Reflective Account: Learning Experience on Moviprep and Endoscopy

This reflective account examines a healthcare professional's learning experience with Moviprep and sedation in endoscopy, utilizing the Driscoll model to analyze the experience. The author, a Specialist Screening Practitioner in a Bowel Cancer Screening Programme, details the process of patient preparation with Moviprep, an osmotic laxative, and the administration of midazolam and pethidine during endoscopy procedures. The reflection covers the 'What, So what, and Now what' stages, describing the importance of patient instruction, potential risks, and the significance of communication for building trust. The account highlights the relevance to the NMC Code, specifically emphasizing the theme of preserving safety through proper patient care and communication. The reflection also touches upon the training received on patient group direction (PGD) for Moviprep, the identification of contraindications, and the importance of seeking help during emergencies, providing a comprehensive overview of the learning gained in a clinical setting.

Reflective account : learning experience on Moviprep, sedation
in endoscopy
Utilizing a reflective model critically reflect on an aspect of
professional development.
Main purpose of this reflection is to show the skills and learning
experience on Moviprep that was gained at the time when I visited
clinic. I have worked there as a Specialist Screening Practitioner in
Bowel Cancer Screening Programme. In order to show my reflection, I
have made use of Driscoll model. This is a type of model that divides 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 patients are properly instructed. More specifically, patients
are given Bowel prep at the time of Colonoscopy preparation. I identified
that clinic make use of Bowel prep which is also known as Polyethylene
glycol electrolyte solution to patient when endoscopic test is to be
conducted (Jover, Zapater and Pellisé, 2013). This is a type of osmotic
laxative solution which is helpful to increase level of water in the
intestinal tract to stimulate bowel movements. Further, patients are
given with midazolam 2mg and pethidine 25mg iv in order to conduct
the procedure of endoscopy. In this medication, it also contains sodium,
potassium and other minerals in order to replace electrolytes as these
are lost from the body at during the process of bowel preparation.
Before conducting the procedure, patients are required to fast at least
12 hours before. Further, there are conditions in which patients are
given laxatives previous night before procedure take place in order to
clean the system.
‘So what?’ This stage of the model prompts us to analyse,
evaluate feelings and discuss effects of actions
Whilst undergoing the patient group direction (PGD) training for
Moviprep I have gained more knowledge and understanding of issues
surrounding the supply and or administration of Moviprep under PGD. It
is important to make sure that there is proper interaction with patients
so that they share their issues. Before conducting endoscopy, as a nurse
it is essential to make sure that patients were taking any type of
medication (Zakeri, Webster and Thillainayagam, 2013). Further, there
are certain set of risk that are involved in which 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 is difficulty in swallowing or conditions that causes vomiting
occurs after colonoscopy, then it can be stated that the procedure is not
properly followed. Interaction is helpful for me to understand the trust
policy and guidelines regarding the PGD.
The final stage ‘Now What?’ guides to apply, synthesise and
consider implications and actions.
From the training that I will help me to give clear instruction to my
patients about moviprep and supply the medication according to the
PGD protocol. It also enables me to identify the contraindications
correctly during the assessment of patients in the clinic (Alghamry,
Ponnuswamy and HODGSON, 2014). The training has given me insight
into how communication is helpful in develop trust and confidence
among patients. Further, at the time of any emergency situation, it is
essential to seek help so that situation can be controlled.
How is this relevant to the NMC Code?
Select one or more themes:
Preserve safety: As a nurse, it is important for me to make sure that
patients develop trust and confidence so that they share all the issues
that are faced by them. As NMC Code, it is essential for me to maintain
and consider proper steps so that proper safety can be me maintained.
References
Jover, R., Zapater, P., & Pellisé, M. (2013). Modifiable endoscopic factors
that influence the adenoma detection rate in colorectal cancer
screening colonoscopies. Gastrointestinal endoscopy. 77(3). 381-
389.
Zakeri, N., Webster, S., & Thillainayagam, A. V. (2013). PWE-071 Safe
Sedation in Endoscopy: Time for a New Approach?. Gut. 62(Suppl
1). A159-A159.
Alghamry, A., Ponnuswamy, S., & HODGSON, R. (2014). Reduced time to
endoscopy performed under propofol sedation after split-dose
bowel preparation does not increase residual gastric volume (RGV)
or risk of aspiration. Gastroenterology. 146. 736.
.