This reflective essay is based on my experience as a health care assistant in the operative theatre working as a circulating nurse for a vascular access list. It will also highlight the important aspect of communication within the theatre practitioners when working with patients who are under local or general anaesthetic. I will explore a critical incident and also reflect on my own personal experience. I aim to use this experience to bring out the different forms of communication, the potential barriers of communication and its consequences in the clinical setting. Gibbs Reflective model (1988) is what I have chosen to guide my reflective process, as it incorporates the stages of reflections, including the presentation of the situation, feeling, evaluation, analysis, conclusion and action plan if the event will happen again.
The first stage of Gibbs's model of reflection requires a description of event. The event happened when I was circulating on my own as a health care assistant for one of the vascular access list. I was circulating for a patient who was undergoing `Right Arm Arterio-venous Fistula surgery’ procedure under local anaesthesia. During the `sign-in’ (WHO 2008), the surgeon emphasizes the fact that there are no specific concern about the patient or the procedure related. Under normal circumstances, when the patient walks into the operating room together with the anaesthetic practitioner, we have to introduce ourselves to the patient, in order to alleviate the patient’s fears and to make them feel comfortable as they are awake and aware of their surroundings. The anaesthetic practitioner then handover to me all the patients documents and necessary information to avoid the mishaps, then will check again with the scrub nurse if we have the right patient for the procedure listed and also check with the patient if they have metal implants. Most importantly check if the consent has been signed both by the