Reflection essay on vital signs using Driscoll's model

Authors Avatar by helmet_grghotmailcom (student)

This assignment is a reflection that I undertook during my first clinical practice, using Driscoll’s (2000) reflective model, a recognised framework to demonstrate my ability to reflect critical thought in theory to practical skills. Reflection is defined as process of explaining and expressing from one’s own experiences and helps to enables us to develop and improve our skills and knowledge towards becoming professional practitioners (Jasper, 2003).

Temperature, blood pressure, pulse rate and respiration are the vital signs that indicate the condition of someone’s ability to maintain blood flow, regulate body temperature, rate of breathing and heart-beat (National Institute for Health and Care Excellence (NICE, 2007). A small change in one vital sign can lead to detention in another vital sign. This assessment was analysed and interpreted in order to record and measure the vital signs accurately which significantly allowed practitioners to take appropriate action to meet the needs of the patient (The Nursing and Midwifery Council (NMC), 2010).

The first stage of Driscoll’s reflective mode (Johns 1994) describes what happened.  The main purpose of this simulation is to increase student confidence and also to prepare student for real clinical setting.We were paired up where one took the blood pressure and the othertook the temperature, the respiration and the pulse rate. According to the (NMC, 2010) communication is the key element therefore I introduced myself, informed patient about the procedure and asked for patient consent to ensure that decisions are made on behalf of the service user (NMC 2010) about taking the vital signs. Hand washing is the most crucial part for the prevention of cross contamination (NICE 2005) so my colleague and Iwashed our hands using the six steps techniques (NPSA, 2009) lasting 30 seconds before and after contacting with the patient. Prior to going over patient’s health and safety, I made sure the equipment available in the ward was clean and functioning well. I found out that the battery on the tympanic thermometer was not functioning; I informed my colleague and I made sure the battery was replaced before using it. After the assessment, I forgot to interpret the recording in the NEWS chart andaccording to NMC (2010) good record keeping is an important component to the provision of safe and effective care.Then we pulled the curtain for privacy to ensure that Miss X received care in a dignified way that does not confound her whereothers are unable to hearher condition and to make sure she is comfortable (NMC, 2008).

Join now!

Before the assessment, I was excited because I was going to use my theory skills in real clinical practice. But I was nervous and anxious as I entered in the ward because this was my first time taking the vital signs on the real patient therefore I forgot to make sure the patient in the bed was Miss X and when asked by the patient about the procedure I could not explain it to her clearly(RCN, 2007). Having experienced in this simulation I now I realised  that I  have to learn more to become aware of different practices concerning the ...

This is a preview of the whole essay