The objective of this assignment is to explore and reflect on a situation from a clinical placement. Reflection techniques will be used to reveal how well the situation was handled. And how the incident and reflection influenced personal learning and professional nursing practice. According to Hogston and Simpson (2002, p398), reflection is "a process of reviewing practice experience in order to better describe, analyze and evaluate, and thus inform learning about practice". Wolverson (2000, p24) considers this to be an important process for all nurses wishing to improve their practice. This issue will be investigated using a reflective nursing model In accordance with the Nursing and Midwifery Council. of 2002, client details and placement background were not disclosed in order to maintain confidentiality The incident occurred during the first week of placement The writer was then asked to. performing an electrocardiogram (ECG) on a sixty-six year old lady from the juvenile service Hinchliff, Montague and Watson (2000, p398) state that an ECG is a graphic recording of the electrical processes that trigger the contraction of the heart muscle, carried out. by attaching electrodes to the body which are then connected to an electrocardiograph. The ECG was checked by a doctor and instructions were given to urgently take the patient to the emergency intensive care unit. This incident was chosen for discussion because the consequences could have been serious if not handled properly. The model of reflection chosen is that of John. This is an appropriate model for the level of students, described by Burns and Bulman (2001, p11) as providing support...... middle of article...... ober, J. (1998). Nursing practice and health care. (3rd ed.). London: Arnold Publishers Hogston, R. & Simpson, P. (2002). Foundations of nursing practice. (2nd ed.). Basingstoke: Palgrave Marks, C. (2001). “Reflective practice in thermoregulatory nursing.” Nursing standard. 15, (43), p38 - 41Nicholls, C. & Sani, M. (2003). "Treatment of cardiovascular diseases in the elderly". Nursing care of the elderly. 15, (7), p. 30-32. Perry, A. (1997). Nursing, a knowledge base for practice. (2nd ed.). London: Arnold Publishers Powell, H. (2002). “A moment of reflection”. Practice of learning disabilities. 5, (7), p. 16 to 18Taylor, B. (2001). Reflective practice. Buckingham: Open University Press Wilkinson, J. (1999). “Implementation of a reflective practice”. Nursing standard. 13, (21), p36 - 40Wolverson, M. (2000). 'After reflection'. Professional practice. 3, (2), p.31-34