Reflection On Placement

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Reflection on Placement 1a This is a reflective essay in relation to an incident which occurred during my first ward placement. Reflection is a key skill for nurses and can be an important learning tool (Wilding, 2008). For this reflection I will use Gibbs’ (1988) model as it is fairly straightforward and can be adapted to numerous situations. The cycle has 6 stages – firstly to tell the story, then to consider how you felt, then what were the thoughts and feelings of others involved and how you knew these, followed by what were your options and what would you do if the situation arose again. The following account will go explain each one of these stages. I encountered a patient who was admitted with confusion. For the first 24 hours he would just wander around the ward and sometimes sit at the entrance to the bay without causing any problems to either the staff or the other patients. Up to this point he didn’t show any signs of aggression or frustration and posed no threat. The next day there were marked differences in the patient, he had trouble with his balance and was extremely unsteady on his feet, so much so that he fell over next to the nurses’ station and sustained a bump to his head. Due to this change it was decided that he was a danger to both himself and others due to the high risk of falls. The ward manager arranged for the patient to be moved onto a different ward where there was an empty side room, the furniture would be removed and mattresses placed on the floor so that he could lay on them without any risk of falling. He required a nurse to special him but this person was not available for a couple of hours so the ward manager requested that myself and another student nurse (also on her first placement) accompany him and ensure he came to no harm until the consultant could assess him. During the transfer between wards the patient became

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