Reflection

Reflection about the learning modules and simulation Chapter 8 This module was very Informative. The module provided detail Information In regards to the history and the organizations of the courts. Looking back on the primitive days leading up to modern day court system the same elements still exist. The best module I liked was the courtroom rules. In this module, it showed the key player and their roles. Now I have a better understand as to what each duty is. I learned the difference between grand Jury and trial Jury.Grand Jury, may consist of up to 23 Jurors, and serve for a particular period and may serve on multiple Juries at one time. They handle cases that are high-profile. They are able to require testimony and tangible evidences. This juror is used to bring an indictment protects law enforcement from accusation of bias. Trial Juror consists of 6-12 Jurors, serve only for the duration of the trial and decides the facts of the case with very strict and controlled procedures by the Judge. In addition to the module. The video was helpful because It describes a typical day of a judge.The video was like a real life experience working as a judge, prosecutor, and a defense attorney. In the second video, relating to issue 1: The affect of the backlog of cases on the court, she discussed how long it takes to complete one case, approximately 15 hours. She also describes how CO Simpson case moved fairly quickly through the court processes the courts. The activities were very helpful. They were like a refresher at the end of the reading and knowledge check. I enjoy these activities because It a good interaction tool with learning and having fun at the same time. Reflection CHRISTINE N. MONTIAGUE 1MTO1 REFLECTION PAPER â€Å" OUTREACH PROGRAM† Being a part of this outreach program makes me feel very honored and thankful. Honestly, this is the first time in my entire life to be included in this kind of program. At that time, I feel nervous but at the same time excited since it will be a new experience for me. When we already arrived at the location, I felt very happy seeing the â€Å"lolo’s† and lola’s† waiting for us.I can see the happiness and excitement in their faces as soon as we enter the hall. After the program has been started, we have given a chance to talk to them one by one. I found out a lot of things about them like how did they end being there, their everyday lifestyle and so on. They open up stories about their families and past events. I was holding back my tears as they talk about their life. I felt saddened because their family abandoned them and there is no one who visits them daily.For me, even if my grandma or grandpa comes to a point when they don’t recognize me anymore, I’m not going to leave them instead I’m going to give my best to take care of them and give them love and care. There was one â€Å"lola† who I’ve been attached the most. Every time I talk to her, she always ask what grade am I in and I always told her that I’m taking up Med Tech as a first year student. For the record, she repeated this question almost 10 times but still I understand why she does that.Talking to each one of them reminds me of my lola in the province that I haven’t seen for a long time. I felt very emotional since the beginning until the end of the program. I had a lot of fun taking pictures, dancing and playing with them. I want to cherish all of them in my heart. Actually, that day I haven’t taken up my breakfast but after seeing their faces and knowing that their having fun I didn’t feel any hunger even an inch of hunger, there is none.You can never explain the feeling of helping other people because of a lot of emotions building up in you. I want to share all the experiences I had to other people so that as an individual they will realize how it is to help people whole-heartedly. CHRISTINE N. MONTIAGUEMAM AHNIEL 1MTO1 1. Kung bibigyan pa ako ng pagkakataong bumalik bilang pagkabata, nais ko sanang maranasan ulit ang pakiramadam na makarga ulit ng aking mga magulang dahil sa tuwing ginagawa nila ito sa akin noong ako’y bata pa, pakiramdam ko’y mahal na mahal nila ako.Gusto kong balikan ang mga panahong nagagawa ko pa lahat ng mga bagay na walang akong inaalala at saka ang pakikipaglaro sa labas ng aming bahay hanggang sa gumabi na at tawagin na ako ng aking nanay. Mga panahong ang alam mo lamang ay ang paglalaro at hindi sumasagi sa inyong isipan ang mga problema. Sana ay maranasan ko ulit sila. 2. Malaki na ang pinagbago ng mga kabataan ngayon kung ikukumpara mo ito sa mga nagdaang panahon. Unang-una ay ang pagkakalulong ng mga kabataan sa bisyo.Sa panahon ngayon, halos hindi na mabilang ang mga taong lulong sa droga, sigarilyo at alak. Kahit anong bawal sa kanila, sarili pa rin nila ang kanilang sinusunod. Hindi naman nagkulang ang mga magulang natin sa pagpapa alala sa atin kung ano ang tamang Gawain sa hindi. 3. Bilang isang magulang, kinakailangan na ikaw ang magiging â€Å"role model† ng iyong anak. Sa medaling salita, kailangan magsimula muna sa iyo ang lahat dahil ikaw ang tinutularan ng iyong anak kung kaya bilang isang ina dapat maipakita ko sa aking anak na ang mga ginagawa ko ay mabuti at nasa tama.Kapag nahubog ko na ang aking sarli, maari na akong magpalaki ng isang mabuting anak. Bata pa lamang siya, gusto ko ng ipaalam sa kanya ang bagay na hindi dapat niya gawin at mga bagay na dapat niyang gawin. Hindi sa lahat ng panahon, mapagbibigyan ko lahat ng nais niya. Habang siya ay tumatanda, gusto ko nasa tabi niya ako palagi para kung may katanungan m an siya sa mga bagay na naguguluhan siya ay may matatakbuhan siya at makahahanap siya ng tamang sagot. Higit sa lahat, maipakita ko na siya ang buhay ko. Reflection CHRISTINE N. MONTIAGUE 1MTO1 REFLECTION PAPER â€Å" OUTREACH PROGRAM† Being a part of this outreach program makes me feel very honored and thankful. Honestly, this is the first time in my entire life to be included in this kind of program. At that time, I feel nervous but at the same time excited since it will be a new experience for me. When we already arrived at the location, I felt very happy seeing the â€Å"lolo’s† and lola’s† waiting for us.I can see the happiness and excitement in their faces as soon as we enter the hall. After the program has been started, we have given a chance to talk to them one by one. I found out a lot of things about them like how did they end being there, their everyday lifestyle and so on. They open up stories about their families and past events. I was holding back my tears as they talk about their life. I felt saddened because their family abandoned them and there is no one who visits them daily.For me, even if my grandma or grandpa comes to a point when they don’t recognize me anymore, I’m not going to leave them instead I’m going to give my best to take care of them and give them love and care. There was one â€Å"lola† who I’ve been attached the most. Every time I talk to her, she always ask what grade am I in and I always told her that I’m taking up Med Tech as a first year student. For the record, she repeated this question almost 10 times but still I understand why she does that.Talking to each one of them reminds me of my lola in the province that I haven’t seen for a long time. I felt very emotional since the beginning until the end of the program. I had a lot of fun taking pictures, dancing and playing with them. I want to cherish all of them in my heart. Actually, that day I haven’t taken up my breakfast but after seeing their faces and knowing that their having fun I didn’t feel any hunger even an inch of hunger, there is none.You can never explain the feeling of helping other people because of a lot of emotions building up in you. I want to share all the experiences I had to other people so that as an individual they will realize how it is to help people whole-heartedly. CHRISTINE N. MONTIAGUEMAM AHNIEL 1MTO1 1. Kung bibigyan pa ako ng pagkakataong bumalik bilang pagkabata, nais ko sanang maranasan ulit ang pakiramadam na makarga ulit ng aking mga magulang dahil sa tuwing ginagawa nila ito sa akin noong ako’y bata pa, pakiramdam ko’y mahal na mahal nila ako.Gusto kong balikan ang mga panahong nagagawa ko pa lahat ng mga bagay na walang akong inaalala at saka ang pakikipaglaro sa labas ng aming bahay hanggang sa gumabi na at tawagin na ako ng aking nanay. Mga panahong ang alam mo lamang ay ang paglalaro at hindi sumasagi sa inyong isipan ang mga problema. Sana ay maranasan ko ulit sila. 2. Malaki na ang pinagbago ng mga kabataan ngayon kung ikukumpara mo ito sa mga nagdaang panahon. Unang-una ay ang pagkakalulong ng mga kabataan sa bisyo.Sa panahon ngayon, halos hindi na mabilang ang mga taong lulong sa droga, sigarilyo at alak. Kahit anong bawal sa kanila, sarili pa rin nila ang kanilang sinusunod. Hindi naman nagkulang ang mga magulang natin sa pagpapa alala sa atin kung ano ang tamang Gawain sa hindi. 3. Bilang isang magulang, kinakailangan na ikaw ang magiging â€Å"role model† ng iyong anak. Sa medaling salita, kailangan magsimula muna sa iyo ang lahat dahil ikaw ang tinutularan ng iyong anak kung kaya bilang isang ina dapat maipakita ko sa aking anak na ang mga ginagawa ko ay mabuti at nasa tama.Kapag nahubog ko na ang aking sarli, maari na akong magpalaki ng isang mabuting anak. Bata pa lamang siya, gusto ko ng ipaalam sa kanya ang bagay na hindi dapat niya gawin at mga bagay na dapat niyang gawin. Hindi sa lahat ng panahon, mapagbibigyan ko lahat ng nais niya. Habang siya ay tumatanda, gusto ko nasa tabi niya ako palagi para kung may katanungan m an siya sa mga bagay na naguguluhan siya ay may matatakbuhan siya at makahahanap siya ng tamang sagot. Higit sa lahat, maipakita ko na siya ang buhay ko. Reflection Reflection about the learning modules and simulation Chapter 8 This module was very Informative. The module provided detail Information In regards to the history and the organizations of the courts. Looking back on the primitive days leading up to modern day court system the same elements still exist. The best module I liked was the courtroom rules. In this module, it showed the key player and their roles. Now I have a better understand as to what each duty is. I learned the difference between grand Jury and trial Jury.Grand Jury, may consist of up to 23 Jurors, and serve for a particular period and may serve on multiple Juries at one time. They handle cases that are high-profile. They are able to require testimony and tangible evidences. This juror is used to bring an indictment protects law enforcement from accusation of bias. Trial Juror consists of 6-12 Jurors, serve only for the duration of the trial and decides the facts of the case with very strict and controlled procedures by the Judge. In addition to the module. The video was helpful because It describes a typical day of a judge.The video was like a real life experience working as a judge, prosecutor, and a defense attorney. In the second video, relating to issue 1: The affect of the backlog of cases on the court, she discussed how long it takes to complete one case, approximately 15 hours. She also describes how CO Simpson case moved fairly quickly through the court processes the courts. The activities were very helpful. They were like a refresher at the end of the reading and knowledge check. I enjoy these activities because It a good interaction tool with learning and having fun at the same time. Reflection This essay will reflect upon an incident in practice when I administered a drug to a child. I will use Gibbs reflective model (Gibbs 1988)(see appendix 1). This model of reflection will be applied to the essay to facilitate critical thought and relating theory to practice where the model allows. Discussion on the incident will include the knowledge underpinning practice and the evidence base for the administration of the drug. A conclusion to the essay will then be given which will discuss my knowledge and competence of the incidence being reflected upon. The drug that I have chosen to reflect upon is Fragmin (see Drug Profile 1 Appendix 2) which was administered as a parenteral subcutaneous injection to a 14 year old girl, who shall remain anonymous for the purpose of patient confidentiality in accordance with the regulations of the NMC (2008). I have chosen to reflect on this drug as it was the first injection I had given during my training which encouraged me to further develop my knowledge within this area. The first stage of Gibbs model (1988) of reflection requires a description of events (see Appendix 3). The next stage of Gibbs (1988) reflective cycle is related to thoughts and feelings aroused during the event which I can use to reflect upon (see appendix 4). The third stage of Gibbs (1988) model of reflection encourages exploration of both positive and negative experiences encountered and I have chosen a few that I propose to discuss further within this reflection. Throughout the incident the correct hospital policy was followed by my mentor in relation to preparing and administering an injection. However I was not familiar with this policy which could have negatively affected my practice as Grey (2008) suggests, that when administering medication by the parenteral routes, familiarization with local drug administration policy is essential. The patient’s initial refusal of the injection into the abdomen made me think about the child’s rights in refusing to consent to the administration of a medication as I was aware that the law states that anyone under the age of 18 is a child (Children Act 1989, section 105) and as such there are certain matters with which they are not able to make their own decisions. The patient’s refusal to allow me to use the abdomen as an injection site also made me question my knowledge base on this subject, as I did not know where I would have injected in the abdomen if consent had been given. I also realized at that point that I have no knowledge on why different injection sites are used and for what purpose as studies suggest that the selection of the injection site will vary depending on the size and age of the child (Cocoman, 2008). It was only through my mentor’s guidance that I felt confident on allowing the change of the site. Stage four Gibbs (1988), is the critical analysis. After reflecting on this incident I will now analyse what I feel are the most important aspects by looking at the evidence underpinning it. References Cocoman, A. , & Barron, C. (2008). ‘Administering subcutaneous injections to children: what does the evidence say? ’ Journal of Children’s and Young People’s Nursing, 2 (2), pp: 84-89 Gray, T. , Miller H. (2008) ‘Injection technique’, The Foundation Years, 4 (6), pp: 252-255 Royal Cornwall Hospital NHS Trust: ‘Medicines Policy’ Available at: http://www. rcht. nhs. uk/DocumentsLibrary/RoyalCornwallHospitalsTrust/Clinical/Pharmacy/RulesAndGuidanceOnOrderingStoringAndAdministeringMedicines. df (accessed on 30/05/2011) Appendices Appendix 1 This model of reflection incorporates description, feelings, evaluation analysis, conclusion and an action plan (Gibbs 1988). Appendix 3 I was asked if I would like to administer a subcutaneous fragmin injection under supervision, to a 14 year old gir l. The medication was in a pre-prepared syringe in the clean prep room by following local hospital policy. However, on inspection of the injection, I did question the need for the air bubble within the syringe but was assured by my mentor that it is normal to find an air bubble in a pre-prepared syringe and to leave it there for administration. The medication was checked by another staff nurse in accordance to local policy and my mentor and I approached the patient. The patient was lying in bed with no relatives present and I asked consent before administration. The patient became a little distressed at this point and refused to have the injection in her abdomen saying it was too painful, however she did consent to me using her upper arm for the site and after onfirming this with my mentor I proceeded to administer the medication with no further complications. Appendix 4 My initial feeling after being asked to administer the Fragmin injection was apprehension, as I had not administered an injection before in practice. As I was administering it under the supervision of my mentor this made me feel very nervous and self conscious, however I also acknowledged the fact that I should appear confident and at ease in front of the patient as she was herself showing signs of distress. After the patient’s initial refusal I began to doubt my competence of skills and considered asking my mentor to take over, however my mentor put me at ease by explaining that if the patient consented, then it would be fine to proceed with the injection in the upper arm. After the administration, the patient thanked me for not hurting her which immediately boosted my confidence and left me feeling extremely content with the knowledge that I had performed my first injection correctly. Reflection This essay will reflect upon an incident in practice when I administered a drug to a child. I will use Gibbs reflective model (Gibbs 1988)(see appendix 1). This model of reflection will be applied to the essay to facilitate critical thought and relating theory to practice where the model allows. Discussion on the incident will include the knowledge underpinning practice and the evidence base for the administration of the drug. A conclusion to the essay will then be given which will discuss my knowledge and competence of the incidence being reflected upon. The drug that I have chosen to reflect upon is Fragmin (see Drug Profile 1 Appendix 2) which was administered as a parenteral subcutaneous injection to a 14 year old girl, who shall remain anonymous for the purpose of patient confidentiality in accordance with the regulations of the NMC (2008). I have chosen to reflect on this drug as it was the first injection I had given during my training which encouraged me to further develop my knowledge within this area. The first stage of Gibbs model (1988) of reflection requires a description of events (see Appendix 3). The next stage of Gibbs (1988) reflective cycle is related to thoughts and feelings aroused during the event which I can use to reflect upon (see appendix 4). The third stage of Gibbs (1988) model of reflection encourages exploration of both positive and negative experiences encountered and I have chosen a few that I propose to discuss further within this reflection. Throughout the incident the correct hospital policy was followed by my mentor in relation to preparing and administering an injection. However I was not familiar with this policy which could have negatively affected my practice as Grey (2008) suggests, that when administering medication by the parenteral routes, familiarization with local drug administration policy is essential. The patient’s initial refusal of the injection into the abdomen made me think about the child’s rights in refusing to consent to the administration of a medication as I was aware that the law states that anyone under the age of 18 is a child (Children Act 1989, section 105) and as such there are certain matters with which they are not able to make their own decisions. The patient’s refusal to allow me to use the abdomen as an injection site also made me question my knowledge base on this subject, as I did not know where I would have injected in the abdomen if consent had been given. I also realized at that point that I have no knowledge on why different injection sites are used and for what purpose as studies suggest that the selection of the injection site will vary depending on the size and age of the child (Cocoman, 2008). It was only through my mentor’s guidance that I felt confident on allowing the change of the site. Stage four Gibbs (1988), is the critical analysis. After reflecting on this incident I will now analyse what I feel are the most important aspects by looking at the evidence underpinning it. References Cocoman, A. , & Barron, C. (2008). ‘Administering subcutaneous injections to children: what does the evidence say? ’ Journal of Children’s and Young People’s Nursing, 2 (2), pp: 84-89 Gray, T. , Miller H. (2008) ‘Injection technique’, The Foundation Years, 4 (6), pp: 252-255 Royal Cornwall Hospital NHS Trust: ‘Medicines Policy’ Available at: http://www. rcht. nhs. uk/DocumentsLibrary/RoyalCornwallHospitalsTrust/Clinical/Pharmacy/RulesAndGuidanceOnOrderingStoringAndAdministeringMedicines. df (accessed on 30/05/2011) Appendices Appendix 1 This model of reflection incorporates description, feelings, evaluation analysis, conclusion and an action plan (Gibbs 1988). Appendix 3 I was asked if I would like to administer a subcutaneous fragmin injection under supervision, to a 14 year old gir l. The medication was in a pre-prepared syringe in the clean prep room by following local hospital policy. However, on inspection of the injection, I did question the need for the air bubble within the syringe but was assured by my mentor that it is normal to find an air bubble in a pre-prepared syringe and to leave it there for administration. The medication was checked by another staff nurse in accordance to local policy and my mentor and I approached the patient. The patient was lying in bed with no relatives present and I asked consent before administration. The patient became a little distressed at this point and refused to have the injection in her abdomen saying it was too painful, however she did consent to me using her upper arm for the site and after onfirming this with my mentor I proceeded to administer the medication with no further complications. Appendix 4 My initial feeling after being asked to administer the Fragmin injection was apprehension, as I had not administered an injection before in practice. As I was administering it under the supervision of my mentor this made me feel very nervous and self conscious, however I also acknowledged the fact that I should appear confident and at ease in front of the patient as she was herself showing signs of distress. After the patient’s initial refusal I began to doubt my competence of skills and considered asking my mentor to take over, however my mentor put me at ease by explaining that if the patient consented, then it would be fine to proceed with the injection in the upper arm. After the administration, the patient thanked me for not hurting her which immediately boosted my confidence and left me feeling extremely content with the knowledge that I had performed my first injection correctly.