'Nursing and Reflective Practice Essay\r'

'â€Å" gleamivity is not just a thoughtful ex angstrom unitle, unless a learning experience”. (Jarvis 1992)\r\nThis is a considerateness on an attendant that occurred during a shift on the labour ward. I work chosen Gibbs influence of reflectiveness (1988) to depict my reflective process. (Gibbs 1998) (App completeix I). Gibbs model (1998) goes d whiz six important points to aid the reflective process, including comment of incident, feelings, evaluation, analysis, conclusion and fin tout ensembley action plan. The advantage of Gibbs’s six-stage model is that it allows you to learn from experiences and make changes for your future bore.\r\n commentary\r\nThe incident involves the governance of a legal injury opiate medicate to a postnatal tolerant. The incident occurred whilst checking and administering a controlled medicate. The do medicates error was discovered by the co-ordinator at the end of the day shift. During the daily checking of the contro lled drugs, the co-ordinator and another accoucheuse, put a discrepancy with the number of Diamorphine 10mg and Morphine 10mg ampoules, there macrocosm one too m any 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 persevering, were the altogether midwives to exhaust got administered a controlled drug on the shift. The drugs were correct on the previous daily check.\r\nFeelings\r\nOn being informed of the error my sign feelings were of disbelief and horror. I was conf utilize; two midwives had check out the drug and neither of us noted the mis take hold. I matt-up very upset and embarrassed that I had made this mistake, since qualifying as a midwife I make up never made such(prenominal) an error. 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 astir(predicate) personal affairs.\r\nI felt ashamed that I had allowed myself be confuse during such an important task. I was very angry that I had allowed myself to sire complacent about drug administration. The scratch States that midwives shall, â€Å"provide a high standard of set 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 authorisation effects to the patient concerned. The Standards for Medicine Management, (NMC 2010), states â€Å" as a registrant, if you make an error you must take any action to prevent any potential harm to the patient”. The patient had suffered no concrete harm as a result of the turn over error and she was recovering well post-operatively.\r\nEvaluation\r\nThe master(prenominal) advantage regarding this incident is that the patient concerned came to no serious harm. Personally, I feel that I drive home learnt fro m the experience, thus enhancing my clinical answer. Gladstone (1995) agrees that planning chore solving strategies and accepting responsibility is found to tend to positive changes. This incident has highlighted the need for vigilance at all times. I subscribe changed my execute to keep off drug errors occurring in the future, I am aware(p) not to be complacent with drug administration. I will never let this or any other incident occur due to want of concentration again in my reading.\r\nAnalysis\r\n medicate administration is one of the highest risk areas of nursing practice and a matter of considerable concern for both managers and practitioners (Gladstone 1995). Consequently, detailed and comprehensive procedures and standards exist, thus ensuring safe, legal and impelling practice, for example of the Medicines Act (1968) and NMC’s Guidelines for the brass section of Medicines (2007).\r\nThe Consumer protective cover Act 1987 and Medicines Act 1968 require th at to administer medication, 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 route. care for & Midwifery Council’s Code of superior parcel out (2004) emphasises the administration of medication is an area of concern for humankind caoutchouc, and generally follow the principles laid down by law. The NMC besides publish the appropriate guidelines for nurses on the administration of medicines (NMC 2004).\r\nThe Standards for Medicine Management (NMC 2010) states that I am â€Å"accountable for your actions and omissions”. This incident has highlighted the need for vigilance at all times. Rule 7 of the Midwives Rules and Standards (NMC2004), states that â€Å"A practising midwife shall only supply and administer those medicines, including analgesics, in respect of which she has acquire appropriate training as to us, dosage and order of adminis tration”. Although the local policy and procedures were followed, it seems that unintentionally the paradoxical drug was administered.\r\nAs a registered midwife I am up to date with all training, I have never before in my practice made a drug error. Research studies certify that many drug errors within clinical practice occur as a result of distractions on the ward, illegible writing or because nurses failed to check the patient’s name-band (Gladstone 1996). The incident discussed demonstrates how easily practitioners can become distracted when checking and administrating drugs.\r\nWith regard to account 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. harbors also reported their maintenance of disciplinal action and the loss of their clinical confidence. The Guidelines for the Administration of M edicine by the nurse and Midwifery Council advises that an bluff culture exists in order to encourage the present(prenominal) reporting of errors or incidents in the administration of medicines.\r\nIt also advises that nurses who have been made the subject 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 full context of the circumstances, which requires aesthesia (NMC 2004). To learn from our mistakes, Williams (1996) believes we first need to ack right offledge that we have made them. As mistakes in a master capacity do happen, these mistakes need to be used as a learning experience to reflect upon and to therefore avoid them from happening again.\r\nConclusion\r\nAs discussed previously, the administration of medicines is a vital part of the midwives federal agency. do drugs error is costly in terms of change m agnitude hospital stay, resources consumed and patient harm (Webster and Anderson 2002). A learning by Kapborg (1999) showed that the most common errors among nurses were administration of the wrong drug and levels of drugs administered exceeding the prescribed ones.\r\nAction end\r\nFrom my experiences of the incident, I have learnt a valuable 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.\r\nI realise the seriousness of my error and I have since read literature 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 curve and I now feel that I have improved my practi ce and became a better midwife, thus improving patient care.\r\nREFERENCE LIST\r\nAlderman, C. (1999). The drug error nightmare. nurse Standard. Vol.11(25) pp.24-25. Atkins S., Murphy K. (1993). rebuke: a review of the literature. diary of move on breast feeding. Vol.18. pp.1188-1192. Armitage, G. and Knapman, H. (2003). 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