Feelings

Reflecting on the incident, I felt that I did not act in the best interest as I was supposed. I am supposed to be answerable for my actions in cases of decision-making, giving advice and directives for my practice. I felt that I would have controlled the occurrence of the situation by performing extra patient assessments on their state of health to avoid the fall occurrence.

Evaluation

The doctors and the nurses commended me for taking responsibility for pressing the emergency button that allowed the team to come to the assistance of attending to the patient reasonably, avoiding major injuries and complications to the patient. Unfortunately, the patient suffered from small bruises on her hand and head, but there was no fractured bone injury. Areas of improvement are that I should have done an intensive assessment of the patient’s situation before accepting her request to shower herself.

Analysis

Based on my analysis, the occurrence of the event would have been prevented if the proper evaluation and assessment of the patient’s condition. Proper communication between the patient and the nurses is essential to identify areas of challenge. The occurrence was a mind-opening encounter to me that nurses should be more task-oriented rather than patient-centered (Liu et al., 2022). The welfare and safety of the patients are supposed to be an area of great concern during caregiving. Patient falls common challenges experienced n health and care institutions. The major causes of such accidents are medical conditions, dizziness, and physical conditions such as amputation (Rashid, 2019). Whatever the case, the patient should be prevented by performing appropriate assessments and interventions.

Conclusion

Gibbs’ Reflective Cycle is essential in providing assessments and evaluations for a patient. The process entails six stages of exploring an experience, including; description, feelings, evaluation, analysis, conclusion, and action plan (Li et al., 2020). This reflection is essential to me as it relates to the challenges that can occur if proper measures are not taken during patient care. The patient’s fall would have been prevented, and in this case, the event made me more self-conscious of my necessary interventions when dealing with patients in the course of my career practice.

Action Plan

I will ensure I perform a full and proper patient assessment in the future. I will check their mobility status before allowing them to perform standing or walking activities. I will provide my patients with instructions or equipment to help them prevent falls. If the patient is not safe showering on their own, yet they feel they can, I will communicate with them effectively concerning the situation and make them know them know that their safety is my greatest issue of concern (Meekes et al., 2022). I will also reassure my patient that they will resume showering as soon as they become more stable and not in a position to experience fall incidents.

Gibb’s Reflective Cycle on Medication Error

Description

The incident occurred in the ward that involved a patient aged 75 who had diabetes. The patient needed to be administered insulin at 1 am. Under the supervision of the registered nurse, I was requested to administer 24 units of insulin which I did in the presence of the registered nurse. I checked and administered the units of insulin as instructed. I left for a while, but on returning to the ward to check the patient, I realized the patient’s glucose level had drastically dropped from 15mmol/l to 3.7mmol/l. I immediately informed the registered nurse, and we proceeded to check the medication chart. We realized that we had administered 24 units of insulin to the patient instead of 2.4 units.

Feelings

The occurrence of the event was greatly disturbing and depressing to me because of the medication error. The event made me realize how important it is to double-check the medication chart before administering it (Mazhar et al., 2018). At one point, I felt greatly disappointed by the supervising registered nurse, and I realized that I had a greater responsibility to ensure that the medication error did not happen. Medication errors related to insulin administration would result in serious consequences and I felt that the related event would have been life-threatening to the patient.

Evaluation

On evaluating the incident, I would say what went well is that the challenge was experienced under the supervision of the registered nurse; hence I would not take the entire fault for the event. Additionally, after realizing the mistake, I immediately informed the registered nurse that the patient


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