Reflection On Three Clinical Experiences

Running head: REFLECTION ON CLINICAL EXPERIENCES
REFLECTION ON CLINICAL EXPERIENCES
Name of the Student:
Name of the University:
Author Note:

REFLECTION ON CLINICAL EXPERIENCES1
Introduction:
This paper aims for discussing the reflection on three clinical scenarios that I had
encountered during my career as a nurse. The paper aims for discussing all the clinical
experiences from a personal point of view. The first scenario focuses on a 45 year old patient,
who developed hypoglycaemia due to overdosing on insulin. The condition of the patient was
brought under control by providing timely care and careful monitoring. The second scenario
focuses on a 28 year old patient, who was a victim of an accident and was admitted in ICU
for 8 days (Mongraw-Chaffin, Beavers & McClain, 2019). The patient could not be saved
though, because the position of the patient was not considered and proper passage of air was
not open. The third clinical situation involved a 35 year old pregnant patient, who suffered
postpartum haemorrhage condition and eventually died. The paper will be focused on
providing a reflection on all those clinical scenarios following the Gibbs reflective cycle.
Description:
In the first scenario, the 45 year old patient had type 2 diabetes along with liver
cirrhosis. The patient overdosed on insulin, which he administered himself. The situation
resulted in the hypoglycaemia condition in the patient. The patient was brought to the
emergency ward at his unconscious stage. His blood glucose was detected as 60 mg/dl. The
patient was administered with intravenous dextrose in order maintain the balance of glucose
in his blood, where the nurses and the other healthcare team members monitored the patient
continuously. The medication error was responsible for this particular situation. There was a
seminar arranged for the patients with diabetes to provide them proper education on the right
method for the insulin administration. I was part of that team.
The second scenario involved a 28 year old patient, who was a victim of a car
accident. He was diagnosed with multiple sclerosis and was admitted in the ICU for 8 days.

REFLECTION ON CLINICAL EXPERIENCES2
The patient also had internal wounds and they were infected. He was treated with continuous
oxygen therapy continuously in the ICU. However, he was laid completely straight on the bed
and the position was not proper for getting the oxygen properly inside his lungs. The oxygen
saturation was measured 60 percent only before starting the oxygen therapy. I was on the
night shift duty on that night and I observed that the oxygen saturation in the patient’s blood
was not improving and there was a significant fall in the saturation after a few minutes. I
informed the doctor immediately and all the members of my ward made an attempt to
resuscitate the patient. However, all the attempts failed and the patient.
The next scenario involved a 35 years old female, who died after experiencing a
postpartum haemorrhage. The child was born 36 hours prior to that event. The healthcare
team attempted to lower the bleeding by using the drugs like methergin and oxytocin. The
family members of the patient accused all the members of the whole healthcare team and
started violence in the hospital. I just observed the whole scenario but was not any part of the
scenario.
Feelings:
During the first scenario, I felt sympathetic towards the patients, who unknowingly
invites the completely unnecessary hazards to their health. The hazards are completely
avoidable only if the patients learn the right way of insulin administration. I felt that the
attempt of arranging a seminar for increasing awareness in the patient and teaching them the
proper way of administering the right way of administering the insulin.
The second scenario involved the fault of the healthcare staffs. I felt very helpless
during the situation, since I did not know before that a change in the position of the patient
can successfully improve the level of oxygen in the patient’s blood (Meex et al., 2016). After