Index IntroductionInadequate nurse-patient relationshipMisunderstanding of patient's symptomA Problematic telephone consultationConclusionReferencesIntroductionNursing is a multifaceted field of work in which nurses face many challenging issues during their clinical experience. Reflective practice is one of the main tools available to an expert nurse and can be used as a powerful weapon against these multiple clinical problems. Reflective practice helps a nurse learn from experiences through careful evaluation and analysis of incidents so that he or she can approach a similar new situation in a better way. This paper discusses 3 clinical issues using Gibb's reflective writing model and they are: inadequate staffing, misunderstanding of patient's symptoms and problems associated with telephone consultation, supported by appropriate journal articles. Say no to plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Get Original Essay Inadequate Nurse-Patient Ratio Staff shortage is one of the major problems faced by many hospitals in India, especially public hospitals. Being an experienced nurse in India, I have experienced the problems related to this many times. The following is one such problem. About five years ago, when I was a new nurse in a public hospital, I was forced to treat only 40 patients due to staff shortages. I was thinking that if I can't complete my routine work faster, I won't be able to get new admissions. Immediately after handing him over I started checking his vital signs starting from bed #1. I was in a hurry to complete my work because there was no one else to help me. As I approached the last patient on the ward, I noticed that the patient seemed irritable and confused. He was also sweating profusely. When I asked him what his feelings were, he told me that he had had some unpleasant sensations for a few hours. Since it was not an easy task to remember the medical history of all 40 patients, it took me 5 minutes to check his medical records. He was a diabetic patient who received his first dose of insulin that day. When I checked his blood sugar level it was too low. Immediate actions were taken to reverse the hypoglycemia. During this incident, I had multiple feelings on my mind. I felt guilty for not being able to take the time to talk to my patients so I could understand their concerns. At the same time, I was satisfied that I could manage that patient without incurring further complications. Hypoglycemia was easy to manage compared to other problems that older adults may have experienced. He may have fallen out of bed. The risk of fall-related injuries is greater in older adults due to hypoglycemia. Evaluating my actions during the incident, 2 questions arose in my mind. If I hadn't noticed his symptoms what could have happened? What could have motivated me to do this? The answer is the lack of assistance due to the failure of the nurse-patient relationship. Missed care is an indicator of an inadequate nurse-patient ratio. It wasn't a good idea to take on too many patients at once. Most nursing errors are due to nurses increasing their workload beyond their capabilities. Interruption during work can speed up this process. Medication errors and decreased patient satisfaction are some of the common effects of understaffing. An inadequate nurse-patient relationship can put a person's life at riskpatient. By analyzing the total events, I was a good observer and was able to discover the signs of hypoglycemia. At the same time, it was my responsibility to keep an eye on that patient receiving his first dose of insulin. I could have given priority to elderly patients. I learned many things from this incident, including the importance of watching for insulin aftereffects and the need to prioritize. In light of this incident, I have made some action plans for the future as a reflective practice. First, don't take on too much responsibility at a time. But it is not possible to do this in all circumstances. Second, always establish priorities before starting patient care. Third, to find time to interact with patients, I used the time to check vital signs. Finally, to offer a helping hand to my colleagues during busy shifts. These steps have been very helpful to me when I have faced similar situations. Misunderstanding a Patient's Symptom About 9 years ago, during my internship program in India, I was assigned in the observation room and took care of 3 patients. All 3 patients arrived at almost the same time. One complained of general weakness and sore throat, the second shortness of breath and the third vomiting. When I checked the first patient's vital signs everything was normal. There was an order for intravenous fluids with a multivitamin. He said his throat pain is getting worse. Panadol was given for pain and intravenous fluids were given. Compared to other patients, I felt that the second patient was in need. There was a lot to do for that patient. After completing all of his treatment orders, I approached the third patient. At that point the first patient complained of throat pain again and said it was spreading to his neck. Thinking he had been given Panadol for the pain I told him he would calm down and approached the third patient. After completing all the work again, I approached the first patient. Since he was very irritable, I called the doctor on duty. He ordered an EKG. Thinking what is the role of ECG in this patient, I performed his ECG. The report was quite shocking to me as it indicated signs of myocardial infarction. I immediately transferred the patient to intensive care. At that moment I was thinking about the pain in my throat that turned into myocardial infarction. I later learned that throat pain is one of the rare symptoms of AWMI, which is difficult to diagnose. I regretted not having given importance to his complaint. Furthermore, I was satisfied that I could promptly transfer that patient to the ICU without losing the golden hours. In evaluating my actions during the incident, it was my failure to misinterpret the pain in my throat as a symptom of a viral infection. I didn't recognize the signs of MI even after he said his pain was radiating to his neck. If I had not informed the doctor about his condition in time, it could have turned into medical negligence. “A nurse's accuracy in assessing, monitoring and reporting to the doctor in a timely manner can often mean the difference between life and death.” While analyzing this incident, I learned that it is always important to pay attention to a patient's complaint. Additionally, I learned that throat pain could be a symptom of myocardial infarction. as part of learning from this experience, I will ensure that all patient complaints are dealt with meaningfully, even if they are minor, so that there is no possibility of medical negligence. A problematic telephone consultation About 8 years ago, when I was sent to cardiac intensive care, I was assigned the task