Reflection on Nursing Practice

Running head: REFLECTION
Name of the student
Name of the university
Author note:

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REFLECTION
Description:
Reflective practice plays a crucial role in examining the nursing practice and identifying
the gap in the practice Replicative practice is the ability to examine one’s actions and
experiences with the outcome of developing clinical knowledge and enhancing practice. Gibb’s
model is a common model of reflection used by nurses to examine their practice. In the
hospital when I was appointed to give a subcutaneous injection of heparin to a patient with deep
vein thrombosis. I positioned the patient properly and provided privacy. I verified the order of
mediation and verified the site of administration then administered Heparin using 25 gauge
needle and syringe of 1ml using six rights of medication. Before administrating the infection I
performed hand hygiene then safely dispose sharps which could be done more carefully.
However, since I was nervous, I raised the bed before the equipment gathering that could give
rise to safety issues. It is the responsibility of a nurse to check the position of the patient and
repositioning the patient into a comfortable position after administration of the medication.
Feeling:
I verified the validity of medication order, identified the medication which would be
given to the patient, engaged patient in the communication. However, I was nervous during the
subcutaneous injection administration which highlighted the gap in the nursing practice.
Although I assess the site of infection before administration of the injection and followed
aseptic technique then safely administrate the medication, I raised the patient’s bed before
gathering equipment which highlighted patient safety issues. Since I was nervous, I was not able
to apply an accurate technique for the checking air in the syringe which could result in the safety
issues. However, I assessed the pain of the patient by engaging in the therapeutic communication

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REFLECTION
and documented correctly the information which further helps in rechecking the health status of
the patient.
Evaluation:
The incident described above helped me to gain both positive and negative experiences
which I would apply in my future action. The optimistic experience was that I had good
understanding of why heparin was administrated and I perform hand hygiene before
administration, assessed site of administration and followed Aseptic technique then safely
administrate the medication to minimize the discomfort of the patient. The negative experience
was that I failed to identify the patient by checking information which could be resolved by
checking the name, date of birth and Ur number. The next issue was raising the patient’s bed
before gathering equipment which could give rise to the hazard if the patient had a high falls risk.
This problem requires action such as ensuring the position of the patient only during the
administration (Mackey & Bassendowski, 2017). Before administration, I failed to check the air
in the syringe which could be done using correct techniques. Moreover, although I have
deposited the sharp objects, I should be more cautious while disposing of the sharp objects to
avoid hazard resulted from the deposition.
Analysis:
In the current context, few social factors influence the current situation which further led
to the situation. The factors that influenced the situations are negligence, lack of illiteracy which
further questioned the patient safety. According to NMBA standard of nursing practice, a nurse
should provide provides comprehensive safe, quality practice to the patient ( standard 6) and
accesses, analyses the practice to provide the safe care ( standard 1)