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This essay will reflect on my first clinical experience during my placement.. Kelvin is a 7 years old boy who was admitted for sepsis (febrile neutropenia). I learnt about his medical history, his social background and treatment. I needed to have full un

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Introduction

This essay will reflect on my first clinical experience during my placement. I will discuss about four domains which are Professional and Ethical Practice, Care delivery, Care Management and Personal and Professional development. I will also define reflection as well as highlight my strength and weakness and relate theory to practice and then finally give an overall conclusion of my experience. According to Gibbs (1988), Reflective Cycle provides a straight forward and structural framework and encourages a clear description of the situation, analysis of feelings, evaluation of the experience, analysis to make sense of the experience, conclusion where other options are considered and reflection upon experience to examine what the professional would do should the situation arise again. The NMC (2008) standard code of conducts, performance and ethics requires all nurses and healthcare practitioners to recognise duty of confidentiality owed to patients as part of its code of professional conduct which states information about patients must be treated confidential and use it only for the purpose which it was given. ...read more.

Middle

Kennedy & Grubb (1994) suggest that "in order to give consent, a person must be deemed to be competent by obtaining consent previous to any clinical procedure being carried out, this requirement is both legal and ethical imperative". I introduced myself to Kelvin and spoke freely to him, asked how he was feeling etc. This helped break the ice and I explained that I needed to ask him a few question to enable the best care possible is carried out. I observed how my mentor removed his dressing using the appropriate aseptic techniques and there was no sign of infection. My mentor then redressed the wound and told Kelvin to buzz if he's in any pain. I then did his baseline observation i.e. blood pressure, pulse, oxygen saturation, temperature and respiratory rate. I explained to Kelvin that it was important I had an idea of his normal ranges and monitor any changes. ...read more.

Conclusion

it enables me to revaluate my practice whilst looking at it from an objective point of view which in turn ensures further learning and knowledge gained is constantly improved upon. Appendix Kelvin is a young boy of 7 years old with Sickle cell anaemia who had a bone marrow transplant in August 2010. He was born following normal pregnancy and delivery. He lives with both parents and three siblings. He has had severe admission with viral and suspected fungal infections. His current admission was due to sepsis (febrile neutropenia) due to parainfluenza 3 and treated with ribavarin. He is currently on tacrolimus as immunosuppression which is being weaned gradually over 6weeks. Referencing Kennedy & Grubb (1994) Principles of Medical Law, Oxford University Press, Oxford Gibbs, G. (1988) Learning by Doing: A guide to teaching and learning methods. Further Education Unit, Oxford Brookes University, Oxford. Nursing and Midwifery Council (2008) The Code: Standards of conduct, performance and ethics for nurses and midwives. Nursing Midwifery Council, (2002), Code of Professional Conduct, London ...read more.

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