Trainee Assistant Practitioner Essay Example
Trainee Assistant Practitioner Essay Example

Trainee Assistant Practitioner Essay Example

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  • Pages: 3 (775 words)
  • Published: December 9, 2017
  • Type: Essay
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In this essay, we discuss the impact of an attack that occurred when a male adolescent patient was out in Leeds at night.

The text discusses the impact of traumatic brain injuries on various parties, including family, friends, police officers, and intensive care staff. It outlines the use of intubation and ventilation for patient care. While working as a level 2 clinical support worker, the author did not care for patients with traumatic brain injuries or assess Glasgow coma scale. This responsibility fell on registered practitioners. However, since becoming an Assistant practitioner, the author has been trained to conduct these assessments and understand patient responses and pupil sizes.

During my ICU placement, I cared for a 20-year-old male who suffered traumatic head injuries after being physically and sexually assaulted during a night out in Leeds.


He arrived at A&E at 03.0 and was immediately intubated and ventilated. Following extensive brain surgery, he had a craniotomy in theatre, then he was admitted to ICU at 11.00 for further recovery from his Traumatic Brain Injury (TBI). The patient was anonymous since all his identification items had been stolen. Despite being clinically dead upon arrival, the doctors decided to let the patient's family bid farewell because they were still looking for his identity. The patient remained anonymous for 12 hours, but the police took his fingerprints to attempt identification, yet no prior records were found.

The police documented the extensive injuries to his head through photos, recorded details of his clothing, and measured his small frame to gather information for a description to aid in identification. Eventually, a friend he resided with while studying in Leeds

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recognized the description and contacted the authorities, leading them to escort her to the hospital. Upon arriving, she was asked to wait with the police in the visitors room until a consultant and nurse could speak with her, as they needed to prepare her for what she would observe. Due to his swollen face, the patient was unrecognizable and appeared of Chinese descent.Upon receiving advice that the patient had been intubated and ventilated to help with his breathing, the girl was not informed of his passing. As they entered the room, the nurse held her hand as the girl began to scream upon seeing the male's appearance and claimed that he did not resemble how he looked before. To support her claim, she revealed a tattoo on her thigh that matched the male's tattoo. This emotional outburst was difficult for everyone involved, including those who did not know the patient. Due to ongoing murder investigations, we were prohibited from disturbing any evidence on his body, including DNA samples from potential attackers. The forensic police were called to take photographs and collect nail clippings.

Police urgently appealed to locate the relatives of a patient, sharing photos of his clothing to aid in the search and stressing the importance of treating him with dignity and respect. With help from a friend who identified the patient and provided contact information for his family, authorities were able to reach out to Kent officials. The father was accompanied to the hospital where he learned about his son's critically ill condition. Medical staff attempted to prepare him for what he would see but nothing can truly prepare a parent for such a

devastating sight. As someone training as a nurse, I recognize that communication skills are crucial in supporting patients and their families during difficult times like these. Upholding high standards of care is essential when assisting families going through distressing situations.

During my interaction with the patient's family, I employed effective communication and demonstrated care to provide necessary support. To ensure comprehension, medical jargon was avoided. After discussions with the family, Doctors, and the police, consent was given by the patient's father to terminate treatment resulting in death within an hour. The father expressed a desire to donate his son's organs but both Doctor and police explained it was not possible due to an ongoing murder investigation. Despite this setback aligning with his son's wishes would benefit others; however, a post mortem examination by the police coroner was required to establish cause of death.

The father was left devastated upon learning that the patient's organs were not suitable for donation. The coroner has legal authority to decline organ donation in cases where there may be an ongoing investigation, such as murder. As someone who worked in the NHS for eleven years, I can attest that this was the most traumatic event I have ever witnessed, with visibly affected police officers and a profound impact on everyone in the ward.

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