PDF (PhD Thesis) - UWE Research Repository - University of the ...

Guidance Notes
1. Description of experience
This should consist of a brief factual account (no more than one size of
A4) of the events. This should include:
When it happened, an example might be 'I gave IV
antibiotics to the wrong patient' -include date, time,
shift, location.
Key issues that resulted in this incident occurring — eg
failure to follow policy /procedure, interruptions
2. Reflection
Was I informed at local induction/orientation about the
relevant activity, policy, equipment etc.?
Is there a risk assessment, SSOW, operational
procedure etc. associated with the activity?
Were you familiar with it?
If the incident required you to have completed any
training in order to be competent, have you completed
the training? If so, when? Have you attended an
update? If so, when? Is this the first time you have
been involved in a medication incident? If not give
details, when, where, what, outcome of incident and
lessons learnt.
What led you to act as you did?
Reflect on the actual and/or potential consequences
to: Patient- effect of medication etc, Myself – personally
and professionally
324