Essay clinical skill
to do, however I started to panic slightly when waiting for the doctor to arrive as it felt like an eternity, as my concern for Vikki's safety grew. My competence, within this clinical skill, has been further developed and I now feel that my personal and professional development is progressing. The Gibbs model of reflection allows the skill to be critically analysed. I asked her if she would prefer to sit or lie down, she said she rather sit, this was ok with me as I am not very tall and found this a comfortable position for. I then proceeded to administer the medication, after completing the procedure I disposed of the needle in the sharps box and documented it in the patients notes. It has also been noted that the use of cleansing with an alcohol wipe can cause skin hardening (Mallet Dougherty 2000). In conclusion, stage five of the Gibbs (1988) model, I am aware that all nurses do not use evidence in the same way and may use different methods but as long as my practice is safe and evidence based then I can practice safely. Accessed ; Available from: p?vref1. However, the preparation time in the clinical skills laboratory can be challenging for an over extended faculty. I was aware of being under the supervision of my educator and other classmates this made me feel very nervous and self- conscious. As Woorkman (1999) suggest that leaving in situ for 10 seconds allows the medication to diffuse into the tissues.
Reflection on a clinical skill, essay, example for Free
Casterbridge essays, Arriving and departing essay, Different perspective essay,
The Royal Marsden (Mallet Dougherty 2000) advocate the use of skin cleansing wipes, however it is stated within their guidelines that they adopt this because their patients are often immunocompromised, and give evidence of previous studies which indicate that skin cleansing is not normally necessary. It is located in the hip area and forms the buttock (Watson 2000). An IM injection is the administration of medication into the muscle; there are many reasons why drugs are given via the IM route (Workman 1999). These reports have reiterated the need for the recording of respiratory rate within the student's current and future practice. I thought that as I had been observed carrying out this clinical procedure on many other occasions then my practice must have been seen to be correct. I immediately put Vikki on 40 oxygen which had already been prescribed by the doctors to increase her oxygen saturations. Holding the needle at a 90 degree angle it is quickly pushed into the muscle. A conclusion to the essay will then be given which will discuss my reflection skills, acknowledge my competence and show my personal and professional development. Essay on Implementing Change.
My mentor never mentioned anything about this although I do feel I should have worn one as its an aseptic technique and its part of the (DOH, 2006) guidelines. Evaluation and Analysis: On evaluation, it is evident that there has been a development in clinical skills. The clinical skill I have chosen to reflect on within this essay is the administration of Intramuscular (IM) injections.