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Gibbs Reflective Cycle

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Using Gibbs Reflective Cycle (1988), I will reflect on the CPR experience during the Clinical Stimulation Lab (CSL). I will discuss the knowledge and skills I have gained, however indicate in my action plan what things I need to further develop.

Prior to attending the CSL class, I completed the lab preparations which included basic CPR questions and watched the video clip provided. I understood the procedures for CPR outside and within a hospital environment. When given an event of a cardiac arrest in hospital, the emergency alarm is pressed and pillows are removed from behind the patient to allow the head to be tilted backwards to open the airways. Within this time the ratio of 30 compressions to 2 breaths are given while a call is made …show more content…

Using the knowledge I gained throughout my HNC Healthcare at college and the preparation work beforehand; this has improved my skills in communication and team work. Effective communication and working with others is a vital part of the job and is outlined by the NMC Code of Conduct (2015) so whenever events or decisions are needed to be made, colleagues will be able to assist. However, I understand that carrying out a CPR situation on a mannequin and within a controlled environment can be completely different from a real individual and the situation itself. For an example, the mannequin that myself and colleagues were using, we found it difficult to see the chest move. Also individuals can be sick while being resuscitated (Riley, 2013) therefore found it difficult to imagine this on a mannequin due to not seeing any liquid or vomiting sensations.

Analysing the skills that I have gained, it is required as a nurse to keep the best interest of the patient and provide person-centered care (NMC, 2015). When a patient is admitted to hospital it is required on admission as to whether the individual would wish to be resuscitated if a cardiac arrest occurs this is part of the 12 Activities of Daily Living. I learnt that communicating clearly can provide efficient teamwork with colleague, as when in practice nurses need to work effectively …show more content…

According to Riley (2013) by keeping the elbows straight and fixed this will allow the pressure to exert downwards onto the chest. Without the compressions within five minutes or at all the brain can become permanently damaged following collapse (ERC, 2010). A research by Kampmeier et al (2014) showed that the European Resuscitation Council changed their minimal compression depth from 40mm in 2005 to 50mm in 2010. The results indicated that having a fixed compression rate should be further investigated; therefore, anything rate between 40mm to 50mm is suitable for the depth of compression.

Furthermore, the hand position is required in the middle of the chest during compressions (Riley, 2013) as having the hand at the lower end of the sternum can cause this to break. A study by Jiang et al (2015) examines the effects of dominant or non-dominant external compressing hand position during CPR. These results justified the dominant hand position gave higher compression rates, depth and delayed fatigue. However, individuals performed with what made them feel comfortable whether this was the dominant or non-dominate

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