According to Loughlin (2018), respiratory rate is arguably the most important vital sign, often missed or misrecorded, which can often lead to poor outcomes for the deteriorating patient. The importance of counting for a full minute allows the practitioner to fully assess the patient using the four-step process. This involves inspection, looking at the color and appearance of the person as a whole. Palpation, position of the person looking at the area affected by the trachea, seeing that there is distortion of the trachea or neck. Percussion, how the person sounds when inhaling and exhaling and Auscultation which examines the quality and frequency of respiratory effort. Compliance with these guidelines allows the practitioner to look for possible anomalies. Say no to plagiarism. Get a tailor-made essay on “Why Violent Video Games Should Not Be Banned”? Get an original essay When I chose this topic, I felt like I had a relatively good understanding of respiratory rates. However, as I read the articles and reports, I found that I only had basic knowledge. This left me a little lost as to where I wanted to go with this essay. This made me question my abilities as an apprentice nursing associate and whether I really had what it took to qualify within two years. I suddenly realized that my experience may not have been as in-depth as I had initially thought and that it was perhaps too soon after my level three qualification to be thinking about the next step in my career. 'nurse. My anxieties crept into my mind. The more I read, the more lost I felt, some of these articles were so in depth that I didn't fully understand them. I somehow stayed positive throughout these weeks of doubt. Reflecting on my learning journey, I must admit that the last few weeks have been extremely difficult. Learning to use the Digital Learning Environment (DLE) or Moodle and finding your way around the site, accessing the library (Primo) has gradually become easier. I can easily navigate the site to find relevant items when I need them. I am aware that this is a professional obligation and that continuing education is part of our competency standards in our contract of employment with the trust as an apprentice nursing associate. This is essential to my growth as I continue my learning journey. The State Nursing and Midwifery Council (NMC 2018) requires nurses and midwives to use feedback as an opportunity for reflection and learning to improve their practice. I have to admit that as a medical assistant admitting patients to the medical assessment unit, when we were completely overwhelmed, I would take a respiratory rate by counting for 30 seconds and multiplying by 2 to get a full reading. Since becoming an apprentice nursing associate and reading the articles and articles, I now have a new passion and, whatever constraints I face, I now read through, having a new understanding of the importance of respiratory rates. I have also found that as we are going to be accountable and regulated, I comply with clinical guidelines in all aspects of my role. That's not to say I wasn't doing it before, I feel like I'm getting more and more proud of what I'm doing now. I also feel more able to help those who may not understand the implications,because I now have more knowledge to support my findings. I now work more within clinical guidelines and have found that counting respiratory rates for a full minute also allows me to observe the patient from a holistic approach. I have never had an academic mind and I have always had difficulty putting into words what I thought. can do. However, in researching the importance of critical thinking, it was reassuring to find that I am not alone in this. I made the mistake of handwriting my entire guided learning folder rather than typing directly on the folder, this was my preferred method of doing this type of activity. However, with the depth of knowledge needed for this. I now know that the handwritten note form is the way to go because I have unintentionally doubled my workload. I now feel competent and confident to educate others on the importance of accurately recording respiratory rates, thereby improving the patient experience. I need to be more confident that I know what I'm doing and that I deserve to take this course. I have to approach every task in a positive way, it's okay to have basic knowledge, it's a basis to work on. It’s an honor to take this course and I can do it no matter what my anxieties tell me. I need to open up a little more, to let people know that I also struggle with certain aspects. Many of my peers think I have a good understanding of this project, when in reality, I had no idea either. I am considered the mother of the group, so I felt that I had to be strong and help everyone, while neglecting my worries and difficulties at the same time. I know there is support for me and I need to stop being so stubborn and ask for help when I need it because it ends up hindering my learning journey. Breathing is more than just rhythm. Inspiration, breathing. When you inhale or inhale, your diaphragm contracts and descends. This increases the space in your chest cavity, into which your lungs expand. The intercostal muscles between your ribs also help to enlarge the chest cavity. They contract to pull your rib cage up and out as you inhale. Gas exchange takes place in the millions of alveoli in the lungs and the capillaries that surround them. Inhaled oxygen moves from the alveoli to the blood in the capillaries, and carbon dioxide moves from the blood in the capillaries to the air in the alveoli and is then exhaled. Respiration is the production of energy, usually with the intake of oxygen and the release of carbon dioxide. As you exhale, your diaphragm relaxes and rises into the chest cavity. The intercostal muscles between the ribs also relax to reduce the space in the chest cavity. As the space in the chest cavity decreases, carbon dioxide is expelled from your lungs and windpipe, then out your nose or mouth. These steps will allow us to see if there are any notifiable irregularities. Breathing should be effortless, we should seek ease, comfort, pattern and position. Although studies show that there is no connection between respiratory rate and position. While observing the frequency and rhythm, we must also observe the color and general appearance of our patients, listening for any abnormal sounds. This will be consistent with what is recognized as the gold standard for EWS. The Early Warning Scoring Protocol was introduced in 2012 and updated in 2017 after several reports were discovered. There was no single way to detect a patient whose, .