I was asked to assist the 87y/0 female resident of Collette wing of RSL Care Menora Gardens. She was unable to move independently and I was helping my buddy nurse to transfer that resident from bed to wheel chair. Because of ageing the skin of the resident was prone to skin tears and pressure injury, so we had to careful about any injury and it was my first experience to deal with old resident. Because I’ve never dealt with this type of experience before, I tried to pull the resident up by put my hand under her underarm. Then my buddy nurse stopped me there and asked me to pull the resident from upper part of pants, otherwise she will suffer from fracture, skin tear etc. and you will be fined by 2500$. Then I did that in right way and she appreciated my work.
I felt extremely nervous before this task because of my first experience, but at the same time I was very happy from inside because it will improve my learning skills. I was worried about the resident if in case I don’t perform it well (if any fall occurs) which will create trouble for us and if resident become violent or aggressive. Then my buddy nurse asked me that take your and be patience, not to be in hurry to pull her up. After that incident, when my buddy nurse told me the right way to do that, I performed very well and resident was looking very comfortable and I felt I did a great job and learned new skill. He reminds me about National Frame work of care and their guidelines (Dept. of Health and Ageing, Canberra 2011).
The good that came out of the situation was that I was working with experienced care worker and she found my mistake and alerted me for not to do wrong thing and our resident was in good condition and safe from any fracture, injury and free from any pain (Kemp, 1999).
I chose this incident to reflect upon because it is very rewarding to be a part of such experienced care worker’s team. I learned from my mistake and responded towards my buddy nurse’s instructions. I respond towards her instruction in positive manner so that we create safe and better environment for our old residents in their last days (ACSQHC, 2015).After the task, the patient was looking at me and smiling, which made me relax. The NMC guides us to “Promote and Protect the interests and dignity of patients, clients, irrespective of age, race, ability, sexuality, lifestyle, and economic status” (NMC 220:4).
From this skill I learned about how to transfer a resident, who required assistance in mobility, especially who is prone to injury and risk of skin tears. I need to ask about to experienced partner before performing any skill.
If I find myself in this situation again I would ensure I am confident enough to transfer the resident in professional caring manner, which hopefully will mature with personal experience and by observing buddy carers and other members of staff.
A guide to nursing care, 2nd edition USA: Lippincott, Snowley, G. Gilling, (2002)
Australian commission on safety and quality in health care. National Consensus statement: essential elements for safe and high quality end of life care. Sydney: ACSQHC, 2015.
Commonwealth of Australia. A national Framework for advance care Directives. Australian Government Department of Health and Ageing, Canberra, 2011.
Kemp, C. (1999) Terminal illness.
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