For the purpose of this Reflection I shall be using Gibbs et al (1998) Reflective Cycle.
I find this particular cycle offers me direction for my thought process as to how I perceive Reflections.
Within the working environment I experience my reflection as personal and superficial in its context. I find this cycle allows me to understand the guidelines and structure of the cycle.
On the day in question I arrived for a 14 hour shift, after only experiencing 3-4 hours sleep previously having just finished 2 weeks of nights 24 hours previous.
I began with the Medication round noting that the ward environment was extremely busy and I was not feeling 100%due to feelings of tiredness and exhaustion. However, I continued with the task in hand experiencing constant interruptions, only to find that I had administered 2 x drugs that were omitted ...view middle of the document...
When researching medication errors I came across a study that indicated that nurses who are constantly interrupted whilst administering medications has a 21.1%increase in errors. Within the study a â€˜sterile hourâ€™ was suggested in which medications can go ahead without any interruptions for a minimum of 1 hour. In theory the idealism of this is excellent, however in reality patients can become unwell or doctors require your attention.
On reflection, I am sure that the ward environment will not differ therefore, I am more aware and more observant of how crucial it is for me to be more careful when being interrupted, taking measures to ensure I return to my medication round safely and focused to guarantee I reduce myself from making errors and putting patients at risk.
I am fully aware and adhere to the 5 Râ€™s upon every medication round, whilst also gaining confidence in questioning the doctors why a certain medication is prescribed or omitted. However I do have full confidence in questioning the doctors around issues concerning a patientâ€™s condition or welfare. I feel that I have a certain amount of knowledge concerning patientâ€™s conditions and responses after a drug has been administered, and requesting the doctors to review a patientâ€™s condition concerning this.
I do feel that when reflecting upon this a lack of sleep held a number of consequences surrounding this issue such as; reduced attention span, reaction time and impaired memory. The Royal College of Nursing do suggest that when switching from nights-days, allowance of a minimum of 2 nights sleep is required to fully function properly. I feel that this has held a great impact upon my working performance and ability.
In the future I shall request that I do not have to alternate nights/days with only a 24 hour rest period in-between, of which has been noted. With regards to the ward environment and the administration of medications, I shall continue to give 100% concentration and if distracted will maintain to bring my thoughts back to the task in hand.