Nursing Reflection | Assignment

Running head: NURSING REFLECTION
Nursing Reflection
Name of the Student
Name of the University
Author Note

1NURSING REFLECTION
Look Back
During my clinical practice in the hospital unit (general ward), as a Practical Nursing
Student, I was asked to administer a drug to patient A (pseudo name is used in order to ensure
the confidentiality of the patient). According to the British Columbia College of Nursing
Professionals (BCCNP) (2019), Licensed Practical Nurse (LPNs) can dispense the
medications with a client-specific order granted from an authorized health care professional.
This condition is scheduled as per the drug specified in the Schedule I, IA or II. Thus it
coincided with the scope of my practice. I have observed my senior nursing professional to
conduct the same act a number of occasion and had administered medication under their
supervision. The Mr. A has consented to have trainee nurse to administer medication. The
medication was Lasix (furosemide), loop diuretic, a water pill that prevents body from
absorbing additional salt (Karch, 2019). However, during medication administration,
suddenly Mr. A refused to inject medicine and thus creating problem. I become tensed as
patient was shouting in the middle of the ward and every other patient was staring at me. I
felt like I am acting like a fool. I could not pronounce a single word and part from repeatedly
telling “Please. However, intervention of the senior nursing professional helped to resolve the
issue and thus helping to manage the situation effectively.
Elaborate
The sudden refusal of the medication by Mr. A surprised me as initially he consented
for medication administration. Moreover, administration of medication was vital for Mr. A as
he was suffering from fluid build up with renal malfunction. Initially I felt very nervous, as I
was unable to console Mr. A to provide approval for medication. I was Mr. A is becoming
agitated every time he noticed me with the medicine. Within this chaos in the general ward,
my nurse mentor came for my rescue. She consoled Mr. A and made him understand the

2NURSING REFLECTION
importance of the medication for his health. This helped Mr. A to provide consent of
medication administration. I felt very stupid in front of my senior nurse mentor as I felt I am
incapable to console my patient to cooperate with the medication administration. I think
others might have thought like the same. This is because, failure in executing any nursing
actions in the ward leading to patient agony and chaos leads to nurse bullying and
humiliation. This negative work environment further hampers the overall process of work
(Arnetz et al., 2019). However, when I saw that senior nurse professional was successful in
administering the medication, I felt relieved because patient’s health was the primary concern
for me.
Analysis
The key issues that can be identified from this reflection include problem in gaining
manual approval from the patient for the administration of the medication even when written
consent was gained initially. Axson, Giordano, Hermann and Ulrich (2019) stated that
although informed consent for clinical treatment has become a vital part for the contemporary
medical practice, it means different things and different contexts of the healthcare practice.
Initially the informed consent was gained from the Mr. A in a written format and this helped
to satisfy the ethical, legal and administrative perspective of the healthcare service delivery.
Under the ethical context there lies protection of the autonomous decision-making process
and giving support to the patient-defined goals. Under the legal context it satisfies the
protection from assault and prevention of the unwanted procedures. The administrative
compliance helps in safe guarding of the other ethical and legal requirements of the patients’
consent. However, the written consent gained from the patient lack proper information or
educational awareness to the patient. Such that during the time of the injection
administration, the patient was refusing co-operate. Farmer and Lundy (2017) stated that