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Platform 1 being accountable and professional

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Communicating more clearly and in a lore respectable manner

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Communicating more clearly and in a lore respectable manner

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Should have pulled over the student nurse in private as this is a more professional manner and less embarrassing for the student nurse

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Should have pulled over the student nurse in private as this is a more professional manner and less embarrassing for the student nurse

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Confidence skills and reflection

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I feel assertive in placements and if I am stuck I will ask for help. I will use my own initiative where possible

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I feel assertive in placements and if I am stuck I will ask for help. I will use my own initiative where possible

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It's important to say no and to set your boundaries and limits with indviduals. This ensures people understand where the line is and so that you feel more comfortable too

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i feel as though, i am assertive once i get comfortable with my surroundings and able to speak up

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16

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its important to say no as pushing your boundaries can cause many conflicts and allow you to find yourself out of your comfort zone.

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He should have spoken respectfully expressed his actions to the SCN and putting the patient into the picture

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He should have spoken respectfully expressed his actions to the SCN and putting the patient into the picture

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He should have been more clear in that this was NOT an appropairte conversation insetad of carrying it on

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prioritise people

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I could improve my assertiveness by improving my skills and gaining knowledge

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The staff nurse should have informed the SCN first because of her post as the person incharge of the ward then whatever decision they make together as a team could then be passed across to the FYI. This will simply strengthen their communication skills and help the patient get the proper healthcare

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The staff nurse should have informed the SCN first because of her post as the person incharge of the ward then whatever decision they make together as a team could then be passed across to the FYI. This will simply strengthen their communication skills and help the patient get the proper healthcare

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platform 1 being accountable professional platform 5 Leading and managing nursing care and working in teams

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to being an accountable professional

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score 17 I know when to say no to someone trying to take advantage

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I know my capabilities and responsibilities, but still have to build up my confidence in clinical areas

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To promote professionalism, and be accountable.

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To promote professionalism, and be accountable.

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platform 1 - being an accountable professional

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the staff nurse should not let the charge nurse speak to him like that and asked to speak to her in private to let her know he wasn't happy the way he was spoken to and how she could address this issue next time

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Continue to build my confidence and improving on my skills

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Continue to build my confidence and improving on my skills

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The staff nurse should have related his concerns with the patient  and been more confident in his clinical decisions. 

# data[].attributes.subject
The staff nurse should have related his concerns with the patient  and been more confident in his clinical decisions. 

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being an accountable professional

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score - 16.
I do find it difficult to say no although recently in life I do not allow things to come between family time or things costing me more money so this has helped me in saying no in times where previously I would have gave in.

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all of them to a degree, but more so being an accountable professional 

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all of them to a degree, but more so being an accountable professional 

# data[].attributes.body
the Charge nurse should have spoken to the staff nurse in private and been less intimidating purely to express her concerns and how the staff nurse could improve for next time

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Thought i would have scored lower because i usually just say yes to things

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He could have asked to continue the conversation in private and explain why he took the action he did. Speak confidently and explain the situation fully and clearly so the SCN understands the staff nurses reasoning. 

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He could have asked to continue the conversation in private and explain why he took the action he did. Speak confidently and explain the situation fully and clearly so the SCN understands the staff nurses reasoning. 

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I feel very nervous in new situations when I am not confident in what I am doing, I tend to seek advise from others a lot of the time to make sure I am 100% sure in what I am doing. Once I know exactly what I am doing I am always keen to try new things and gain more practise

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The SCN could have been less confrontational and more willing to listen. She also shouldn't have spoke like that in front of the patient. It undermined the staff nurse and had the potential for the patient to view the staff as incompetent.

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The SCN could have been less confrontational and more willing to listen. She also shouldn't have spoke like that in front of the patient. It undermined the staff nurse and had the potential for the patient to view the staff as incompetent.

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Reflection, and by building on my knowledge and skills to improve confidence.

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Reflection, and by building on my knowledge and skills to improve confidence.

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The charge nurse should have spoken with the nurse privately and in a more professional ways with intimidation.

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The charge nurse should have spoken with the nurse privately and in a more professional ways with intimidation.

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1
Being an accountable professional

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I feel fairly assertive. It can be difficult getting a  balance especially when you are enthusiastic. As long as you know your boundaries and limitations as a student nurse, I feel being assertive is essential.

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I feel fairly assertive. It can be difficult getting a  balance especially when you are enthusiastic. As long as you know your boundaries and limitations as a student nurse, I feel being assertive is essential.

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12- I still find it difficult to say no, however if I don't feel comfortable doing something I will tell them in fear of doing something wrong

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Platform 1: Being an accountable professional. Be accountable for own decisions and actions and be able to rationalise it

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Platform 1: Being an accountable professional. Be accountable for own decisions and actions and be able to rationalise it

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He should have asked to speak privately and not allow the SCN to speak to them like that

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He should have asked to speak privately and not allow the SCN to speak to them like that

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I hardly say no to people. I will say yes and later think about it. I will score it 2.

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I hardly say no to people. I will say yes and later think about it. I will score it 2.

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I need to have better communication with the SCN on placement, not be so intimidated or quietly spoken towards them

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I need to have better communication with the SCN on placement, not be so intimidated or quietly spoken towards them

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I should work on being more confident in my skills as a student nurse and not let people patronise me or belittle me

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I should work on being more confident in my skills as a student nurse and not let people patronise me or belittle me

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20, I feel like certain events in my personal life have made me more conscious of being "a doormat" and letting people walk over me.

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20, I feel like certain events in my personal life have made me more conscious of being "a doormat" and letting people walk over me.

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Prioritise people, Preserve safety and promote professionalism

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Not very assertive, I definitely need to speak up more and not be a pushover

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Not very assertive, I definitely need to speak up more and not be a pushover

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I still find it very difficult to say no to people, especially when at work/placement or if a friend needs a favour

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I still find it very difficult to say no to people, especially when at work/placement or if a friend needs a favour

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SN should be confident in what he is doing, be accountable, therefore is able to explain and rationalize own actions and interventions, no matter to whom,to patient, charge nurse or colleague. I think it is a good idea to practice that. When I do somehing,I ask myself "if someone asks me to explain what Iam doing and why, what should I say?"

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SN should be confident in what he is doing, be accountable, therefore is able to explain and rationalize own actions and interventions, no matter to whom,to patient, charge nurse or colleague. I think it is a good idea to practice that. When I do somehing,I ask myself "if someone asks me to explain what Iam doing and why, what should I say?"

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Platform 3 - Assessing needs and planning care

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Platform 3 - Assessing needs and planning care

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At the end of each day of placement l reflect on what l did well and what l should have done better, to improve my knowledge and understanding and  also do some readings on how to improve if such should situation arose again.  that has really helps me a lot.

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At the end of each day of placement l reflect on what l did well and what l should have done better, to improve my knowledge and understanding and  also do some readings on how to improve if such should situation arose again.  that has really helps me a lot.

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I think it relates to them all in some way but 'Preserving safety' would be the most prominent, I think. You need to be assertive enough to be able to say no when asked to complete tasks or paperwork that you are not fully competent in doing. If you don't, you risk patient safety but also your own registration.

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To ensure that you remain calm and show open body body language to the CN and making sure you cover each valid point clearly.

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They could improve their assertiveness by communicating to each other clearly without disrespecting or undermining each other

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This conversation should have taken place in private with another person present to moderate.

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I feel I am assertive on placement - I know my limitations but I also know my capabilities. I think being assertive (but polite) is a very necessary skill for a student nurse to avoid being pushed into situations that are uncomfortable

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I struggle to be assertive but will become more confident once i've gotten to know the clinical environment, patients and the staff.

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i think that the code "PRESERVE SAFTEY" relates to assertiveness nicley. in order to adhere to this code, a nurse must:

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i think that the code "PRESERVE SAFTEY" relates to assertiveness nicley. in order to adhere to this code, a nurse must:

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1) Recognise and work within the limits of your competence
2)  Be open and candid with all service users about all aspects of care and treatment, including when any mistakes or harm have taken place
3)  Always offer help if an emergency arises in your practice setting or anywhere else
4)  Act without delay if you believe that there is a risk to patient safety or public protection
5)  Raise concerns immediately if you believe a person is vulnerable or at risk and needs extra support and protection.  raise your concerns immediately if you are being asked to practise beyond your role, experience and training

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I feel it relates to all platforms of the NMC code of practice

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Could have asked to speak privately and made it known that he was worried about the patient and his reasoning for phoning the doctor.

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Asking to speak to the charge nurse in private and letting them know that you are upset and want to know why they spoke to you that way and if there was anything that you could have done differently.

# data[].attributes.body
The RN could have asked the SCN to speak in private and not over the patient or in front of the patient. Asserting himself by remaining calm, being confident in his practice and knowing he did the right thing at the right time.

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When I was younger I used to find it very difficult to say no. As I've got older and grow in confidence in all aspects of my life its become easier and I now don't have an issue saying no when appropriate or necessary.

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as it was discussed before, Ross and CN should speak to each other in private,not over the patient. Showing mutual respect both by verbal and non-verbal communication. De-escalation techniques, body language

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as it was discussed before, Ross and CN should speak to each other in private,not over the patient. Showing mutual respect both by verbal and non-verbal communication. De-escalation techniques, body language

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Much calmer and more professional - and if concernes are to be raised, move to a private location

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By building confidence in myself and my abilities. I think reflective practice is really useful in helping us to gain confidence as we can see what we did well and how we could improve if a similar situation arose again. Also taking on feedback from mentors/other members of the team and learning from their experience is imperative too. Being aware of my limitations as a student and being able to ask for help will hopefully build confidence as well

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Assertiveness relates to all of the platforms. If you are not assertive you cannot practice effectively, ( you may not articulate the needs of the patient effectively if you are not assertive). Promoting integrity and leadership does not come easy if you are not assertive in your role.

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80% - Its hard to strike a balance between assertviness and not overstepping the mark

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80% - Its hard to strike a balance between assertviness and not overstepping the mark

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communication and relationship management skills

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All of them as you need to be confident and forceful to an extent to uphold each and every one of them by; prioritising patients, practicing effectively, preserving your’s and the patients safety and promoting you professionalism and trust to the patient.

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Recognising there is a time and a place for issues to arise. The SCN could have spoken to the RN away from the patient and understood all aspects of the patients presentation and to why the FY1 was then called. Escalation of care for a sick patient needs to come first - not disagreements between staff

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19

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Staff nurse should have asked the CN questions to understand any views that differed to him as the CN seemed to have different views to how James conducted the whole thing.

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Staff nurse should have asked the CN questions to understand any views that differed to him as the CN seemed to have different views to how James conducted the whole thing.

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communication and teamwork

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Practice safely, promote professionalism and trust. Good and effective communication. Team work

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leadership, communication, teamwork, professionalism,

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By being more confident with their answers and explained things more clearly to the charge nurse

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On my first shift I was asked to remove a cannula and insert a catheter by a senior SN. I spoke to her regarding this, explaining that it was my first shift, I was not competent in these procedures however I would like to view them and carry out when I felt competent and under supervision with the necessary help if required. Initially she was quite dismissing and hostile however her view changed and we came to a mutual understanding. I maintained this assertiveness throughout my placement regarding different situations.

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On my first shift I was asked to remove a cannula and insert a catheter by a senior SN. I spoke to her regarding this, explaining that it was my first shift, I was not competent in these procedures however I would like to view them and carry out when I felt competent and under supervision with the necessary help if required. Initially she was quite dismissing and hostile however her view changed and we came to a mutual understanding. I maintained this assertiveness throughout my placement regarding different situations.

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Courage and proficiency

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I think assertiveness can be linked to most of the NMC platforms as it is an important skill to have. I think it links well into assessing needs and planning care as you have to be assertive in order to put into place what you think the patient requires. It is also important for leading and managing nursing care and working in teams because you have to be assertive in a team to achieve goals and to be heard.

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I think assertiveness can be linked to most of the NMC platforms as it is an important skill to have. I think it links well into assessing needs and planning care as you have to be assertive in order to put into place what you think the patient requires. It is also important for leading and managing nursing care and working in teams because you have to be assertive in a team to achieve goals and to be heard.

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the staff nurse could have had more confidence in his own clinical decisions and explain his rationale behind his actions

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leadership, trust, professionalism

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by explaining to the patient what they thought the best next step would be for them in relation to their medical care and explaining the rationale for this. if unsure checking with the senior charge nurse for a second opinion

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By remaining calm and showing open body language to the charge nurse and explaining things thoroughly

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I think the charge nurse should've asked to speak to the staff nurse privately or when the charge nurse started being inappropriate in front of the patient the staff nurse then should've asked to make it a private matter. The charge nurse should have remembered her 6C's and how she would have felt if that was her in his shoes

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By being confident in my abilities as well as my clinical judgment
Don't be afraid to ask for help if unsure
Getting involved with the team to improve knowledge and gain confidence
:)

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leadership, management skills, professionalism, effectiveness, proficiency

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Be confident in their abilities and what they have been trained to do. Explain their rational for the decision made. Explain things in a more comprehension manner, highlighting all main points of deteriorating patient.

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I could improve my assertiveness within placement by getting to know my surroundings and supervisor/assessor well, creating good relationships and recognising my limitations in regards to being a student nurse. Recognising my skillset and setting out clear boundaries help me gain confidence

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being open to discussion on what was best for the patient instead of just jumping to the conclusion he had made the wrong clinical judgement. if the SCN thought that the staff nurse had made the wrong call, the conversation should have been had in private as this could lead to the patient doubting future decisions made by the staff nurse

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By listing and ensuring that i am asking questions. Reading up on conditions and keeping up to date.

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by explaining to the SCN the patient is scoring highly in the NEWS2 chart and that the doctor had to be notified and that he was going to update her thereafter

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Trying familiarize myself with the ward, to research some questions I do not know, and utilize knowledge into practice in order to gain experience. Be initiative

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Trying familiarize myself with the ward, to research some questions I do not know, and utilize knowledge into practice in order to gain experience. Be initiative

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Charge nurse should have assessed the situation and used a more neutral, calming tone which would build team communication and moral as well as the confidence of the staff nurse

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professionalism. trust

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16 - i do my best to always to do the right thing and be respectful 

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16 - i do my best to always to do the right thing and be respectful 

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Talking away from the patient in a more controlled environment. Having bad discussions in front of the service user demotes professionalism as the patient is priority. Ross could have politely said can we speak in your office about the situation here calmly please. The SCN could have been stressed or having a bad day. This would make everybody stressed as a domino effect.

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The nurse could have informed the SCN first before phoning the doctor