Abstract
During my training to become an Operating Department Practitioner (ODP) I experienced a situation which could have endangered a patient. I have reflected upon this incident using the Gibbs reflective cycle (see Jasper 2003) to help me analyse how the situation arose, how it could have been prevented and what I can learn from it. During the incident I was undertaking the circulating role in an orthopaedics case.
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References
1.
Aitknehead A
,
Smith G
,
Rowbotham D
2007 Textbook of Anaesthesia 5th ed London , Elsevier
2.
Beckett A
2010 Are we doing enough to prevent patient injury caused by positioning for surgery Journal of Perioperative Practice 20 (1 ) 26 –29
3.
Benner P
2000 From novice to expert: Excellence and power in clinical nursing practice New Jersey , Prentice-Hall
4.
Beyea S
2005 Patient advocacy: nurses keeping patients safe AORN Journal 81 (5 ) 1046 –1047
5.Blackwell Science 1998 Blackwell's Dictionary of Nursing Edinburgh , Blackwell Science Ltd
6.
Contractor S
,
Hardman J
2006 Injury during anaesthesia Continuing Education in Anaesthesia, Critical Care and Pain 6 (2 ) 67 –70 Available from: http://ceaccp.oxfordjournals.org/content/6/2/67.full [Accessed May 2012]
7.Department of Health 2010 Clinical governance Available from: www.dh.gov.uk/en/Publichealth/Patientsafety/Clinicalgovernance/indexhtm [Accessed May 2012]
8.Health Professions Council 2008 a Confidentiality: Guidance for registrants www.hpc-uk.org/assets/documents/100023F1GuidanceonconfidentialityFINALpdf [Accessed May 2012]
9.Health Professions Council 2008 b Standards of conduct, performance and ethics Available from: www.hpc-uk.org/aboutregistration/standards/standardsofconductperformanceandethics/ [Accessed May 2012]
10.
Hughes S
,
Mardell A
2009 Oxford handbook of perioperative practice Oxford , Oxford University Press
11.
Jasper M
2003 Beginning reflective practice Cheltenham , Nelson Thornes Ltd
12.Local Trust Policy 2007 a Policy for checking patient's identity prior to operative procedures in main and day stay theatres
13.Local Trust Policy 2007 b Policy for correct site surgery
14.Local Trust Policy 2008 Policy for the application and use of diathermy
15.
Marieb E
2010 Human anatomy and physiology 8th ed London , Pearson Education
16.National Patient Safety Agency 2009 WHO surgical checklist Available from: www.nrls.npsa.nhs.uk/resources/?entryid45=59860 [Accessed May 2012]
17.National Patient Safety Agency 2011 Risk matrix for risk managers Available from: www.nrls.npsa.nhs.uk/resources/?EntryId45=59833 [Accessed May 2012]
18.
Ousey K
2005 Pressure area care: Essential clinical skills for nurses Oxford , Wiley -Blackwell
19.
Phillips N
2007 Barry and Kohn's operating technique 11th ed St Louis USA , Mosby
20.
Rothrock J
2007 Alexander's care of the patient in surgery St Louis USA , Mosby
21.
Teasdale K
1998 Advocacy in healthcare Oxford , Blackwell Science Ltd
22.
Waterlow J
1996 Operating table: The root cause of many pressure sores British Journal of Theatre Nursing 6 (7 ) 19 –21
23.
24.World Health Organisation 2009 Surgical safety checklist Available from: www.who.int/patientsafety/safesurgery [Accessed May 2012]