Reflective Cycl and Gibb's Reflective Cycl for Clinical Skill Assessment

Running head: REFLECTIVE PAPER
REFLECTIVE PAPER ON CLINICAL SKILL ASSESSMENT
Name of the Student
Name of the University
Author note

1REFLECTIVE PAPER
In nursing profession, reflection has become an important tool that helps the
professionals to identify the positive or negative points of their process and then implement them
to improve their future nursing practice (Lestander, Lehto & Engström, 2016). In this paper, I
will also be reflecting upon my clinical skill assessment session using the Gibb’s Reflective
Cycle and then will identify the aspects which I need to rectify for improvement in my clinical
practice.
Description
For the clinical skill assessment, I was provided with the responsibility of administering
IV medication to Mrs. Lilly Joseph (65), who was suffering from Chronic Obstructive
Pulmonary Syndrome. My duty was to administer IV Hydrocortisone 100 mg every 6 hours as a
circulator nurse and hence I had to be aware and cautious of the steps that need to be taken for
successful administration of the drug such as the ANTT principles, correct application of water
for injection to prepare the drug for injection, comply with the drug administration technique by
the Australian injectable Handbook and hygiene policy of the helathcare facility.
Feelings
I was very hopeful prior to the assessment process, as I was aware of the ANTT or
aseptic non-touch technique and the Australian injectable handbook guidelines for the
administration of IV drugs. However, I was aware of my weaknesses that hinder my ability while
working in a multidisciplinary team. Hence, this situation was important for me to overcome my
weaknesses and provide my patient with holistic care.
Evaluation

2REFLECTIVE PAPER
The commencement of the session was positive and I was able to introduce my role and
responsibilities to the patient (The Society of Hospital Pharmacists of Australia, 2019). Further I
was able to obtain the vital signs of the patient and communicated the details loudly to each
nursing staff present in the room. As per Queensland Health (2017), it was an important and
effective step so that the scope of double checking the patient’s condition could be achieved and
in case of any adverse sign, the medication administration could be stopped (Queensland Health,
2017). Further, I documented the signs and started calculating the amount of Hydrocortisone that
need to be administered to the patient. This process was important for the quality and safety of
the drug administration process (The Society of Hospital Pharmacists of Australia, 2019). I was
aware of the information that the patient did not have any allergic conditions and hence, I
directly administered the medication through IV. I maintained the ANTT method and did not
touch the tip of the needle, however, while complying with the process, capped the used needle,
however, this did not affected the care process for Mrs. Joseph (Dhhs.tas.gov.au, 2019).
Analysis
While analyzing my performance in the clinical skill assessment process, I found that
beside few errors in the process, I was able to conduct each of the major processes without any
fail so that quality and safety of drug administration could be achieved (Ghinai et al., 2015). I
was able to maintain hand hygiene and injected the drug after double checking and confirming
the safety of the process. However, I should not have capped the needle again as it can create a
confusion in the care process and accidental re-use of the needle could exert negative effects on
the patient (The Society of Hospital Pharmacists of Australia, 2019). Hence, the analysis was
both positive and negative.