The aim of this commentary is based on reflection during a practical assessment with my colleague, me and the assessor in the simulation centre. Firstly, a brief introduction of the scenario will be given, followed by a retrospective review of my performance and my response to the feedback I received from the assessor. A summary will follow on my accomplishments during my studies and the implications for future development. During this commentary, Gibbs (1988) model of reflection will be used, followed by a brief conclusion.

My chosen scenario represents Mrs. Dora Green who is 76 years old. It is known that her past medical history included a myocardial infarction (MI). Her husband recently passed away and their daughter lives far away. Mrs. Green currently suffers from rheumatoid arthritis. It is also known that Mrs. Green’s body mass index is 16 which according to Perry (2009), any BMI below 18.5 can be considerate as underweight.

Our assessment started with a brief handover, by the staff nurse (the assessor) of Mrs. Green who arrived on the ward following a hemicolectomy and complaining of severe abdominal pain, where we noticed that Mrs. Green seemed very frail. The staff nurse (assessor) assigned each of us a role to carry out the vital signs assessment. According to the Nursing and Midwifery Council (2002) all student nurses should be able to demonstrate patient assessment, which we demonstrated by using the ABCDE (Airway, Breathing, Circulation, Disability and Exposure).

We had to demonstrate the importance of infection control and universal precautions by using the alcohol gel for our hands. NICE guidelines (2003), states “that hands should be cleaned with soap and water if they are visibly soiled, or with alcohol gel before and after direct contact with every patient, only if they are not soiled”. Therefore, the correct procedure was taken by using the alcohol gel rub for our hands. During this scenario personal protective equipment (PPE) such...