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Description

In the dialysis unit during my most recent placement, a severe incidence occurred. Halfway through the procedure, the patient's blood pressure suddenly fell, requiring an instant interruption. This unexpected incident caused significant blood loss, which prompted careful consideration of the circumstances and their implications for patient care.

Feelings and Evaluation

My initial reaction upon seeing the patient's blood pressure suddenly decrease during dialysis was one of extreme astonishment and concern. I was hyper vigilant because of the situation's severity, and I could not help but worry about the patient's welfare. Being in charge of handling such unforeseen issues as a healthcare professional added stress and reflection to my emotional reaction. The sudden stop of dialysis, which resulted in significant blood loss, illustrates how delicate medical treatments may be. Studies highlight the potential adverse effects of hemodynamic instability during dialysis, as demonstrated by McGuire et al. (2018).

On the other hand, the fast response from the medical staff is consistent with research that emphasises the importance of timely treatments in avoiding problems during dialysis (Griva et al., 2020). The episode highlights the necessity for ongoing monitoring and planning to minimise potential adverse outcomes by focusing on the delicate balance between the risks and advantages of medical operations.

Action Plan

After the dialysis episode, I realized the critical need to enhance my competency in handling unforeseen challenges during medical treatments, particularly in the realm of dialysis. Vonk et al. (2021) stress the importance of ongoing education in addressing dialysis-related issues, prompting my commitment to attending workshops, engaging in targeted learning sessions, and seeking mentorship from experienced professionals. Acknowledging the value of proactive communication, I plan to initiate early discussions with the medical team to review and practice emergency protocols during dialysis, aligning with the recommendations of Rao et al. (2021). To foster continuous improvement, I will embrace reflective learning principles outlined by Koshi et al. (2017), involving regular self-assessment and critical evaluation of my actions during the incident to enhance patient safety.

Moreover, recognising the power of collaborative learning, I aim to collaborate with colleagues in building a repository of case studies and simulations. This approach aims to strengthen the ability to handle unexpected situations in future. In incorporating these strategies, my comprehensive action plan not only will align with current literature but will also reflect a commitment to continuous improvement and a collaborative, resilient healthcare practice ensuring patient safety and wellbeing.

References

Griva, K., Seow, P. S., Ying-Ying Seow, T., Goh, Z. S., Jun Choo, J. C., Foo, M., & Newman, S. (2020). Patient-Related Barriers to Timely Dialysis Access Preparation: A Qualitative Study of the Perspectives of Patients, Family Members, and Health Care Providers. Kidney Medicine, 2(1), 29-41. https://doi.org/10.1016/j.xkme.2019.10.011

Koshy, K., Limb, C., Gundogan, B., Whitehurst, K., & Jafree, D. J. (2017). Reflective practice in health care and how to reflect effectively. International Journal of Surgery. Oncology, 2(6), e20. https://doi.org/10.1097/IJ9.0000000000000020

McGuire, S., Horton, E. J., Renshaw, D., Jimenez, A., Krishnan, N., & McGregor, G. (2018). Hemodynamic Instability during Dialysis: The Potential Role of Intradialytic Exercise. BioMed Research International, 2018. https://doi.org/10.1155/2018/8276912

Rao, I. R., Vallath, N., Anupama, Y., Gupta, K. L., & Rao, K. S. (2021). Decision-making around Commencing Dialysis. Indian Journal of Palliative Care, 27(Suppl 1), S6. https://doi.org/10.4103/ijpc.ijpc_61_21

Vonk, S., Bonenkamp, A. A., & Abrahams, A. C. (2021). Good practices for dialysis education, treatment, and eHealth: A scoping review. PLoS ONE, 16(8). https://doi.org/10.1371/journal.pone.0255734

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