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Submitted By nursejojo
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This reflective account demonstrates an ability to critically reflect on experiences within my nurse training, particularly within my third and final year. The reflective model selected is Gibbs (1998) (appendix 1) which incorporates description, feelings, evaluation, analysis, conclusion and an action plan which is divided into sections for ease of reading. All names have been changed in accordance with the NMC (2008a) guidelines regarding confidentiality. This piece includes reflections on my own learning using the NMC proficiency, managing care. As this covers a vast array my focus is primarily on medicine management, managing risk and delegation.

Description of events
During placement within the Accident & Emergency (A&E) department I saw my paediatric mentor on three occasions, the remainder of the time I worked with adult trained staff. As a consequence of this when a child was admitted, I was given the responsibility of caring for them.
For the duration of a particular shift I worked with Sue, an adult nurse. Sue recognised that I was competent in my practice as I had worked with her on previous occasions with adults and consequently praised me. Sue, qualified for over twenty years, indicated that she only knew the basics of children’s nursing and suggested that I probably had more knowledge of children than her. This comment left me unsure of her depth of knowledge of paediatric nursing and somewhat concerned me.
During my shift, Jay, a two year old was admitted via ambulance with a croup score of ten, this score according to Bjornson and Johnson (2008) is ascertained by observing for stridor, recession, respiratory rate, level of consciousness and pallor. Jay was assessed by Sue and I and a score of ten was confirmed. As a result of this score we determined the emergency drug calculations using the mnemonic WETFAG system as indicated in Schmidt and

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