REFLECTIVE DOCUMENTS

Report on Progress of Professional Portfolio NFDN 1002

U-2-6
Identify competency
number, letter and
subcategory.

DESCRIPTION OF
ONE SIGNIFICANT
LEARNING
EXPERIENCE IN THIS
COURSE

WHAT I LEARNED
WHY IT WAS
MEANINGFUL /
SIGNIFICANT

PROFICIENCY
RATING

Demonstrate knowledge and ability to adhere to agency policy and

procedure for safe administration of medication by intramuscular

When I was taught about the routes of medication administration

specifically the IM injection. I learned the proper techniques and how
to landmark the injection sites.

I learned that in giving IM injection there are three things I have to

remember; Z-tract, stabilize, and aspirate. Z-tract method is
recommended because it minimize skin irritation, stabilize to prevent
further tissue injury, and aspirate to make sure needle is not in the
veins. It is very important to know the injection sites appropriate for
each client and also for the nurse to know the gauge of the needle to be
used to ensure medications are delivered properly. My learning
experience in medication administration particularly in giving IM
injection is so meaningful because to have enough knowledge in the
skill you will be doing now or in the future will boost your confidence
and you will be competent. These will prevent errors and harm to the
patient

I rate myself as good because I know how to landmark and chose the
sites appropriate for the client. I practiced at home with my IM kit,
attended open laboratory and most of all I learned it during my guided
practice through the help of our teacher. But I still need improvement
and more practice.

HOW I WILL APPLY

THIS LEARNING IN
NURSING PRACTICE

I will apply this learning in my clinical practice by being always

conscious of the techniques of giving IM injection, locating the
landmarks properly, and choosing the proper site appropriate for each
patient.

Report on Progress of Professional Portfolio NFDN 2003

F Respiratory Care
Competency: F-2, Oxygen Therapy
Identify competency number, letter and
subcategory.

Subcategory: F-2-1, Demonstrate

knowledge and ability to recognize
indications and contraindications for
oxygen administration.
I have learned the indications and

Describe One Significant Learning

Experience In This Course Related To
The CLPNA Competency. Provide An
Example.

contraindications for oxygen administration

in my theory. I was able to apply this
knowledge during our guided lab and CIA.
In one of our bed rotations, I was given a
scenario of a COPD patient complaining of
shortness of breath. After doing my
respiratory assessment and taking vital
signs including SpO2 I administered
oxygen at 2L/min because patient showed
signs of hypoxia and hypoxemia. Oxygen
should be administered in low rate because
high flow rate of oxygen is contraindicated
to the patient.
I have learned that hypoxia and hypoxemia

Describe what you learned and how it

relates to the competency. Explain why it
is meaningful.

are the primary indications for oxygen

administration which are manifested by
shortness of breath, increased respiratory
rates, pallor, and cyanosis, use of accessory

respiratory muscles, restlessness and low

levels of SpO2 or PaO2. Ive also learned
that administration of high flow rate of
oxygen may depress their respiratory drive
and carbon dioxide will accumulate which
may lead to drowsiness and respiratory
acidosis .This learning experience is so
important and meaningful because not
being able to recognize indications and
contraindications for oxygen administration
cant cause serious complications that can
Uses the proficiency categories to rate
their proficiency in the chosen CLPNA
competency. Explain what was done to
achieve this competency.

lead to death.
I would rate my proficiency as good,
because although I know how to administer
oxygen but I still need more in depth
understanding and more practice. I
attended open laboratory classes, watched
the videos in my moodle, and read my
book about oxygen administration.
I will apply my knowledge about

Describe how you will apply this

learning in your current and future
nursing practice.

indications and contraindications for

oxygen administration in my future clinical
practice. Respiratory assessment, vital
signs and Sp02 should be done so that right
dose of oxygen will be administered while
avoiding its toxic effects to my future
respiratory patients.

Report on Progress of Professional Portfolio NFDN 2006

IDENTIFY
COMPETENCY
NUMBER, LETTER
AND SUBCATEGORY

DESCRIBE ONE
SIGNIFICANT
LEARNING
EXPERIENCE IN THIS
COURSE RELATED

CLPNA
COMPETENCY.
PROVIDE AN
TO THE

EXAMPLE

DESCRIBE WHAT
YOU LEARNED AND
HOW IT RELATES TO
THE COMPETENCY.

EXPLAIN WHY IT
WAS MEANINGFUL.

CLPNA competency :R-1 Community Health Nursing

Subcategory: R-1-7
Demonstrate knowledge and ability to provide health teaching and
coaching associated with community health nursing.
I have learned to develop a health teaching plan on the prevention of
HPV on 14-19 years old female students in Edmonton in my
assignment 1 in this course. During my teaching intervention, I
informed the target population of my research about current health
issues in the community and ways on how to prevent these issues. I
was able to provide them informations on HPV, its prevention,
transmission, treatment, vaccine and cervical screening.
I have learned that health teaching is effective when a community
health nurse have enough knowledge regarding the health issue. A
community health nurse should demonstrate a good teaching strategy
appropriate to the target population to deliver the health teaching. I
used the group lecture discussion to implement my health teaching
which is effective. I have learned and shared to the target population
that HPV is a virus commonly transmitted sexually. I discussed the use
of condom and vaccine as the prevention. Moreover, HPV cannot be
cured but symptoms like genital warts can be treated by freezing and
topical ointments. Cervical screening and Pap test is essential for early
detection of precancerous lesion and cancer.
This is meaningful to me because giving health teaching is one of
responsibilities of nurse no regardless of where you work. My
experience in this health teaching will guide me to be able to develop
effective teaching plan and use strategies appropriate to the clients to
prevent the health issue.

USE THE
PROFICIENCY
CATEGORIES TO
RATE YOUR
PROFICIENCY IN THE
CHOSEN

CLPNA

COMPETENCY.

EXPLAIN WHAT WAS

DONE TO ACHIEVE

I would rate my proficiency as good because I was able to do my

assignment where I demonstrated my knowledge and ability to
provide health teaching to the target population. I read my text book in
community health nursing and in my previous course about health
teaching. I still need more experience and trainings in providing health
teaching by reading more cases and research through journals,
websites, and books to level up my proficiency.

THE COMPETENCY.

DESCRIBE HOW YOU

WILL APPLY THIS
LEARNING IN YOUR
CURRENT AND
FUTURE NURSING
PRACTICE

I will apply my knowledge and ability to provide health teaching in

my future nursing practice as health teaching is one of the
responsibility of a nurse. I will be able to assess the health need of the
community, implement health teaching and evaluate the outcome. So
it is important that I will provide my client with all informations they
need to know to prevent illness and promote health.

Report on Progress of Professional Portfolio NFDN 2007

Major Competency Area: M Mental Health Nursing

IDENTIFY
COMPETENCY

Competency: M-1, Mental Health and Addiction Nursing

NUMBER, LETTER
AND SUBCATEGORY

Subcategory M-1-5, Demonstrate knowledge and understanding of

mental health condition/illness including: mood disorders (unipolar,
bipolar, depression), personality disorders, post-traumatic stress
disorder, psychosis, schizophrenia and suicidal ideation.

DESCRIBE ONE

I learned the signs and symptoms, etiology, DSM V criteria,

biopsychosocial model, risks factors, assessments, psychotherapy,
pharmacotherapy and nursing implications of schizophrenia in my
mental health nursing course. I was able to use this knowledge as
guideline to identify the signs and symptoms of schizophrenia
manifested by the character such as hallucination, delusion,
disorganized speech and disorganized behavior in the The Soloist
film.

SIGNIFICANT
LEARNING
EXPERIENCE IN THIS
COURSE RELATED TO
THE

CLPNA

COMPETENCY.

PROVIDE AN
EXAMPLE

DESCRIBE WHAT
YOU LEARNED AND
HOW IT RELATES TO
THE COMPETENCY.

EXPLAIN WHY IT
WAS MEANINGFUL.

I learned the importance of recognizing the signs and symptoms of

schizophrenia such as hallucination, delusion, disorganized speech and
behavior for early treatment and management to prevent potential harm
to themselves and to others. Psychotherapy and pharmacotherapy are
the common management of schizophrenia but in times of severe
symptoms, hospitalization is necessary. Schizophrenia occurs 1.4 times
more frequently in males than females. Peak age of onset is 20years old
in male and 30 years old in female. I also learned the different types of
schizophrenia such as paranoid, disorganized, catatonic

undifferentiated and residual. Average life with schizophrenia is 10-25

% yrs less than average but through early assessment, diagnosis and
treatment recovery is possible. This is meaningful to me because this
will guide me to do proper assessment and deliver appropriate nursing
intervention that will improve patients quality of life.
USE THE
PROFICIENCY
CATEGORIES TO
RATE YOUR
PROFICIENCY IN THE
CHOSEN

CLPNA

COMPETENCY.

EXPLAIN WHAT WAS

I would rate my proficiency as fair because I know and understand the

manifestations of schizophrenia although I have not work with clients
with schizophrenia yet. I watched the film The soloist and I saw the
symptoms manifested by the character. But I will continue to read my
textbook and watched related films to familiarize myself with the
disease. I

DONE TO ACHIEVE
THE COMPETENCY.

DESCRIBE HOW YOU

WILL APPLY THIS
LEARNING IN YOUR
CURRENT AND
FUTURE NURSING
PRACTICE

I will apply this learning to my future nursing practice by keeping my

knowledge as my guide to do proper assessment and deliver
appropriate nursing intervention. I will continue to familiarize myself
with the mental illness by reading books, watching related film,
searching more informations in websites accessing community
supports. I am looking forward to working in a facility with this kind of
mental illness.