Reflective Assignment on NSQHS Standard 2022

0REFLECTIVE ASSIGNMENT ON NSQHS STANDARD
REFLECTIVE ASSIGNMENT ON NSQHS STANDARD
Name of the student:
Name of the university:
Author note:

1REFLECTIVE ASSIGNMENT ON NSQHS STANDARD
Reflection in the nursing is demarcated as the most effective tool to analyze the strength
and weakness of the nurse with the help of past experiences. In the heath carte setting it is
usually performed by the nurses to evaluate their learning and to enhance the knowledge in order
to provide better treatment to the patient in future by working on the skill which needs to be
considered (McKinnon, 2016).. This reflective is focused on the two NSQHS standard, which are
medication safety standard and the communication for safety standard (Safetyandquality.gov.au,
2019). The reflection details about my experience in the 3rd year of the clinical placement in the
medical oncology unit, where I was assigned to work under a registered nurse. The reflective
model that is used to structure my experience in the essay is the Gibbs reflective model. Gibbs
reflective model is the most widely used reflective model in the health care setting as it helps in
better analyzing of the condition and develop the action plan accordingly (Lestander, Lehto &
Engström, 2016).
Description:
During my 3rd year of the clinical placement, I was assigned to take care of a 50 year old
woman, who has been treated for breast cancer. I was assigned top work under a supervisor
nurse. The patient had been diagnosed with breast cancer and is treated accordingly. As the
patient has received chemotherapy a number of times, she has become weak (Zhang et al.,
2019). The patient has a speaking disability and hence cannot speak or express her words
properly, which made it difficult for us to build a rapport with her. On one day, a nurse had
administered the medication to the patient, without even assessing the health condition of the
patient or without communicating with the patient due to her disability, with double the dose by
saying that it will improve her health. I tried once top stop her but later though that have more
experience and knowledge than me and hence did not said anything. Later, I narrated the whole

2REFLECTIVE ASSIGNMENT ON NSQHS STANDARD
incident to my buddy which ended up calling a MET meeting. The health of the patient worsens
at evening. Her breathing rate has increased, but due to my assertive action, she got the treatment
immediately to avoid any further problem.
Feelings:
At the beginning of the placement, I was excited for the placement as it will help me in
gathering clinical knowledge and experience which is important to ensure quality care in the
future practice. During the clinical placement, I felt that I should be more assertive while treating
the patient. Due to the incident, the health of the patient had worsen, she was in pain but due to
her speaking disability not able to express it, which making me feel sympathy for her. I also felt
disappointed as despite of having the knowledge regarding the medication safety standard I was
not able to stop the nurse at that moment only.
Evaluation:
From the clinical placement incident, I was able to evaluate my strength and weakness. I
evaluated that one of my biggest strength is my clinical knowledge which is very important to
provide proper care to the patient and also reduces the chance of medication error. According to
the NSQHS standard 4, that is the medication safety standard, the dose of the medication should
not be exceeded without the proper assessment of the patient (Safetyandquality.gov.au, 2019).
However the nurse had administered that into the patient, which led to her health deterioration. I
also got knowledge about the importance of proper communication or rapport between the
patient and the nurse according to the communication for the safety standard formulated by the
NSQHS (Safetyandquality.gov.au, 2019). In addition to that, I also understood that I should be
more assertive while handling the patient.