Essay on Critical Reflection

Added on - 17 Feb 2021

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CRITICAL REFLECTION ESSAY
TABLE OF CONTENTSINTRODUCTION...........................................................................................................................1Essay................................................................................................................................................1REFERENCES...............................................................................................................................5
INTRODUCTIONThe safety and quality health standards aim at protecting public from harmful impactsand possible risks of health care services which may occur due to negligence of registered nursesor health care providers. These standards also provide guidelines to improve the quality of healthservices.The essay will analyse the case study of patient's death due to negligence in clinicalpractices. It will highlight the implications of these negligences and clinical errors by usingcritical reflection approach in essay.The report will also explore the consequences of the givenincident and its implications. It will analyse the role of partnering with consumer standards ofsafety and quality health.The critical reflection in practices and analysis will create moreinfluence on defining social perspective and to find better solutions for the issues (Jim and John,2012).EssayIn 2001 Ms Ruth Sophie Stoll and Mrs Kovendy, bothwere presentat ClinpathLaboratories for their blood tests.Ms Stoll was required to have blood test so that during herheart surgery if she required blood transfusion then hospital could have arranged the same.Bothof the patients wereservedby registered nurse (RN) Sally Gilbert. During the sample testing, shewas the only RN present at that moment in lab, thus she attended both of them simultaneously.During sample collection of blood from both thepatients,RN Sally Gilbert mislabelled both thesamples. During surgery blood transfusion was required for Ms Stollbutas samples weremislabelled in laboratory by RN Gilbert wrong blood match was provided to her.As a result ofthis, Ms Stoll suffered from organ failure.Ultimately after few days of her surgery, she died dueto the confusion and improper identification of blood samples.At the time of sample collectionthe carers of both of the patients were waiting outside. Coroner Wayne recommended that iffamily members and carers were present inside the room during pre operative procedures then itcould have eliminated the error. According to Coroner the heart patient find it difficult tocommunicate due to anxiety. Thus, in such cases the presence of carer can help service providersto avoid possibilities of such errors.1
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