INTRODUCTION This presentation will focus on the nursing care I have provided over two placement simulations and one placement shift, with an emphasis on oral hygiene, bed bathing and medication management. It will outline the key aspects of clinical nursing skills that took place in my setting. This will also highlight the learning process that has taken place and how it has helped me improve my knowledge and ethical values ​​in order to provide quality and safe care. Using other sources of current literature, I will use a reflective model to discuss how I achieved the necessary level of learning outcomes. By using this model I hope to demonstrate my knowledge and understanding in relation to these skills, as well as identify areas with opportunities for learning. Reflection is the process of reviewing an experience in order to describe, analyze, evaluate and then inform learning about practice (Reid 1993). Gibbs' (1988) reflection model will be used as a framework, because it focuses on different aspects of an experience and allows you to revisit the event completely. By contemplating it in this way, I am able to appreciate it and be guided where future development work is required. For confidentiality reasons, patients' real names will not be used and will be referred to as Patients B and R where appropriate. This is in line with the requirements (NMC, 2008) to maintain confidentiality at all times. Skill 1: Oral Hygiene Caring for a patient's mouth is an important component in assisting with hygiene needs and yet it is a nursing skill that is not always given attention and is fully deserved (Evans, 2001) Description I was part of a simulation group of internship who went to the multi-skills lab to practice delivering...... halfway through the document ...... cation Today. 13:305-309.Scott, L. (2008) Patients were reassured when I expressed my distress at the time of death. [Online] Available from: http://nursingstandard.rcnpublishing.co.uk/resources/studentlife/patientswere.asp [Accessed 16 February 2011].Sturdy, D. (2007) Indignity in care: are you responsible? Nurses of the elderly. 2007; 19(9): 9.The National Institute for Health and Clinical Excellence (2009), information on medicines management available at http//: www.nice.org.uk (accessed 14 February 2011) Voegeli D; British Journal of Nursing (BJN), 8 July 2010; 19 (13): 810, 812, 814 Cure or harm: exploring essential components in skin care regimes. Watson J (1995), Postmodernism and the development of knowledge in nursing, Nurs Sci Q 8 (2):60 ,World Health Organization (2010 ) “Oral Health,” at http://www.who.int/topics/oral_health/en/ (accessed 19/11/2010