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Sunday, April 14, 2019

Diploma in Health Essay Example for Free

Diploma in Health showThere atomic number 18 legion(predicate) different portions within the working environment. This being so, there are many different working relationships, however subtle the difference. When working with an some other Nursing Assistant there seems to be an immediate understanding of what is required. Although the routine my differ from ward to ward, the tasks largely remain the same and are performed with congener fluidity. When working with a stave bear on something outside of my training, they will take the lead and give lessons me in the task. The same can be said for when assisting doctors, physiotherapists and all other professionals. Each has their own role and it is important that they work within the scope of that role, as performing duties not within your skills is breaking with policies and procedures. It is as as important to be accessible to those who cannot perform certain duties beyond their own remit.Before breathing out to work (I w ork mainly night shifts) I dress according to the Dress Code, with washed and iron out uniform, sensible enclosed shoes, nothing below the elbows which follows the Hand Hygiene Policy, ID and name badges present. On arrival I gel my hands, put my belongings in the cloakroom and wash my hands before entering the mental faculty room. Before handover we are read the CUBAN which relates to staffing and diligent levels, patients with dementia and/or having special demand or one to one care and falls risks. In handover we learn about what has happened during the previous shift, any changes in condition of patients and about new patients needs. All the information is confidential and so the Confidentiality Policy needs to be adhered to. We are all issued with a handover sheet with these details on and I jot down and high spot any tasks that immediately concern me. E.G. Catheters/measured urine, observation clips, pressure care, hourly checklists and blood sugars.We are allocated whic h bays we are to concentrate our efforts on and plan the best course of action, which isusually standard routine. We and then load trolleys with the requisite paperwork and go from patient to patient, checking which paperwork needs replenishing and noting down what time physiological measurements etc. need doing and tidying the bed areas. We then do a hot drinks round and update the fluid and food charts as necessary. Next we jockstrap patients into bed. After gaining consent, we help them wash and get into their night clothes. If they need toiletting, the patients preferred path of doing so is used. The Dignity Policy is maintained at all times. If it is documented that a patient needs more than one member of staff to transfer them safely then we help each other to do so., thus sticking to Health and Safety and Manual Handling Policies. Usually at this time the trained nurses are available and are easily approachable and willing to help. After the patient is safely and comforta bly in bed, we fill in the repositioning and personal hygiene charts as per Policy.Usually, we start the observations nigh 2200, subjecting any NEWS score over 3 or anything untoward to the the Staff Nurse who will inform a doctor who may order an ECG, which I would perform and report straight back to him/her. This is an example of how communication and co-operation is so important to working in partnership. Any lacking cog in a machine could spell disaster, especially in the care industry. More oftentimes than not, we answer call bells of patients requiring pain relief through the night. We take the drug chart to the Staff Nurse and she will dispense it. Unfortunately we quite often need to wash and change a patient after a mishap. The correct PPE is always used and Infection Control policies are observed as are Waste Disposal policies. At around 0530 we empty catheter bags and document output in the fluid charts. We also tidy the bed areas again. Observations, urine measuremen ts and toiletting continue throughout the shift until handover to the day staff.

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