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Navigating transitions

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Navigating transitions

 

Navigating transitions 

Transition to professional practices learning plan Reflection

 

 

 I had my clinical placement at Sydney children’s hospital. I choose to focus on clinical skills of burns wound management. I choose to focus on this area, as I have not much experience with wound management, therefore a placement of the Sydney children’s burn ward was a perfect place for me to practice these skills. Here in this ward I was exposing to many different type of burns including thermal chemical and electrical burns and had many opportunity to practice burn wound dressing. I also learnt much about assessment of wound. I feel that my learning goals experience to practice a new skill. Not only was I able to physically practice burn wound dressings, but also I had learnt about assessment of wounds including depth, total percentage of the burn and barriers to healing. I feel that my learning goal was achieved and it was a great experience to be able to practice a new skill. A barrier to achieving this goal was that I was initially quite confronted with the sights of these burns and the evident pain it caused for the pediatric patients.

A barrier to achieving this goal was that I was initially quite confronted with the sights of these and the evident point it cause for the pediatric patient. ). I initially read through this policy when I commenced placement as a foundation for what I will be learning and practicing over the weeks ahead. I can now identify that this ward closely follows these evidence-based practice guidelines. For example, the policy suggests using dressings including Acticoat, Biobrane and Meplix, which were all used significantly during my clinical placement (Sydney Children’s Hospital Network 2017)During the starting of this practice I have not much experience therefore hopitsl I was exposedto different type of burns and by completation of it( Royal children hospital Australia).

 Analysis

Burns management policy is the best as it provide guidance to burn management, analesia dressing and post burn wound healing care. ). By referring back to policies and guidelines allowed me to become more familiar with correct practice. Evidence shows that patients who suffer larger burns are susceptible to developing chronic inflammation, body mass wasting, altered immune status, infection and possibly sepsis. It is therefore imperative that evidence-based resources guide burns wound management in order to promote effective wound healing (Rowan et al. 2015). These policies were followed carefully, as the nursing staff was guided by the recommendations provided. This practice is an absolute consistent as the policy suggest using dressing including meplix. Evidence shows that children are likely to develop anxiety, traumatic stress reactions, post-traumatic stress disorder and behavioural problems after a burn injury (Bakker et al. 2013). These policies are followed very carefully as the nursing staff gudideing by recommendations provided. The policies and evidence practise also included the social aspect of burn wound management including non accidental burns. Another potential barrier is the emotional impact and confrontation of some of the burns, in that I felt anxious and apprehensive to address it. However, with support from nursing staff, encouragement and education I was able to overcome these barriers. Not only was I able to physically practice burn wound dressings, but also I had learnt about assessment of wounds including depth, total percentage of the burn and barriers to healing. I feel that my learning goal was achieved and it was a great experience to be able to practice a new skill. This improved my clinical skills and increase my confidence level as how to face emotions of kids and how to treat them as when they are in very painful situation. This practice proven very succesfull in my carrier and I achieve my goals after this practise

 Conclusion

   After my this placement, I can able to say that my knowledge and skill improved very fast .I have also learnt the importance of addressing pain in burns wound management. Although pain is a significant observation and assessment, children continue to experience pain in hospitalizations (Westmed children Hospital Austraila 2017).  This was an area that I focused on and was able to become more familiar with paediatric pain assessment tools. I will now always take pain into consideration, even when it seems insignificant, and continually reassess pain scores in patients. This is significant in that unrelieved pain can cause hypoxemia, cardiac morbidity, increased stress hormones and anxiety in paediatric patients . I was able to overcome these barriers. Not only was I able to physically practice burn wound dressings, but also I had learnt about assessment of wounds including depth, total percentage of the burn and barriers to healing

  Action Plan

 I feel that my learning goal was achieved and it was a great experience to be able to practice a new skill. This improved my clinical skills and increase my confidence level as how to face emotions of kids and how to treat them as when they are in very painful situation. This practise prove This was an area that I focused on and was able to become more familiar with paediatric pain assessment tools. I will now always take pain into consideration, even when it seems insignificant, and continually reassess pain scores in patients. This is significant in that unrelieved pain can cause hypoxemia, cardiac morbidity, increased stress hormones and anxiety in paediatric patients n very successful in my carrier and I achieve my goals after this practise. . Although pain is a significant observation and assessment, children continue to experience pain in hospitalizations (Westmed children Hospital Austraila 2017). 

 Refrences 

Bakker, A., Maertens, K., Son, M., Loey, N., 2013, Psycholigical consequences of paediatric burns from a child and family perspective: A review of the empirical literature, Elsevier, vol. 33, no. 3, pp.361-371 Delaney, L., 2018, Patient Centered Care as an approach to improving healthcare in Australia, The Australian Journal of Nursing Practice, Scholarship and Research, vol. 25, no. 1, pp. 119-123 Rowan, M., Leopoldo, C., Elster, E., Burmeister, D., Lloyd, R., Rodney, C., Christy, R., Chung, K., 2015, Burn Wound Healing and Treatment: Review and Advancements, Journal of Critical Care, vol. 19, no. 233, pp. 1-8 Royal Children’s Hospital Melbourne, 2017, Burns Clinical Information, Victoria, Australia, accessed 15/10/18, https://www.rch.org.au/clinicalguide/guideline_index/Burns/  Sydney Children’s Hospital Network, 2017, Burns Management Practice Guidelines, Sydney, Australia, accessed 16/10/18, http://www.schn.health.nsw.gov.au/_policies/pdf/2006-8142.pdf

 

 

 



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