Nursing and Reflective Practice Essay

Reflection is not just a thoughtful perform, simply a learning inhabit. (Jarvis 1992)This is a reflection on an sequent that come inred during a shift on the labour ward. I lease elect Gibbs model of reflection (1988) to guide my wistful process. (Gibbs 1998) (Appendix I). Gibbs model (1998) goes through half dozen important points to aid the reflective process, including description of misfortune, feelings, evaluation, analysis, conclusion and fin all in ally action at truth plan. The advantage of Gibbss six-stage model is that it allows you to learn from experiences and make changes for your future execute. renderingThe incident involves the governing of a wrong opiate medicate to a postnatal patient. The incident occurred whilst checking and administering a controlled drug. The drug flaw was discovered by the co-ordinator at the end of the day shift. During the daily checking of the controlled drugs, the co-ordinator and an an opposite(prenominal) midwife, found a divergency with the number of Diamorphine 10mg and Morphine 10mg ampoules, there being one too many Morphine 10mg ampoules and one too few of the Diamorphine 10mg ampoules. Myself, as the midwife checking the drug, on with the midwife who administered the Diamorphine to her patient, were the only if midwives to have administered a controlled drug on the shift. The drugs were redress on the previous daily check.FeelingsOn being informed of the defect my initial feelings were of disbelief and horror. I was confused two midwives had checked the drug and neither of us noted the mistake. I felt genuinely sick and embarrassed that I had do this mistake, since qualifying as a midwife I have never made such an illusion. When the error was highlighted I instantly remembered checking Diamorphine and mixing the drug with 2mls of water for injections, I remembered talking to the other midwife concerned about personal affairs.I felt mortified that I had allowed myself be distracted during such an important task. I was very angry that I had allowed myself to become complacent about drug administration. The canon States that midwives shall, provide a high standard of bore and care at all times, (NMC 2008), I felt that I had not only failed the patient but the profession too. I started to worry about the authorization effects to the patient concerned. The Standards for Medicine Management, (NMC 2010), states as a registrant, if you make an error you must take any action to prevent any potential difference harm to the patient. The patient had suffered no real harm as a result of the dug error and she was recovering well post-operatively. ratingThe main advantage regarding this incident is that the patient concerned came to no in force(p) harm. Personally, I feel that I have learnt from the experience, thus enhancing my clinical practice. blend (1995) agrees that planning problem solving strategies and accepting responsibility is found to consume to positiv e changes. This incident has highlighted the need for vigilance at all times. I have changed my practice to avoid drug errors occurring in the future, I am aware not to be complacent with drug administration. I entrust never let this or any other incident occur due to lack of concentration again in my practice.Analysis dose administration is one of the highest risk areas of nursing practice and a depicted object of consider equal concern for both managers and practitioners (Gladstone 1995). Consequently, detailed and comprehensive procedures and standards exist, thus ensuring safe, effectual and effective practice, for example of the Medicines action (1968) and NMCs Guidelines for the Administration of Medicines (2007).The Consumer Protection Act 1987 and Medicines Act 1968 require that to administer medicine, the practitioner has to ensure that the right medication is given, to the right patient, at the right time, in the right form of the drug, at the right dose and right rou te. nursing & tocology Councils enactment of Professional Conduct (2004) emphasises the administration of medication is an area of concern for humanity safety, and generally follow the principles laid down by law. The NMC also print the charm guidelines for nurses on the administration of medicines (NMC 2004).The Standards for Medicine Management (NMC 2010) states that I am accountable for your actions and omissions. This incident has highlighted the need for vigilance at all times. conventionality 7 of the Midwives Rules and Standards (NMC2004), states that A practising midwife shall only supply and administer those medicines, including analgesics, in respect of which she has received appropriate training as to us, dosage and method of administration. Although the local policy and procedures were followed, it seems that unintentionally the incorrect drug was administered.As a registered midwife I am up to date with all training, I have never before in my practice made a dr ug error. Research studies demonstrate that many drug errors in spite of appearance clinical practice occur as a result of distractions on the ward, illegible writing or because nurses failed to check the patients name-band (Gladstone 1996). The incident discussed demonstrates how easily practitioners can become distracted when checking and administrating drugs.With regard to reporting drug errors, (Webster and Anderson 2002) found that several areas of concern emerged, including nurses confusion regarding the definition of drug errors and the appropriate actions to take when they occurred. concords also reported their fear of disciplinary action and the going of their clinical confidence. The Guidelines for the Administration of Medicine by the breast feeding and Midwifery Council advises that an unbuttoned culture exists in order to encourage the immediate reporting of errors or incidents in the administration of medicines.It also advises that nurses who have been made the sub ject of local disciplinary action, has discouraged the reporting of incidents which is detrimental to patients. Furthermore, all errors and incidents have a thorough investigation at local level, taking into account the abundant context of the circumstances, which requires sensitivity (NMC 2004). To learn from our mistakes, Williams (1996) believes we first need to acknowledge that we have made them. As mistakes in a professional capacity do happen, these mistakes need to be used as a learning experience to reflect upon and to therefore avoid them from happening again.ConclusionAs discussed previously, the administration of medicines is a vital part of the midwives role. Drug error is costly in terms of increased hospital stay, resources consumed and patient harm (Webster and Anderson 2002). A consider by Kapborg (1999) showed that the most common errors among nurses were administration of the wrong drug and levels of drugs administered stupendous the prescribed ones.Action PlanF rom my experiences of the incident, I have learnt a invaluable lesson. I no longer allow myself to be distracted from other members of staff, patients or relatives when I am in the process of administering medication. During this time I only have discussions with the patient to whom which I am given them their medication.I realise the seriousness of my error and I have since read books to educate myself, the important of not repeating the same mistake again. My reflective practice has encompassed critical analysis of my self-awareness. Through this process, I have been able to learn from my mistake. The drug error incident has been a learning toot and I now feel that I have improved my practice and became a better midwife, thus improving patient care.REFERENCE angle of dipAlderman, C. (1999). The drug error nightmare. care for Standard. Vol.11(25) pp.24-25. Atkins S., Murphy K. (1993). Reflection a critique of the literature. daybook of advanced Nursing. Vol.18. pp.1188-1192 . Armitage, G. and Knapman, H. (2003). Adverse events in drug administration. 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