Using the Gibbs reflection model, this assignment reflects on aseptic non-touch technique for dressing a wound. The technique is in line with NMBA standards of practice in Australia. The importance of hand hygiene during the technique is highlighted.
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RUNNING HEAD: REFLECTION ON ASEPTIC NON-TOUCH TECHNIQUE1 Reflection on aseptic non-touch technique Name: Institution: Tutor: Date:
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REFLECTION ON ASEPTIC NON-TOUCH TECHNIQUE2 Reflection on aseptic non-touch technique DESCRIPTION In this assignment, I will use the Gibbs reflection model to reflect on aseptic non-touch technique for dressing a wound which happened in the lab. The reason why I settled on the Gibbs reflection cycle is that it is a convenient method (Williams, Woolliams, & Spiro, 2012). During the practice, I acted as the nurse and one of my classmates was the patient with an open wound. I was therefore supposed to dress the wound using the aseptic non-touch technique. I started by assessing the wound. I then carried out hand hygiene, cleaned the surface and arranged all the necessary apparatus on the working surface. I then put on new gloves and removed the blood stained dressings. After that, I threw away the used gloves and put on new ones. I then dressed the wound. I made sure that only the sterile parts come in contact with the wound. After the process, I disposed all the used gloves and dressings in a dustbin. FEELINGS Since this was the first time I was performing the aseptic non-touch technique, I was very worried at the beginning. However, I became motivated with time after realizing that it was just a simulation exercise after all .I also became confident after the assessing the status of the wound. In the midst of the process, I got confused but I was encouraged by the tutor who gave me the way out by instructing me on what I should at a particular stage. I was also anxious and curious at the beginning about the overall outcome of the process. At the end of the technique, I was very excited since my performance was satisfactory.
REFLECTION ON ASEPTIC NON-TOUCH TECHNIQUE3 EVALUATION Most of the things in the technique were positive. Some of the positive aspects of the process include my ability to stick to the protocol of the process by conducting regular hand hygiene to prevent contamination of the wound. The only thing that was negative in this case was that I failed to communicate with the patient on the importance of the technique and I also did not use an appropriate teaching method during the discharge. This are some of the aspects that am planning to improve on incase I come across a similar scenario in future. ANALYSIS Aseptic Non-touch technique is the best method of dressing wounds since it prevents entry of pathogens in the wound. According to the NMBA standards of practice in Australia, it is the duty of the nurse to provide safe, appropriate and responsive quality nursing practice(Davidson, 2015). This simulation practice has proved that the technique is in line with this standard. I have realized that effective planning prior to the process yields better outcomes. This is why I made sure that all the equipment to be used during the process are arranged in an orderly manner and made sure that the working surface is also clean. A good plan is also part of the NMBS standard five of practice (Chau et al., 2010). I have also realized the importance of hand hygiene during the Aseptic non-touch technique. It is just a protocol that prevents contamination of the site of the wound. CONCLUSION There are somethings that I feel should have been done differently. One of the things include using the teach back method during the discharge to educate the patient on how well he/she can take care of the wound at home. This method would enable the patient to understand
REFLECTION ON ASEPTIC NON-TOUCH TECHNIQUE4 what he/she is supposed to do when discharged. Research has linked this method as the best especially under home based care. Other things that I could have done differently is demonstrating enough confidence so as to gain trust of the patient. I would also have talked with the patient on how the technique will be performed and its importance. This assists the patient to be psychologically prepared for the entire technique. ACTION PLAN In case I come such a case in future, I will start by building a rapport with the patient. This will involve communication. In this case study, I realized that I have a weakness in establishing in interpersonal skills. I will also ensure that I evaluate the outcome of the aseptic non-touch technique which I did not do in this case. This is because the NMBA standard 7 dictates that it is the role of the nurse to evaluate outcomes to inform the nursing practice. After the technique, I will use the teach back method to educate the patient on how he/she can take good care of the wound at home before the patient is discharged.
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REFLECTION ON ASEPTIC NON-TOUCH TECHNIQUE5 References Chau,J.P., Lam,L., Lui,M.H., Ip,W., Chien,W., Lee,I.F., & Thompson,D.R. (2010). A survey of registered nurses’ perceptions of the code of professional conduct in Hong Kong.Journal of Clinical Nursing,19(23-24), 3527-3534. doi:10.1111/j.1365- 2702.2010.03349.x Davidson,J.R. (2015). Current Concepts in Wound Management and Wound Healing Products.Veterinary Clinics of North America: Small Animal Practice,45(3), 537- 564. doi:10.1016/j.cvsm.2015.01.009 Williams,K., Woolliams,M., & Spiro,J. (2012). Using a framework for reflection: Gibbs’ reflective cycle.Reflective Writing, 90-102. doi:10.1007/978-0-230-37724-0_16