This reflection is revolves around the interplay between interpersonal skills and poor communication during tasks performed by teams. Specifically, this reflection will focus on my actions, attitudes of the anaesthetist and role played by my mentor- an anaesthetic practitioner- in the process of handling this situation…
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In this reflection I have ensured that I maintain confidentiality in line with the Health Professional Council code of Conduct that demands the observance of the same, under code number two that states “You must respect the confidentiality of service users.” It informs me that I must treat information about service users as confidential and that I must not release any personal or confidential information to anyone not entitled to it (HPC, 2008, pp. 8-9). Therefore all names of the people involved in the process are treated as anonymous and I will different letters to refer to each one of them.
I decided to choose this area for my reflection basing on a few reasons. First is that as a student ODP doing my clinical placement, it was my first time to come across such a major incident and therefore it made me curious. Secondly is that, I realized that this procedure is applied to all EG operations, making it commonly used. As a student on placement I realize the need to familiarize myself with the incident and procedures of operation as it is a common phenomenon in our daily lives. The last point is that, I engaged myself in massive research on this topic thereby developing skills and knowledge in this particular area.
Rapid Sequence Induction Intubation (RSII) Rapid Sequence Induction and Intubation (RSII) is a medical procedure involving the fast induction of general anaesthesia and following intubation of the trachea. It is generally used in an emergency (EG) situation or for patients who have an increased risk of aspirating gastric contents into lungs (EL-Orbany & Connolly, 2010). The main objective of this technique is to minimise the interval time between loss of protective airway reflexes and tracheal intubation with a cuffed endotracheal tube (ETT). If the intubation is not attained within a maximum 2 minutes, the patient could suffer extreme morbidity or even death from hypoxia (lack of oxygen in body tissue). Therefore airway management is the most important skill for an emergency practitioner. Failure to secure an adequate airway can cause disability (EL-Orbany & Connolly, 2010). The decision to intubate the patient is sometimes very difficult to reach. The difficulty emanates because the situation requires high clinical experience so as to recognise the signs of an imminent respiratory failure. The concept of RSI was gradually evolved after introduction of Suxamethonium chloride/succinylcholine (paralytic drug) in 1951, and the description of cricoid pressure (CP) in 1961 (EL-Orbany & Connolly, 2010). The procedure include; oxygen administration, rapid injection of a predetermined dose of thiopental/barbiturate (group of drugs), immediately followed by succinylcholine, application of CP and tracheal intubation. It seemed from these components that the term; RSI which is used in both anaesthesia literature and emergency medicine are both inadequate. Because, the technique includes both anaesthesia induction and tracheal intubation, therefore the term RSII is more accurate and descriptive of the technique (EL-Orbany & Connolly, 2010, pp. 18-25) Reflective models My essay will employ the Rolfe et al. (2001) model of reflection to reflect on what I learnt and the experiences I went through. Reflective practice is an approach to learning and practice development that is patient centred and which acknowledges the untidiness and confusion of the practice environment
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questions which provide the following details: description of the experience and significant factors involved; goals/objectives and consequences of actions; factors affecting the decision-making; other choices; and changes expected because of the experience (Johns 2013).
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