Clinical skills Assessment 2022

Clinical skills Assessment
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Introduction
In a healthcare setting, using drains is determined to be a significant aspect in order to manage
the patients postoperatively (Hansen et al., 2017). It becomes necessary for registered nurses to
serve appropriate care and monitoring of medical drains and implement actions to avoid
problems (Kim, Khalpey, Daugherty, Torabi & Little, 2016). The paper will reflect upon the
procedures and experiences gained while removing drain tubes in clinical settings.
Clinical Practice Preparation (Gibbs Reflective cycle)
Description
In the past, I have been given the responsibility to deal with patients with surgical drains in the
surgical acute care unit. I got to know how to care and monitor for the drains as I have observed
how the cosmetic surgeons remove the drains. In Australia, only surgical resident doctors and
surgeons were allowed to remove drains (Lu et al., 2018). In the surgical ward, I have begun my
adaption program, where I was impressed by how the nurses removed the drain skillfully. This
provided me with an opportunity to become proficient with the care of drains in the future. Thus,
I have gathered information from the senior members regarding hospital strategies and protocols.
I come to know that surgeons always prefer to use the drains of orthopedic patients that are taken
out after 24 hours.
I gained information regarding the tastes of different surgeons in the attention of their patient's
drains. After gathering sufficient knowledge of how to remove drains, I then focused on
enhancing my skills in this particular area. I have noticed my mentor of how she examined, re-
vacuumed and eliminated the drains. All these observations will further help me in the future to
remove the drains of the patients successfully.
Feelings
While I was ready to remove the drains for the very first time, I was a little bit nervous about
whether I would do something wrong. While taking action for the first time, there always occurs
a feeling of nervousness (Ito et al., 2017). When my mentor gave me the confidence to perform
the surgery and guided me throughout the task, I felt a sigh of relief. I was ready with all
personal preventing devices and got the materials ready for doing the surgery. I successfully

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removed the drain effectively after acquiring educated consent from the patient without any
difficulty and ensured that aseptic technique was implemented. Aseptic technique is determined
to be a significant factor that helps in protecting operative site infections (Genc et al., 2019). I
got to know that maintaining sterility and palm washing are highly significant at the time of
managing drains. At the time of taking care of the patient, I gained knowledge that difficulties
can be avoided by taking appropriate measures to prevent complications, proper handwashing,
and facilitating health teachings regarding health. Therefore, it will be helpful for me in the
future to provide quality care to the patients by following the appropriate measures.
Self-Evaluation
With the entire learning process, I would be able to attain my goal of achieving positive learning
results. While handling medical drains, I was more proficient that enhanced my knowledge and
ensured the patients that they would have a safe recovery. I gained knowledge of how to reduce
the complications by observing and eliminating the danger signs and use contamination control.
The knowledge will improve my confidence, professional development, clinical exposure and
nursing competency while handling patients. At the time of my experience, a negative incident
took place that helped to become careful while treating the patients with drains. A patient who
underwent a major breast procedure developed a hematoma as from the previous shift; the drains
were all clamped. The medical expert observed the hematoma and identified a nurse's mistake.
After having research, it has been found that the nurse did not unclamp the drains after she re-
vacuumed the drains from the previous shift (Wu et al., 2016). After this incident, the nurse
regularly massaged the affected area and examined the hematoma of the patient. During the
procedure, I realized that it is necessary to unclamp the drains to avoid any the occurrence of any
unfavorable situation.
Analysis
The practice helped me to understand how rapidly difficulties occur when a particular error is
performed. While re-vacuuming drains, it trained and helped me to become more careful. I have
seen the ideas and techniques that is used by my mentor along with different equipment's
required to complete the procedure. In order to become an efficient surgeon, it is important to
become an efficient surgeon; it is important to gain appropriate knowledge regarding the types,