INTRODUCTION: As a registered nurse, caring for an acutely ill adult patient using available tools such as Airway, Breathing, Circulation, Disability and Exposure (ABCDE) assessment and National Early Warning Sign Score (NEWS) 2 for clinical assessment. Situation, Background, Assessment, and Recommendation (SBAR) for escalation in a timely and appropriate way; in addition, the importance of ethical considerations, adherence to policies and their impact on a patient’s recovery and care outcome is crucial. Therefore, I have decided to utilize these tools to be more confident in providing the best possible care to patients with a better clinical outcome. This essay reflects on an episode of care involving an acutely ill adult patient, illuminating the use of clinical assessment tools, following the national and local policies, and code of ethics within the UK health care guidelines. This study is designed using Kolb’s experiential learning cycle (University of Hull, 2024), which includes 4 stages: concrete experience, reflective observation, abstract conceptualization, and active experimentation (University of Hull, …show more content…
Intravenous antibiotics which is paramount in combating the infection therefore, initially the patient was treated with piperacillin/tazobactam 4.5g 6 hours. Intravenous fluids commenced to help in sustaining blood pressure and perfusion to crucial organs, Serum lactate was measured 4mmol/l which indicated tissue hypoxia and severity of sepsis, and Urinary catheter was inserted to monitor urine output as renal function may be compromised in sepsis. Oxygen support can be provided in case of hypoxia. (The Sepsis Manual, 2024) In addition to these X-ray, CT scan, ABG, and ECG were also