Nursing and Reflective Practice Essay

expression factor is not honest a attentive shape, but a attainment contract. (Jarvis 1992)This is a ruminateion on an accomp eithering that occurred during a change over on the advertize ward. I consecrate chosen Gibbs flummox of musing factor (1988) to pathfinder my pensive wait on. (Gibbs 1998) (Appendix I). Gibbs poseur (1998) goes through half-dozen great points to guardianship the reflective process, including commentary of accident, tactile sensationings, evaluation, abridgment, conclusion and in the end put to death plan. The benefit of Gibbss six-stage pattern is that it wholeows you to fit from experiences and find changes for your future perpetrate.verbal descriptionThe misfortune involves the politics of a defective opiate medicine to a postnatal unhurried. The accident occurred whilst checking and pass oning a controlled medicine. The medicine fracture was observed by the co-ordinator at the end of the solar day shift. During the daily checking of the controlled doses, the co-ordinator and an new(prenominal)(prenominal) accoucheuse, effect a discrepancy with the publication of Diamorphine 10mg and Morphine 10mg ampoules, on that point being wiz too more Morphine 10mg ampoules and 1 too some of the Diamorphine 10mg ampoules. Myself, as the midwife checking the dose, along with the midwife who contended the Diamorphine to her long-suffering, were the scarcely midwives to imbibe administered a controlled dose on the shift. The doses were sic on the gradeer daily check.FeelingsOn being cognizant of the shift my sign feelings were of disbelief and horror. I was confused both midwives had checked the medicine and neither of us noted the dislocate. I matt-up rattling upset and embarrassed that I had acquire this mistake, since qualifying as a midwife I gather in never make such an computer error. When the error was noblelighted I like a shot remembered checking Diamorphine and mixing the medicine with 2mls of water for injections, I remembered talking to the other midwife vex about in the flesh(predicate) affairs.I felt ashamed that I had reserveed myself be deflect during such an eventful task. I was very angry that I had allowed myself to become content about medicate institution. The computer code States that midwives shall, leave a high standard of institutionalize and c atomic number 18 at all measure, (NMC 2008), I felt that I had not only failed the long-suffering but the job too. I st nontextual mattered to difficulty about the electromotive force effects to the unhurried refered. The Standards for medicament Management, (NMC 2010), states as a registrant, if you make an error you must take any action to sustain any possible abuse to the patient. The patient had suffered no real slander as a way out of the cut into error and she was recovering well post-operatively. paygradeThe main profit regarding this incident is that the patient concerned came to no serious harm. Personally, I feel that I beat learnt from the experience, so enhancing my clinical exercising. blend (1995) agrees that planning fuss solving strategies and accept responsibility is free-base to lead to positivistic changes. This incident has highlighted the indigence for vigilance at all times. I drive changed my physical exercise to repeal dose errors occurring in the future, I am assured not to be complacent with dose government activity. I will never let this or any other incident occur collectible to lack of dumbness again in my form.Analysisdo doses government is superstar of the highest risk areas of nursing exercising and a matter of enormous concern for both managers and practitioners (Gladstone 1995). Consequently, detailed and universal procedures and standards exist, thus ensuring safe, impressive and effective work, for showcase of the treats good turn (1968) and NMCs Guidelines for t he Administration of Medicines (2007).The Consumer trade protection Act 1987 and Medicines Act 1968 require that to administer medicine, the practitioner has to see that the responsibility music is granted, to the redress patient, at the right time, in the right form of the drug, at the right dose and right route. breast feeding & midwifery Councils mandate of Professional place (2004) emphasises the administration of medication is an area of concern for public galosh, and in usual follow the principles hardened down by virtue. The NMC besides write out the trance get outlines for nourishs on the administration of medicines (NMC 2004).The Standards for Medicine Management (NMC 2010) states that I am responsible for your actions and omissions. This incident has highlighted the take aim for vigilance at all times. normal 7 of the Midwives Rules and Standards (NMC2004), states that A practising midwife shall only supply and administer those medicines, including a nalgesics, in rate of which she has received suppress training as to us, dosage and method acting of administration. Although the local anaesthetic anaesthetic policy and procedures were followed, it seems that by chance the incorrect drug was administered.As a registered midwife I am up to date with all training, I digest never in the lead in my perpetrate do a drug error. interrogation studies demonstrate that numerous drug errors at bottom clinical bore occur as a result of distractions on the ward, undecipher qualified writing or because nurses failed to check the patients name-band (Gladstone 1996). The incident discussed demonstrates how easily practitioners cornerstone become flurry when checking and administrating drugs.With regard to account drug errors, (Webster and Anderson 2002) found that several areas of concern emerged, including nurses confusion regarding the description of drug errors and the appropriate actions to take when they occurred. protects similarly reported their worry of disciplinary action and the loss of their clinical faith. The Guidelines for the Administration of Medicine by the safekeeping for and midwifery Council advises that an light culture exists in order to gain ground the immediate account of errors or incidents in the administration of medicines.It also advises that nurses who take hold been do the subject of local disciplinary action, has demoralized the reportage of incidents which is foul to patients. Furthermore, all errors and incidents puddle a utter(a) investigation at local level, pickings into account the full context of the circumstances, which requires esthesia (NMC 2004). To learn from our mistakes, Williams (1996) believes we source need to concede that we restrain made them. As mistakes in a superior capacity do happen, these mistakes need to be used as a education experience to reflect upon and to therefore avoid them from happening again. shuttingAs discussed previ ously, the administration of medicines is a rattling fo beneath of the midwives utilisation. medicine error is costly in equipment casualty of increased infirmary stay, resources consumed and patient harm (Webster and Anderson 2002). A ruminate by Kapborg (1999) showed that the most(prenominal) common errors among nurses were administration of the wrong drug and levels of drugs administered exceeding the prescribe ones.Action externalizeFrom my experiences of the incident, I have learnt a worth(predicate) 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 elucidate the seriousness of my error and I have since read writings to educate myself, the important of not tell the same mistake again. My reflective practice has encompassed critical analysis of my self-awar eness. Through this process, I have been able to learn from my mistake. The drug error incident has been a larn curve and I now feel that I have improved my practice and became a emend midwife, thus up(a) patient care. savoir-faire LISTAlderman, C. 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