The Role Of A Nurse As A First Assistant

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South Bank University

Course: Theatre Course (level-3)

Session: 2002-03

Student Name : Renuka Arora

Student Number : 9856030

Topic : The Role Of A Nurse As A First Assistant

Tutor : Marie Culloty

Submission Date : 06 January 2003

Essay - REFLECTION IN PRACTICE

Definition:

'Reflection is the process of reviewing an experience of practice in order to better describe, analyze and evaluate, and so inform learning about practice.' Boud et al(1985)

Many authors have utilized frameworks and models to guide reflective practice. Attached are a number of different models:

Suggested Reading:

Schon D (1983) The reflective practitioner, Temple Smith London;

Drischoll D(1994) Reflective Practice in practice Senior Nurse 13,7, 47-50.

Description of incident:

I was asked to check in a patient Mrs Jones for the vascular theatre. Mrs Jones was 65 yrs old lady admitted for thyroidectomy. Mrs Jones was already waiting in the reception area. I took the patient notes from the ward nurse to confirm the patient identity and to check the pre op-check list. During this time I asked Mrs Jones that if she has any medical problems. Mrs. Jones told me that she had chest pain this morning, that's the same time when nurse told me that at the time of chest pain they have done an ECG and they were trying to get contact with the anaesthetic but they could not, and also patient didn't have her heart medicine this morning and the nurses didn't know whether to give the medicines or not. I told to this patient and the nurse that I have to speak to these anaesthetics before I could proceed. When I showed the anaesthetic the ECG and told her that the patient had chest pains in the morning. She went and showed the ECG to the senior consultant who noticed some changes in ECG and decided that this patient should not have the operation because it is too risky. The consultant went and apologized the patient that she has to refer to cardiologist.
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Feelings:

I felt very angry, powerless and was deeply troubled about what happened. This followed by the disbelief that something like this should be allowed and happen .I felt sad that the patient had to go through all those preparations (coming to theatre) which could have been avoided if nurses on the ward had made sure that anaesthetic has seen this ECG report .I felt as the patient advocate that the nurses in the ward failed in their duty to check and contact the anaesthetic.

Evaluation:

The experience was terrifying as I feel helpless. The ...

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