Nursing Case Study

882 Words2 Pages

When reviewing the case of Julie’s nurse and the medication error that occurred I would want to know more. Additional information I would gather would include any hospital protocols for similarly named patients. If protocols are in place, have there been any classes, education or awareness for the staff to recognize and implement these protocols. I would also like to know if there is a list of commonly an easily mixed up medications available on the unit for the staff to see and be aware of during their shift. According to the Institute of Safe Medication Practices (ISMP) clonidine and klonopin are easily confused drug names (Institute of Safe Medicine Practices (ISMP) (2015).
I would also like to know the unit protocols for receiving medications, …show more content…

An easy way to start would be to have signs and notifications for identifying. The British Journal of Clinical Pharmacology states “In order to prevent medication errors and reduce the risks of harm, organizations need tools to detect them (2009).” Just like with fall prevention having a clear marker on all of the patients information and room would be a quick reminder of the situation to all healthcare personnel involved with the care of a patient. The recognition of similarities could also be mentioned at morning huddle when all other broader topics of the unit are discussed. Initiating policy where only the nurse for that patient can sort through and designate medications for their patient will help to minimize confusion on which drug goes to which patient. There was failure in the room as well with the medication administration. Having the unit setup so that a patient identifier has to be scanned in order for the computer to acknowledge the administration of the medication will help as a reminder for nurses to check patients, drugs and dosage before administration. Having these tools in place will only be validated by occasional unbiased audits of the system. Lastly, for the unit to prevent further medication errors we will have to provide educational resources and instruction to the staff on the implementation of new policies. This can be achieved with a multi-faceted approach that includes e-mails, discussion at staff meetings, online modules and tests, and/or mandatory class

Chasing Zero : Winning The War On Healthcare Harm
765 Words | 2 Pages
...estions if not 100% sure of something or use a double checking system. When a nurse is administrating medication, they should use the ten rights of medication administration (right patient, right drug, right route, right time, right dose, right documentation, right action, right form, right response, and right to refuse). Nurses should always keep good hand hygiene and always wear appropriate clothing to prevent from the spread of disease. Good communication with patients and healthcare team members is also key to success. Keeping on the eye on the patient within an appropriate time is important. If the patient ever seems to be looking different than their usual self vitals should be taken immediately. Encouraging patients to ask questions if they are unaware of something can prevent errors as well. Nurses should make sure the patient is on the same page as they are.
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558 Words | 2 Pages
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945 Words | 2 Pages
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1018 Words | 3 Pages
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1145 Words | 3 Pages
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1096 Words | 3 Pages
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1590 Words | 4 Pages
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1810 Words | 4 Pages
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1069 Words | 3 Pages
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533 Words | 2 Pages
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1004 Words | 3 Pages
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725 Words | 2 Pages
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Nursing Case Study

Chasing Zero : Winning The War On Healthcare Harm

Abbreviations Create Errors in Healthcare

Practical Nursing Case Study

Nurses Are Causing Multiple Medication Errors in a Clinical and Practice Setting

Baccalaureate Nursing Essay

Medication Errors Research Paper