Reflection
Using the Gibb’s Reflective Model I will reflect on the eighth Lab
session we had for this semester.
Description: This week we performed the BVM
ventilaion an apneic adult patient scenario and the oxygen administration by
non-rebreather mask. First I have called to unconscious patient that has pulse
but not breathing, at that time I called for additional EMS assistance. Then I
checked the breathing along with pulse for 5 seconds but not more than 10
seconds. I felt a weak carotid pulse but the patient is not breathing. I opened
the airway using head tilt – chin left. The mouth was full of secretions and
vomitus. I prepared rigid suction catheter, I turn on power to suction device
or retrieves manual suction device, I inserted rigid suction catheter without
applying suction, I suctioned the mouth and oropharynx less than ten seconds. I
have opened the airway to insert the OPA and no gag reflex was present. Then I
started immediately to place mask of BVM on patient’s face and ensured a tight
seal. Ventilates the patient, one breath every 5 to 6 seconds ensuring the
chest rise. After 2 minutes I checked for the pulse and breathing. The patient
still not breathing. I have attached the BVM to oxygen and set flow rate to 15
L/min and continuing given ventilation. I checked for chest raise but there was
no chest rise because the seal was not correct. Then, I was able to correct
that.
Feelings: I felt very interested to practice this
case scenario. I felt my management was not fully right because chest raise was
not present in the first but I was able to correct that. Also, I felt my
approach was good since I followed the right sequences.
Evaluation: what was good about the case was I felt
my management was correct to this patient and I did follow the correct sequence
of OSCE sheet. Moreover, what want bad in the case was, in the beginning I was
not able maintain the tight seal which leaded to no chest rise while providing
ventilation however, I was able to correct that.
Analysis: It’s important to have chest rise to ensure
that the air is going to the patient lungs. Also, I have to tight the seal of
the face mask.
Conclusion: In next time, I will make sure that I
have read the paper carefully to avoid mistakes.
Action plan: I plan to go through the OSCE sheet for apneic patient and make sure I know the steps in correct
sequence and make sure that I am getting chest raise .Furthermore, I will keep
practicing this skill until it become more easier.
Opening the airway
Giving ventilation to the patient
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