Gibb’s Reflective Cycle Analysis 2022

Running Head: CLINICAL REFLECTION
GIBB’S REFLECTIVE CYCLE
Name of the Student
Name of the University
Author’s Note

CLINICAL REFLECTION1
Description
It was a usual day at my work and I came across a patient who was recently admitted for
a surgical procedure. As a registered nurse, it is my duty to assess every patient in the ward who
needs intervention. The doctor came for the round and just like a normal routine he gave me
instructions to follow regarding the patients who were admitted. This patient who was admitted
was 30 years old and she used to show symptoms of constipation and a bulge near her belly
button. After thorough checkup she went through an umbilical hernia surgery and I was told by
the doctor to administer Heparin 2500u through a subcutaneous injection for her tendency of
deep vein thrombosis prophylaxis (Bartlett, Mauck & Daniels, 2015). Heparin is an
anticoagulant so it was necessary to administer so that she does not suffer from blood
coagulation that could lead to deep vein thrombosis, which could be fatal for her condition. She
looked weak and dizzy as she just became conscious after the surgery and it did not look like she
is ready for any conversation. I made her lie down in a comfortable position and started
preparing my injection. I injected the heparin near her waist and she winced in pain and later she
went to sleep.
Feelings
I have been newly appointed as a registered nurse in a healthcare organization, which
makes it evident that I am still learning and exploring my field of medical practice. I come across
various patients with critical conditions every day and it is a challenging experience for me to
negotiate and come to a final decision about the medical interventions. This particular case of
umbilical hernia was a new experience as women getting admitted for the surgery is rare. When I
saw the patient details of this case it made me feel intrigued and curious because it will help me

CLINICAL REFLECTION2
in understanding more dynamics of the medical field as a registered nurse. This patient looked
tired and exhausted, which made me feel hesitant to have any interaction with her according to
the protocols. It made me feel that I might be disturbing her if I enquire about anything regarding
her condition and this turned into an ethical dilemma as it was my duty to take her permission
and start with the administration of subcutaneous injection (Jin et al., 2016). It made me feel this
way because I am a registered nurse and it is my role and responsibility as a nursing professional
to look after the welfare of the patient irrespective of my inhibitions or dilemmas.
Evaluation
As a nurse I was trained well in the aspect of administrating subcutaneous injections and
intravenous applications in a patient, which made it easier for me to administer heparin 2500u.
The administration for deep vein thrombosis went well as I was excellent in this department and
it did not require me to try it again and again. It is necessary to inject a medicine in the correct
location because any mistake can harm the patient and disrupt the effectiveness of the medicine.
It is a usual procedure to take permission from a patient before administrating any medicine after
I introduce myself but due to my mental restrictions and the condition of the patient I forgot to
follow any of these steps and started preparing the medicine without taking the consent. This is
not an appropriate behaviour expected from a registered nurse and I needed to introspect and
look after this matter so that I do not repeat the same mistake again in the future (Smith &
Roberts, 2015). This did not work in the situation as it is a misconduct to perform any medical
intervention before taking the consent of the patient. However, I did ask for the consent but after
I prepared the heparin.