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Refelction

The Driscoll’s reflective cycle has three stages, namely “returning to the situation, understanding the context, and modifying future outcomes” (docstoc.com, 2011). The reflection will concentrate on the difference between aseptic non touch technique in the community setting and within the hospital setting, whilst recognising weaknesses within myself. In accordance with the Nursing and Midwifery Councils (NMC) (2008) guidelines on confidentialality the alias of Mrs B will be used to protect the patients identify. During my community placement, I went with my mentor to Mrs B’s home to redress her wound. Mrs B is a 63 year old lady who suffers from diabetes and has a diabetic ulcer on her left heel. After getting the permission from Mrs. B to enter her home, I introduced myself as a student nurse and asked Mrs B’s consent to change the dressing on her heel. She agreed to this. Consent means agreement that is a fundamental prerequisite of any kind of medical treatment. “Patient autonomy, respect for such autonomy and the right to information underpins this concept of consent” (Daly, 2009, p. 3). ...
Care plan not only serves as a therapeutic tool, but also plays the role of a legal record that the care has been given (Turnmore and Thomas, 2000). The care plan also stated that the wound needed to be measured on this visit. I collected all the equipment that was required and took it over to Mrs B’s home who was sitting in an arm chair in her living room. Collecting the equipment that is most appropriate for the treatment of a specific patient is compulsory to avoid frustration or delay in the delivery of care. I then washed my hands in the kitchen with an antiseptic detergent that I had brought along with me to the patient’s home and dried my hands on kitchen roll. “All health care workers must have access to adequate equipment that allows them to decontaminate their hands when required” (Gough, 2010, p. 9). Washing the hands prior to initiating any kind of treatment is a way of ensuring the safety of self as well as of the patient. Protection of health and well-being of the patients is the fundamental responsibility of a nurse (Nursing and Midwifery Council, 2008, p. 2). Mrs B agreed that I could set up my sterile field on her coffee table next to her chair. Under the supervision of my mentor, I opened the dressing pack and put on the apron provided. I opened the dressing and filled the galley pot with sterile water. Next I used alcohol gel to cleanse my hands and put on my gloves. Nurses are advised to wash their hands with an antiseptic handwash agent before as well as after contact with patients that have large wounds or burns (Humphreys et al., n.d., p. 6). I removed the old dressing by putting my hand in the bag provided in the dressing pack and removing the dressing ...Show more

Summary

Description Reflection is very important for nurses just like it is people belonging to all kinds of professions. Reflection helps nurses “develop a ‘feel’ for what they do “practically and bodily so that it becomes part of the knowing process” but cannot always be verbally expressed ‘we know more than we can say’” (countiesmanukau.health.nz, 2013)…
Author : bkemmer
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