Administration of medicines is a key element of nursing

Administration of medicines is a key element of nurseDrug administration forms a major part of the clinical nurses role. Medicines atomic number 18 prescribed by the doctor and dispensed by the pharmacist unless responsibility for correct administration rests with the registered nurse (OShea 1999). So as a student nurse this became our duty and something that we sufficed and become competent in carry protrude as explained in figure 1, we were also approach with the challenges of administering medicine. Each registered nurse is accountable for his/her practice. This practice includes preparing, checking and administering medicinal drugs, updating association of medicaments, observe the effectiveness of treatment, reporting adverse drug reactions and teaching uncomplainings about the drugs that they ask over (NMC 2008). Accountability also goes for students, if at any point I matte I wasnt competent enough to dispensing a certain drug it would be in my responsibility to s peak up and let the registered nurses know, so that I could shadow them and stool the opportunity to learn and then in future(a) be able to practice and administer.The reflective framework I exhaust chosen to mathematical function is Gibbs prototype (Gibbs 1988). Gibbs model of reflection incorporates the fol baseing description, feelings, evaluation, and conclusion. (Gibbs 1988). The model will be applied to the essay to facilitate critical thought, relating speculation to practice where the model allows. Discussion will include the knowledge underpinning practice and the usher base for the clinical skill, that I present learnt and supporting this with modern literature.The first stage of Gibbs (1988) model of reflection requires a description of events. I was asked to administer a drug to a patient. I had observed this clinical skill on a variety of occasions and had previously administered medicine under direction. On this occasion I was being observed by two qualifi ed nurses, one of which was my mentor. The drug had been dispensed and was ready to be administered and the patient consented to feed a student administer the medication. My mentor was lecture me finished the procedure step by step, and informed me that they have struggled with this patient and her conformism with medication before so I should keep an out and ensure that she swallows her medication and that she non keeping it her mouth.The Medication that this patient is on is Clozapine. Clozapine is indicated for patients with treatment resistant schizophrenia, or those who be unable to utilisationfulness from other antipsychotic medicine, as they plentynot tolerate the side make. The decision to use clozapine is not turn overn lightly because of the potentially life great(p) side effect of neutropaenia, which requires regular blood tests to ensure its safe use. In addition, at that place is the risk of developing paralytic ileus and some cardiac abnormalities. (WLMT) .In addition to that statement if a patient on clozapine white blood cells count falls below accepted cast down limit argon classified as Red alerts medication must(prenominal) be withdrawn, and any other prescriber in the future wishing to summarise medication are alert of the patients haemotological history. Adverse drug reactions are the most-valuable limiting factor on using anti-psychotics, for this reason prescribers should keep dosages to a minimum required for efficacy starting at a low dose with gradual upward titration. An awareness of side effects is important to primary kick practitioners because they have most contact with the patients, patients with long shape monitoring falls within their remit. Clozapine is an atypical antipsychotic, and atypical anti-psychotics are considered of choice both accurately and for maintenance in schizophrenia. Clozapine holds a unique position among the atypical due to its ability to improve oppose as well as positive symptoms (delusions, hallucinations). (Morris, D).During the process of administering anti-psychotics I learnt that using anti-psychotics is just a component of a holistic approach to the patient with psychotic illness and that vex should also include psychological treatments and neighborly care. The patient at such does not have any put out with the drug it self but with the staff, as she is in a genuinely psychotic state she is very paranoid and non compliant with medication this is close monitored by staff and as express in figure 1 I have to prompt her to ensure that medication is complied with. Service users have requested strategies from services providers to manage the risk of using psychiatric medication to inform their choice about which psychiatric medication to use. (DOH 1999). However evidence suggests that, there is choice, but generally by practitioner experience. (Hamann et al. 2005). In non compliance of medication I had to encourage the patient to make their choice to take the medications and that it was in their care plan and apart of their treatment. A nurse who has built a good affinity with a patient by informing and empowering them will be in a strong position to have a non judgmental conversation with them about the importance of adherence. (Mc Lellan. A 2009).I am now going to enter into the second stage of Gibbs (1988) model of reflection, which is a discussion about my thoughts and feelings. I was aware of being under the supervision of two qualified nurses and this made me feel very flighty and self conscious and I had to ensure that I was doing everything correctly and that I made no errors. Once my mentor questioned my practice, concerning if I knew the side effects of the drug I was about to administer, I became even more aware of feeling nervous and under pressure. The patient was present and I did not want the patient to feel that I did not know what I was doing. So I had to ensure before administering that I was giving the med ication to the chastise patient and at the correct dose that it was at the right time and route. All of these had to be done to guarantee that I am competent in my ability to administer medication under the supervision of a registered nurse. This also gave me the opportunity to carry out this task in order to achieve this so I could get it signed false by my mentor in my essentials skills cluster.The nurse patient relationship is by many considered the core of nursing this can be done to install a good relationship and rapport with patients. (Framer.J.Kramer.S, 2001). When I was first orientated to the ward, I took it upon myself to read the patients notes so that I had little insight to the patients and their illness and index offences if any. After this I went and introduced myself to the patients because its vital that the patients are aware of who I am and my status if I am to provide nursing care for them. (Berlo 1960) puts great emphasis on dyadic communication, therefore stressing the role of the relationship between the source and the receiver as an important variable in the communication process. So to provide patients with adequate care its important that there is effective communication, that the patients is aware of everything, and that the nurse provides care and compassion in the run-in of care. There is evidence that our ability to use language actually affects the thoughts themselves, the words we can command, and the way that we put them together affectswhat we thinkhow we thinkwhether we are thinkingSo as a student nurse I was made aware that words can have an impact on care provided and the way in which these words are delivered can have an even greater impact. As explained in figure 1, when I was admitting a patient on to the ward I had to make certain that I was communicating effectively, making certain that I was delivering information in shipway that were easy to understand refraining from uses of jargon, and that I was fork over ing compassion to the patient as this could be a time of high anxiety for them, reassuring them that they are in great hands and offering them tea were among the things I did to turn my care and compassion skill. so my main aim was to make the care of people your first concern, treating them as individuals and respecting their dignity, and working with others to protect and promote the wellness and well being of those in my care, their families and careers, and the wider community. (NMC 2008). However I tried to use different forms of communication to convey information from my patients, for instance as stated in figure 1, when I had my 1-1 personal time with my patient I would use (Bein and Miller 1992) the use of open and ended questions and active listening, so that I could comprehend everything I was being told so that when I came bust to me providing comprehensive and accurate written report based they would reflect everything that was being. Studies show that during interper sonal communication only 7% of the message is verbally communicated by the words used. Of the 93% non-verbal communication As a result I learnt to pick up non verbal signals Even if someone decides to say zip fastener they are still communicating (effective communication skills). All of which skills I can adopt to engage with patients and to help with my development in nursing.Evaluation is the deuce-ace stage of Gibbs (1988 ), here I will the explain the importance of administering medication and how this combined with care, compassion and communication forms the bases of a holistic approach to care, and with the knowledge I got from supporting literature formed the foundation of my learning and practice. Burnard (2002) suggests that a learner is a passive recipient of received knowledge, and that learning through activity engages all of our senses.