Preview

Observation Reflection

Good Essays
Open Document
Open Document
903 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Observation Reflection
Health Care: Practical Experience | Reflection | a.bendiks |

Related Learning Outcomes
Learning Outcome 1
Legislation relevant to nursing practice
Effective working relationships and professional attributes
Learning Outcome 2
Sensitivity in interactions with individual patient/clients
Learning Outcome 3
Help individual patient/clients to make informed decisions during the planning of care
Safe and effective practice
How to implement a program of care that has been designed and supervised by a registered practitioner
Learning Outcome 4
Health and safety principles and policies
Recognising and reporting on situations which are potentially unsafe for individual patient/clients, self and others
The importance of effective oral and written communication within the team context
Recording, entering, retrieving and organising data essential to care delivery

On arriving for my shift I was informed in handover that Mr. X, had been placed on constant observations the previous evening, due to his mental state being in a poor condition the clinical team felt this was in the best interests of Mr. X as he had been experiencing paranoid thoughts and ideas and was a potential risk to himself and others. Within the Orchard Clinic there are 5 levels of service user observation, General Observation, Constant Observation, Special Observation and Seclusion. General Observation requires the floor nurse to be aware of all service users’ whereabouts and will make physical checks at intervals of no longer than 30 minutes on patients with this requirement. Constant Observation requires a nurse to be assigned the duty of observing a single service user for no more than an hour at a time, a rota is made up to cover the shift duration, staff have to be aware of the patients whereabouts at all times and no more than a minute should elapse without visual contact being made by the designated nurse. Special Observation is the most intensive form of psychiatric



References: The Orchard Clinic (2010) Observation Policy, Edinburgh. Scottish Government. The New Mental Health Act: An Easy Read Guide (2007) Retrieved November 26 2011 from http://www.scotland.gov.uk/Publications/2007/09/03145057/11

You May Also Find These Documents Helpful

  • Satisfactory Essays

    “Implement” “the Nurse Bedside Shift Report Strategy the Nurse Bedside Shift Report strategy is flexible and adaptable to each hospital’s environment and culture. As such, this guidance Provide choices and questions for hospital leaders on how to implementation this strategy .It may be helpful to Implement. These strategies initially on a small scale e.g. a, single unit single Identify lessons learned from the single-unit pilot “Implement” refine your approach, and then spread it to more units. In this way, you can build on your success in this as pathway to broader dissemination and wider scale change... Abstract the purpose of bedside nursing report is to communicate critical information pertinent to patient care. This transfer of information…

    • 328 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    When a nurse is hired to work in a facility they are expected to follow various policies and procedures set forth by the facility and to abide by practice regulations set forth by the governing body that issued their nursing license. Nurses can utilize nursing-sensitive indicators in their daily practice to promote safe and quality care to their patients, resulting in positive outcomes.…

    • 1028 Words
    • 3 Pages
    Good Essays
  • Good Essays

    There is a core set of nurses that serve as preceptors on the unit. Preceptors assist new nurses to learn unit-specific skills and become familiar with the the patients, protocols, care providers, and the unit’s culture. When the nurses are on orientation, they will start off with one patient and will receive more patients over time until they have a full patient assignment. Orientation is different for experienced nurses and new grads in that new grads are required to complete 200 hours of orientation while experienced nurses are required to complete 150 hours. For new grads, there are quarterly meetings for the first year to provide training and education on technology and tools used on the unit.…

    • 624 Words
    • 3 Pages
    Good Essays
  • Good Essays

    cu1572

    • 890 Words
    • 4 Pages

    The Social Work (Scotland) Act 1968 as amended by The Regulations of Care Act 2001…

    • 890 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    Informing your employer where the practice of colleagues may be unsafe or adversely affecting standards of care.…

    • 847 Words
    • 4 Pages
    Satisfactory Essays
  • Good Essays

    Bedside Report Essay

    • 596 Words
    • 3 Pages

    This candidate has been observing that once the directive has been given for bedside report, that the staff nurses begrudgingly follow through only if they are asked to do it or if leadership staff is on the unit. The nurse manager has also noted that if the nursing staff notes her presence during report being done away from the bedside, they will move into the patient’s room to complete the report.…

    • 596 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Blood and Medication

    • 2807 Words
    • 9 Pages

    * The NHS Scotland Pharmaceutical Service (Regulations) 1995 * The Social Work Act 1968 as amended by The Regulation of Care Act 2001 * The Children Act 1989…

    • 2807 Words
    • 9 Pages
    Good Essays
  • Good Essays

    In this report I am going to outline The Mental Health Act alongside this, the procedures and codes of practise and how both of these aim to promote diversity and assessing the effectiveness of these measures in place.…

    • 468 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    The ten essential shared capabilities or ESC’s were originally developed in England by the Sainsbury centre for mental health (2004) and the department of health (DOH). They were created to aid health care professionals to gain better understanding of the struggles that people living with mental health conditions may have in their day to day lives. They also increase service users’ awareness about what to care and treatment to expect from mental health services. The newly developed ESC’s were then taken by the NHS Education for Scotland (NES) and in collaboration with service users, voluntary and statutory mental health representatives and carers, developed into a specific version to coincide with Scottish law. The original version of the Scottish ESC’s where then released by NES in 2007 which had a positive effect throughout the mental health sector. The materials were then revisited and evolved in 2011. The main theme still focuses on supporting cultural changes in services and promoting recovery based practice (DOH, 2004).…

    • 2611 Words
    • 9 Pages
    Powerful Essays
  • Good Essays

    Mental Health has always been a troubling issue in Australia, not to mention the world with recent statistics by the ABS stating that approximately 40% of people will have suffered a mental health issue or know someone who has in the last 12 months at any given time, and that the majority of the population will suffer form of mental illness in their lifetime (Australian Bureau of Statistics, 2008). As a result, Australia has many policies and programs in place within the mental health sector, notably the national mental health policy hope to make additions to. Here we will address the current effects of policy and explore the work already done in these fields and why more must be done.…

    • 853 Words
    • 4 Pages
    Good Essays
  • Good Essays

    My Career in Nursing

    • 1128 Words
    • 5 Pages

    Most Registered Nurses work directly with the patients and their families. They are the families’ contact with the medical world, in the hospital and at the patients’ home. A nurse does frequent evaluations of the patient and check vital signs to make sure everything is going as planned. Nurses perform procedures such as IV placement, phlebotomy (process of taking blood samples from the patient) and administering medications. Working hours for a nurse are different almost all the time because no one can predict when an emergency is going to happen. They must be available twelve hours a day, nights, weekend, and be able to handle any rotations or changes in their shifts. Documenting a patient’s medical record, symptoms and diagnostic tests is a…

    • 1128 Words
    • 5 Pages
    Good Essays
  • Good Essays

    Assisted Living Nurse Essay

    • 2873 Words
    • 12 Pages

    On a normal day one would discuss patients with the nurse who was previously were on shift, to basically tie up loose ends on who needs to be watched extra carefully and who is doing perfectly well. After getting information on how the residents are doing it’s time to start the “Med” list, the Med list is a book full of what kind of medication, what dose of each medicine and how often, for each resident. After getting the residents medication ready, one should double check to see if they have the correct amount of medication and sign each medication in the book to ensure others looking through the book that all the residents have been well taken care of. After everyone is all taken care of then one can start charting and adding notes to the residents charts. No matter what time of day it is one has to prioritize what's most important, for example if a resident falls and breaks something, while in another part of the home a resident wants something to snack on, one has to tend to the most important issue. Towards the end of the shift one has to report to other nurses on what has happened during the shift, and then do a narcotic count, after that one can leave…

    • 2873 Words
    • 12 Pages
    Good Essays
  • Powerful Essays

    Peplau, H. (1998) Interpersonal relationships in nursing. New York: Putman. Cited in Hinchliff, S., Norman, S. and Shober, J. (eds.) (2003) Nursing practice and health care. 4th ed. London: Arnold.…

    • 2673 Words
    • 11 Pages
    Powerful Essays
  • Good Essays

    Nurse Staffing Case Study

    • 1392 Words
    • 6 Pages

    “The sitter-related cost is a major budgetary concern for hospitals because such costs are usually not reimbursed by their party payers, and thus pose a serious financial strain. Annual sitter use costs have been reported to be as high as USD $1.3M at some USA hospitals” (Rochefort, Patient and Nurse Staffing Characteristics Associated with High Sitter Use Costs). Due to the three less nurses on the ICU, sitters will more than likely be retained and utilized by the current nurses on the floor to help compensate for the three missing people. “On the healthcare provider side, it has been reported that, in most settings, RNs are directly involved in the decisions to initiate and discontinue sitter use. Once of the factors that has been suggests to contribute to high sitter use costs is the failure of RNs to reassess, on a daily or a shift basis, whether or not the conditions justifying sitter use are still present” (Rochefort, Patient and Nurse Staffing Characteristics Associated with High Sitter Use Costs). Continuing on, “RN’s decisions about the discontinuation of sitter use are likely to be influenced by the availability of RNs. This is because a sufficient supply of RNs is required to monitor at-risk patients on an ongoing basis. When the availability of RNs is reduced, RNs may decide to use sitters to compensate for their reduced…

    • 1392 Words
    • 6 Pages
    Good Essays
  • Satisfactory Essays

    My partner, Jude, and I were partners and we decided to observe the volleyball game at the gym. While watching the game, there was a group of PNUan girls that caught my attention. So I decided to let them be the subject of my observation. That group of girls was really wild and loud as opposed to the rest of the audience watching the game. They shouted and cheered for the PNU team. Whenever the team scores, they stood up and cheered at full volume. They even had this jingle that goes like this “ P-N-U FIGHT FIGHT FIGHT! ” and sometimes mentioned a name of one of the players. But, I noticed that when the game started to reach its climax, those girls booed the opposing team every time they scored .…

    • 357 Words
    • 2 Pages
    Satisfactory Essays

Related Topics