Reflective Practice Experience

A reflective practice experience.
Introduction.
The essay is a reflective essay and its main purpose is to provide a critical reflection of the
incident that happened in an Australian hospital. The assignment will start by providing an
overview of what a reflective nursing practice is all about. After there a description of the
importance of reflection will follow. Following this, I will then describe the Rolfe et al.'s (2001)
reflective model. According to Joyce-McCoach & Smith (2016), they described it as a teaching
model for the health professionals that are learning the reflective practice. The model is based on
three simple questions. What? So what? And Now what?
The first question outlines the problem, it mentions what the writer observed happening and
thought it was wrong according to the code, ethics, and standards of NMBA. it then describes my
role as an observer in that situation. Was I trying to achieve anything or not? It also involves the
actions I took in the scenario, the response of the others whom we were together with, the
feelings the situation evoked for the performer of the event, myself as a student and the others as
well. then it finalizes with what was bad or good about the situation.
The answers to the second question describe whatever was going through my mind when
this event was happening. It also requires other knowledge I can bring to the situation, it can also
be answered by the actions I could have done to make the event better. It then asks my
understanding of the situation and finalizes with the broader issues that rose from the scenario.
Then we have the last question, “Now what?” this one is answered by the actions am yet to
do to make things better or resolve the situation. It can also be answered by an outline of the

broader issues that need to be considered if the action has to be successful. And, finally the
consequences of the action.
I will, therefore, use the above-stated model to reflect on a clinical scenario that happened on
my presence and I had the thoughts of being it done better next time following the codes, ethics,
and standards of a registered Australian nurse.
The model
It was one of the afternoons that I got amazed when I saw one of the registered nurses in
practice standing still and shocked, she was looking again at the vial in her hand. Realization
kicked in when she realized that she had administered midazolam to an old male patient
approximately 60-70 years at a dosage of 5 mg instead of administering metoclopramide. The
registered nurse then threw the vial and administered the metoclopramide as well without
notifying anyone. I had the feeling of tension and I started thinking of exacerbation of the drug
adverse reactions due to the administration of wrong medication. Polypharmacy leads to
exacerbation of the drug’s side effects compared to a single drug administered especially in the
children or the old age due to the drug-drug interactions (Dai et al., 2016). The actions I took is
that I informed my fellow colleagues about the action and they got scared too. They felt sorry for
the situation though they never seemed to be bothered as they considered it as among the
common mistakes Registered or new nurses in the field do. This is according to the different
literature that has been describing the mistakes that nurses do while in their field of practice. On
my side, I didn't find it obvious now that I had gone through the code of ethics and standards of
Australian nurses that are normally prepared by the Nurses and Midwifery Board of Australia.
The board normally outlines the standards of a registered nurse. And having in mind that the
major goal of the board is protecting the public by ensuring that the nurses provide quality