Reflection
Using the Gibb’s Reflective Model I will reflect on the second Lab
session we had for this semester. It took place on the 11th of February.
Description: In this week I practiced the chest auscultation, IM injection,
laryngoscopy and IPPV.
At first, the instructor explain to us the how to differentiate between
the lung sounds. She taught us the crackle, wheeze and stridor sounds. While
practicing the auscultation, I start comparing the right side with the left
side. I listened for air entry and the zone that the air progresses to. Also, I
made sure that I have expose the chest during the procedure and not through the
clothing.
The second thing that I had learnt was the IM injection. At first,
I check the medication to ensure that it is the correct one, that it is not
discolored, and that its expiration date has not passed. I assembled and check
the equipment. I draw up the correct dose of medication. Moreover, using the
aseptic technique I cleaned the injection area. I have stretch the skin over
the area, and insert the needle at a 90 angle. I pulled back on the plunger to
aspirate for blood. I checked there was no blood. I injected the medication and
remove the needle. I monitored the patient condition.
Also, in the lab session we reviewed the IPPV and laryngoscopy that
we had studied from the last year.
Feelings: At
first, I felt upset because I was not able to differentiate between the
adventitious sounds. But later on, when my teacher explained the major
differences, I understand the differences between the sounds which made me very
interested and more aware of the importance to differentiate the sounds in the
prehospital setting. Moreover, it was intriguing to learn about the different
lung sounds. Moreover, practicing the IM injection was very interesting for me
because it was a new skill that I learnt. Also, I felt confident while
performing the procedure. In addition, I felt that I am refreshing my memory
while practicing the IPPV and laryngoscopy.
Evaluation: This experience was good since I learnt a new skill which is
really important. Also, I had make sure the five rights of medication
administration. Moreover, I felt confident while practicing my new skill. However,
it was bad when I realized I confused between the sounds while I was doing the
chest auscultation. I felt difficulty interpret the sounds. Also, I forget to
take the consent from the patient while performing IM injection.
Analysis: In my
opinion, I didn’t bad job since I did well in all the skills. However, I forget
to ask for consent. Also, I found difficulty to interrupt the adventitious
sounds. The reason was that I didn’t practice more this skill in the CPP1
course. The more I practiced, the better I perforem.
Conclusion: Differentiate between the chest sounds is a
skill that need constant practice. If not practices enough, my ability to diagnosis the diseases will be reduce
because each lung sound may indicate a different disease.
Action plan: I plan to keep practicing those new skills
that I have learnt them in this lab session. Also, I will make sure that I get
the consent form the patient before staring any treatment plan
Preparing the equipment for IM
Drawing the medication
Cleaning the area
Administering the medication
Administering the medication
Domain knowledge.
Enquiry and Research
In this week, I have read further article cited by Loney et al
(2013), the article discuss four big public health issues in UAE. This involves
respiratory diseases. In fact, respiratory illness can be acquired following
exposure to dusts, gases and fumes, from infectious agents or results from poor
ambient air quality. The UAE population is at high risk of such exposures due
to reliance on motorised transportation and traffic congestion, adverse weather
conditions such as dust/sand storms, and the rapid expansion of the
construction and manufacturing sectors emitting air-borne pollutants. In 2010
in UAE, Respiratory infections were the second most common non-life threatening
condition. Accounting for almost 15% of all encounters across all healthcare
facilities
.
.
References
Loney, T., Aw, T., Handysides, D., Ali, R., Blair, I., &
Grivna, M. et al. (2013). An analysis of the health status of the United Arab
Emirates: the ‘Big 4’ public health issues. Global Health Action, 6(0).
doi: 10.3402/gha.v6i0.20100
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