Adult To Ill Health Reflection

Reflection: Adult to ill health. Y2 SEM 2
This reflection will reflect upon a key skill that I still need to develop in clinical practice. It will mainly look at numeracy. A significant event will be outlined in order to demonstrate my knowledge to the key skill and then discuss key skill in relation to nursing practice. The Gibbs model of reflection (1988) will be used to reflect on what happened; discuss my actions, thoughts and my feelings. A Personal Development Plan will be provided to show how future learning needs will be met (see appendix 1). Personal development plans are individuals plan for what an individual knows about a skill, what they need to know and how they plan on achieving their own set goals. (Grit 2009).
Newell (1997)
We were supposed to administer 100mls within 20-30; rather I had set the pump to infuse faster than it should have been. Cohen (2007) pointed out that administering drugs faster than intended could cause unintended responses and unnecessary suffering to the patient. We handed over Mr Smith to the next shift. The patient complained of hearing sounds in his ears, nausea, and dizziness and felt very weak. Gentamycin is toxic to the kidneys and auditory nerve if given at a high concentration. (Richard and Edwards 2005).The nurse who had taken over the care of Mr Smith from us realised that the gentamycin had been administered faster than it was supposed to be given. She checked in the British National Formulary (2010) for the side effects and found out it was the side effects of infusing gentamycin faster that Mr Smith was then suffering with. We completed an incident form to report the incident as the trust policy states. Chua, Tea and Rahman, (2009) pointed out that nurses were failing to report near misses or errors because of being ashamed about what their fellow colleagues would think of them and fear of punishment by their employers. They encouraged nurses to report all the incidents for future