Year 3 Episode of Care Example 2
Adult ‘Group of Patients’Student Reflection on the Episode of Care
Briefly outline how you have delivered high quality, complex care and give the rationale for the decisions you made.
For my episode of care I had a case load of 6 patients on a surgical ward. 3 patients were well post operatively. There was an immediate post-op patient who required hourly observations and an acutely ill patient with a poor diagnosis on IV antibiotics and wound care. I took handover and prioritised my shift. I assessed and completed observations for the new post op patient, and delegated the HCA to take observations for the well patients. Throughout the shift I assessed pain, managed medication and with the MDT stated discharge planning for 2. I was able to facilitate a discussion with Dr and nurse specialist with myself and the patient with poor diagnosis. I was able to discuss and encourage him to participate in his personal care so that he could start considering going home. I documented all my actions and handed over my patients to the night staff. / Reflect on how you have worked in partnership with health and social care professionals, service users, carer and families ensuring that decision-making about care is shared.
I spoke with the patient and their family about personal needs to help the patient take these on more himself so he can think about going home. I also liaised with the Drs for my post-op patient to make sure he got the right care plan and that it was implemented with the rest of the team.
What did you do well?
I felt I had provided good health promotion in encouraging my patient to take on some of his own needs in a difficult situation. I had good communication with him and between the multi-professional team for what was required during the team and this was fed back to me from the nurse in charge.
Reflect on how you used leadership skills to supervise and manage others.
I used delegation skills with the HCA for regular observations for some of my patients who were well. I chose to monitor my immediate post op patients myself. I leased with the nurse in charge to give IVs and keep her up to date with my patients. / What would you have done differently?
I ran out of time to do the dressing of his wounds and had to hand this over. I could have done this and still had a therapeutic conversation with him possibly. But feel this conversation with family and patient was vital.
What learning from this episode of care could be transferred to other areas of practice?
I feel my confidence has improved knowing that I have prioritised patient care well with feedback. Managing cases that include an acutely ill patient and family is something I will be doing when qualified.