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NRSG367 Transition To Professional Nursing

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NRSG367 Transition To Professional Nursing

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Course Code: NRSG367
University: Australian Catholic University

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Country: Australia


Although you are not required to follow any specific cycle or system of reflection you are advised to follow the principles of reflective writing.
1.reflect upon a particular issue,
2.consider your personal stance and emotional response,
3.identify the issues inherent in the event, 
4.extend your learning by linking to professional principles,
5.consider the impact of the event and learning on your professional practice
6.develop an action plan

Clinical Governance
Partnering with Consumers
Preventing and Controlling Health-Associated Infection Standard
Medication Safety Standard
Comprehensive Care Standard
Communicating for Patient Safety
Blood Management Standard
Recognising and Responding to Acute Deterioration Standard


In this interview, I will demonstrate my understanding of two NSQHS that include clinical governance specifically information management element and medication safety (Williams, Woolliams, & Spiro, 2012). In so doing, I will reflect on my clinical practice using the Gibbs Reflective model.
During one of my routine nursing practice, there was a patient who came at the healthcare facility and requested for the previous treatment history that he had been subjected to two months ago. The reason why the patient was interested in the data was that it was needed by another healthcare expert. It was therefore needed so that they could understand the medical history of the patient. The patient was then told to visit the health records department where information was retrieved then given to him.
While I was at the mental health department, we were supposed to adhere to the rights of medication. We had to look at the drug, confirm the date of expiry and counter check the patient’s name before administering the drug to the patient.
I was very shocked and I kept wondering why a patient would seek such a treatment plan which had happened several months ago. I was also excited at the same time since I was eager to find out how well the healthcare facility keeps information about patients. I was very happy after the information was issued to the patient. I was happy because the NSQHS were in full swing at that particular healthcare institution where I was working. I was also happy with this act of adhering to the rights of medication since I had that belief that no patient will perish as a result of negligence.
All the part of the clinical experience were positive since all the objectives were achieved. The information that the patient was in need was retrieved easily since information management standards were very high. The second experience was also positive since there was no scenario that I came across of negligence where a patient had been given the wrong medication.
There are eight National Safety and Quality Health Service standards in Australia. These standards are owned by the Australian Commission on safety and Quality in Healthcare (“implementation of National Safety and Quality Standards in Australia’s health system,” 2015). These standards have been made compulsory in all the health organizations in the country .These standards were set up with several objectives and they include protecting the public from harm or injury and then improving on the quality of the health services that are rendered to the general public.
The first and my most favorite standard which I understand very well is Governance for safety and quality in the health service organizations (Banks, 2016). Clinical governance can be defined as the framework that health care organizations are accountable for continuous improvement in the quality of the services they provide to the citizens and protecting high standards through creation of an environment where excellence in patient care would work very well(Delaney, 2015). Clinical governance has several elements that include risk management and information management.
Information management entails the act of safeguarding patients information from the time he or she is incepted at the healthcare institution up to the time he or she will be discharged .The NSQHS under clinical government states that the patient information should be very confidential and unauthorized access should be limited at all costs (Malvey, 2013).In this scenario that I came across during my routine nursing practice, the data about the patient was retrieved very quickly since it had been stored in a private file over the computer. The information was therefore retrieved and given to the patient who took them to another healthcare that was providing care to him as well. Failure to provide that information would have made it difficult to provide care by the other health institution. It is therefore very important for all the healthcare organization to come up with safe ways that they should manage patient information from.
The act of counterchecking the rights of medication is still under the NSQHS number four which is about Medication Safety Standard (“Medication Safety in Hospitals: Avoiding Medication Errors in the Medication use Process,” 2013). It states that all patients should be subjected to safe medication. This includes the right dose, right drug, right route of administration and the right patient.
From the experiences, I have got very valuable lessons. I have learnt that information management is very vital at healthcare facilities. Could the healthcare facility have failed to provide patient history, it would have been very difficult for the other healthcare institution to provide care to the patient. I have also learnt that medication safety is an important NSQHS since some nurse’s end up giving the wrong drug to the wrong patient and this leads to deaths. All the healthcare facilities should therefore adhere to the NSQHS so that there is quality patient care and outcomes as well as protecting the public from harm.
Action Plan
As a nurse, I will always ensure that whatever the healthcare facility I work, NSQHS should be at interplay always .I have come to realize the importance of those standards so much. To make other colleagues adhere to the said standards, I will introduce a penalty to anyone who doesn’t abide by the standards.
Banks, M. (2016). Isqua16-2476improving the safety and quality of healthcare for aboriginal and Torres Strait Islander people using the Australian National Safety and Quality Health service standards. International Journal for Quality in Health Care, 28(suppl 1), 55.1-55. doi:10.1093/intqhc/mzw104.86
Delaney, L. (2015). The challenges of an integrated governance process in healthcare. Clinical Governance: An International Journal, 20(2), 74-81. doi:10.1108/cgij-02-2015-0005
The implementation of National Safety and Quality Standards in Australia’s health system. (2015). OECD Reviews of Health Care Quality, 129-163. doi:10.1787/9789264233836-7-en
Malvey, D. (2013). The Fear Factor in Healthcare: Employee Information Sharing. Journal of Healthcare Management, 58(3), 225-237. doi:10.1097/00115514-201305000-00011
Medication Safety in Hospitals: Avoiding Medication Errors in the Medication use Process. (2013). Advances in Pharmacoepidemiology and Drug Safety, 02(03). doi:10.4172/2167-1052.1000134
Williams, K., Woolliams, M., & Spiro, J. (2012). Using a framework for reflection: Gibbs’ reflective cycle. Reflective Writing, 90-102. doi:10.1007/978-0-230-37724-0_16

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