LEARNING CONTRACT CONSIDERING THE SURGICAL AND ANAESTHETICS ROLES OF ODP FOR AN ABDOMINAL HYSTERECTOMY.
Dip of HE (ODP)
Enhanced Theatre Practice
REFLECTION ON THE LEARNING CONTRACT.
This is a reflective essay based on my experience of participating in delivery of anaesthetic and surgical care to a patient undergoing abdominal hysterectomy under general and regional anaesthesia. I will be describing the process involved, my participation and contributions, what I learnt during the experience and how this gained knowledge will improve my professional competency. Reflection is a way in which health professionals can bring theory into practice because reflection has a potential to uncover knowledge and promote action. Reflection also promotes better clinical judgement. Dyke (1999) emphasised that reflection is a vital part of the practitioner’s daily work. Johns(2000) also described reflection as a window through which the practitioner can view and focus self within the context of his/her own lived experience in a way that enable him/her to confront, understand and work towards resolving the contradictions within him/her between what is desirable and actual practice. The use of a recognised frame work allows for a more structured interpretation when reflecting upon practice (Dyke, 1999). For the purpose of this essay I am going to use Gibbs’ (1998) mode of reflecting. This is a reflective cycle which provides a straight forward and structured framework and encourages a clear description of the situation, analysis to make sense of the experience, conclusion where other options are considered and reflection upon experience to examine what the professional would do should the situation arise again. It must be noted however that any reflective practice is reliant on memory and interpretation of events - selective memory is a particular problem especially following a negative event (Newell, 1992). I will for the purpose of reflecting on this experience pay particular attention to the administration of epidural, the surgical scrubbing technique, accountability, and my roles as ODP in the above mentioned processes After deciding on hysterectomy as the topic for my learning contract, I had a discussion with my lead mentor, anaesthetic and surgical mentor on how best to give me the opportunity to be involved in two specific hysterectomy cases so that I can have both the anaesthetic and surgical assessment. Then I set about getting materials; literatures from journals, internet, textbook, and discussion with my mentors, other senior colleagues and consultants. In the period of sourcing for this specific knowledge base I have learnt a lot about hysterectomy; types, choices, emotional implications, and alternatives and I can say this will really help me in my future role as a professional. Analysis and Evaluation.
For the purpose of fulfilling this learning contract I assisted the anaesthetist in preparing the patient who is to undergo abdominal hysterectomy under general anaesthesia. And I was supervised by my anaesthetic mentor during this process. I earlier prepared the room, check the anaesthetic machine, set up the intravenous fluids ,brought out anaesthetic drugs , prepare for difficult intubation and set up for epidural. I checked the patient in by confirming her name, date of birth, last time she had anything to drink or eat. I was actually left alone to totally work with the anaesthetist without any contribution from my mentor. The anaesthetist also showed me how to set up the PCA pump infusion for post operative pain relief which the patient will take to the recovery. The anaesthetist talked me through the epidural insertion which was later connected to the Epidural pump. The experience was very good for my confidence and I also learnt the importance of preparing and be organised for the anaesthetic process; anything can...