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NURS3201 Transition To Professional Practice

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NURS3201 Transition To Professional Practice

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NURS3201 Transition To Professional Practice

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Course Code: NURS3201
University: The University Of Newcastle is not sponsored or endorsed by this college or university

Country: Australia

Please explain to the panel your understanding of two of the NSQHS standards and discuss relevant clinical nursing experiences from your clinical practicum, providing justification for each based on these patient care experiences. 

During my nursing placement in the surgical ward at the Australian public hospital I gained sufficient experience for a registered nurse which is very helpful for the quality and safety healthcare of every patient. I developed and improved my skills as per the National, Quality, Safety and Healthcare Services (NQSHS) for a clinical nurse. In my placement I played a major role in ensuring the safety of the patient by employing mainly the two sensitive national healthcare standards that include; clinical governance and communicating for patient safety (Anderson, Peddle, Reisenhofer, Needham, & Deravin, 2018).
Clinical governance
Clinical governance is a NQSHS standard that aims at ensuring the implementation of the framework of governance that guarantee the consumers and the patients receive high quality and safe heath care. The good relationship between the registered nurses, enrolled nurses and the clinical manager in the hospital that I was working made all the operations to move smoothly. The consultation within workers in the same level or from the seniors was much encouraged by the clinical manager and it really worked for there were few cases of mistakes that were reported in several operations (Levett-Jones, Reid-Searl, & Bourgeois, 2018). Apart from the clinical manager, the doctor in charge of the operation was the overall supervisor as he or she guided the nurses on each and every action. I learnt the importance of good listening and observant when one new staff who was clinical officer injected the patient on the wrong position in which the injection was supposed to be extra-muscular and the officer injected it as an intramuscular. As a nurse or an assistance to the clinical officer I got some experience in that field and in future could help or solve such problems which are psychological. The patient’s case developed into a wound that then worsen to cancer which led the patient’s family to sue the hospital.  
During a surgical operation listening keenly and responding to the doctor accordingly is the main issue to prevent error that could be unsafe to the patient as the surgery is one of the most sensitive performance in the hospital. In the surgical ward it is advisable to always consult the clinical manager before giving any dose to the patient and in most cases when I noted any change like an improvement of deteriorating situation on the patient (Waters, 2017). The clinical manager always advised, trained and educated the all the nurses in the surgical wards on the best nursing care to be given to each of the patient according to the doctor’s instructions and the medication records of the patient. Through the experience I gained in the surgical ward I felt that clinical governance is a driver for improving the quality and safety healthcare to the patients.
There were some days that we used to work in the absence of the physicians and clinical managers who were not committed to their duties. The low commitment of the managers made nurses to ensure more contributions and employment of the personal knowledge and obligation and these are the times I noted that there was a difference (Jessing, Brookes, & Rubin, 2014). The working experiences in the absence of the managers resulted to blames and a lot of work stress among the nurses and this was one of the major challenges,
Communicating for the safety of the patient
Clear communication and reliable handover of information from one care giver to the other is one way ensuring safety for the patient. Good communicating for the safety of the patient is very helpful towards avoidable harms that may occur to the my placement as a nurse I recognized that ineffective communication contributes on some of the patients’ in the hospitals. One of my findings is that during clinical handover is where communication problems arises. In the hospital where I was working one of the nurses put documents of different patients at her place of work (Seaton et al, 2018). The nurse had just arrived from home and afterwards I was informed that she had family conflict with her husband and she was added over in information by the enrolled nurse. When the time of giving the medication the patient, the nurse contradicted and gave the patient wrong medication. The family members of the patient accused the hospital on the matter and they reported the case to the authorities.
The clinical manager evaluated the matter as the incomplete handover which means there was inadequate explanations concerning what has and what is required to be done to the specific patient. Through the mistake that happened I felt that there is a need for an established systemic structure during handover, improvement of quality written records, adequate explanation before shifting of nurses and also involvement of the patient where possible to avoid such avoidable harms to the patient. Clear communication is crucial between nurses especially when the involvement of the patient is not possible for example in a situation where the patient cannot or has difficulties in conversing (Standard, 2012).
In conclusion I recommend for implementation of the rules and strategies of clinical governance to ensure smooth running of hospitals and to avoid fatal mistakes that may lead to the patient’s avoidable harm. I felt that in the situations where there is shifting of care givers the handover protocol has to be standardized according to the National Quality Safety and Health Services. 
Anderson, J., Peddle, M., Reisenhofer, S., Needham, J., & Deravin, L. (2018). 2 Admitting and assessing medical and surgical clients. Acute Care Nursing, 18.
Jessing, M., Brookes, K., & Rubin, G. (2014). Measuring Aspects of eXcellent Care (MAXC): easing the burden of auditing for the National Safety and Quality Health Service Standards. Asia Pacific Journal of Health Management, 9(1), 18.
Levett-Jones, T., Reid-Searl, K., & Bourgeois, S. (2018). The clinical placement: An essential guide for nursing students. Elsevier Health Sciences.
Standard, Q. I. G. (2012). Australian Commission on Safety and Quality in Health Care.
Seaton, P., Levett-Jones, T., Cant, R., Cooper, S., Kelly, M. A., McKenna, L., … & Bogossian, F. (2018). Exploring the extent to which simulation-based education addresses contemporary patient safety priorities: A scoping review. Collegian.
Waters, S. (2017). Development and Validation of a Survey to Evaluate Patient Satisfaction with Clinical Orthopaedic Assessment (Doctoral dissertation, Curtin University).

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