Case Study- The Human Factor: Gina’s StoryOn the day of the procedure, the correct checks were performed.

Question Answered step-by-step Case Study- The Human Factor: Gina’s StoryOn the day of the procedure, the correct checks were performed.Gina was admitted to an English hospital for an angiogram to assess blood flow in her right leg. Gina has had this procedure performed in an earlier admission and experienced no complications from what is often considered a ‘routine procedure.’The staff setting up the procedure work trolley poured skin disinfecting solution and injectable medications into the same coloured pots on the sterile field. This was a routine set up that had been done many times before. During the procedure, an event occurred that momentarily caused a break in staff concentration. This seemingly small event had catastrophic consequences. Instead of injecting a contrast medication into Gina’s right leg artery, a skin prep disinfectant was injected once and then repeated. The outcome of this mistake was devastating. Gina’s leg immediately became white and then mottled, eventually resulting in death of the leg tissue. Over a period of weeks, Gina required several operations to remove more and more of the ischaemic leg and spent many weeks in Intensive Care.Because of this error in the procedure, Gina has been left with a complete amputation of her leg (to hip level) and a significant, devastating, life changing disability.www.youtube.com/watch?v=IJfoLvLLoFo&ab_channel=DoncasterandBassetlawHospitalsNHSFoundationTrust QUESTION:     Using the Gibbs’ Reflective Cycle, please try and reflect on the event from the eyes of the following people in the room ·        Gina·        The treating doctor·        The assisting nurse (who handed the equipment and drugs to the doctor)·        The Head of Health and Safety Risk  ·        Description: What happened?·        Feelings: What were you thinking and       feeling?·        Evaluation: What was good and bad about      the experience?·        Analysis: What else can you make of the      situation?·        Conclusion: What else could you have done?·        Action Plan: If it rose again, what would you       do?·        Consider:       Was I educated/authorised/competent tomake a decision in relation to the problem?   Health Science Science Nursing NURSING HLT54115 Share QuestionEmailCopy link Comments (0)