Adult nursing

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adult nursing

Introduction

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
•     Midwifery
•     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 community.
     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 multi-disciplinary team
7.     Answer questions from relatives
8.     Help train student nurses
9.     Arrange discharges
10.     Assist doctors with procedures
11.     Reassure worried patients and their relatives
12.     Sort out staff sickness
13.     Document what has happened with each patient
14.     Admit new patients
15.     Dressings to wounds, including assessment of it
16.     P.R

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.

Administer Medication:
     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 glucose.

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 are needed.
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.

Arrange Discharges:
     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.

day-to-day tasks


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 been given.

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.

P.R:
     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


skillsand qualities
Why Would You Need These Skills?

     You will need the following skills for the following reasons:-

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 is available.

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.

Have Patience
     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.


qualifications

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 mathematics.

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 are:-

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.



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