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Learning Experience on Sedation in Endoscopy

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Added on  2020-06-04

Learning Experience on Sedation in Endoscopy

   Added on 2020-06-04

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Reflective account : Learning experience onsedation in endoscopyUtilizing a reflective model critically reflect on an aspect of professional development.Main purpose of this reflection is to show the skills and learning experience onsedation on endoscopy that was gained at the time when I visited clinic. I have workedthere as a Specialist Screening Practitioner in Bowel Cancer Screening Programme. Inorder to show my reflection, I have made use of Driscoll model. This is a type of model thatdivides the experience by asking question: What, So what and now what.‘What?’ stage: Description of the chosen experience As per the induction program (SSP), it is my responsibility to make sure that all the patientsare properly instructed. More specifically, patients are given Bowel prep at the time ofColonoscopy preparation. I noticed that only trained and competent doctors are allowed forexamining and sedating the patients. The role of operator is to check that the clinicalconditions of patient's is observed by registered nurse or qualified doctor. I analysed thatsufficient assistants with at least one qualified nurse is meant to be present during theprocedure. I explained patient the meaning of sedation which is the action of administeringa sedative drug to generate a state of calm or sleep. As a nurse, I have described the variousside effect of sedation such as depression, anxiety, aggression, restlessness, hallucinationand loss of personality.I describe these effects and after effects to the family member sothat they will get to know when to bring patient hospital for endoscopy for clonoscopy as apart of bowel cancer screening. Patient was experiencing viloentness in following sedationand frequently become restless. I was trying to develop my skills by observing other andperforming certain tasks and activities. The good experience about the whole process is thepatient recovery, and the bad experience is to watch them in pain. I observe that recoveryshould be monitor by trained staff. Before conducting the procedure, patients are requiredto fast at least 12 hours before. Patients should only be discharged when fit and this shouldbe recorded in the patient. As a nurse it is my responsibility to know th properties ofmedication to be provided to patient.Record. Ideally, formal nurse led discharge criteria should be used and documented.Further, there are conditions in which patients are given laxatives previous night beforeprocedure take place in order to clean the system. ‘So what?’ This stage of the model prompts us to analyse, evaluate feelings anddiscuss effects of actions Whilst undergoing the patient group direction (PGD) training for sedation I have gainedmore knowledge and understanding of issues surrounding the supply and or administrationof sedation under PGD. It is important to make sure that there is proper interaction withpatients so that they share their issues. As new specialist screening practitioner, I haverecognised the importance of pre-assessment before the procedure and how accurately ithas to be recorded in the nursing records. Before conducting endoscopy, as a nurse it isessential to make sure that patients were taking any type of medication (Zakeri, Websterand Thillainayagam, 2013). If an incorrect medicine is supplied to the patient in the processof sedation than it is my duty to inform the ward pharmacist. The importance of sedations isthat it minimises anxiety and stress. If the patient become too drowsy, a drug will beprovided to reverse the effects.Further, there are certain set of risk that are involved inwhich it includes bleeding, infection and other rare complication like chest pain, fever, etc.All these depend upon the procedure that is being followed. For example, when there isdifficulty in swallowing or conditions that causes vomiting occurs after colonoscopy, thenit can be stated that the procedure is not properly followed. Interaction is helpful for me tounderstand the trust policy and guidelines regarding the PGD. The final stage ‘Now What?’ guides to apply, synthesise and consider implications and
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