Reflection on a clinical skill Essay

This essay bequeath controvert a clinical experience in which I feel more competent in practicing. I will function a reflective model to discuss how I have achieved the prerequisite level of competence in my hold dear training programme.The reflective model I have chosen to use is Gibbs model (Gibbs 1988). Gibbs model of reflection incorporates the following description, feelings, evaluation, analysis, shutdown and an action plan (Gibbs 1988). The model will help facilitate critical thought fulfill as it relates theory to serve. Discussion will include the populateledge underpinning practice and the evidence base for the clinical skill. A conclusion to the essay will then be given which will discuss my reflection skills, confess my competence and show my personal and professional suppuration. Trigger EventThe clinical skill I have chosen to reflect on deep down this essay is my original IV cancel. I have chosen this as my first clinical placement is on a surgical unit , where endovenous therapy is a widely used to administer medication. I was very quick to finally be fitting to start developing this skill as I have seen it d matchless several sentence and was ever able to acquire the process in which is needed to start an intravenous. AppraisalThe first stage of Gibbs (1988) model of reflection requires a description of events. As a transitioning Registered Practical Nurse to a Registered Nurse the expectation are that I will have develop this scope in my practice. I had discover this clinical skill on a variety of occasions and had previously administered IV medication and antibiotics under supervision. On this occasion I was be observed by my clinical educator. I had gathered all the necessary things I needed which included a bag of normal saline. My clinical educator was talk me through the procedure shout by step and informed me that I should neer place the tape on every surface as tit leads to cross contamination, and I should alway s honest blood from around the IV site. The facility also uses chlorhexadine instead of alcohol as eliminates stinging sensation.The second stage of Gibbs (1988) model of reflection, which is a interchange about my thoughts and feelings. I was aware of being under the supervision of my educator and other classmates this made me feelvery nervous and self- conscious. Once my prof said I am in do not carry on I realize how truly nervous and under pressure I was feeling. I held my breath as I did not want this trivial to blow and have to stink the patient again. This patient was an elderly gentlemen and I did not want the patient to feel that I did not know what I was doing. I thought that as I had been observed this clinical procedure on many other occasions it would be calorie-free for me to do but it was very challenging, finding an appropriate vain, the right coat of needle and wanting to get success on my first adjudicate made this a very trying experience. ExplorationEvalu ation is the troika stage of Gibbs (1988) model of reflection and requires the reflector to with state what was good and with child(p) about the event. This experience was filled with emotion because for many years I have been an rpn and I always wanted to be able to start an IV and I finally got to do just that. I approximate the best thing about this experience is I got it the first time and my instructor made it seem so effortless. So many times I had place tape on the hand rail of a bed in preparation of taping a dressing, I never thought of the fact that I was taking all the germs from that rail onto the patient. This one little thing has caused me to change my present practice. IntegrationStage intravenous feeding of Gibbs (1988) is an analysis of the event, where Gibbs encourages the reflector to make sense of the situation. I will do this by exploring the skill and look for other opportunities to get more starts that I will feel more confident in my practice. In conclus ion the use of this model of reflection has helped me to structure my thoughts and feelings appropriately. My level of awareness concerning evidence based practice, and its importance, has been enhanced with the use of critical reflection. My competence, within this clinical skill, has been shape up developed and I now feel that my personal and professional development is progressing. Using this reflective model has helped me to realise that my learning is something which I mustiness be proactive in. Furthermore as a student protect I have recognised that reflection is an important learning cock in practice.