Nursing Reflection Essay

Once the dressings were securely on and the procedure had been finished, I removed my apron and gloves and disposed of them in the plastic bag, along with everything thing else I had used and then washed my hands again. After leaving the patients home I discussed my practical experience with the Nurse who informed me that I although I had carried out the procedure well it was actually carried out using a clinically clean technique rather than the Aseptic Non Touch Technique as I had thought. As I had used the same gloves to remove the dirty dressings from the leg ulcer and then apply new sterile dressings I had not maintained the Aseptic Non Touch Technique. The Nurse informed me that this was perfectly suitable for the procedure I carried out as the wound was still kept as clean as possible and dressings and equipment used were sterile.

The assignment critically discusses a reflective practice with regards to a clinical placement I undertook. In the following critical incident that I encountered I will utilize the Gibbs Reflective Model. Gibbs reflective model is fairly straightforward and encourage a clear description of the situation. Analysis of feelings, evaluation of the experience, analysis to make sense of the experience, conclusion and action plan where other options are considered and reflection upon experience to examine what you would do if the situation arose again (Gibbs 1998). Unlike many other models (with the exception of Boud) Gibbs model takes in to account the realm of feelings and emotions, which played a part in a particular event. My rationale for

In this assignment I am going to reflect on a clinical situation that has taken place during my placement. I will be using the Gibbs’ reflective cycle which will include the skills of assessment, planning, implementation and evaluation of care and link it to the registered nurse standards for practice – standard 4 , comprehensively conducts and assessments (nursing and Midwifery Board of Australia [NMBA], 2016). The Gibbs’ reflective cycle consists of 6 stages which starts with a description of the situation and what I observed, the second stage is to describe what were my feelings and thoughts were at the time, third stage is an evaluation to explain what worked well and what was good, fourth is an analysis to link the incident to what we have been learning , fifth stage is the conclusion to talk about what else could have been done and the final stage is an action plan to set out next steps for if it was to happen again (Gibbs' Reflective Cycle, 2014).

Another research article about the use of 2% chlorhexidine for daily skin cleansing was established by Munoz-Price and implemented by the task force. Munoz-Price demonstrated that this intervention reduces the rate of CLABSI from 9.5 to 3.8 per 1000 catheter days. The task force also replaced the administration sets and add-on devices no more frequently than every 72 hours unless contamination occurred. Replacing tubing used to administer blood, blood products, or lipids within 24 hours of start of infusion was also monitored, along with changing IV port protectors no more often than 72

A is antisepsis of the skin, the skin could have microorganisms on them that can travel with the needle in to a patient’s blood stream. The use of alcohol wipes, chlorhexidine are the important to use before the needle breaks the skin barrier. Rubbing the site where the IV will be placed and letting it fully dry is the best way to keep infection out of the patient.

cross-infection. On account of this, after come into contact with the patient or any objects in the isolation room hands should have washed with liquid soap then thoroughly dried with soft paper hand towels. Alternatively, if no contact with body fluids has occurred, hands may be decontaminated using alcohol hand gel which is available at the end of the patient’s bed and outside isolation rooms (McKibben L, 2005). The following hand washing procedures are recommended.

Your injection process begins by washing your hands to remove the presence of any germs that exist.

From the scenario above, there was a direct contact (skin to skin) in which SN X touched the patient’s skin with bare hands and palpates the puncture site again before swap it with the alcohol swab. There is a possibility that SN X’s hand could have bacteria. Since at that time SN X had cold, it is possible if she touched her face to cover her mouth for sneezing or coughing. As indicated by a study done at the University of Colorado and posted on Bacteriality by Amy Proal (2008), about 332,000 genetically distinct bacteria which live on the human hand are fitting in with 4,742 distinct species. There might be a number of germs being transmitted to the child when she touches the child’s skin. If the sterility during the procedure is not maintained

Skin preparation: using soap (antimicrobial or non- antimicrobial) or an antiseptic agent on at least the night before the operative day should be considered.2,18

These barriers include the understanding of standard cleaning techniques, communication between hospital personal of patients infected with certain vectors, and knowledge of specific vector control methods. When it comes to understanding standard cleaning techniques for the technologist the unique challenges for effective disinfection comes from the variety of surfaces and equipment found in radiology departments. Porous materials and intricate imaging and peripheral devices require special consideration when designing and maintaining department cleaning policies.5 Strictly adhering to this cleaning procedure between patient interaction is key factor. The technologist should always be aware of what surfaces were directly related to the patient during the exam. When it comes to the second barrier, improved communication can enhance adherence to infection control precautions. This may include some behavioral change which remains a challenging obstacle. Infection control protocols are sometimes knowingly violated with the thinking this specific occasion will not result with any substantial consequences. When infection precautions are correctly communicated the technologist is in a greater positon to be able to take the proper precautions for controlling the vector. The final barrier would be knowledge of disinfectant techniques of specific vectors and wearing the correct protective gear for each situation. For the example ABR infections listed above this would include gowns and gloves being worn. The gloves and gowns should be disposed of prior to exiting the room. Immediately washing of the hands. If an imaging plate is used with a patient under a ABR contact precaution, it should be protected with a plastic covering and after removing the

Critical reflection within the profession of nursing helps us adapt our way of thinking in order to help us set goals and learn from our past experiences. As students, it is ideal for us to reflect on our past lectures and what we have learnt in order for us to determine how this information fits into our own ideas and concepts within our own lives. By connecting the content learnt in class to our own experiences, it is easier for the student to connect with the material in order to understand it more in depth. When reflecting upon the class material learnt in Dr. Malloy’s lecture, on October 2nd, there may be several ways to critically reflect upon regarding this specific class.

* Hand washing is the most important method of preventing the spread of infection by contact (Ayliffe et al 1999). The Nottingham University Trust Policy on Hand Hygiene (2009) states that there are three types of hand hygiene, the first is ‘routine hand hygiene’ which involves the use of soap and water for 15 – 20 seconds or the application of alcohol hand rub until the hand are dry. The second is ‘hand disinfection’ which should be used prior to an aseptic procedure by washing with soap and water and applying alcohol hand rub afterwards. The third is ‘surgical hand washing’ which is the application of a microbial agent to the hands and wrists for two minutes. In addition to which a sterile, disposable brush may be used for the first surgical hand wash of the day although continued use will encourage colonisation of microbes. The third example is the most appropriate to any O.D.P undertaking the surgical role as it is the best way for the surgical team to eliminate transient flora and reduce resident skin flora (World Health Organization 2010). The first and second are important to any O.D.P undertaking any other role within the Operating Department as this is the best way to reduce the transient microbial flora without necessarily affecting the resident skin flora

The essay is reflective writng .It reflects specific day as student nurse during hospital placement. The main aim of this essay is to explore self-awareness to learn from it. It is focused on four themes which are person-centred nursing, coping strategies, evidence-based practice and reflection on the challenging experience and response on showing self-awareness. In order to this, feelings are studied in depth and critically analysed. Furthermore they are evaluated to check accountability of learning while practicing. The essay is structured using Gibbs’ Reflective Cycle (Gibbs 1998, updated by Bulman 2013). Hence, it will begin with brief overview about the situation that was challenging. Followed by, feeling that were raised by situation and evaluating them. Along with that there will be critical analysis where they are supported with relevant resources. Ultimately, the conclusion will sum up the entire learning outcome that I gained from the experience. In the end, there will be final evaluation, where there will be brief discussion on the ways that could be done differently for the best learning experience for future.

If using a machine equipped with metallic stickers, it is important that the nurse wipes the patient's skin with an alcoholic swab before applying, to ensure good electrical contact is made as this according to Ford (2002) will save time in the long run.

The following reflection demonstrates my awareness for my own cultural influences. Through the cultural lenses of a student nurse and a tennis member. They have impacted the way I view others and is a guidance to my bicultural professional health care relationship.