This report is a reflection on a clinical practice incident by a nursing student during training at a surgical ward. The student recounts the case of Ms. Borgart, who underwent gallbladder and appendix surgery, and analyzes the administration of medications such as Tylox and heparin. The report highlights a medication error involving metoclopramide, leading to adverse effects, and uses the Gibb's reflective cycle to evaluate the actions taken and the outcomes. The student reflects on the importance of understanding drug dosages, potential side effects, and the need for thorough patient assessment to avoid errors and improve patient care. The action plan includes devising individualized care plans, seeking guidance from mentors, and ensuring effective communication during handovers. The reflection underscores the significance of clinical knowledge and the impact of negligence on patient well-being, providing valuable lessons for future practice.