Reflection is a natural human activity. It is important for nursing students during practice placements when they are making sense of clinical surroundings and making decisions about care. This article uses a reflective framework to consider the placement experiences of a third-year undergraduate children’s nursing student in an acute general setting, caring for an adolescent with anorexia. It focuses on the decisions made when assisting an inexperienced junior doctor during a venepuncture procedure. Reflecting on placements provides nursing students with important transferable skills to use in practice as registered nurses.