In my clinical placement, I was assigned to a wound dressing department where I was looking for a 17 years old teenager who belongs to an aboriginal background. He is admitted after a fall that leads to a laceration in the lower region of his leg. The region was left untreated due to which the swelling and inflammation increased and turned in the wound. I was assigned as the nurse to treat the wound and dress it. My supervisor assigned me to do it by myself. I performed the wound practices on my own where I cleaned the wound, put antiseptic on it and did the dressing for the wound. While I was dressing he did not get me, on asking whether he is having pain (Ossenberg et al., 2020). It makes me face an issue of what if he is having much pain but after my dressing is feeling good and relieved. I was feeling very positive, good and confident as I can handle the wound on my own. It improves my patient's condition to get improved.
My evaluation of the case makes me understand that a patient needs to be provided with a safe environment. It helps us to give quality treatment to a patient. The impact will be seen in terms of improvement in condition. According to my evaluation, I was able to understand the patient's situation well, which made me able to give better treatment to the wound (Blackburn et al., 2019). While dressing the wound I have to provide a comfort level and quality to my patient that is leading to customising the physical needs. I have to take care while wound dressing that procedure is kept sterile to eliminate the chances of any infection.
According to my analysis, it makes an increment in my scope of practice. As a nurse, I hold the responsibility to provide a range of roles, responsibilities and activities. It makes me educate and brings the competent and accountable practices by which I will be able to transform as a Registered nurse in future. I analysed that I have applied the NMBA standard 3 which is about maintaining the capability for practice. 3.1 that is about considering the health and well-being of self and others (Gillespie et al., 2020). Substandard 3.2 that is covering the information and education required to increase people's control over health. It makes me able to work according to the nursing standard.
I found that I was able to manage the case of patients tactfully as I followed the nursing standard. It makes me able to show my nursing and competency skills.
Following are the strategies for practice that involve washing hands that help me to provide sterile practices. It avoids contamination at the wound site and manages the wound effectively. Putting on gloves that reduce the chances of directly getting exposed to wounds. Placing the dressing on top of the wound and securing it with adhesive tape and securing it (Weller et al., 2020). I found that I was unable to understand the language of the patient as the patient belongs to Aboriginal background. Therefore, I have to take care that I will be taking the assistance of other nurses if the same situation happens.
Blackburn, J., Ousey, K., & Stephenson, J. (2019). Nurses’ education, confidence, and competence in appropriate dressing choice. Advances in skin & wound care, 32(10), 470-476.https://doi.org/10.1097/01.ASW.0000577132.81124.88
Gillespie, B. M., Walker, R., Lin, F., Roberts, S., Eskes, A., Perry, J., ... & Chaboyer, W. (2020). Wound care practices across two acute care settings: A comparative study. Journal of clinical nursing, 29(5-6), 831-839.https://doi.org/10.1111/jocn.15135
Ossenberg, C., Mitchell, M., & Henderson, A. (2020). Adoption of new practice standards in nursing: Revalidation of a tool to measure performance using the Australian registered nurse standards for practice. Collegian, 27(4), 352-360.https://doi.org/10.1016/j.colegn.2019.10.005
Weller, C. D., Team, V., & Sussman, G. (2020). First-line interactive wound dressing update: A comprehensive review of the evidence. Frontiers in pharmacology, 11, 155.https://doi.org/10.3389/fphar.2020.00155
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