Why I Choose Adult Nursing:
One of the jobs which I have chosen is adult
nursing. I have chosen this because my mum works in adult nursing and is able
to hand out questionnaires out to her colleagues. This also means that I am
able to interview her to find out what it is really like. Adult nursing comes
under the health care service.
What Does Nursing Involve?
If you want to you can chose to specialise in a
certain area. But if you don’t chose to specialise then you can do general
nursing. Some of the areas in which you can choose to specialise in are:-
• Nursing Practitioner
• Health Visiting
• General Practice Nursing
• School Nursing
• District Nursing
Nursing has been split into four different areas, ‘adult nursing, mental
health nursing, learning disability nursing and children’s nursing.’ These
are all part of the common foundation program which means you look at all
four for the first year and the one of your chose for the last two years.
As a nurse there are aims to the job. One of
the main aims is to ‘nurse sick and injured adults back to health.’
One of the most important things to a qualified nurse is the patient. It is
not just for the condition which the patient is in but the needs which he/she
may have. The condition of the patient could include the pressure which is on
the family and friends.
You will have the choice to work in several
different areas which include hospital wards, specialist clinic or in the
You will also have the choice to specialise in
intensive care, theatre and recovery, cancer care and care of the elderly.
I have spoken to a staff nurse who works in
adult nursing and asked her what her day-to-day tasks are and she said that
they include the following:-
1. Assist with personal care
2. Assist with feeding patients
3. Administer medication
4. Administer intro venous fluids
5. Consultant ward rounds
6. Meeting with other members of the
7. Answer questions from relatives
8. Help train student nurses
9. Arrange discharges
10. Assist doctors with procedures
11. Reassure worried patients and their
12. Sort out staff sickness
13. Document what has happened with each patient
14. Admit new patients
15. Dressings to wounds, including assessment of
As you can see they vary from admitting patients to giving out medication.
Each one of these is very different and you need to know how to do them and
what help is needed for each.
What Do They Involve?
Assisting With Personal Care:
If you are assisting with personal care you are
helping the patients with basic hygiene (e.g. washing them and putting clean
cloths on them and helping them to the toilet.)
Assisting With Feeding Patients:
If you are assisting with feeding a patient you
are helping a patient with is unable or has problems with feeding them self.
If you administer medication you are handing
out any medication which is required by the patents.
Administer Intro Venous Fluids:
If you are administering intro venous fluids
you are giving fluids to patients which are unable to swallow or are
dehydrated. You also give this if someone is lacking in potassium, sodium or
Consultants Ward Rounds:
If you are doing the consultants ward round
then you go with the consultant and the rest of the team and answer there
questions, put the patient into the position which is required by the
consultant, you also support the patient and make sure that he/she is
comfortable when the consultant has left and you carry out any teats which
Meeting With Other Members of The Multi-disciplinary Team (MDT):
You will have to meet with the MDT so that the
nurses can coordinate the care from all professionals.
Answer Questions From Relatives:
You will have to answer questions from relatives
so that the relatives know what things are and why they are needed. You will
also need to explain any investigations which are happening with the patient.
Helping Train Student Nurses:
You will help train student nurses so that they
can put their knowledge in to practice and learn more about the hands on side
of it and they get to see what it is really like.
You will have to arrange discharges so that
patients can go home once they are well enough.
You will also have to arrange any services
(e.g. meals on wheels), equipment (e.g. pressure relieving mattress) and if
they are going to a home or not.
Assist Doctors With Procedures:
You will be assisting doctors with any jobs
which need doing e.g. tests or medical treatment.
Reassure Worried Patients And Relatives:
You have to reassure patient that the treatment
which they are getting is going to help them to recover from what ever they
are suffering from.
Sort Out Staff Sickness:
You have to sort out staff sickness as you have
to have so many members of staff on at a time and there for if someone is ill
someone else needs to cover it for them.
Document What Has Happened With Each Patient:
You need to document what has happened with
each patient so that other members of the MDT will know what treatment has
Admit New Patients:
You need to admit new patients. As patients go
home new patients come in so you need to admit them so you know who you have
got in each bed and why they are there.
Dressings To Wounds, Including Assessment:
You need to dress wounds so that they do not
get infected. You will need to asses the wound so you know if it is getting
better or not and so you know how often the dressing is being changed.
If you need to give someone who is unable to
swallow or you want something which is quick acting then you would use this
as it is per rectum.
During the course the skills you would have learnt are:-
• Assess the care
• Plan the care
• Deliver the care
• Evaluate the care
The skills and qualities you will learn once you have started working in
adult nursing are:-
• Learn a lot in a short time
• Be able to keep cool
• Be well organized
• Be able to understand patients needs
• Be able to juggle priorities
• Have good clinical skills
• Have patience
• Be physically fit
• Have good communication skills
Why Would You Need These Skills?
You will need the following skills for the
Assess The Care:
You need to be able to assess the care which
the patients need so that he/she will get the best possible treatment which
Plan The Care:
You need to be able to plan the care of the patient so that if they need
treatment it is ready for when it is required and any medication is given on
time e.g. with meals.
Deliver The Care:
You need to be able to deliver the care to the patient so that they are
getting the treatment which is required to help cure the patient from what
ever he/she may be suffering with.
Evaluate The Care:
You need to evaluate the care so that other members of staff know what care
has been given and what needs to be done. This is important so that the
patient is not given to much or not enough medication etc.
Learn A Lot In A Short Time:
You need to be able to learn a lot in a short time, because while you are
training you will need to remember everything you have been told so that when
you are on placement you can put it in to practice.
Be Able To Keep Cool:
You need to keep cool as anything can happen at any time e.g. a crash, and
you need to keep cool so that you don’t panic and forget what you are suppose
to be doing.
Be Well Organized:
You need to be well organized so that you know where everything is when you
need it so that you are not searching for everything if there is an emergency
Be Able To Juggle Priorities:
You need to be able to juggle priorities as you could have two patients and
one needs help going to the toilet where the other may need turning so that
he/she does not get pressure sores.
Have Good Clinical Skills:
You need to have good clinical skills so that when you are working in the
clinics you know what you are doing and why you are doing it.
You need to have patience so that if a patient
needs a doctor and they have a more important case to deal with, you will
have to be patience and wait for the doctor.
Be Physically Fit:
You need to be physically fit as if there is an
emergency, e.g. a crash call, which you will have to run and respond to and
you are also on your feet nearly all day.
Have Good Communication Skill:
You need to have good communication skills as
you have to talk to the patient and there relatives so they know what is
happening and why it is happening. You may also get patients which are hard
of hearing or deaf and you will need to be able to communicate in one way or
another. You will also have to talk to members of staff so that they know what
is happening with each patint6 and will be able to help where appropriate.
If you go in to adult nursing the qualifications which are at school are:-
1. Five GCSE’s at C grade or above one of which
must be English language or English literature plus one science subject and
2. 180 points at A level (curriculum 2000) from
either GCE or VCE A levels including a natural or social science (e.g.
psychology). This does not include general studies.
3. Two GCE A level at grade B or above
(pre-2002). This does not include general studies.
4. Advanced or level 3 GNVQ with a distinction
passes in all modules including science, or a merit with passes in all
modules plus one GCE A level pass which does not include general studies.
You can also gain some qualifications at a college. These qualifications
1. A national diploma in either BTEC or SCOTVEC
in health or science studies with no less than six distinctions and merits in
all or the other subjects in the second year of study.
2. twenty four credits at level three and three
and six credits at level two in an open college network-accredited program in
health science, science, nursing and social care, and health and social care.
The qualifications which you can gain from a university after the course, is
a diploma in nursing and then you can go on to do a degree in nursing.