Knee Replacement Reflection Paper

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Recommended: Effective communication skills are important in health care

Look back
Looking back the simulation lab, I realize that I have so much to learn about myself as I played the role of the primary nurse in the total knee replacement scenario. In the situation, my colleague and I found out that our patient, Kari Bradshaw, was bleeding. My first thought is to grab an ice pack and didn 't recognize that I need to put pressure on the dressing. After my partner checked the vitals, I decided to call the technician to get the lab results. I reported the diminished hemoglobin count to the physician only to realize that I did not have the vital signs values. I received an order for saline bolus during the phone call. I also put the patient in two liters of oxygen in nasal prongs but the oxygen saturation was not improving so I turn it up to four liters. At that moment, my patient passed out. My colleague called the doctor and got an order for oxygen via non-rebreather mask to the patient and infuses two units of packed red blood. She also asked us to prepare the patient for the operating room. I asked the other nurse for vital sign assessments …show more content…

Communication is one of the main issues. The information is not being communicated to the patient, the secondary nurse and the doctor, which in turn creates confusion, anxiety and waste of time. Prioritizing and organizational skills is also lacking as I did not focus on the unstable systems
In terms of problem solving, I am not fast enough to think and act in the phase of the emergency. In the situation, I was perplexed as I have not experienced such situation and have deficient knowledge, which led to my lack of action. Overall, I am extremely disappointed on myself. I felt that I have not connected all the pieces of knowledge that I gained from my courses into a bigger picture.

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