Aseptic Non-Touch Technique Reflection: Gibbs Model Analysis

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This report is a reflection on the Aseptic Non-Touch Technique (ANTT) for wound care, structured using the Gibbs reflective cycle. The student describes a practical simulation in which they performed the technique, detailing the steps taken, including hand hygiene, preparation, and sterile equipment handling. The reflection explores the student's initial feelings of worry, which evolved into confidence and happiness upon successful completion. The evaluation highlights positive aspects, such as adherence to protocol, and negative aspects, such as poor communication with the 'patient'. The analysis connects the experience to the Registered Nurse Standards for Practice, emphasizing the importance of safe and quality nursing care and adequate preparation. The conclusion identifies areas for improvement, particularly communication and patient education. The action plan outlines how the student will address these shortcomings in future scenarios, focusing on improved interpersonal skills and patient engagement. The report includes references to support the reflection.
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RUNNING HEAD: ASEPTIC NON-TOUCH TECHNIQUE REFLECTION 1
ASEPTIC NON-TOUCH TECHNIQUE REFLECTION
Name:
Institution:
Tutor:
Date:
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ASEPTIC NON-TOUCH TECHNIQUE REFLECTION 2
ASEPTIC NON-TOUCH TECHNIQUE REFLECTION
DESCRIPTION
In this assignment, I will reflect on the Aseptic Non-Touch Techniques for caring of
wounds. During the process of reflection, I will use the Gibbs model of reflection. This is one of
the most popular models of reflection among the nursing students since it is very convenient and
systematic (Williams, Woolliams, & Spiro, 2012). During a practical simulation in the lab, our
tutor placed students into groups of 2 and we were supposed to simulate the Antiseptic Non-
Touch Techniques for wound care. I was the one to perform the technique on the other student
who was acting as the patient. During the technique, I started by examining the state of the
wound. After that, I washed my hands and cleaned the surface of the work area. I again
performed hand hygiene and then prepared my patient. I wore gloves when removing the blood
stained dressing. I then performed the procedure ensuring that all the components are protected. I
ensured that only the sterile items come into contact with the wound during the entire process.
FEELINGS
Initially, I was very worried about conducting the Aseptic Non-Touch Technique.
However, I became motivated by the fact that this was just a simulation exercise. I got confident
enough and went ahead with whole exercise successfully. There were moments during the
techniques that got me confused due to the presence of several equipment that I was supposed to
use to dress the wound. I was also anxious about the outcome of the whole process. At the end of
the practice, I was very happy for successfully demonstrating the Aseptic Non-Touch Technique.
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ASEPTIC NON-TOUCH TECHNIQUE REFLECTION 3
EVALUATION
During the technique, majority of the things that I did were positive. I ensured that I stick
to the protocol of the process and this in itself is a positive. However, there few negative
experiences during the process as well. One of the negative aspects is that I failed to
communicate with the patient. I did not educate the patient on the importance of certain concepts
such as the importance of numerous hand hygiene episodes. The patient at some point felt I was
wasting a lot of time doing this. I learnt that my interpersonal skills are quite poor and this is one
area that am looking forward to improve on during the next similar case. The overall experience
was quite enjoyable and I gained valuable skills that will bolster on the already existing skills
that I acquired in the theoretical work from class. I feel better equipped for the nursing placement
in the near future.
ANALYSIS
According to the registered nurse standards for practice (NMBA) six, it is the
responsibility of the nurse to provide safe, appropriate and responsive quality nursing practice.
The Aseptic Non-Touch Techniques for wound care is an example of the quality and safe
practice that nurses can utilize in patients with open wounds (Davidson, 2015). Prior to the
process, nurses are expected to effectively plan so as to avoid any errors. During the technique, I
made sure that everything is in place by first placing the sterile equipment on the working
surface as well as cleaning surface. The NMBA standard 5 dictates that nurses should develop a
good plan for nursing practice (Chau et al., 2010). This adequate preparation was the key to the
successful process. The reason behind the several hand hygiene protocols in the technique is to
prevent contamination of the wound. This is the same case with disposing of the already used
gloves into dustbins.
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ASEPTIC NON-TOUCH TECHNIQUE REFLECTION 4
CONCLUSION
There are different areas that I feel I could have done differently. One of the areas is
communicating with the patient. I should have talked to the patient or rather educated him on
why I was subjecting him to the aseptic techniques. I should also be confident enough when
handling patients so that they can feel secure. All the other aspects were covered well and I
would only work hand to perfect them.
ACTION PLAN
In case I come such a case that needs the Aseptic Non-Touch Technique, I will ensure
that I communicate with the patient. This is because I have realized that I am poor at
interpersonal skills which are essential in establishing a good rapport with the patient. During
this scenario, I also failed to educate the patient on why certain procedures were being done
together with their importance. Therefore, I will make sure that at the beginning of the process, I
educate the patient on why am subjecting them to certain protocols so that they can become
aware. This can also assist them participate in the care of the care of the wound. A correct aseptic
non-touch technique facilitates the recovery of the wound and I would therefore ensure that I
stick to the protocol that worked best for me such as continuous hand hygiene.
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ASEPTIC NON-TOUCH TECHNIQUE REFLECTION 5
References
Chau, J. P., Lam, L., Lui, M. H., Ip, W., Chien, W., Lee, I. F., & Thompson, D. R. (2010). A
survey of registered nurses’ perceptions of the code of professional conduct in Hong
Kong. Journal of Clinical Nursing, 19(23-24), 3527-3534. doi:10.1111/j.1365-
2702.2010.03349.x
Davidson, J. R. (2015). Current Concepts in Wound Management and Wound Healing
Products. Veterinary Clinics of North America: Small Animal Practice, 45(3), 537-
564. doi:10.1016/j.cvsm.2015.01.009
Williams, K., Woolliams, M., & Spiro, J. (2012). Using a framework for reflection: Gibbs’
reflective cycle. Reflective Writing, 90-102. doi:10.1007/978-0-230-37724-0_16
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