This is one of my efforts so far but feel I may have over rambled..
C1 Demonstrated competence in patient focused care and problem solving skills at an advanced level in a defined clinical area/specialty
I am competent at provision of patient focused care working in partnership with patients and their families to plan and implement care, which directly addresses their needs. In order to do this I share knowledge and information with patients to enable them to make informed choices about their care, and access relevant services. I Endeavour to ensure that patient focused care translates to patient centred care and transposes from an organisational level down to a practitioner level. I and my allocated team members work within my employers policies, procedures and directives whilst upholding standards and delivering care in keeping with the Code of Practice for Midwives.
In my practice I have competently provided patient centred care at an advanced level. I have achieved this by working in collaboration with patient, their families, the interdisciplinary team, and community groups to achieve optimum outcomes. I use a method of â€˜assessing, planning, implementation and evaluatingâ€™ to centre care around the needs of patient and their families:
Assessing: I use communication skills to listen to patientâ€™s needs and/or concerns, and clarifying my understanding of the patients needs and care issues by asking relevant questions.
Â· Planning: As team leader after agreeing the focus of care with the patient and relevant others I plan who will carry out care as delegation may be required or referral to an appropriate professional or service, what are the most appropriate methods to facilitate delivery of evidence based care and achievement of optimum patient health, when care interventions are to take place to meet the needs of the patient and service, where care is to be carried out taking into account environmental considerations and how mine and the teams nursing knowledge and skills will be implemented in practice to achieve the overall outcomes.
Â· Implementation: I am capable and competent at transferring my knowledge and skills into the delivery of planned care using the appropriate tools and resources. In my role as team leader where necessary I am responsible for also delegating implementation of care to the appropriate member of staff of the correct level and with the necessary knowledge and skills to provide the planned care.
Â· Evaluating: I am competent in target setting to allow review of whether care implemented has been effective in producing the optimal outcome for the
Â· Patient. I use subjective and objective evaluation skills along with direct dialogue with the patient and significant others to ensure all needs have been met. During this process review dates may need to be extended or if present care is ineffective the cycle of the nursing process may need to commence again to ensure fulfillment of needs.
At all times I clearly document these steps so that the patient and other members of the interdisciplinary team are aware of what has been planned and/or done (with consent when necessary), and whether effective intervention has resulted.
I pay particular attention to ensuring documentation is of a high standard at all times and I am aware that at a future date it may be needed to serve as evidence of care in case of legal action or complaints.
Problem solving is an integral component of patient centered care I endeavor to use as a guide plan, organize, motivate and implement to ensure completion of goals. I have used this method to problem solve at an advanced level within my scope of practice, reducing unnecessary involvement of medical staff. As an autonomous practitioner experienced at working in the community setting as the
Lead professional I competently problem solve under pressure without always having medical assistance available. Past experience has included covering emergency situations, unexpected life threatening patient complications and adverse weather, unforeseen staff shortages, volatile family dynamics in patientâ€™s household and general service and patient care from a micro to macro level.
In the position of Specialist Practitioner/Team Leader I would use my problem solving skills to also:
Â· Assist colleagues with problem solving both in the clinical area or other work-related areas.
Â· To address problems within the team, for example if the team was not achieving an optimal outcome, or not functioning effectively integrating appraisal into the process to ensure achievable targets and goals.
Â· To address problems in the organisation and structure of care, for example if an area of care is not cost effective or evidence based care in line with reputable research was not being implemented.
I feel I demonstrate competence in patient focused care and problem solving skills at an advanced level and can continue to do so in any defined clinical area/specialty
It's all very scarey compared to UK application.. :scared: .