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Reflective Practice Assignment

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Reflective Practice Assignment
Module Title: Practice Learning Experience 1
Module Code: NURS08034
Cohort: September 2011
Assignment Title: Reflective Account
Assignment Date: 12/07/2013
Word Count: 1,656

Introduction
This essay will demonstrate the aim of the Scottish Patient Safety Programme (SPSP, 2008) in relation to early intervention in a deteriorating patient, through reflective practice. Using Gibb’s (1988) reflective model the writer will analyse and appraise a personal experience on placement whilst demonstrating the skills and knowledge based theory (Jasper, M., 2013), in accordance with SPSPs’ guidelines; monitoring of Early Warning Scoring (EWS) system and the use of the SBAR (Situation-Background-Assessment-Recommendations) …show more content…
The patient had been referred to radiology for an abdominal ultrasound scan earlier but was then referred again as ‘urgent’. The surgical team were informed, and blood was sent to haematology. Mr Smith’s haematology results showed he was hypovolemic (had lost blood) and required a blood transfusion which was prescribed and infused quickly.
All required documentation was followed using the blood transfusion pathway, (HIS, 2010); consent obtained, patients’ identity confirmed, blood checked by two trained nurses, labels written clearly, reasons for administering and countersigned by nurses and prescriber, (HIS, 2010).
I was asked to check and document Mr Smiths’ vital signs prior to the infusion of blood and thereafter every 15 minutes for the duration of one hour, in adherence with the blood transfusion pathway, (HIS, 2010). The EWS system allows for any adverse reactions to be detected early, as severe reactions are more likely to occur within the first 15 minutes of infusion and in the case of an adverse reaction the infusion would be stopped; medical staff and haematology informed (Ackley et al, …show more content…
[Online]
Available:http://www.scottishpatientsafetyprogramme.scot.nhs.uk/docs/news/939/SPSP_news3_.pdf [Accessed 26/06/2013]

Scottish Government (2010) The Healthcare Quality Strategy [Online]
Available: http://www.scotland.gov.uk/Resource/Doc/311667/0098354.pdf [Accessed 26/06/2013]

SIGN, 105 (2008) Management of Upper and Lower Gastrointestinal Bleeding [Online] Available: http://www.sign.ac.uk/pdf/sign105.pdf [Accessed 20/06/2013]
WHO (2007) Communication during Patient Hand-overs [Online] Available: http://www.who.int/patientsafety/solutions/patientsafety/PS-Solution3.pdf [Accessed
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