This reflection relates to the knowledge I gained in the third week of the simulation placement. In the morning we had simulation session. We had three different scenarios from which some of us participated. In the first scenario intramuscular injection was given to the autism patient. The second scenario was about checking the vital signs and wound assessment using Aseptic Non -Touch Technique (ANTT). The third scenario was about how to communicate with an autism teenage who had a fight at school. Afterwards we had debriefing about the scenarios with different feedbacks. We learnt a lot from the feedback. We also had opportunity to have a autism teenager and the mother.

In the afternoon we had the opportunity to practice the following skills intramuscular injection, wound dressing and assessment using ANTT. I was happy when I manage to open the head of the ampoule bottle easily using the blue dot. The most interesting part was when our lecture asked one of us to stand in front of the class and demonstrate to the whole class how blood pressure is checked manually. I volunteered to do it. One of the lectures became a patient and I demonstrated checking her blood pressure manually to the whole class. Questions and discussion took place while checking the blood pressure.

I learnt a lot from the feedback. It will enable me to do something different should I come across the same situation again. I also gave feedback to my mates on what they did. It was a nice opportunity to re- practice my skills such as intramuscular injection, wound dressing then the checking of blood pressure manually.

Additionally, due to this experience gained I will be more confident in caring for autism patient. After the practical skills I have also become more perfect in intramuscular injection and wound assessment and management using ANTT.

Subsequently, this relates to preserve safety. Therefore before any procedure takes place there need to be hand hygiene, introduce yourself, identify the patient, create rapport and seek consent. Due to preserve safety the six rights of medication need to take place, allergy verified together with expiring date, z – track before the intramuscular injection. It is also very important to assess and manage wound using ANTT method in other to prevent wound infection. I really benefited today.