 I've got two weeks left. Oh my god. Where has this nine-week placement gone? I have no idea or to put it even better or worse I don't know what it is. I haven't decided yet. I've got five shifts left, five shifts left And then I'm done for my 3.1 placement. All I've got left then is I'm back at university for a few months We've got our poster presentation and our acpe dissertation not dissertation that I keep banging on about and then our final management placement in September So the last couple of weeks to be honest, I didn't want to keep repeating myself in vlogs So I just wanted to do a couple of extra vlogs of things that I've learned on training days and things Some things that people might find useful. I'm hoping they've been useful to somebody So that's what I've been posting for the past couple of weeks But now I'm coming to the end of my placement. I've learned a few new things I've dealt with a couple of situations and I'm gonna share that because it's something that you might come across in placement And it's really good to know about one of the things that I want to talk about is My mentor has been absolutely amazing and she has been the nurse in charge a few times Which I've never seen before I've never been with one of the nurses that have had to deal with that sort of thing So this was brand new stuff that I was doing on placement So I've been seeing sort of the not behind I don't want to say behind the scenes But it's not behind the scenes, but then I want to say behind the scenes But it's not behind the scenes But the nursing charge stuff basically the things that go on that you don't really see when you're on the ward helping your patients and caring for the patients and You don't sort of see actually the work that goes behind the scenes that the staff and nurse has to do As well as all of the rest So there's a few things that I did extra that I'd never seen before I found it really really amazing really interesting And I'm just going to share that information with you and hopefully you will get to experience this as well Firstly, I just want to say that this might be different in different trusts locations different areas different placements This is just what I've experienced personally on this particular placement So my nursing charge she will organize the day basically is the first thing she will do She'll look in the diary She'll allocate staff to which bays and which patients that they they're going to she'll allocate the breaks for the day Sort all of that sort of side things out and then she will deal with any sort of complaints She will escalate concerns of patients for other members of staff And then at half past nine we have the conference call Which is basically a phone call and there will be someone leading that phone call And they will connect the all of the wards and the different hospitals in that particular trust So they will all be on this big conference call at half past nine And they will go over bed allocations. So how many beds they've got each ward has got They will go over Staffing issues. So if anyone's needs staff if anyone's down staff any problems like that If that sort of needs escalating to get in the agency staff to cover those shifts to make sure that nobody's short And just at the end sort of a general open questions Any concerns anything like that to talk about at the end, but I thought this was amazing I have never seen this happen Before I don't know whether it's because not every trust does it or whether it's just because I haven't had the Opportunity to do that out in placement But if you work for a trust or if you're a nurse that works for a trust And you've experienced this where you all have a conference call you all get together to sort of Look at all of these sort of things. Please let me know because this is the first time I've done it And I just thought it was amazing. I think it's a really really good way to assess The the whole area the whole trust and get everyone's input and Get everybody involved and stuff and it was just a really good way. I think of monitoring that It was absolutely amazing to see I absolutely loved it And then later on at half past 10 in the morning. We have our Jonah meeting Now I have never I've always heard about Jonah meetings, but I've never actually Gone to a Jonah meeting to see what happens. What's discussed. I don't know who attends anything like that so This for the third year student and this being the first time I've ever attended a Jonah meeting I don't think that's normal because I have heard that first years have done it second years have done it I think maybe I'm just a little bit behind with this one guys So I'm really sorry if I'm telling you information that you already know But if you have been to a Jonah meeting, is it the same sort of thing as what I'm about to discuss? Let me know So in this particular Jonah meeting that we have at our trust There is the usually the ward manager or matron. There will be the nursing charge and student They will be The physio team the ot team and the doctor and they will all get together They'll still have the big this big white board or paper or however they do it in each Jonah meeting They will have something with a list of all of the patients when their plan discharges What's holding them back what they've got to be assessed What um, what's the plan of action basically for each and every patient To get that patient fit well and home again And this literally starts from patient one all the way to the very last patient And they'll just work their way through and this was actually amazing to see I loved seeing the whole plan of action for every single patient because I've discovered that I really like Knowing more about everybody else's patients. I'm not I don't like just knowing about my bay of patients Because then if there's a problem in another bay or in another area someone else's patient something happens And you don't know that patient as well Um, it's I don't like it. I just I just don't like it. That's that's all I can say I just don't like it. I like to know about everybody's patients. I like to know what's going on But this was just absolutely amazing to see all of the teams come together talk about each patient and where they're at and see different people's points of views as well because From our point of view might be one thing like we might say they're fine. They can go home They're fine But then from an ot point of view they're like hang on with a system at home And they're not good at this this and this and they're not good at this sort of transfer or this or they need Seat re-raises or they need bed rails or something like that and we're just like and then I'm just sat there thinking oh, yeah Didn't think of that So it's just all these little things that everyone's expertise come together It's like this big jigsaw puzzle that just comes together and fits together nicely just to make this whole picture for the patient To make sure that all of their needs are met before they're they're discharged because the last thing you want is them to go home unsafe And something happens to them at home after they've been discharged and then they're back in hospital So everything needs to be done and met before that patient leaves to make sure they're safe And the last thing that I wanted to just raise awareness about or speak about I can't go into too much detail because This is regarding a patient that we had and something happened to that patient But the the details were so so specific I literally can't physically say a word because it would It might if someone was watching this and recognize the situation or recognize where I was based or Recognize the patient if it was a relative They will click on to what has happened and actually that that's their patient because this was such a rare thing that happened So I can't go into details, but Following on from that. I wanted to talk about mental health and capacity of a patient Just from following from that incident because this is the main thing that I picked up on So at university in actually probably every job that I've worked at in healthcare We always talk about patient capacity. We always talk about giving somebody The choice and the rights to maintain their dignity and all of this and you have to respect those wishes no matter what For example, you might have a patient They might need a blood transfusion to literally save their lives But just due to their religious background the cultures they won't have a blood transfusion So they're well within their right to refuse that blood transfusion as long as they've got the capacity and they Know exactly the risks that's involved with refusing that So if they know that they're going to die if they don't have the blood transfusion They understand the implications and the risks involved They have that right to refuse basically if that makes sense. I hope I've explained that right So we did have a patient and something happened to that patient And they refused all care. They know in the risks that there was a potential of death There's potential of sepsis. There's potential of all these different things that's going to happen to them They still refuse. They still decline all care possible And that person I think there was sort of a bit of a gray area whether they did have capacity where they didn't have capacity And that then needed to be assessed for this particular patient So In it eventually luckily they did get the help they needed and there was a capacity assessment done and they were Because where our work is community based this patient needed the more acute care setting so That person did have to move on to an appropriate setting for that person and trying to really word my words wisely With this I'm sorry But I just wanted to raise the awareness that your patient might refuse care There might be something That's really going to seriously harm their health and you might not agree with their decision But they actually have the capacity to make that decision They have the right to refuse whether it's the right or wrong choice for them in your opinion You have to respect that either way You have to respect your patient's wishes and as long as it's documented as long as all the capacity assessments are done The patient has the right to do that regardless of what your opinion is on the matter And there have been times in the past where I've had patients and they've made This sort of decision to refuse treatment Knowing that they will literally die or I've had a patient before that I gave them all this health education about smoking and COPD and it was literally killing this patient And the patient was like I'm going to die anyway. So what's the point? And I was it's some things like that really shocked me and in my head I'm thinking why why make a safe choice live your life live a healthy lifestyle But obviously on the outside. I'm like, okay, I respect your decision As I've just got to give you the advice go through all the risks and things and it's Completely up to you. It's your decision. I can just advise But we can't we can't no matter what our opinions what our thoughts are We can't enforce that on patients. We can't show those emotions We have to hold back and we have to be professional and respectful of that patient's wishes So I just wanted to raise just a little bit awareness of that that you might have a patient out there They might decline everything But as long as you've done the right things and you've gone about it professionally You've documented it you've done everything in your power You could do in the best interest of that patient and respecting the patient's wishes You can't go wrong whether it's whether you believe it's the right or wrong decision You have to do what's best for the patient and you have to respect their wishes And also regardless of what your opinion is what you think you have to be non-judgmental You know is there it's in the nmc code of conduct. We have to be non-judgmental We can't judge patients for their decisions We have to respect those wishes and that's exactly how I am and that's exactly what I do in my own practice And I should hope everybody else out there does that I'm just raising the awareness to say that actually it is quite difficult sometimes But you have to put your own feelings aside and complete nurse mode and Fill your patient basically and just on a final note I'm going to draw this vlog to an end before I speak way too much about everything So I just wanted to say that actually sometimes you might get an allocation of a placement area Come through to your email on your university site and you may look at it and you might think Oh, I'm not sure if I'm going to like this. I'm not sure if I'm going to learn much Is this a third year allocation? These are the sorts that I had when I had this allocation I thought I've I've had dementia patients. I've done rehabilitation when I was on my orthopedic ward I've done all these things and I it did worry me about this placement that I might not learn the more Management side of things and leadership roles and things like that that we need for third year But you know what I That is me Eating my words because I should never have said that I completely regret saying that I completely regret Even thinking that about this placement because I've learned so so much About this placement, especially more management things with the conference calls and how to run a ward Seeing all the different aspects has just been amazing And I've learned so so much about that side of things and I was really really surprised at how much I absolutely loved this ward So this one has shocked me and I just wanted to throw that out there to everybody. Please please Don't judge anywhere until you've been there until you've finished your placement And then you can decide whether you like a particular area or what you're going to learn from an area Because my book from my placement is now full of everything and it's almost signed off because I've done so so much there It's been fantastic. So that is it from me this week. Thank you again so much for everybody that watches my vlogs and tunes in I hope you have an amazing weekend and I'll see you next week for my final week of placement Fingers crossed. I don't do anything silly. I don't get chucked off the course This is what goes through my mind at the end of placement Even though I know I'm good. Even though I know I always practice safely. It's always that worry like what if what if something happens What if it fell back on me? Oh my god There's always that in the back of everybody's minds, I think But fingers crossed it's going to be amazing week and I'll see you all next week guys. See you later