Reflective Documents NFDN 2008

December 14, 2015

NFDN 1002 Report on Progress of Professional Portfolio

Major competency area: E, competency number and letter E-6 for
Identify competency
number, letter, and
subcategory.

nutrition/ hydration. Subcategory E-6-1: E-6-1 Demonstrate

knowledge and ability to assess and provide nutrition/hydration by
multiple routes: enteral, gastrostomy, hypodermoclysis ,
intravenous, jejunostomy , nasogastric, nasojejunal, oral, and
orogastri
I had seen and worked with many clients with gastrostomy while
working in nursing home as an HCA. At that time, I had never
realized that gastrostomy is a more complex route until after I read

Describe one
significant learning
experience in this
course related to the
CLPNA competency.
provide an example.

Canadian Nursing Fundamental of Nursing 5th edition, pages10971099, skill 42-5 and practiced the G- tube skill in lab. While
providing client care, I had noticed the g-tube hanging in abnormal
way and redness around G-tube site. I used to think those were
normal. Actually, NFDN 1002 taught me that those are serious
things. I think that RN or LPN should teach health care aides to
report to them if they notice any of these kind of abnormality. When I
will start working as an LPN, I make sure that I will teach the HCAs
what are abnormal G-tube conditions why it is important to notify
LPN or RN.
I learned that G-tube feeding can cause frequent aspiration among
clients if nurses properly do not apply knowledge such as, raising

Describe what you

client's head up, checking PH level of stomach, gastric residual

learned and how it

volume etc while feeding the clients. In most of the health care

relates to the

setting, LPNs administer nutrition and medication via G-tube. For

competency. Explain

that reason, LPNs must have proficiency about the skill, they

why it was meaningful.

perform. It is extremely meaningful in terms of keeping clients'

health and safety in maximum level.

Reflective Documents NFDN 2008

Uses the " Proficiency

Categories" to rate their
proficiency in the
chosen CLPNA
competency. Explain
what done to achieve

December 14, 2015

I rate myself good at G-tube feeding because I have practice the

procedure in lab setting. I also feel like I am more confident of
feeding patient via G-tube in real situation. I have seen multiple
times RN and LPN using G-tube for feeding and medication
administration in my work place.

the competency.
Ever since I have learned the G-tube skill, I have got more confident
handling medications and providing care for clients. This skill will
certainly boost my nursing knowledge that requires in my future
clinical in order to be successful in the course and in nursing career. I
think that when somebody loses their physical ability due to any
Describe how you will

reasons, they may feel embarrassed in front of nurses. At this

apply this learning in

moment, the nurses should understand clients' feelings by supporting

your current and future

them without demeaning them, but with compassionate nursing care.

nursing practice.

CLPNA competency is about providing clients a holistic care. For

example, an LPN cannot be a competence in her field just by being
proficiency in practicing nursing skills. She has to have abilities to
communicate therapeutically and show compassion to the clients.
For this reason, I will provide care to all clients with respect. I will
also make sure agency policy allows me G-tube feeding.

Reflective Documents NFDN 2008

December 14, 2015

NFDN 2003 Report on Progress of Professional Portfolio

CLPNA competency under elimination is E-7.
Subcatagory E-7-1 is about demonstrate knowledge and
ability to manage elimination needs including:
For urinary: bladder scanning, catheter flush,
IDENTIFY COMPETENCY

continuous bladder irrigation, distension , double J stent,

NUMBER, LETTER AND

incontinence, inserting and removing urethral and coude

SUBCATEGORY

catheter, nephrostomy, re-inserting established

suprapubic catheter, residual urine, retraining,
urethrostomy, urostomy, and vaginal pessary
For bowel: odigital stimulation, enema , fecal
disimpaction, ostomies irrigation, and rectal tubes
I think inserting and removing urethral catheter is a
significant skills to learn in order to practice
competence patient care. Urinary catheter has been very
common use in health care setting and in individual's
resident. When I had c-section, I was in urethral catheter

DESCRIBE ONE SIGNIFICANT

LEARNING EXPERIENCE IN THIS
COURSE RELATED TO THE CLPNA
COMPETENCY. PROVIDE AN
EXAMPLE

for 24 hours. When one of my friend had a baby, she

had to use the urinary catheter for two months. Many
residents in my work place have urinary catheter. Some
of the resident pull the catheter and bleed too. After
reading the NFDN 2003 textbook and insertion and
removal of catheter practice in lab setting, I realize how
important it is to protect catheter users from urethral
trauma. Anytime, I see any resident with catheter, I
make sure they have catheter tube holder attached to
prevent from pulling.

Reflective Documents NFDN 2008

December 14, 2015

I learned that catheterization is an invasive procedure.

Nurses need to have adequate skills of using a proper
catheter size and strict aseptic technique while inserting
and removing the urethral catheter in order to prevent
patients from infection and trauma. The wrong size of
DESCRIBE WHAT YOU LEARNED
AND HOW IT RELATES TO THE
COMPETENCY. EXPLAIN WHY IT
WAS MEANINGFUL.

catheter induce discomfort and pain. Breaking sterile

technique in catheterization cause urinary tract infection
to patient. Nurses need to follow agency policy that
within how many days or week the catheter need to be
remove. Nurse must remove water from the catheter
balloon to deflate it before removing catheter. This type
of facts are important for me know while inserting and
removing catheter, so that I do not compromise patients'
health and am able to practice ethical patient care in

USES THE PROFICIENCY

CATEGORIES TO RATE THEIR
PROFICIENCY IN THE CHOSEN
CLPNA COMPETENCY. EXPLAIN

nursing career.
I rate myself " good" in inserting and removing
catheterization because I have practice this skill in lab
many times. I also have seen RN performing
catheterization and LPN are removing catheter.

WHAT WAS DONE TO ACHIEVE

THE COMPETENCY.
Some facility do not allow LPN to perform insertion of
catheter; therefore, I will follow agency protocol. If
DESCRIBE HOW YOU WILL APPLY
THIS LEARNING IN YOUR
CURRENT AND FUTURE NURSING
PRACTICE

agency allow LPN to perform the skill and I am not

comfortable to do it, I will ask for help and feedback
from supervisor. I will practice under LPN standards of
practice and ethical codes. I will make sure I will not
danger patients' health. I provide nursing care regardless
of any gender with dignity.

NFDN 2004 Report on Progress of Professional Portfolio

Reflective Documents NFDN 2008

December 14, 2015

According to CLPNA, Practical nursing competency for maternal and newb

falls in major competency are "K". Competency K-2 is for prenatal care.
IDENTIFY COMPETENCY

Subcategory K-2-3 demonstrate knowledge of prenatal care and complicati

NUMBER, LETTER AND

associated with pregnancy including: abruptio placenta, ectopic pregnancy,

SUBCATEGORY

of substance abuse , fetal growth issues, gestational diabetes mellitus, hyper

gravidarum, hypertensive disorder, malposition of fetus, placenta previa, pr

labor, spontaneous or missed abortion.

The NFDN 2004 course has provided me a lot of information regarding preg
labor and delivery, and newborn. Among all the topics, prenatal care is the
significant in order to maintain a healthy pregnancy.

When I was pregnant a year ago, I was diagnosed of placenta previa and ges

diabetes. As I never had any health problem before the pregnancy, I was ver
DESCRIBE ONE

in stress just by learning that I had such health problem. The diagnosed wor

SIGNIFICANT LEARNING

sounded as if my pregnancy was no longer going to be succeed. My doctors

EXPERIENCE IN THIS

explained me what the conditions were and how to prevent them, but I neve

COURSE RELATED TO THE

understood them. I used to be hopeless all the time. Each moment, I was sc

CLPNA COMPETENCY.

losing my baby. I used to be so worried when baby would not move for coup

PROVIDE AN EXAMPLE

hours. I wish I would have studied the NFDN 2004 while I was pregnant or

my pregnancy, so I would be able to comprehend the problems with positive

aspects. Now, I fully understand placenta previa and gestational diabetes are
common conditions among pregnant woman. With simple pre-caution, the

pregnancy goes to full-term, so everyone should enjoy the precious moment

DESCRIBE WHAT YOU

Having knowledge of complex pregnancy such as, placenta previa and gesta

LEARNED AND HOW IT

diabetes is an essential for me in practical nursing career. I learned that preg

RELATES TO THE

women with placenta previa should contact health care professional as soon

COMPETENCY. EXPLAIN

notice any painless vaginal bleeding. Sometime, lower laying placenta can r

WHY IT WAS MEANINGFUL.

During gestation diabetes, pregnant women should follow nutritionist instru

and gradually control glucose level in blood. This kind of knowledge streng

confident while providing health education to clients. I can educate them wi

rationale in lay-man language, so that they can minimize worrisome and fol

caution in timely manner. Without such knowledge, proper teaching becom

Reflective Documents NFDN 2008

December 14, 2015

difficult. It has also given me the knowledge of how to provide emotional su

a pregnant client during prenatal care.

USE THE PROFICIENCY

I rate very Good" to evaluate proficiency. In NFDN 2004, I have learned h

CATEGORIES TO RATE

assess and educate pregnant women associate with complication by providin

YOUR PROFICIENCY IN THE

different materials. I am confident that I can apply this knowledge to my cli

CHOSEN CLPNA

during my clinical, and after I start to work as a practical nurse in health car

COMPETENCY. EXPLAIN

.This course has given me insight knowledge and ability to assess and perfo

WHAT WAS DONE TO

nursing interventions as well as to promote health education during pregnan

ACHIEVE THE
COMPETENCY.

I will apply my nursing knowledge and skills according to agency protocol

always priorities clients safety and well-being. The knowledge I obtained fr

course, and following the guidelines from my supervisors and physicians, I
DESCRIBE HOW YOU WILL

assess and intervene the clients' situation properly for outmost outcome. As

APPLY THIS LEARNING IN

the prenatal care will make the pregnancy more joyful to the clients. I will a

YOUR CURRENT AND

responsible and accountable for my actions. I will request for help with co-

FUTURE NURSING

or supervisor if any confusion arises, because I do not want to provide wron

PRACTICE

information to the clients. I will respect the regardless of their age, cultural
language barrier, needs, and personal interests. I will protect the client

confidentiality . I will advocate clients' right without judgmental. I will pro

empathetic care to enhance the clients' health and well-being.

Reflective Documents NFDN 2008

December 14, 2015

NFDN 2005 Report on Progress of Professional Portfolio

According to CLPNA, practical nursing major competency area for
pediatrics is "L". Competency L-1 is knowledge, assessment and care
COMPETENCY

of pediatric Client / family. Subcategory L-1-2 demonstrates

NUMBER, LETTER,

knowledge of human anatomy and physiology of pediatric clients:

AND

cardiovascular system, central nervous system, gastrointestinal

SUBCATEGORY.

system, genitourinary system, growth and development stages,

integumentary system, musculoskeletal system, and respiratory
system.
Myself being a first time mother, NFDN 2005 has taught me a lot
about babies. For example, growth and development stages, and

DESCRIBE ONE
SIGNIFICANT
LEARNING
EXPERIENCE IN
THIS COURSE
RELATED TO THE
CLPNA
COMPETENCY.
PROVIDE AN
EXAMPLE.

genetic and external environmental roles in a child are the most

intriguing topics in the course. Including myself and most of my
friends, we are worried about our children's eating behaviors. One day
our children eat a lot and the next day they eat nothing. I was worried
when my baby started eating less food right after his first birthday. I
prepared different kinds of food hoping that he will eat enough ( I
expected him to eat more), but my handwork was in vain ( he did not
eat). I took him to his doctor for this reason. The doctor said that I
should not be worried because my baby is healthy. Until after I read
this book I did not know the rationale behind a toddler's decreased
food interest. As per this book, a toddler's daily food intake and
appetite are unpredictable because their physical growth is more slow

DESCRIBE WHAT

than in the infant stage.

Having knowledge about child growth and development stages is most

YOU LEARNED

important for good parenting. Now I learned that as long as my baby

AND HOW IT

eats sufficient food in a positive environment, I should not be worried

RELATES TO THE

about feeding him more. If my baby's height, weight, head

COMPETENCY.

circumference, and his regular growth is in the average range, I should

EXPLAIN WHY IT

not force him to eat more. I rather follow Canadian food guide for

WAS MEANINGFUL. children and provide him balanced nutrition. As an LPN, this type of

Reflective Documents NFDN 2008

December 14, 2015

knowledge and experience will assist me to explain to worried parents

in a confident manner when I will be in a pediatric health care setting.
The personal experience definitely strengthened my nursing quality
while providing nursing care and nursing-client education.
USE THE

I rate Good" to evaluate my proficiency in pediatric nursing because

PROFICIENCY

I have not practiced my knowledge and skill in a real setting. In

CATEGORIES TO

NFDN 2005, I have learned how to assess and educate children and

RATE YOUR

parents, and provide them supports and right materials in order to

PROFICIENCY IN

enhance the child's health. I think there are many parents worried

THE CHOSEN

about their children's eating pattern. I am confident that I can apply

CLPNA

this knowledge and experience to my clients during my clinical, and

COMPETENCY.

after I start to work as a practical nurse in a health care setting . This

EXPLAIN WHAT

course has given me insight, knowledge, and ability to assess and

YOU DID TO

perform nursing interventions as well as to promote health education

ACHIEVE THE

in pediatric setting.

COMPETENCY.
DESCRIBE HOW

If I get a chance to work in a pediatric care setting, I will apply my

YOU WILL APPLY

knowledge and skills according to the LPN scope of practice and

THIS LEARNING IN

agency policy. The knowledge I have learned from this course, and

YOUR CURRENT

following guidelines from my supervisors and physicians, I will use

AND FUTURE

proper assessment techniques and interventions for positive outcomes

NURSING

in children's health and family. I will be responsible and accountable

PRACTICE.

for my actions. I will advocate my clients' rights regardless of their

age, cultural, religious beliefs, language barrier, needs, or personal
interests. I will try my best to provide excellent care to children and
their parents to make their parenting fun because parenting is a tough
responsibility. At the same time, with a little bit of an extra health
education, parenting can be a precious moment in life.

Reflective Documents NFDN 2008

December 14, 2015

NFDN 2006 Report on Progress of Professional Portfolio

CLPNA has categorized practical nurse's major community health competency
IDENTIFY
COMPETENCY
NUMBER,
LETTER AND
SUBCATEGORY

area under letter "R". Competency R-3 is for health promotion. Subcategory
R-3-2 demonstrates knowledge and ability to plan and participate in primary,
secondary and tertiary disease prevention activities including: prevent onset,
address risk factors, control and treat progression, and rehabilitation/restoration.
The community health in nursing course has provided me a clear information
about importance of disease prevention in community. How can I forget my
pregnancy which was full with complications such as, gestational diabetes and

DESCRIBE ONE
SIGNIFICANT
LEARNING
EXPERIENCE IN
THIS COURSE
RELATED TO THE
CLPNA
COMPETENCY.
PROVIDE AN
EXAMPLE

placenta previa. At the same time, I desperately wanted to have a baby. With all
these health problems, gestational diabetes was the one became more focused. At
first, doctor had sent me for regular lab test of 24-28 weeks as a primary
prevention. In the lab test, my blood glucose serum indicated possible gestational
diabetes. For secondary prevention, I had to go for oral glucose tolerance test and
fasting glucose as per doctor's order. At that time, I was diagnosed of gestational
diabetes. In tertiary prevention, I attended diabetes clinic to minimize injury from
the condition. When I read the health promotion and epidemiological
applications, I understood that the process and level of preventions greatly help
community to prevent from injury and disease. I now think that with all the

DESCRIBE WHAT
YOU LEARNED
AND HOW IT
RELATES TO THE
COMPETENCY.
EXPLAIN WHY IT
WAS
MEANINGFUL.

preventions, my pregnancy was successful.

I have learned three levels of disease prevention: primary prevention, secondary
prevention, and tertiary prevention along the type of interventions for each
preventions. In LPN role, I gained ability to serve effectively in disease
prevention in community setting. With the different disease prevention
knowledge and effective intervention strategies make possible in protecting and
maintaining health and well-being of individuals, families, groups, communities,
and populations. For example, the NFDN 2006 textbooks says that within the
community, community leader, adolescents, parents, teachers, and health care
providers can work together to establish recreational opportunities to prevent
obesity in adolescent. Moreover community health nurse can advocate for health
promotion activities through funding opportunity. . Now, I am able to implement

Reflective Documents NFDN 2008

December 14, 2015

10

the knowledge of the preventative measure in my profession. At the same time, I

will follow preventative actions in my personal areas in order to keep the
community safe from different kinds of diseases and burdens.

USE THE
PROFICIENCY
CATEGORIES TO
RATE YOUR
PROFICIENCY IN
THE CHOSEN
CLPNA
COMPETENCY.
EXPLAIN WHAT
WAS DONE TO
ACHIEVE THE
COMPETENCY.

In the proficiency category, I evaluate myself "fair", because I have not had any
chance to apply the learnt knowledge from NFDN 2006, yet. I just have read the
textbook to gain the knowledge. This knowledge will be necessary in my
preceptor setting to achieve good or excellent proficiency.

When I get an opportunity to work as a community health nurse I will apply my

knowledge and skills according to my scope of practice and agency policy. I will
DESCRIBE HOW
YOU WILL APPLY
THIS LEARNING
IN YOUR
CURRENT AND
FUTURE
NURSING
PRACTICE

follow the guidelines from my supervisors, and co-workers. I will be responsible

and accountable for my actions. I will report and document in non-judgmental
way . I will seek for help in workplace if any confusion arises. I will be
respectful to my clients rights and priorities as well as their age, cultural and
religious beliefs, language barrier, needs, personal interests and confidentiality
while delivering services to them. I will be respectful, supportive and advocating
rather than being judgmental. I will do my best to provide patient centre care.

Reflective Documents NFDN 2008

December 14, 2015

11

NFDN 2007 Report on Progress of Professional Portfolio

CLPNA has categorized practical nurse's major mental health and

IDENTIFY

COMPETENCY
NUMBER, LETTER
AND SUBCATEGORY

addiction competency area under letter "M". Competency M-2 is

for mental health and addiction assessment and intervention.
Subcategory M-2-9 demonstrate knowledge and ability to apply
principles of pharmacokinetics and pharmacodynamics specific to
medication management in mental health and addiction nursing.
Even though, I have studied pharmacology earlier, I have gained more
information about psychopharmacology through NFDN 2007 course.
Every medication has side effects and administration methods, but
psychiatric medication requires more attention during drug
administration, titration, and tapering. While reading the NFDN 2007

DESCRIBE ONE
SIGNIFICANT
LEARNING
EXPERIENCE IN THIS
COURSE RELATED
TO THE CLPNA
COMPETENCY.
PROVIDE AN
EXAMPLE

textbook, a heartbreaking incident came to my mind all the time. Last

year, one of my relative had suicide in Calgary. He was recently moved
to Canada with his wife and two 7 years old son and 4 years old
daughter. After six months of his stay in Canada, he took his life living
everyone shock. He was taking medication for depression. None of his
close family realize that he will take such a action. When I was reading
chapter 12 in textbook, it struck me that antidepressant drugs such as
SSRIS and TCAs can induce exacerbate suicidal ideation. One point, I
thought that if family or himself knew such a side effect, he would may
be with us now.

DESCRIBE WHAT

YOU LEARNED AND

HOW IT RELATES TO
THE COMPETENCY.
EXPLAIN WHY IT
WAS MEANINGFUL.

I have learnt regarding psychopharmacology that the antipsychotic

medications are life threatening for patients if nurses does not assess
patient vigilantly. For example, nurses should not give MAOIs drugs
with aged cheeses, fermented meat, all tap beers, yeast extract, soy
sauce etc because these food trigger hypertensive crisis and patient can
die. The psychiatric medication is more lethal if taken only three to
five times the therapeutic dose, so knowledge of these drugs' side

Reflective Documents NFDN 2008

December 14, 2015

12

effects and nursing implementation knowledge is important. This kind

of knowledge is meaningful because my career path I have chosen
deals with medication most of the time. During this time, I want to
provide best care to the patients. I do not want someone dies because
of my lack of knowledge in medication administration and nursing

USE THE
PROFICIENCY
CATEGORIES TO
RATE YOUR
PROFICIENCY IN THE
CHOSEN CLPNA
COMPETENCY.
EXPLAIN WHAT WAS
DONE TO ACHIEVE
THE COMPETENCY.

responsibilities.
In the proficiency category, I evaluate myself "good", because I have
administered the antipsychotic medication during clinical settings. I
think the NFDN 2007 assist me to gain more knowledge about
psychiatric drugs, assessment, and nursing intervention. I just have read
the textbook to gain the knowledge. This knowledge will be necessary
in my preceptor setting to achieve excellent proficiency.

I will apply my knowledge and skills that are learned in NFDN 2007 as
per CLPNA scope of practice and agency protocol. II will use
assessment techniques and interventions in order to provide patient's
DESCRIBE HOW YOU
WILL APPLY THIS
LEARNING IN YOUR
CURRENT AND
FUTURE NURSING
PRACTICE

centre care. I will be responsible and accountable for my actions.. I will

be respectful and provide competent care to my clients by considering
their age, cultural and religious beliefs, language barrier, needs,
personal interests, and confidentiality. I will also report patients'
concerns and status to supervisor and physician and document my
findings appropriately. I will be respectful, supportive and advocating
patients in non-judgmental manner. I will always be ready to assist coworkers whenever needed.