The prescribing pyramid (National Prescribing Centre‚ 1999) is a stepwise approach that has involves seven stages (1-7)‚ and each stage should be considered carefully before climbing to the next: Consider the patient. Which strategy should be used? Consider a choice of product Negotiate a contract Review the patient Record keeping Reflection With regard the oral thrush infection‚ the patient had a full history taken and clinical examination. A holistic viewpoint that took into account the
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In order to help me with my reflection I have chosen Gibbs (1988)‚ as the model to help guide my reflective process. This model comprises of a process that helps the individual look at a situation and think about their thoughts and feelings at the time of the incident. Reflective skills help us to think about what could have been done‚ so that if a similar situation occurs again the experience gained can be used to deal with the situation in a professional manner (Palmer et al 1997). To enable
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Statement of Awareness in the Differences in Child and Adult Prescribing ‘Only nurses with relevant knowledge‚ competence‚ skills and experience in nursing children should prescribe for children. This is particularly important in primary care (e.g. out of hours‚ walk-in clinics and general practice settings). Any one prescribing for a child in these situations must be able to demonstrate competence in prescribing for children and refer to another prescriber when working outside their level of
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In order to provide safe competent and ethical patient care‚ I as a new graduate nurse need to abide by the CNO practice standard and guidelines (CNO‚ 2014). Therefore‚ understanding that in order to maintain the necessary knowledge and skills‚ I need to reflect on my daily practice. Once I have completed the BScN program at McMaster University and successfully written the National Council Licensing Examination (NCLEX)‚ I will have accomplished the entry-to-level practice requirements according to
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During my clinical placement at Juravinski hospital‚ there was a patient who was in severe pain. The in-charge nurse informed me that the patient was complaining and asking about a medication to relieve the pain in her abdomen. Also‚ she stated that it had been 40 minutes ago‚ but she was not able to give the medicine for pain (PRN) since she was just being informed from the nurse who was in-charged from the night shift. As a result‚ I was late to start my scheduled assessment‚ check the doctor’s
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Reflective Essay The aim of this essay is to prove an understanding of my perception of reflection and how reflective practice impacts on the clinical environment and the learning process. The essay is based on my practice and training in the cardiac ward during my Foundation degree in Health and Social Care. I have selected 5 extracts from my Reflective Journal concerning a patient experiencing shortness of breath which led to a cardiac arrest. In order to be able to use this situation for my
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Independent Prescribing There are many definitions of Independent prescribing‚ the Department of Health (2006 para 7 & 8)) working definition is: ‘Independent prescribing is prescribing by a practitioner (e.g. doctor‚ dentist‚ nurse‚ and pharmacist) responsible and accountable for the assessment of patients with undiagnosed or diagnosed conditions and for decisions about the clinical management required‚ including prescribing. In partnership with the patient‚ independent prescribing is one element
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Very little research has been done into the effectiveness of prescribing teens antidepressants. There are many things that can cause teens to have depression‚ certain triggers in life such as social rejection ‚ family turmoil‚ and failing exams. Depression whether in children‚ teens‚ or adolescents is a dysregulation
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experience of involving an argument between a nurse and patient’s family‚ I came to realize that reflective skills are crucial not only for my current status as student but also for my future professional development (Sharon‚ 2014) as registered nurse. The reflective practice helps nurses to maintain and constantly update their knowledge‚ as well as construct clinical skills by learning from real practice (ANMC 2009). As described by O’Donovan‚ reflective is “a process of deliberative thinking‚ looking
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Reflective Essay This essay aims to critically review my strengths and weaknesses as a self-regulated learner‚ in relation to key skills which demonstrate my ability to use reflective practice. Also‚ the essay will identify and implement the learning skills required to complete the modules in Year 2 of the programme. It will produce and make use of individual learning plans that reflect how I could improve upon my interpersonal skills and implement a personal development plan. Furthermore‚ a demonstration
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