Reflection on Medication Administration Challenges

Running head: REFLECTION
Reflection
Name of the student:
Name of the University:
Author’s note

1REFLECTION
Reflection on scenario 1:
While assigned to the care of Florence who is immunocompromised, I was given the duty
to provide Gentamicin 160 mg IV. The challenges that I encountered during this practice was
that I was not aware how to deliver the dose as an intermittent bag and because of this issue, I
provided the 100 mg of Gentamicin via intravenous route. The key skills that I was lacking were
the procedure to set up the infusion pump. Intravenous intermittent infusion involves the infusion
of a medication over a set period of time and then stopping the infusion until next dose is
required. As a nurse, the skill that was needed during infusion was to set up in way that
Gentamicin can be delivered via ml/ hour. However, lack of skills in calculating medication dose
during setting infusion pumps creates challenges for me. In response to this issue, I have
prioritized taking education or training on correct use of infusion pumps. This is relevant with
the standard 5.5 of the NMBA standards of practice for registered nurse, which mentions
coordinating resources effectively for planned action (Nursing and Midwifery Board of Australia
2017). Hence, in preparation for my role as a registered nurse, I aim to take training on dosage
calculation and method of setting infusion pumps.
Reflection on scenario 2:
During the care of Mr. Fred Boyle who had oedema, I was ordered by the doctor to
administer 20mg Furosemide intravenously in the form of a bolus. The instruction also
mentioned administering 3ml normal saline flush after the administration of the medication.
While delivering the medication, I followed all the five rights of medication administration. I
was aware that the main purpose of giving medication as a bolus is to rapidly inject the
medication into blood stream. The main purpose of bolus is to ensure that the medication acts