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Critical Incident In Social Work
Introduction Social workers deal with diverse group of people while in their call of duty. The social work theory and practices guide the social
workers in their work by providing them with the skills they need. Social work incorporates other aspects as diversity, ethics, and values and thus
social workers require skills that will enable them to educate people. It is important that social workers embrace diversity, follow the ethical rules and
uphold high standards of value. This essay will highlight an incidence in a supported accommodation setting where issues of diversity, ethics, and
values were clearly observed. The incident will be critically analysed using a critical incident analysis pro – forma and incorporate it with the PCS
...show more content...
(Maclean and Harrison, 2015). The decision made about DJ was unfair to him, he was discriminated against because of his disability, the dilemma
was the kind of friends DJ had made, the content what he was delivering. DJ was not treated as and individual who had the right to express his
feelings. According to point one and two of the seven principles of Biesteck underpinning a positive relation between a worker and a services user,
the service user should be seen as an individual having the opportunity to express hes or her feelings. DJ was not treated in this manner Initial
response to the incident The initial response to the incident was making sure DJ was not at risk, however, the decision of refraining him from going
to the put was influenced with personal values and beliefs instead of professional values which focuses on the individual. Having the ideology that
people with down syndrome was incapable of making decisions. Banks, distinguished between personal values and profession values, the taught was
influence by personal and societal values in that may not be shared by all members of the occupation group. (Banks, 2012, p8). On the other had some
of the colleagues jumped into conclusion and though he was being taking
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Reflection Upon A Critical Incident Essay
This paper will reflect upon and explore a critical incident which occurred whilst attending a clinical placement. Reflective practice has become
very popular over the last few decades throughout a variety of professions. In some professions it has become one of the defining features of
competence. The wide spread utilization of reflective practice is due to the fact that it 'rings true' (Loughran, 2000). Within different disciplines, what
is understood by reflective practice varies considerably (Fook et al, 2006). Despite this, some agreement has been achieved. In general, reflective
practice is understood as the process of learning through and from experience towards gaining new insights of self and/or practice (Boud et al 1985;
...show more content...
The model encourages the person to think systematically about and experience or activity and allows the opportunity to recognise areas that can
be improved upon or developed. The model takes the form of a cycle, which uses a six step approach covering a description, feelings, analysis,
evaluation, conclusion and finally action plan. My choice of model, over Johns (2000) model for example, was due to its clear structured cycle
which allows the opportunity to renter a stage in order to try and improve upon a situation. Where as Johns (2000) model, does not allow this
opportunity although it is a useful model as a guide for analysis of a critical incident. Although, I will have to develop the model to ensure that I
critically analyse in order for it be of a higher standard at this stage of the training. The topic of reflection is a potential drug error made whilst on
my clinical practise placement. The area of drug administration is an important role for nurses and therefore I will incorporate research evidence,
policies and guidelines surrounding drug administration, discuss how the area can be developed and applied in professional practise. The National
Patient Safety Agency (NPSA 2010), defines a drug error as 'any preventable event that may cause or lead to inappropriate use of patient harm.
Although not all drug errors have lead to patient harm it is important to recognise that if a mistakes has been
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Essay on Reflection on a Critical Incident
The reason for this essay is to reflect on a critical incident experience during my six week placement as a student nurse on an orthopedic ward. To
explore an event as a critical incident is a value judgment, and the basis of that judgment is the significance attached to the meaning of the incident.
Critical incidents are created or produced by the way we look at a situation. Tripp (1993)
The incident chosen has made an impact on me due to the fact the side effects of surgery can be very critical to a patient's life, as would be
demonstrated in the critical incident chosen (D.V.T).Deep vein thrombosis.
There are various reflective models written by various theorists and they include: Atkins and Murphy (1994), Stephenson (1993),...show more content...
"One may also reflect on practice while one is on the midst of it. This process involves both reflections in action and reflection in practice (Johns 2000).
Schon states that reflection in action consists of on the spot surfacing, criticizing, restructuring and testing of intuitive understanding of experience
phenomenon (Schon 1983) P.241.
"Reflective learning involves assessment and re–assessment of assumptions and critical reflective occurs whenever underlying premises are being
questioned".(Williams 2001) P.29.
In choosing Gibbs reflective model it would be illustrated in the six headings which guide me through my reflective process. These headings include:
(1.) Description – what happened?
(2.) Feelings – what were you feeling?
(3.) Evaluation – what was good or bad about the experience?
(4.) Analysis – what sense can be made of the situation?
(5.) Conclusion – what else could you have done?
(6.) Action plan – if the situation arises again what would you do?
Description:
This critical incident took place during my first six–week placement on the ward (Eleanor east). My rationale for this critical incident is because of the
impact it had on me. I did not know that the side effects of hip replacement surgery could result in DVT (deep vein thrombosis), which could be very
critical physically and mentally.
To protect patient confidentiality the
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Reflection Upon A Critical Incident Essays
Reflection has its importance in clinical practice; we always seek to be successful and that can be achieved by learning every day of our life through
experiences we encounter. In that way we can reconsider and rethink our previous knowledge and add new learning to our knowledge base so as to
inform our practice. Learning new skills does not stop upon qualifying; this should become second nature to thinking professionals as they continue
their professional development throughout their careers (Jasper, 2006).
In keeping within current legislation on the protection and respect of an individuals' right of anonymity, (Polit and Beck 2007), and to confidentiality,
(Munhall 2007), any and all possible identifiable characteristics of the...show more content...
One research summary listed on AHRQ website under patient safety is a device that has potential in reducing the incidence of ventilator–associated
pneumonia (VAP) (Collard & Saint, 2010). Continuous aspiration of subglottic secretions (CASS) is an apparatus that has been shown to decrease the
incidence of VAP in certain patients. Included in this piece is a description of VAP, how CASS can help improve patients at risk for VAP and a patient
care situation regarding clients receiving mechanical ventilation.
Ventilator–Associated Pneumonia
Pneumonia is the second most common hospital–acquired infection and is the leading cause of death due to nosocomial infection in the United States
(Augustyn, 2007). A patient who is intubated with an endotracheal tube (ETT) is at increased risk of developing pneumonia. The bacteria colonizing
the oropharynx can move into the lower respiratory tract because the ETT provides a direct route into the lower airway (Craven & Hjalmarson, 2010).
This type of pneumonia is called ventilator–associated pneumonia (VAP), it occurs in patients receiving mechanical ventilation for an extended period
of time. Ventilator associated pneumonia can be categorized as either early–onset or late–onset. Early–onset VAP occurs between 48 to 96 hours and is
usually caused by Haemophilus influenza, an antibiotic sensitive community–acquired organisms (Collard & Saint, 2010). Late–onset VAP is caused by
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Critical Incident Reflection
With that reason, steps are being taken to heighten my knowledge. I will utilize the theory of critical incident reflection, first introduced by John
Flanagan in 1946 that speaks to "reflect – on – action (i.e. past experience)", "reflect – in – action (i.e. as an incident happens)" and "reflect– for–
action (i.e. actions you may wish to take in future experiences)" in order to point out my strengths and weaknesses. Likewise the use of other
meta–cognitive and analytical tools provided in this course, is sure to provide further assist with explaining my growth or lack thereof as a developed
professional. The aim is to develop through a perpetual process of acquiring new cognizance and skills that relates to my profession, job responsibilities,
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Critical Incident Stress Debriefing: A Case Study
Desiree,
I agree the first responder has to be offered the ability to overcome their experience with a traumatic event. Providing early intervention is ideal in
helping responder deal with the traumatic event, these intervention includes critical incident stress debriefing (CISD) and critical incident stress
management (CISM), offering first responders alternative to dealing with their stress will led to a reduction in mental breakdowns. The programs that
are now available to first responders has to be made mandatory across the board, doing this takes the option out of the hand of the responder and puts it
in the hands of the department to enforce mandatory debriefing once exposed to any traumatic event.
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Critical Incident Analysis Essay
Student Number: 10258310
Unit 3– Re submission.
Task 3.
(A3)
BA (Hons) Social Work.
Stage 1.
Assessment due: Monday 22nd August 2011 4pm.
Critical incident analysis.
Throughout this assessment I will analyse a critical incident of an interaction between a worker and a service user or carer during my statutory
observation experience. I will conclude my own assessment of the situation and demonstrate my understanding of the use of self, context in which
social work takes place and the knowledge and methods of practice. I will not use any of the service users, carers or agencies names in this essay due
to the data protection act 1998. I will also adhere to the GSCC codes of conduct that respect and relate to the service users...show more content...
Richard and Parker (1995) argue that reflecting and analysing the incident the practitioner is able to consider how the incident may have been
managed differently by applying other knowledge and consequently enable the practitioner to move forward and consider a future situation
differently. For the purposes of this piece of work I will be analysing an observation of a meeting between a male and a GP.
When I learnt that I was going to be shadowing at a clinic for service users with drug and alcohol problems I was quite worried and intrigued as to
what would take place. Then I realised I had to be holistic and also realistic, and although I am not close to anyone that has a heroin, crack cocaine or
even an alcohol addiction I have been surrounded by people that have used certain drugs such as cannabis or cocaine. I also feel that I will not
always know that this is the case as not everyone demonstrates through their behaviour that this is an issue for them, also some individuals feel
ashamed as drug and alcohol use is frowned upon and individuals will deny using drugs. Some individuals explain that they use drugs as a way of
numbing their problems or to gain confidence and self esteem. Beliefs about oneself and about the role of drugs or alcohol in one's life are sometimes
called existential models (Greaves, 1980). Khantzian (1985) has proposed that addicts use drugs to offset
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Critical Incident Meaning
For the best explanation of the critical incident meaning, I had asked myself, why incidents may occur at a young age? In my opinion, significant role
most children came to USA from different countries and their families had different cultural background. Moreover, the children had various social–
cultural background, and accordingly, some of them need more time to adapt in the new environment. The best way to escape and prevent difficult
situations is clear understanding and communication with children. The teacher having the ability and various strategies in managing of diverse
classroom will probably increase positive relationship with young students. The main role of the teacher is regulating conflict situations and manage
them. During
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Essay Critical Incident Assignment
Portfolio – A description and analysis of up to 3 critical incidents encountered on school Experience A that you consider to be teaching dilemmas
In this assignment, I will analyse and reflect on a critical incident that I was confronted with during school experience A (here after will be referred
to as SEA). I will reflect on the implications that my critical incident has had on my practice and I will relate it to theory. In addition, I will make
reference to four approaches of analysis which have been outlined by Tripp (1993). Tripp's four approaches focus on the why challenge, personal
theory, thinking strategies and dilemma identification. I will examine these four approaches and discuss the ways in which I can develop my teaching
...show more content...
I was pleased to see that child x was optimistic to participate in my lesson as he showed great enthusiasm. Nonetheless, my incident also reveals the
pessimistic point of my incident. Although child x was engaged in the lesson, his behaviour was disruptive and he interrupted my teaching which did
not benefit the pupils learning. Due to the fact that I am a reflective thinker, I could have thought about possible alternatives and considered the
incident from the child's point of view. For instance, rather than moving child x next to the teaching assistant, I could have considered how he felt and
the reasons why he did not put his hand up during class discussions. If I chose to make an alternative decision, what would the outcome be? I continue
to ask myself a series of questions.
After my maths lessons, I proposed a series of questions to myself: why does he call out during my lessons? Why do I have the expectation that he
should put his hand up? Should I have imposed a different solution rather than have child x sit next to the teaching assistant? Could I have handled
the situation more effectively? I continued to ask myself a series of questions which enabled me to reflect on what I did and why I did it. Although I
may not be able to find a solution to my critical incident, I aim to explore and analyse it by reflecting on my teaching practice. Dewey (1933) in
Pollard (1998) highlights that
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Essay on Critical Incident
Within this essay, the author will reflect on a critical incident using a reflective model. In order to guide the author undertake this reflection, Johns
(2002) reflective model will be utilised. As the first stage of Johns reflective model asks for the description of the event, the descriptive part will be
attached (see appendix A). In accordance with the NMC Code of Professional Conduct (2008) the names of the individual involved have been changed
using pseudonym in the form of James, Jennifer and Christina for the purpose of maintaining confidentiality. This reflection has been chosen as it has
shown the author the inadequacies on her part as a student nurse. Also to highlight the need for the author and professionals to have an...show more
content...
Furthermore, upon assessing Christina I noticed that she was experiencing breathlessness and showing signs of distress. According to Kisiel and
Perkins (2006) recording vital observation is an important aspect of nursing care as this provides the physiological state of the patient. At this point my
main priority was to assess the patient's baseline. I also felt it was unnecessary to disturb Christina with questions regarding her history and identity. As
this could have leaded the patient become more breathlessness.
However, I was distracted by the patient's breathlessness and distress. Therefore the consequence of my actions was that I wrote the vital signs on the
wrong chart. The lack of proper documentation could have lead a negative impact on the patient health and can ultimately cause fatal consequences.
The NMC (2008) requires practitioners to make correct documentation as this could cause dangerous consequences for patients and result in further
disciplinary action.
Looking back, Nurse James would have been held accountable for my action. The NMC (2008) clearly states that a registered nurse is obligated to
ensure the safety of patients at all times. On the other hand, as a student I may be held responsible by the university and possible could face being
penalised (Pellat 2006). Upon reflection I feel that as a student nurse at advanced stage of my training I was not able to work under pressure and
multitask. I should have been able
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Analysis Of Leicestershire 's Police Force Essay
The way police manage critical incidents is of upmost importance. An incident that is manged well, will raise public confidence in the police, however
if the incident is managed poorly it can have devastating effects on the victim and the general public will subsequently lose confidence in the police.
ACPO's definition of a critical incident is as follows "Any incident where the effectiveness of the police response is likely to have a significant impact
on the confidence of the victim, their family and/or the community" (Constabulary, December 2007) Any police officer can notify an incident as
possibly critical, therefore, police officers must always be aware of the potential for any incident to escalate and become critical. A critical incident
can include; Suspicious, unexplained deaths, Homicides, Incidents requiring a police firearms response, Vulnerable persons missing from home,
Domestic Violence, Crimes involving particularly vulnerable or young victims and hate crimes, which will be our focus. For our essay, we will be
critically analysing Leicestershire's police force's 'critical incident' management of the case of Fiona Pilkington which is a case of anti–social behaviour
that deeply affected public confidence. Whenever a critical incident is identified, it must be addressed sharp and efficiently. Reassuring, rebuilding and
maintaining the confidence of the victim, their family and community should be fundamental to critical incident management (Thames Valley Police,
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Critical Incident Analysis Essay
Contemporary Challenges in Mental Health Care Provision and Management 2 B73M20 Cohort 09/09 Student ID: 20328 Assignment: Critically
analyse an incident experienced whilst in practice, allowing opportunity to explore professional responsibilities, concepts of care management and the
impact of health policy/legislation on care provision. You should demonstrate fitness of practice (NMC, 2008). Submission Date: 14 May 2012
Assignment word count: 3000 Actual word count: 2967 Contents 1. Assignment 2. References 03– 11 12 – 13 ID No: 20328 Page 2 Introduction This
paper will critically analyse an incident that occurred during my placement on a forensic low secure unit. The Low secure unit provides...show more
content...
Initial Responses to the incident I was surprised that there was no record of the incident and that event had not been handed over to the
multidisciplinary team members who had come on shift. I thought that the nurse had not considered the incident to be a serious incident. Furthermore
sexual activity, including sexual assault and harassment, does occur in psychiatric facilities and is an issue of concern (Videbeck, 2008). In this
situation I felt uncomfortable when I heard the allegations however my thoughts were that it is an important issue which should not be ignored. ID No:
20328 Page 4 Issues and dilemmas highlighted by this incident Management issues Several management issues where highlighted by the incident. The
analysis will focus on record keeping, effective communication, risk management and ethical issues. The day to day management issues affecting
nursing practice such as record keeping, effective communication and risk management do not operate in isolation but are frequently interdependent
and affect each other. The central focus will be on the observed failure by the night duty nurse to record or pass on information on Mark's report. The
Nottinghamshire Healthcare NHS Trust (2009) policy on record keeping states that a record of an event must be made immediately or within 24 hours
of the occurrence. The rationale for this requirement is that an immediate record of
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Critical Incident
Critical Incident A Reflective Essay Rich & Parker 2001 defines critical incidents as snapshots of something that happens to a patient, their family
or healthcare professional. It may be something positive, or it could be a situation where someone has suffered in some way. Reflecting on critical
incidents will allow me to explore and analyse incidents and how it has affects me and what I hope to do with these effects in the course of my
training towards becoming a registered practitioner. It also gives me the opportunity of changing my way of thinking or practice, as I learn valuable
lessons when I reflect on an incident. This helps me to develop self–awareness and skills in critical thinking and problem solving (Rich & Parker 2001).
...show more content...
I was thinking to myself if they have asked questions or done any research about CCU they will most likely be thinking their son's situation is
hopeless. It is important to label and date all the lines as this helps to know what each is used for and how long it has been in situ for. Also care
should be taken when moving patients to ensure the stay in place as it can be very uncomfortable and difficult to reinsert a cannula on a patient as
most of them are oeadematous. As I was involved in the care of the patient I had to explain to the wife why her husband was connected to a ventilator
and it use. A ventilator is an artificial breathing machine that moves oxygen–enriched air in and out of your lungs. If your lungs have failed and you
cannot breathe on your own, you will need to be attached to a ventilator (See appendix 3). Being helped to breathe by a ventilator means that you
will usually need to be sedated. Ventilators can offer different levels of breathing assistance. If you only need help breathing for a couple of days, it
is likely you will have an endotracheal tube from the ventilator to your mouth or nose. The tube will usually be held in place behind your neck as
was the case with my patient. However, if you need help with breathing for more than a few days, you may have a short operation called a
tracheostomy. This replaces the tube in your mouth with a shorter tube that is placed directly into your trachea. As well as being more comfortable,
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Critical Incident Report
Critical Incident Report
Executive Summary
This report describes a dissatisfying service incident and analyses the incident helping to develop recommendations for the serviced provider. The report
integrates the description of an incident, a critical analysis of the incident, including and examinations of the service quality gaps model. Customer
gap: dimensions, types of encounters and sources of displeasure and Providers Gaps 1, 3 and 4. The objective of this report is to analyse the critical
incident description and provide a comprehensive service marketers' analysis of the critical incident. Through this report recommendations have been
made for the firm in order to reduce eliminate and or/ better manage the factors that led to...show more content...
Looks like your package needed to be signed for."'
What Occurred During the Incident? After this disappointing message from my mum, I rang Sky Net World Wide, only to wait 15 minutes for
my call to be taken but to also be answered by an unaccommodating and rude employee. Whilst explaining my situation to the employee I could hear
him whispering to someone in the background. I ignored this and continued asking questions. The employee clearly didn't hear me and said to me
"Well I can't do anything till you give me the consignment number". I gave him my number and sharply he said "Can't get it there till Monday
afternoon sometime, you should have been home to sign for it". Saddened not only by not receiving my purchase but the treatment I received over
the phone I asked to be transferred to their complaints department. He then replied with "sorry, complaints department is closed after hours, you
have to call back Monday." And then hung up. After the phone call thinking I would receive my package on Monday "afternoon sometime".
However, did not happen. I rang Sky Net World Wide again, this time spoke with a nice employee that then informed me that the employee I spoke
with on Friday night had sent the package back to the wrong depo meaning the package was not able to be sent. He then apologised and detailed that
he wasn't able to refund me the purchasing and handling price, but did ensured me it would arrive by Tuesday 10am
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Critical Incident Negotiating Team
Critical Incident Negotiating Team has some major functions; these functions are critical and must be performed by officers who have been specially
trained and affirmed. These officers respond to specific police emergencies and when they arrive they may have to put into play their negotiating
skills. It is imperative for these officers to pass strict trainings; this includes a verbal interview, in order to become a part of theteam. The type of
training that a Critical Incident Negotiating Team go through is a forty hour training course that is taught by the FBI which includes. This includes
Active Listening Skills, Suicide Intervention, Hostage Negotiation Strategies, Media Relations, Mental Health Awareness, and also Personality Profiles.
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Reflection on a Critical Incident Essay
The objective of this assignment is to explore and reflect upon a situation from a clinical placement. Reflective techniques will be used to reveal
how well or badly the situation was handled. And how the incident, and the reflection has influenced personal learning and professional practice in
relation to nursing care. According to Hogston and Simpson (2002, p398) reflection is "a process of reviewing an experience of practice in order to
better describe, analyse and evaluate, and so inform learning about practice". Wolverson (2000, p24) includes this is an important process for all nurses
wishing to improve their practice. This will be investigated using a reflective nursing model. In accordance with the 2002 Nursing and...show more
content...
The layout of this assignment will follow the layout of John's model. Marks (2001, p38) discusses how well reflection is accepted across nursing.
It has been advocated by the English National Board (1994), UKCC (1996) and a range of nursing literature, with the aim of improving practice via
a structured means of identifying, reviewing and making sense of relevant practical knowledge. The ECG was the first to be performed alone. As the
writer was nervous nothing about the patient was asked. Focus was only on the task in question. No hand over was given and no notes were left. The
nurse said he would be back to check the results. It was then found that the patient did not speak any English and the friends had gone outside so there
was no–one who could translate. During teaching we had been told that we never put the ECG away in the patients notes, but we must find a doctor
to look at it immediately and it must be signed by this doctor. Firstly the ECG printout was looked at by another nurse who said it was alright and put
it on the side. The writer did not think this was sufficient so took it and went to show it to a doctor. Being new to the hospital, it was not known who
to approach and two different doctors both said to find some–one else to look at it. As time was passing, it was taken to the Emergency Nurse
Practitioner as he was in sight. Instructions were to take the lady straight
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Critical Incident Report Sample
Critical Incident Report # 2 The incident which I reported on occurred four days ago. It was as a result of rounding with a Preceptor ship in
pavilion building 62 unit 3 b. Apparently, as we walked into room five bed 3, there was a client name U.C. a bedridden patient with bed sores
/pressure ulcer on the bony parts of the body, such as the buttocks, tail bone, and the heels. However, this client has difficulty getting out of bed, also,
could not move his legs. In addition, bed sores or pressure ulcer occurs, when a client lies or sits for a long time in the same location will result
cutting circulation from the tissue, induces cells to die, and skin will crack down. Admittedly, the preceptor and I were incapable to take a lunch break
for
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Reflection On A Critical Incident In PGCE
Introduction:
The way in which we reflect upon a situation, shaped by the interpretation of a significant event is defined as a critical incident (Tripp, 2011).
Reflecting has been crucial within my first two phases of PGCE as I have been able to value experiences and make judgements to improve further. My
home school practice was graded an 'outstanding' mainstream primary school (Ofstead, 2015), working 19 percentage points above their local
authority in reading, writing and maths (School performance tables, 2017). The school's numbers are below average for free school meals in the area
and they have an average percentage of special educational needs children. Pupil premium percentages are currently at 15 percent out of the 218
children on roll.
This assignment will further develop critical incidents that occurred throughout phases one and two in my home school. School, subject and
pedagogical knowledge incidents will be critically evaluated against theories and practice. According to Banks, Leach and Moon (2005) the
professional teaching knowledge vision consists of all three of these areas. A series of conceptual frameworks have been used to critically analyse
each incident further including: Brookfield's lenses, Banks Leach and Moons' model of reflection and Schon and Eraut (1995) reflection on, in and of
action.
I will primarily analyse my school knowledge incident. I have chosen this incident as it required me to reflect afterwards about how the situation could
have
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Critical Incident Stress Management Case Study
Hello everyone, The topic I selected to cover is Critical Incident Stress Management within the Emergency Medical Services system (E.M.S). My
approach towards Critical Incident Stress Management is by educating readers by utilizing a problem–solution approach. Bringing awareness to the
exposures psychologically exposed to, the type of support needed and the pros and cons if we do not obtain the help needed as well as the benefits
when support is available. What I already know after being in the field for ten years is that as of recently there has been a culture shift within E.M.S.,
this is good and bad. The good is that E.M.S. services have realized there genuinely are a problem, that employees are becoming damaged and that it is
causing...show more content...
I have been working directly with allied agencies around the Northern California Region by developing a more comprehensive plan with
management in support of the workforce as well as management levels. My business on the side is strictly Stress Management and Resiliency for
the E.M.S. provider and support teams. This personal interest of mine is due to personal experiences, my E.M.S. family, and my family at home.
Combined this has played both a personal and inspirational journey. Research conducted has been on an ongoing basis with me for the last three
years, I have utilized the company, online journals, articles, and research. The reality is that this is a very new subject matter and studies available
are based solely on military veterans. It is far and few between within E.M.S. respectively. I am personally journaling and noting processes locally and
establishing communication along the United States E.M.S. agencies to create and obtain a more thorough study towards E.M.S. providers and those
in their homes. It's a bit ignorant on our side to think what we do as a career only impacts
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Critical Incident In Social Work

  • 1. Critical Incident In Social Work Introduction Social workers deal with diverse group of people while in their call of duty. The social work theory and practices guide the social workers in their work by providing them with the skills they need. Social work incorporates other aspects as diversity, ethics, and values and thus social workers require skills that will enable them to educate people. It is important that social workers embrace diversity, follow the ethical rules and uphold high standards of value. This essay will highlight an incidence in a supported accommodation setting where issues of diversity, ethics, and values were clearly observed. The incident will be critically analysed using a critical incident analysis pro – forma and incorporate it with the PCS ...show more content... (Maclean and Harrison, 2015). The decision made about DJ was unfair to him, he was discriminated against because of his disability, the dilemma was the kind of friends DJ had made, the content what he was delivering. DJ was not treated as and individual who had the right to express his feelings. According to point one and two of the seven principles of Biesteck underpinning a positive relation between a worker and a services user, the service user should be seen as an individual having the opportunity to express hes or her feelings. DJ was not treated in this manner Initial response to the incident The initial response to the incident was making sure DJ was not at risk, however, the decision of refraining him from going to the put was influenced with personal values and beliefs instead of professional values which focuses on the individual. Having the ideology that people with down syndrome was incapable of making decisions. Banks, distinguished between personal values and profession values, the taught was influence by personal and societal values in that may not be shared by all members of the occupation group. (Banks, 2012, p8). On the other had some of the colleagues jumped into conclusion and though he was being taking Get more content on HelpWriting.net
  • 2. Reflection Upon A Critical Incident Essay This paper will reflect upon and explore a critical incident which occurred whilst attending a clinical placement. Reflective practice has become very popular over the last few decades throughout a variety of professions. In some professions it has become one of the defining features of competence. The wide spread utilization of reflective practice is due to the fact that it 'rings true' (Loughran, 2000). Within different disciplines, what is understood by reflective practice varies considerably (Fook et al, 2006). Despite this, some agreement has been achieved. In general, reflective practice is understood as the process of learning through and from experience towards gaining new insights of self and/or practice (Boud et al 1985; ...show more content... The model encourages the person to think systematically about and experience or activity and allows the opportunity to recognise areas that can be improved upon or developed. The model takes the form of a cycle, which uses a six step approach covering a description, feelings, analysis, evaluation, conclusion and finally action plan. My choice of model, over Johns (2000) model for example, was due to its clear structured cycle which allows the opportunity to renter a stage in order to try and improve upon a situation. Where as Johns (2000) model, does not allow this opportunity although it is a useful model as a guide for analysis of a critical incident. Although, I will have to develop the model to ensure that I critically analyse in order for it be of a higher standard at this stage of the training. The topic of reflection is a potential drug error made whilst on my clinical practise placement. The area of drug administration is an important role for nurses and therefore I will incorporate research evidence, policies and guidelines surrounding drug administration, discuss how the area can be developed and applied in professional practise. The National Patient Safety Agency (NPSA 2010), defines a drug error as 'any preventable event that may cause or lead to inappropriate use of patient harm. Although not all drug errors have lead to patient harm it is important to recognise that if a mistakes has been Get more content on HelpWriting.net
  • 3. Essay on Reflection on a Critical Incident The reason for this essay is to reflect on a critical incident experience during my six week placement as a student nurse on an orthopedic ward. To explore an event as a critical incident is a value judgment, and the basis of that judgment is the significance attached to the meaning of the incident. Critical incidents are created or produced by the way we look at a situation. Tripp (1993) The incident chosen has made an impact on me due to the fact the side effects of surgery can be very critical to a patient's life, as would be demonstrated in the critical incident chosen (D.V.T).Deep vein thrombosis. There are various reflective models written by various theorists and they include: Atkins and Murphy (1994), Stephenson (1993),...show more content... "One may also reflect on practice while one is on the midst of it. This process involves both reflections in action and reflection in practice (Johns 2000). Schon states that reflection in action consists of on the spot surfacing, criticizing, restructuring and testing of intuitive understanding of experience phenomenon (Schon 1983) P.241. "Reflective learning involves assessment and re–assessment of assumptions and critical reflective occurs whenever underlying premises are being questioned".(Williams 2001) P.29. In choosing Gibbs reflective model it would be illustrated in the six headings which guide me through my reflective process. These headings include: (1.) Description – what happened? (2.) Feelings – what were you feeling? (3.) Evaluation – what was good or bad about the experience? (4.) Analysis – what sense can be made of the situation? (5.) Conclusion – what else could you have done?
  • 4. (6.) Action plan – if the situation arises again what would you do? Description: This critical incident took place during my first six–week placement on the ward (Eleanor east). My rationale for this critical incident is because of the impact it had on me. I did not know that the side effects of hip replacement surgery could result in DVT (deep vein thrombosis), which could be very critical physically and mentally. To protect patient confidentiality the Get more content on HelpWriting.net
  • 5. Reflection Upon A Critical Incident Essays Reflection has its importance in clinical practice; we always seek to be successful and that can be achieved by learning every day of our life through experiences we encounter. In that way we can reconsider and rethink our previous knowledge and add new learning to our knowledge base so as to inform our practice. Learning new skills does not stop upon qualifying; this should become second nature to thinking professionals as they continue their professional development throughout their careers (Jasper, 2006). In keeping within current legislation on the protection and respect of an individuals' right of anonymity, (Polit and Beck 2007), and to confidentiality, (Munhall 2007), any and all possible identifiable characteristics of the...show more content... One research summary listed on AHRQ website under patient safety is a device that has potential in reducing the incidence of ventilator–associated pneumonia (VAP) (Collard & Saint, 2010). Continuous aspiration of subglottic secretions (CASS) is an apparatus that has been shown to decrease the incidence of VAP in certain patients. Included in this piece is a description of VAP, how CASS can help improve patients at risk for VAP and a patient care situation regarding clients receiving mechanical ventilation. Ventilator–Associated Pneumonia Pneumonia is the second most common hospital–acquired infection and is the leading cause of death due to nosocomial infection in the United States (Augustyn, 2007). A patient who is intubated with an endotracheal tube (ETT) is at increased risk of developing pneumonia. The bacteria colonizing the oropharynx can move into the lower respiratory tract because the ETT provides a direct route into the lower airway (Craven & Hjalmarson, 2010). This type of pneumonia is called ventilator–associated pneumonia (VAP), it occurs in patients receiving mechanical ventilation for an extended period of time. Ventilator associated pneumonia can be categorized as either early–onset or late–onset. Early–onset VAP occurs between 48 to 96 hours and is usually caused by Haemophilus influenza, an antibiotic sensitive community–acquired organisms (Collard & Saint, 2010). Late–onset VAP is caused by Get more content on HelpWriting.net
  • 6. Critical Incident Reflection With that reason, steps are being taken to heighten my knowledge. I will utilize the theory of critical incident reflection, first introduced by John Flanagan in 1946 that speaks to "reflect – on – action (i.e. past experience)", "reflect – in – action (i.e. as an incident happens)" and "reflect– for– action (i.e. actions you may wish to take in future experiences)" in order to point out my strengths and weaknesses. Likewise the use of other meta–cognitive and analytical tools provided in this course, is sure to provide further assist with explaining my growth or lack thereof as a developed professional. The aim is to develop through a perpetual process of acquiring new cognizance and skills that relates to my profession, job responsibilities, Get more content on HelpWriting.net
  • 7. Critical Incident Stress Debriefing: A Case Study Desiree, I agree the first responder has to be offered the ability to overcome their experience with a traumatic event. Providing early intervention is ideal in helping responder deal with the traumatic event, these intervention includes critical incident stress debriefing (CISD) and critical incident stress management (CISM), offering first responders alternative to dealing with their stress will led to a reduction in mental breakdowns. The programs that are now available to first responders has to be made mandatory across the board, doing this takes the option out of the hand of the responder and puts it in the hands of the department to enforce mandatory debriefing once exposed to any traumatic event. Get more content on HelpWriting.net
  • 8. Critical Incident Analysis Essay Student Number: 10258310 Unit 3– Re submission. Task 3. (A3) BA (Hons) Social Work. Stage 1. Assessment due: Monday 22nd August 2011 4pm. Critical incident analysis. Throughout this assessment I will analyse a critical incident of an interaction between a worker and a service user or carer during my statutory observation experience. I will conclude my own assessment of the situation and demonstrate my understanding of the use of self, context in which social work takes place and the knowledge and methods of practice. I will not use any of the service users, carers or agencies names in this essay due to the data protection act 1998. I will also adhere to the GSCC codes of conduct that respect and relate to the service users...show more content... Richard and Parker (1995) argue that reflecting and analysing the incident the practitioner is able to consider how the incident may have been managed differently by applying other knowledge and consequently enable the practitioner to move forward and consider a future situation differently. For the purposes of this piece of work I will be analysing an observation of a meeting between a male and a GP. When I learnt that I was going to be shadowing at a clinic for service users with drug and alcohol problems I was quite worried and intrigued as to what would take place. Then I realised I had to be holistic and also realistic, and although I am not close to anyone that has a heroin, crack cocaine or even an alcohol addiction I have been surrounded by people that have used certain drugs such as cannabis or cocaine. I also feel that I will not always know that this is the case as not everyone demonstrates through their behaviour that this is an issue for them, also some individuals feel ashamed as drug and alcohol use is frowned upon and individuals will deny using drugs. Some individuals explain that they use drugs as a way of numbing their problems or to gain confidence and self esteem. Beliefs about oneself and about the role of drugs or alcohol in one's life are sometimes called existential models (Greaves, 1980). Khantzian (1985) has proposed that addicts use drugs to offset
  • 9. Get more content on HelpWriting.net
  • 10. Critical Incident Meaning For the best explanation of the critical incident meaning, I had asked myself, why incidents may occur at a young age? In my opinion, significant role most children came to USA from different countries and their families had different cultural background. Moreover, the children had various social– cultural background, and accordingly, some of them need more time to adapt in the new environment. The best way to escape and prevent difficult situations is clear understanding and communication with children. The teacher having the ability and various strategies in managing of diverse classroom will probably increase positive relationship with young students. The main role of the teacher is regulating conflict situations and manage them. During Get more content on HelpWriting.net
  • 11. Essay Critical Incident Assignment Portfolio – A description and analysis of up to 3 critical incidents encountered on school Experience A that you consider to be teaching dilemmas In this assignment, I will analyse and reflect on a critical incident that I was confronted with during school experience A (here after will be referred to as SEA). I will reflect on the implications that my critical incident has had on my practice and I will relate it to theory. In addition, I will make reference to four approaches of analysis which have been outlined by Tripp (1993). Tripp's four approaches focus on the why challenge, personal theory, thinking strategies and dilemma identification. I will examine these four approaches and discuss the ways in which I can develop my teaching ...show more content... I was pleased to see that child x was optimistic to participate in my lesson as he showed great enthusiasm. Nonetheless, my incident also reveals the pessimistic point of my incident. Although child x was engaged in the lesson, his behaviour was disruptive and he interrupted my teaching which did not benefit the pupils learning. Due to the fact that I am a reflective thinker, I could have thought about possible alternatives and considered the incident from the child's point of view. For instance, rather than moving child x next to the teaching assistant, I could have considered how he felt and the reasons why he did not put his hand up during class discussions. If I chose to make an alternative decision, what would the outcome be? I continue to ask myself a series of questions. After my maths lessons, I proposed a series of questions to myself: why does he call out during my lessons? Why do I have the expectation that he should put his hand up? Should I have imposed a different solution rather than have child x sit next to the teaching assistant? Could I have handled the situation more effectively? I continued to ask myself a series of questions which enabled me to reflect on what I did and why I did it. Although I may not be able to find a solution to my critical incident, I aim to explore and analyse it by reflecting on my teaching practice. Dewey (1933) in Pollard (1998) highlights that Get more content on HelpWriting.net
  • 12. Essay on Critical Incident Within this essay, the author will reflect on a critical incident using a reflective model. In order to guide the author undertake this reflection, Johns (2002) reflective model will be utilised. As the first stage of Johns reflective model asks for the description of the event, the descriptive part will be attached (see appendix A). In accordance with the NMC Code of Professional Conduct (2008) the names of the individual involved have been changed using pseudonym in the form of James, Jennifer and Christina for the purpose of maintaining confidentiality. This reflection has been chosen as it has shown the author the inadequacies on her part as a student nurse. Also to highlight the need for the author and professionals to have an...show more content... Furthermore, upon assessing Christina I noticed that she was experiencing breathlessness and showing signs of distress. According to Kisiel and Perkins (2006) recording vital observation is an important aspect of nursing care as this provides the physiological state of the patient. At this point my main priority was to assess the patient's baseline. I also felt it was unnecessary to disturb Christina with questions regarding her history and identity. As this could have leaded the patient become more breathlessness. However, I was distracted by the patient's breathlessness and distress. Therefore the consequence of my actions was that I wrote the vital signs on the wrong chart. The lack of proper documentation could have lead a negative impact on the patient health and can ultimately cause fatal consequences. The NMC (2008) requires practitioners to make correct documentation as this could cause dangerous consequences for patients and result in further disciplinary action. Looking back, Nurse James would have been held accountable for my action. The NMC (2008) clearly states that a registered nurse is obligated to ensure the safety of patients at all times. On the other hand, as a student I may be held responsible by the university and possible could face being penalised (Pellat 2006). Upon reflection I feel that as a student nurse at advanced stage of my training I was not able to work under pressure and multitask. I should have been able Get more content on HelpWriting.net
  • 13. Analysis Of Leicestershire 's Police Force Essay The way police manage critical incidents is of upmost importance. An incident that is manged well, will raise public confidence in the police, however if the incident is managed poorly it can have devastating effects on the victim and the general public will subsequently lose confidence in the police. ACPO's definition of a critical incident is as follows "Any incident where the effectiveness of the police response is likely to have a significant impact on the confidence of the victim, their family and/or the community" (Constabulary, December 2007) Any police officer can notify an incident as possibly critical, therefore, police officers must always be aware of the potential for any incident to escalate and become critical. A critical incident can include; Suspicious, unexplained deaths, Homicides, Incidents requiring a police firearms response, Vulnerable persons missing from home, Domestic Violence, Crimes involving particularly vulnerable or young victims and hate crimes, which will be our focus. For our essay, we will be critically analysing Leicestershire's police force's 'critical incident' management of the case of Fiona Pilkington which is a case of anti–social behaviour that deeply affected public confidence. Whenever a critical incident is identified, it must be addressed sharp and efficiently. Reassuring, rebuilding and maintaining the confidence of the victim, their family and community should be fundamental to critical incident management (Thames Valley Police, Get more content on HelpWriting.net
  • 14. Critical Incident Analysis Essay Contemporary Challenges in Mental Health Care Provision and Management 2 B73M20 Cohort 09/09 Student ID: 20328 Assignment: Critically analyse an incident experienced whilst in practice, allowing opportunity to explore professional responsibilities, concepts of care management and the impact of health policy/legislation on care provision. You should demonstrate fitness of practice (NMC, 2008). Submission Date: 14 May 2012 Assignment word count: 3000 Actual word count: 2967 Contents 1. Assignment 2. References 03– 11 12 – 13 ID No: 20328 Page 2 Introduction This paper will critically analyse an incident that occurred during my placement on a forensic low secure unit. The Low secure unit provides...show more content... Initial Responses to the incident I was surprised that there was no record of the incident and that event had not been handed over to the multidisciplinary team members who had come on shift. I thought that the nurse had not considered the incident to be a serious incident. Furthermore sexual activity, including sexual assault and harassment, does occur in psychiatric facilities and is an issue of concern (Videbeck, 2008). In this situation I felt uncomfortable when I heard the allegations however my thoughts were that it is an important issue which should not be ignored. ID No: 20328 Page 4 Issues and dilemmas highlighted by this incident Management issues Several management issues where highlighted by the incident. The analysis will focus on record keeping, effective communication, risk management and ethical issues. The day to day management issues affecting nursing practice such as record keeping, effective communication and risk management do not operate in isolation but are frequently interdependent and affect each other. The central focus will be on the observed failure by the night duty nurse to record or pass on information on Mark's report. The Nottinghamshire Healthcare NHS Trust (2009) policy on record keeping states that a record of an event must be made immediately or within 24 hours of the occurrence. The rationale for this requirement is that an immediate record of Get more content on HelpWriting.net
  • 15. Critical Incident Critical Incident A Reflective Essay Rich & Parker 2001 defines critical incidents as snapshots of something that happens to a patient, their family or healthcare professional. It may be something positive, or it could be a situation where someone has suffered in some way. Reflecting on critical incidents will allow me to explore and analyse incidents and how it has affects me and what I hope to do with these effects in the course of my training towards becoming a registered practitioner. It also gives me the opportunity of changing my way of thinking or practice, as I learn valuable lessons when I reflect on an incident. This helps me to develop self–awareness and skills in critical thinking and problem solving (Rich & Parker 2001). ...show more content... I was thinking to myself if they have asked questions or done any research about CCU they will most likely be thinking their son's situation is hopeless. It is important to label and date all the lines as this helps to know what each is used for and how long it has been in situ for. Also care should be taken when moving patients to ensure the stay in place as it can be very uncomfortable and difficult to reinsert a cannula on a patient as most of them are oeadematous. As I was involved in the care of the patient I had to explain to the wife why her husband was connected to a ventilator and it use. A ventilator is an artificial breathing machine that moves oxygen–enriched air in and out of your lungs. If your lungs have failed and you cannot breathe on your own, you will need to be attached to a ventilator (See appendix 3). Being helped to breathe by a ventilator means that you will usually need to be sedated. Ventilators can offer different levels of breathing assistance. If you only need help breathing for a couple of days, it is likely you will have an endotracheal tube from the ventilator to your mouth or nose. The tube will usually be held in place behind your neck as was the case with my patient. However, if you need help with breathing for more than a few days, you may have a short operation called a tracheostomy. This replaces the tube in your mouth with a shorter tube that is placed directly into your trachea. As well as being more comfortable, Get more content on HelpWriting.net
  • 16. Critical Incident Report Critical Incident Report Executive Summary This report describes a dissatisfying service incident and analyses the incident helping to develop recommendations for the serviced provider. The report integrates the description of an incident, a critical analysis of the incident, including and examinations of the service quality gaps model. Customer gap: dimensions, types of encounters and sources of displeasure and Providers Gaps 1, 3 and 4. The objective of this report is to analyse the critical incident description and provide a comprehensive service marketers' analysis of the critical incident. Through this report recommendations have been made for the firm in order to reduce eliminate and or/ better manage the factors that led to...show more content... Looks like your package needed to be signed for."' What Occurred During the Incident? After this disappointing message from my mum, I rang Sky Net World Wide, only to wait 15 minutes for my call to be taken but to also be answered by an unaccommodating and rude employee. Whilst explaining my situation to the employee I could hear him whispering to someone in the background. I ignored this and continued asking questions. The employee clearly didn't hear me and said to me "Well I can't do anything till you give me the consignment number". I gave him my number and sharply he said "Can't get it there till Monday afternoon sometime, you should have been home to sign for it". Saddened not only by not receiving my purchase but the treatment I received over the phone I asked to be transferred to their complaints department. He then replied with "sorry, complaints department is closed after hours, you have to call back Monday." And then hung up. After the phone call thinking I would receive my package on Monday "afternoon sometime". However, did not happen. I rang Sky Net World Wide again, this time spoke with a nice employee that then informed me that the employee I spoke with on Friday night had sent the package back to the wrong depo meaning the package was not able to be sent. He then apologised and detailed that he wasn't able to refund me the purchasing and handling price, but did ensured me it would arrive by Tuesday 10am Get more content on HelpWriting.net
  • 17. Critical Incident Negotiating Team Critical Incident Negotiating Team has some major functions; these functions are critical and must be performed by officers who have been specially trained and affirmed. These officers respond to specific police emergencies and when they arrive they may have to put into play their negotiating skills. It is imperative for these officers to pass strict trainings; this includes a verbal interview, in order to become a part of theteam. The type of training that a Critical Incident Negotiating Team go through is a forty hour training course that is taught by the FBI which includes. This includes Active Listening Skills, Suicide Intervention, Hostage Negotiation Strategies, Media Relations, Mental Health Awareness, and also Personality Profiles. Get more content on HelpWriting.net
  • 18. Reflection on a Critical Incident Essay The objective of this assignment is to explore and reflect upon a situation from a clinical placement. Reflective techniques will be used to reveal how well or badly the situation was handled. And how the incident, and the reflection has influenced personal learning and professional practice in relation to nursing care. According to Hogston and Simpson (2002, p398) reflection is "a process of reviewing an experience of practice in order to better describe, analyse and evaluate, and so inform learning about practice". Wolverson (2000, p24) includes this is an important process for all nurses wishing to improve their practice. This will be investigated using a reflective nursing model. In accordance with the 2002 Nursing and...show more content... The layout of this assignment will follow the layout of John's model. Marks (2001, p38) discusses how well reflection is accepted across nursing. It has been advocated by the English National Board (1994), UKCC (1996) and a range of nursing literature, with the aim of improving practice via a structured means of identifying, reviewing and making sense of relevant practical knowledge. The ECG was the first to be performed alone. As the writer was nervous nothing about the patient was asked. Focus was only on the task in question. No hand over was given and no notes were left. The nurse said he would be back to check the results. It was then found that the patient did not speak any English and the friends had gone outside so there was no–one who could translate. During teaching we had been told that we never put the ECG away in the patients notes, but we must find a doctor to look at it immediately and it must be signed by this doctor. Firstly the ECG printout was looked at by another nurse who said it was alright and put it on the side. The writer did not think this was sufficient so took it and went to show it to a doctor. Being new to the hospital, it was not known who to approach and two different doctors both said to find some–one else to look at it. As time was passing, it was taken to the Emergency Nurse Practitioner as he was in sight. Instructions were to take the lady straight Get more content on HelpWriting.net
  • 19. Critical Incident Report Sample Critical Incident Report # 2 The incident which I reported on occurred four days ago. It was as a result of rounding with a Preceptor ship in pavilion building 62 unit 3 b. Apparently, as we walked into room five bed 3, there was a client name U.C. a bedridden patient with bed sores /pressure ulcer on the bony parts of the body, such as the buttocks, tail bone, and the heels. However, this client has difficulty getting out of bed, also, could not move his legs. In addition, bed sores or pressure ulcer occurs, when a client lies or sits for a long time in the same location will result cutting circulation from the tissue, induces cells to die, and skin will crack down. Admittedly, the preceptor and I were incapable to take a lunch break for Get more content on HelpWriting.net
  • 20. Reflection On A Critical Incident In PGCE Introduction: The way in which we reflect upon a situation, shaped by the interpretation of a significant event is defined as a critical incident (Tripp, 2011). Reflecting has been crucial within my first two phases of PGCE as I have been able to value experiences and make judgements to improve further. My home school practice was graded an 'outstanding' mainstream primary school (Ofstead, 2015), working 19 percentage points above their local authority in reading, writing and maths (School performance tables, 2017). The school's numbers are below average for free school meals in the area and they have an average percentage of special educational needs children. Pupil premium percentages are currently at 15 percent out of the 218 children on roll. This assignment will further develop critical incidents that occurred throughout phases one and two in my home school. School, subject and pedagogical knowledge incidents will be critically evaluated against theories and practice. According to Banks, Leach and Moon (2005) the professional teaching knowledge vision consists of all three of these areas. A series of conceptual frameworks have been used to critically analyse each incident further including: Brookfield's lenses, Banks Leach and Moons' model of reflection and Schon and Eraut (1995) reflection on, in and of action. I will primarily analyse my school knowledge incident. I have chosen this incident as it required me to reflect afterwards about how the situation could have Get more content on HelpWriting.net
  • 21. Critical Incident Stress Management Case Study Hello everyone, The topic I selected to cover is Critical Incident Stress Management within the Emergency Medical Services system (E.M.S). My approach towards Critical Incident Stress Management is by educating readers by utilizing a problem–solution approach. Bringing awareness to the exposures psychologically exposed to, the type of support needed and the pros and cons if we do not obtain the help needed as well as the benefits when support is available. What I already know after being in the field for ten years is that as of recently there has been a culture shift within E.M.S., this is good and bad. The good is that E.M.S. services have realized there genuinely are a problem, that employees are becoming damaged and that it is causing...show more content... I have been working directly with allied agencies around the Northern California Region by developing a more comprehensive plan with management in support of the workforce as well as management levels. My business on the side is strictly Stress Management and Resiliency for the E.M.S. provider and support teams. This personal interest of mine is due to personal experiences, my E.M.S. family, and my family at home. Combined this has played both a personal and inspirational journey. Research conducted has been on an ongoing basis with me for the last three years, I have utilized the company, online journals, articles, and research. The reality is that this is a very new subject matter and studies available are based solely on military veterans. It is far and few between within E.M.S. respectively. I am personally journaling and noting processes locally and establishing communication along the United States E.M.S. agencies to create and obtain a more thorough study towards E.M.S. providers and those in their homes. It's a bit ignorant on our side to think what we do as a career only impacts Get more content on HelpWriting.net