Reflection On A Critical Incident In PGCE - thought
Specular reflection , or regular reflection , is the mirror -like reflection of waves , such as light , from a surface. The law of reflection states that a reflected ray of light emerges from the reflecting surface at the same angle to the surface normal as the incident ray, but on the opposing side of the surface normal in the plane formed by the incident and reflected rays. This behavior was first described by Hero of Alexandria AD c. Specular reflection may be contrasted with diffuse reflection , in which light is scattered away from the surface in a range of directions. When light encounters a boundary of a material, it is affected by the optical and electronic response functions of the material to electromagnetic waves. Optical processes, which comprise reflection and refraction , are expressed by the difference of the refractive index on both sides of the boundary, whereas reflectance and absorption are the real and imaginary parts of the response due to the electronic structure of the material. In general, reflection increases with increasing angle of incidence, and with increasing absorptivity at the boundary. The Fresnel equations describe the physics at the optical boundary. Reflection On A Critical Incident In PGCE.This essay will reflect upon an incident in practice when I administered a drug to a child.
I will use Gibbs reflective model Gibbs see appendix 1. This model of reflection will be applied to the essay to facilitate critical thought and relating theory to practice where the model allows. Discussion on the incident will include the knowledge underpinning practice and the evidence base https://amazonia.fiocruz.br/scdp/essay/perception-checking-examples/studymodeupload.php the administration of the drug. A conclusion to the essay will then be given which will discuss my knowledge and competence of the incidence being reflected upon. The drug that I have chosen to reflect upon is Fragmin see Drug Profile 1 Appendix 2 which was administered as a parenteral subcutaneous injection to a 14 year old girl, who shall remain anonymous for the purpose of patient confidentiality in accordance with the regulations of the NMC I have source to reflect on this drug as it was the first injection I had given during my Reflection On A Critical Incident In PGCE which encouraged me to further develop my knowledge within this area.
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The first stage of Gibbs model of reflection requires a description of events see Appendix click here. The next stage of Gibbs reflective cycle is related to thoughts and feelings aroused during the event which I can use to reflect upon see appendix 4. The third stage of Gibbs model of reflection encourages exploration of both positive and negative experiences encountered and I have chosen a few that I propose to discuss further within this reflection. Throughout the incident the correct hospital policy was followed by my mentor in relation to preparing and administering an injection. However I was not familiar with this policy which could have negatively affected my practice as Grey suggests, that when administering medication by the parenteral routes, familiarization with local drug administration policy is essential.
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I also realized at that point that I have no knowledge on why different injection sites are used and for what purpose as studies suggest that the selection of the injection site will vary depending on the size and age of the child Cocoman, Stage four Gibbsis the critical analysis. After reflecting on this incident I will now analyse what I feel are the most important aspects by looking at the evidence underpinning https://amazonia.fiocruz.br/scdp/essay/calculus-on-manifolds-amazon/hospitality-in-the-hebrew-scriptures.php.
References Cocoman, A. Appendix 3 I was asked if I would like to administer a subcutaneous fragmin injection under supervision, to a 14 year old girl. The medication was in a pre-prepared syringe in the clean prep room by following local hospital policy.
However, on inspection of the injection, I did question the need for the air bubble within the syringe but was Refflection by my mentor that it is normal to find an air bubble in a pre-prepared syringe and to leave it there for administration.
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The medication was checked by another staff nurse in accordance to local policy and my mentor and I approached the patient. The patient was lying in bed with no relatives present and I asked consent before administration. The patient became a little distressed at this point and refused to Reflection On A Critical Incident In PGCE the injection in her abdomen saying it was too painful, however she did consent to me using her upper arm for the site and after onfirming this with my mentor I proceeded to administer the medication with no further complications. Appendix 4 My initial feeling after being asked to administer the Fragmin injection was apprehension, as I had not administered an injection before article source practice. As I was administering it under the supervision of my mentor this made me feel very nervous and self conscious, however I also acknowledged the fact that I should appear confident and at ease in front of the patient as she was herself showing signs of distress.
After the administration, the patient thanked me for not hurting her which immediately boosted my confidence and left me feeling extremely content with the knowledge that I had performed my first injection correctly.
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