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1. Demonstrated ability to apply problem solving skills.
2. Evidence of ability to apply the nursing process.
3. Demonstrated sound interpersonal and communication skills including the ability to work effectively in a team environment.
4. Demonstrated ability to apply evidence-based practice.
5. Demonstrated application of WHS practices.

Demonstrated ability to apply problem solving skills.

I have sound analytical and problem solving skills. Few months earlier, when I was coming from Casuarina to my home via Vanderlin Drive, I noticed a person was helping an injured person who was around 40 years old on the footpath. I stopped the car and observed the victim was on the floor and unconscious as there was bleeding from his head. At this moment I used my clothes to stop the bleeding immediately with the help of another person. Afterwards, I used basic life support action plan to get the response or come back the consciousness of the patient.

Firstly, I checked the danger for myself and others. Secondly, I gently squeezed the victim’s shoulders and ask him to squeeze hands to check the response. However, the victim did not respond and I asked another person to call 000/112 for an ambulance. To clear the airway I opened the victim’s mouth and look forward for blood, vomit, broken teeth. The airway was clear and I tried to look and feel for chest movement as well as sounds of air coming from the casualty’s mouth and nose to check breathing. However, the victim was unresponsive and I started CPR. I started giving 5 sets of 30 compressions and 2 breaths in about 2 minutes. Before giving CPR I ensured that casualty’s back is on a firm surface.

Finally, the patient was breathing and I turned the victim into recovery position and continually checked the patient’s condition.  I assessed the patient by noting tenderness, swelling, wounds and deformity. Moreover, the ambulance came at the spot and I handed over the victim to the paramedics and described what happened and what I have done. The qualified aid appreciated my initiative to the victim.

3. Evidence of ability to apply the nursing process.

The nursing process (assessment, diagnoses, planning, implementation and evaluation) is the core of patient centred and directed care. While I was working at D&R care community services as a support worker, my responsibility was to look after Mr Mike for a month who has problems with his cholesterol levels and blood pressure. One day when I was on duty, Mike has been having difficulty breathing and has been feeling very tired. In this case, my task was to ensure proper nursing care to Mike so that he can take breath normally and become less tired.

I looked over Mike's symptoms and noted that his heart-rate is higher than average and his blood pressure is elevated. I also considered that he's experienced fatigue and shortness of breath before when his cholesterol levels were very high. Then I determined that Mike is experiencing Hyperlipidaemia, also known as having high levels of fat within the blood. Mike’s blood tests also confirmed this hypothesis.

I explained Mike about his cholesterol levels and high blood pressure. I suggested that Mike be put on medication to help lower these numbers and recommended to exercise at least twice a week. I also told Mike that he should stay away from salty foods and eat less red meat. Mike went to the GP and took the medication as prescribed. However, one day he felt sick and I explained that the medication could cause nausea as a side-effect and advised Mike to drink Ginger-Ale and avoid any foods that generally upset his stomach. Mike continued taking the medication and goes to the gym four times during the two week period.

After two weeks later Mike mentioned that he has been having normal breathing and feels significantly less tired since exercising and taking the medication. Then, I marked his condition as improved and advised him to remain on the medication for one more month and to continue his exercise.

4. Demonstrated sound interpersonal and communication skills including the ability to work effectively in a team environment.

I have a strong ability to communicate effectively with other people from different cultural backgrounds, and having past two and half years of work experience able to mingle with any level of team environment. While working at Woolworths Supermarket as an online shop assistant, I work as a team and complete work within a particular time. I am on duty of supervisor of every Sunday in online departments.

While I am on duty, I start work on time and as a supervisor of the shift I communicate with my colleagues and other departments like Grocery, Check out, Daily, Bakery and meat efficiently. I attend team meeting regularly and solve any issue with the help of team members and store managements. I also distribute the tasks among colleagues and try to keep in touch with them if they do not understand anything. During my shift I attend to inquiries on the telephone, in person, by e-mail and formal letters. I answer the phone calls promptly and listen actively to get the right message. At the end of conversation, I paraphrase their needs to ensure I deliver the right service. As part of work I communicate with customers and deliver the products according to their orders which known as Click & Collect.

So basically I am capable of handling the people of Woolworth Supermarket including both internal and external. I do listen to my customers carefully and always judge the situation before give any advice. My current role at Woolworth Supermarket and D&R care requires me to communicate with various clients or people from a diverse range of businesses, either through face-to-face, over the phone or via email. I have developed strong interpersonal and communication skills through daily dealings with clients and colleagues as well as deal with complex situations. This allowed me to expand my high level of written and oral communication skills.

When the patient was almost ready for discharge, a family meeting was arranged. It was important to provide education to the family and to ensure all supports and modifications to her home were in place before the patient was discharged. As I had developed a good rapport with the patient, my preceptor and I asked if I could attend the family meeting as an observer  as a learning opportunity; the patient agreed. An Aboriginal interpreter was present at the family meeting as English was not the patient’s primary language. An Aboriginal Health Worker was also present to provide cultural brokerage. During the family meeting, two of the grandchildren got fidgety and the patient asked me if I would take them to the café for an ice block; I obliged.  

On the day of discharge my preceptor and I packed up the patients belongings, discharge medications and follow up appointment cards and prepared her for transport. A discharge letter was faxed through to the community’s health clinic. This was followed up with a telephone call to the health clinic so arrange for clinic staff to meet the patient at the community airfield . The patient was discharged home with all supports in place .

5. Demonstrated ability to apply evidence-based practice.

My studies at Charles Darwin University have taught me to approach my clinical practice from an evidence based perspective. My studies have also encouraged me to also reflect on my practice.  On first year clinical placement I was asked to take blood glucose levels on two of my patients with diabetes mellitus.  I gathered the blood glucose level box and my preceptor and I proceeded to the first patient’s room. I followed the practice that I was taught at my clinical simulation block. I introduced myself and my preceptor to the patient and ask if I could take his blood glucose level; therapeutic interaction and consent. I performed hand hygiene and donned gloves; infection control. The patient held out his hand and indicated the preferred finger to be pierced. As I opened the blood glucose level box and sorted the glucometer, reagent strip and lancet I noted that there were alcowipes but no gauze squares. In the simulation block we had learnt that alcowipes should be avoided on patients that require regular finger piercing as alcohol affects the accuracy of the reading if not allowed to dry thoroughly and also toughens the skin. We had learnt to wash the patient’s finger with a gauze wet with warm water; increases peripheral circulation and non-contaminated result. I respectfully advised my preceptor of what we had been taught and the rationale for same. My preceptor said “Go and get some gauze squares or just use the alcowipe this time”.  I chose to use a wet gauze square and to stock the blood glucose level box with gauze squares.

A literature review and review of hospital policy supported preparing the site with water. My preceptor said that she would bring it to the attention of the Clinical Nurse Educator on the ward for an inservice for staff. I reflected on the situation. I felt that I had handled the situation well. I was confident in what I was doing and why I was doing it. I was also pleased that I had been able to confer with my preceptor in a respectful manner. I would use the same approach if a similar situation arises.

6. Demonstrated application of WHS practices.

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