Aesthetic Nurse Trainee Reflection Model

CRITICAL INCIDENT ANALYSIS

The aim of this report is to reflect about a critical incident that happened during my practice as an anaesthetic nurse trainee using the Gibbs reflective model (1988), which is one of the models that suits better in healthcare settings. This critical incident fits perfectly with the description made by Benner (1984) in a way that promotes nursing care with a substantial difference on the patient outcome. A critical reflection framework is a learning method that promotes a critical thinking from the past with consequent actions in the future, highlighting behaviors, assumptions and views. The final outcome in this particular incident is the result of an immediate action, where different experiences from the same

In serious situations it can lead to death, by patients that refuse medical care and others that develop an undesirable autonomic nervous system reaction response known as vasovagal reaction which can be triggered by needle puncture. A vasovagal reaction can also manifest itself as syncope, where physiologically it is characterized by a slow on heart rate and drop of blood pressure, resulting in a lack of blood supply to the brain causing fainting and confusion. In patients with arteries compromised by atherosclerosis the non-efficient blood supply can lead to myocardial infarction. Evaluation of vital signs during the venipuncture procedure can be vital for prevention of these reactions and in Mrs. Jo's situation there was no substantial alteration or

Jo's problem by Mr. Tom which could have had bigger repercussions in the end depending on the phobia's severity. Effective communication coupled with team work is the basis for the delivery of high quality services and patient safety care. Failures in communication are one of the main causes of inadvertent patient harm.
As an anaesthetic nurse trainee being confronted with unexpected scenarios out of my comfort zone is an enrichment for my knowledge and practice. In this particular situation, I can conclude that Mrs. Jo could have had a better approach regarding her phobia and her level of anxiety, from the onset of her pre-assessment with Mr. Tom. Preoperative premedication as midazolam could be a better option for Mrs. Jo's scenario in conjunction with the application of EMLA cream on the venipuncture site to reduce the pain stimulus. The pre-operative assessment and planning should be performed mostly by staff with nursing background (Institute for Innovation and Improvement 2008). The anaesthetic nurse practitioner involvement during the pre-assessment should be taken in consideration in order to ensure that all the patients are well prepared and fully informed before their