Description

I was required to remove an Active surgical drainage tube from a patient after an operational procedure. Before the removal of the drainage tube, I was required to verify the validity of the written order. The patients were many, so I had to identify the correct patient for the procedure. I was to develop a therapeutic relationship with the patient before starting the clinical process. Therapeutic relationship improves the quality of care (Pazargadi et al., 2015). Additionally, I was to gather the necessary equipment like the waterproof pad, alcohol swab, and non-sterile gloves. I was required to maintain confidentiality, position the patient appropriately and perform proper hand hygiene. Furthermore, I was required to competently use PPE and set up the dressing tray using aseptic encryption technique. I was also required to remove the dressing and clean the drainage site using aseptic technique. I was then required to remove the drain tube and dress the place. Afterward, I was required to clean, replace, and dispose of the equipment. Finally, I was required to document the information and assess the outcome.

Feelings

Before, the procedure, I had an impression that the identification of the correct patient was necessary to avoid the occurrence of medication errors. The thought made me verify the validity of the written order thoroughly to avoid confusion. Thorough validation of the patient's identity made me attend to the right client. During the task, I thought that performing five moments of hand hygiene was demanding. Effective hand hygiene ensures that the patient stays germ-free (Brown, & Crookes, 2016). The negative thought made me perform three moments of hand hygiene. However, the reduced number of hand washing did not interfere with my performance. I was also thinking and feeling that I had to apply the appropriate personal protective equipment for the removal of the surgical drainage tube. Therefore, I collected the alcohol swab, waterproof pad, and non-sterile gloves. The positive thought made me productive as I was confident of conducting a germ-free operation.

Evaluation

During the experiment, certain activities went well while others did not go as expected. The first activity that went well was the identification of the right patient. The application of the PPE and using the aseptic technique t set up the dressing tray were successful. Additionally, aseptic cleaning of the area around the drain went well. However, the hand hygiene did not go well; since I performed three out of the five moments documented in the clinical procedures. I also failed to record the relevant information due to the power outage. The computer shut down; hence I jotted a few notes on the hospital entry book. The hand hygiene issue and the failure to document the information did not bar the procedure from being a success.

Analysis

The principal activities that went bad during my experience are the hand washing procedure and the process of documentation. I performed three instead of the five moments of hand hygiene according to the clinical guidelines. I thought that washing my hands five times was the wastage of time. However, during the removal of a surgical drainage tube, the caregiver should perform five of hand hygiene to ensure safety (Gluyas, 2015). I also failed to document the relevant information after the procedure. My failure occurred due to the power outage that made the desktop to shut down. The hospital should have a power back-up to ensure proper documentation at all times (Holly, & Poletick, 2014). Efficient documentation eases the process of handover from one nurse to the other.

Apart from the two activities that went bad, a majority of the operation was successful. I successfully identified the correct patient for the removal of the active surgical drainage tube. The success was because I adhered to the relevant ethical codes and standards of practice during the operation. The development of therapeutic communication with the patient ensures quality medical attention (Tobiano, Marshall, Bucknall, & Chaboyer, 2015). Additionally, caregivers should respect the privacy of the patients during treatment (Papastavrou, Efstathiou, & Andreou, 2016). The correct identification of the patient eliminates the chances of medication errors in the wrong patients (McLain et al., 2017). Furthermore, therapeutic relationship and honoring the privacy of the patient improves the quality of service provision (Gill, Kendrick, Davies, & Greenwood, 2017).

I was also successful in using the appropriate PPE and applying the aseptic techniques to dress the region around the drain. Additionally, I succeeded in assessing the outcome of the entire process. I used the relevant PPE because am cautious about my safety and that of the patient. I was also keen on dressing the area around the drain; since I am determined to protect the patient from harmful microorganisms. The cooperation of the patient and my colleagues assisted me to business analyze the outcome of the business process. The usage of personal protective equipment protects the caregiver from germs (Hor et al., 2017). Furthermore, proper assessment of treatment results is in the scope of nursing practice (Endacott et al., 2018).

Conclusion

From my experience in removing the active surgical drainage tube, I should have performed the five moments of hand hygiene to improve my safety. My impatience made me do three instead of five rounds of hand washing. Therefore, I learned that patience ensures adequate and conclusive procedures. However, I realized that I have sufficient knowledge on the application of personal protective equipment. I also know how to apply septic techniques to set up the dressing tray. The procedure made me meet my goals of removing the drainage tube from the patient.

Action Plan

In the future, I need to do certain activities to improve my preparation for the procedure. I should conduct thorough research on the process of the hand hygiene. I also need to enhance my therapeutic interaction skills before treating the patients. I performed well in certain areas but still need to improve on them. I should improve on the usage of the personal protective equipment for safety. Additionally, I should improve on maintaining the privacy of the patient during treatment.

I should develop the priority regions to improve the quality of service delivery. The first area to grow is the patient identification procedure. Secondly, I should formulate proper skills in documenting the relevant client information. The first step for improvement is to ask my colleagues to assist me with the process of hand washing. Secondly, I plan to research the appropriate way of wearing non-sterile gloves. Thirdly, I intend to inquire about the application of aseptic techniques in dressing the region around the drain.

References

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10. Tobiano, G., Marshall, A., Bucknall, T., & Chaboyer, W. (2015). Patient participation in nursing care on medical wards: an integrative review. International Journal of Nursing Studies, 52(6), 1107-1120.