Ds Antibiotics Trolley Creams, lotions Ventolin etc. Water for irrigation Oral medications ringes/needles etc. Patient charts X-Rays Old notes Notes for filing Stationery Sterile supplies Infusion devices Computer - for patient data Scrub sinks & gloves Bed unit - how do you elevate eee you elevate/work f with each individual clinical area please lo : i you have been placed in and write sate the following where they are found in the LOCATION AARON OF NUETAA Aa con : vn NOSE S Qodron, Mor [Near 4o He we dussen Gall phe 9} Sey MOABE ty oh PaieMs hedsae Naases SXorton . in tne _ComPureé vai U4 coo. med Aconey [medication Toor on ane. Cordol Meak Caring (oom » SRERECANON, TERM Wn Merdicorion Sxate, Sunt AQARRS arsed Shargt Poses Sratton " UkGH4 ooh wy Nurses Acton PGALCOA _xnara eadan wee Sere Scanned with CamScannerHow does the patient cail system and 15 Airway Management Guedes airway- In Re sas svoitey ] Resuscitation masks o¢ Suction equipment - welt Suckon How does it work? ia TV unit work? thin Buecor Rennie 4 side MLASEA Grorioad’ - Oxygen masks & tubing URGE Goom- Locate patients/staff toilets Darien 20 16. _Linen Trolley Jena 18. Locate Sphygmomanometer Glucometers Thermometers & Kei de ( 17. Pan/Utility Room IW Age oW oaey $ Ary Nurses §xaNoh) Stethoscopes 20.__Visitors Lounge AS yo AN ANE _Obsecvation Apaller, Questions to ask your Preceptor! 21 Where do staff have handover? Bead ciao wd ener the Rehab cDaid- What is the ward's phone number if you are sick? bag/belongings? Where can you obtain meals? 24. — What is the ward routine for am shift, pm shift, night shift? am shift pm shift 23. Where do you leave your Gof, Lowe e¢ Y.gopm- opm nigh shite 40 Pm ~Fam Jam - S.309m How do the phones work? Have a great placement! Scanned with CamScanner