Reflective report on procedural sedation in pre-hospital setting using Gibbs’ reflective cycle

The aim of this report is to develop the learner as a reflective practitioner in the field of emergency Medical Care. It aims to foster critical thinking and reflection of one’s practice and the practice of the discipline of Emergency Medical Care. Ultimately it serves to promote the development of cognitive tools that graduates practitioners with the ability learn from their own practice. This may progressively entrench the attitude of life-long learning. This reflective report is intended for the learner to document and present the occurrence of learning in the “Virtual Online Scenario Simulation” or “Work Place”. Learning may occur in a topic which is covered in the formal curriculum or in a topic or area which is not covered in the formal curriculum. It may be a clinical event or case, or may be a non-clinical occurrence in the work place.

No specific writing style is recommended nor expected, and there is no need to write in the third person as is usual for academic submissions. The point of the exercise is for you to insert yourself into the narrative, and for that reason you are encouraged to use words like “I’ and “we”. You may free-write to a large extent, and the emphasis is less on grammar than on expression, however the narrative needs to be coherent, cogent and unambiguous; so don’t abandon grammar and spelling rules. To allow you as much space as is necessary to express yourself, and to represent your reflection process. Other people should understand the meaning without becoming frustrated during the reading, thus marks are taken away if the reflective report was prematurely ‘cut short’ or if the same result could have been achieved in a shorter piece.

Don’t ramble on and don’t be too abrupt.

While the writing style is open to your interpretation, please use the provided format (Gibbs reflective cycle) as a framework for your writing and the representation of your learning.

The marking rubric is provided in order to help you structure your content. Please read the description of each section provided (Red) in conjunction with the description in the rubric. You need to then link the description with prior experience, knowledge, literature and theory to create alternate perspectives from it. You need to show that your thinking and/or perspective has changed i.e. that learning has occurred.

The following "Virtual case simulation" is intended to assist you with your clinical decision making on procedural sedation in the prehospital setting. Procedural sedation is technique used by many practitioners to provide conscious sedation to patients without the need of placing an advance airway. This technique allows the practitioner to manipulate a fracture, dislocation and even remove trapped victims from wreckage without causing pain.

This reflective report uses Gibbs’ reflective cycle and should be completed in the following headings.

Description

Write a short narrative of the case, outlining the events as they occurred. Do not make judgments or evaluations. A short factual account of events. (Maximum 250 words)(May use DMIST format)

Feelings

Write on how you acknowledge your emotional state before, at the start of and during the case. How did you feel at the time? How did you react and what influence may it have had on your performance? (Maximum 100 words).

Evaluation

Write a brief description of what medical intervention was conducted. Describe what went well and what went poorly. Link the various aspects of the case together and as well as the actions they took and work out why the events took place and why they acted as they did. Lay out your train of thought and rationale for their performing actions. State the disorder they were treating and how they reached that conclusion. (Maximum 500 words).

Analysis

Write a literature review on the pathophysiology or illness the patient presented with. In your discussion compare them to similar situations you may have witness. You need to describe the disorder the patient was suffering from. You need to outline the optimum treatment and how it differed from what they did. You need to state why this particular disorder is treated in this manner and what actions may have caused to happen. Include what should have happened and why. Make reference to the body of evidence if appropriate (if specific statements are made regarding evidence you need to add the references in). (Maximum 500words).

Conclusion

What can be concluded from your evaluation and analysis regarding the performance? What could have led to a different outcome? What has been learned? (Maximum 250 words).

Action Plan

Overall what conclusion can be drawn? What lessons have you learned and how will this influence future practice?