Critichal Incident - Drug Error - Iv Fluids

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The following essay will discuss a clinical incident which may have had the potential to cause harm to a patient whilst being nursed post operatively. The focus will be to critically discuss drug errors, why they occur and consider the rationale behind intravenous (IV) fluid therapy, outlining the possible negative effects of fluid overload on a patient whilst considering the nurses role in respect of legal and professional issues surrounding the incident. To protect identities and comply with the Nursing and Midwifery Council (NMC) Code of Conduct (2008) all names will be changed.
The model chosen for this reflection is the Gibbs (1988) Reflective Cycle which encompasses 6 stages of description, thoughts and feelings, evaluation, analysis, conclusion and action plan which will continuously improve my nursing skills by learning experiences and develop my self confidence when caring for others (Siviter 2008).
The critical incident took place on a surgical ward whilst I was on placement. It was a negative experience which caused me to pause and reflect on ensuring that everything I do in practice is in the best interest of the patient (NMC 2008). It also made me consider the possible negative implications for patients due to poor practice and behaviour of healthcare professionals (Alphonso 2007).
After spending some time in critical care following an appendicectomy, a 72 year old male patient who will be known as Mr. Smith was escorted by a nurse, to the surgical ward at approximately 1700 hours. My mentor asked if I would take handover from the nurse, who I will call nurse A, take Mr Smith’s observations and admit him to the ward. Nurse A began by telling me Mr Smith was not her patient. Nurse B who was looking after Mr Smith had finished work and left the hospital, therefore nurse A had been asked to bring the patient to the surgical ward. As she

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