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Drug error in a practice placement

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  1. Introduction
  2. The role of drug administration
  3. Reflective practices
  4. Gibbs' model of reflection
  5. The stages of Gibbs model of reflection
    1. Description
    2. Feelings
    3. Evaluation
    4. Analysis
    5. Conclusion
    6. Action plan
  6. Conclusion
  7. Reference list

For this summative assignment using a reflective model of my choice, I am going to critically reflect upon an aspect of my professional development which has been chosen from my professional portfolio. Reflective writing is considered a key component of portfolio assessment because it provides evidence of skills development and increasing clinical competence (Smith 2005). The topic of reflection which this assignment shall be based on and analyzed in more depth is a potential drug error being made whilst on my practice placement. The area of drug administration is a vital and important role of being a nurse.

This assignment shall incorporate the research evidence available surrounding the role of drug administration and how this area can be improved. Furthermore, I am going to reflect on my thoughts, feelings and beliefs about the incident which occurred. It will also consider the quality of care I delivered, the skills I developed in my training whilst on placement and also what I have learned from the incident thereafter. To enable me to reflect on this issue in more depth, I have chosen Gibbs model (1988) to guide my reflective process. (Gibbs 1998) (appendix I). The rationale behind choosing Gibbs (1998) model of reflection is that it is structured in six different stages. This allows a thorough account of the incident to be developed and later reflected on. Gibbs model (1998) goes through six important points to aid the reflective process, including description of incident, feelings, evaluation, analysis, conclusion and finally action plan. Reflection is defined by Wilkinson (1996) as an active process whereby the professional gains an understanding of how historical, social, cultural, cognitive and personal experiences have contributed to professional knowledge and practice.

Tags: Gibbs reflective cycle for drug error, Reflective writing for drug error, Reflective analysis of drug errors, Reflective work on drug error

[...] I also was angry with myself as I had never made a potential drug error before on placement and I was ashamed that I had done so on that occasion. Since the incident, I felt as though I had lost my confidence in doing the drugs round. I now find myself constantly re-checking myself while doing the drugs round, as I am aware of the possible implications of such a severe potential mistake ever happening again. Hibberd & Norris (1992) found that when a nurse takes responsibility for an error, they may initially react negatively towards themselves for having potentially made the error in the first place. [...]

[...] (1999) The nurse's role in drug handling within municipal health and medical care. Journal of Advanced Nursing. Vol.30 p.950. Mayne, W., Jooton, D., Young, B., Marland, G., Harris, M., Lyttle, C.P. (2004) Enabling students to develop confidence in basic clinical skills. Nursing Times. Vol. 100(24) pp. 36-39. McNulty, L. (1999). Time to learn lessons from drug errors. Nursing Standard. Vol. 13(16) pp. 6-12. Newell, R. (1992). Anxiety, accuracy and reflection: the limits of professional development. Journal of Advanced Nursing. Vol.17. [...]

[...] Annonymous reporting of drug-related errors: application of a modified secondary care model in a community pharmacy setting. The Pharmaceutical Journal. Vol.268. pp. 101-103. O'Shea, E. (1999). Factors contributing to medical errors a literature review. Journal of Clinical Nursing. Vol.8 p.496. Royal College of Nursing. (2006). Majority of drug errors made by nurses. Nursing Standard. Vol.20(30) p.10. Shephard, M. (2002). Medicines. Nursing Times. Vol. 98(16). pp.45-48. Smith, A. (2005). Reflective practice: a meaningful task for students. Nursing Standard. Vol.19(26) pp.33-37. Sprengel, A. [...]

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