Case Study One: Medication Administration This paper will explore some ways facilities are trying to improve on safe medication administration. Many new system safe safeguards are being implemented and reducing the amount of medication errors. Another area facilities are improving is with better medication reconciliation. This collaborated effort may seem lengthy in the beginning but it is a crucial factor in reducing many mistakes. Extra safety measures taken with new graduate nurses with medication administration also may play a key role in reducing errors. In conclusion of the paper I will discuss what I feel about how I prevent making medication errors. In addition, how I care for myself on days that I am not working. Having a clear …show more content…
According to an interview, Dr. Brown states medication errors cost billions of dollars and can cause injury or even death. Brown later goes on to declare, “1.3 million people are injured and approximately 7000 deaths occur each year in the United States alone.” To aid in helping to avoid medication errors a nurse should first assess the five rights. They are right person, right medication, right time, right route and right dose. By assessing, the right patient, verify two identifiers, such as name and date of birth. When doing this a nurse should take the time to assess if a patient has any allergies. Right time is easier thanks to the pharmacy. Verified by the pharmacist correct medication times are determined and stored in the patient’s electronic medical record. Right medication becomes easier over time as staff becomes more familiar with different medications. Kept on most floors are drug books to assist nurses. Right dosing is normally up to the provider and pharmacist. It is good practice to utilize drug books to see safe dosages. Many medication doses are calculated by height and weight. Another safety system is high alert medications are always verified by two RN’s. High alert medications include insulin, heparin, and lovenox. Two nurses should be present when a medication is wasted. To do this many Pyxis require the fingerprint of two …show more content…
The scary fact of that same study was “50% said they would not recognize life threatening complications that would require intervention.” This study also showed that nurses that a strong preceptor, they became a better, safer nurse. Preceptors should have many years of experience before trying to train new nurses. Some facilities have new graduates train with more than one preceptor. Doing this new staff might not pick up one nurse’s bad habits. New graduates training time varies from job to job. O’Keeffe’s study showed that three months of an orientation was a good place to start. New graduate nurses need a preceptor to be with them at all times at first to ensure that they are safe. Once the new nurse proves she can be safe then the preceptor should allow them to become a little more independent. With the experienced nurse, slowly start stepping back allowing the new graduate to gain confidence in their
Louise C. Cope et al, investigated the impact of non-medical prescribing. Non-medical prescribing could be evaluated through the NMP, or other health practitioner such as GP, and patients. Currently there is limited information on how NMP has impacted other professions, such as radiographer, optometrists and physiotherapists. Personally, I think this is due to how recent these professions gained the right to prescribe. Most of the findings have been extremely positive, with limited disadvantages. Within this evaluation of NMP “students who are becoming NMPs felt that the programme provided them with adequate knowledge to prescribe with some stating that the period of learning in practice was ‘the most valuable part of the course’”
Med-Pharmex Incorporated is known nationally and abroad as a pharmaceutical manufacturer of animal-related products. Before gaining fame worldwide, the business began its journey to success as a small lab in 1983, which slowly grew over time. Since then, the company maintains its main goal, and that is to produce drugs that promote the health of companion animals, such as dogs, cats, and horses, as well as food-producing animals, such as pork and chickens. To ensure legal responsibility, the company’s manufacturing process is examined by the United States Food and Drug Administration (FDA). Med-Pharmex works closely with veterinary clinics who purchase their life-saving drugs and represent them in the market. Despite manufacturing drugs, the
This paper discusses pharmacology and terminology related to “Pharmacology” which is the branch of medicine concerned with the uses, effects, and modes of action of drugs“ pharmacology. 2015. In Merriam-Webster.com. The study of different classes of drugs, routes of absorption, and drugs have effects on those consuming them. There are drugs that are necessary for illnesses and healing but, there are medicines that cause concern regarding interaction and harming the body.
...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.
Baccalaureate nurses are responsible for providing and ensure our patients safety. The knowledge from others mistakes can help informs nurses of extra precautions that we can take to ensure our patient’s safety. Risk Analysis and Implication for practice course helped me understand the steps I as a nurse can take as well as the facilities I work for to help reduce the number of medication errors that occur. Interviewing the pharmacist help me get a better insight to what facilities already have in place to help prevent medication errors. However like most things you have to have educated and compassionate caring staff to enforce and follow the guidelines set in place.
Some method such as audits, chart reviews, computer monitoring, incident report, bar codes and direct patient observation can improve and decrease medication errors. Regular audits can help patient’s care and reeducate nurses in the work field to new practices. Also reporting of medication errors can help with data comparison and is a learning experience for everyone. Other avenues that has been implemented are computerized physician order entry systems or electronic prescribing (a process of electronic entry of a doctor’s instructions for the treatment of patients under his/her care which communicates these orders over a computer network to other staff or departments) responsible for fulfilling the order, and ward pharmacists can be more diligence on the prescription stage of the medication pathway. A random survey was done in hospital pharmacies on medication error documentation and actions taken against pharmacists involved. A total of 500 hospital were selected in the United States. Data collected on the number of medication error reported, what types of errors were documented and the hospital demographics. The response rate was a total of 28%. Practically, all of the hospitals had policies and procedures in place for reporting medication errors.
Furthermore, short staffing affects the quality direct care each patient receives. The National Coordinating Council for Medication Error Reporting and Prevention (2012) states an estimated 98,000 individuals die every year from medical errors in the United States. One out of many significant tasks nurses do within their scope of practice is medication administration. Research shows a relationship between short staffing on medication errors: the longer the hours nurses work, the higher the chances of medication errors (Garnett, 2008). (include definition of medication error) Administering medications requires knowledge of patient rights, pharmacological information on the drug, adverse effects, proper dosage calculations, and hospital protocols. When nurses are assigned more patients, they are pressured to give due medications on time. Sometimes due to hunger or fatigue, nurses give the wrong medication to the wrong patient (Frith, Anderson, Tseng, & Fong, 2012).
As we begin our nursing career, it is vital to have an experienced preceptor to guide a new graduate nurse to becoming an accomplished and knowledgeable nurse. It just doesn’t take experience to make a good nurse preceptor but one that possesses qualities such as being patient, knowledgeable, give constructive feedback, and able to be a supportive role model. As stated by Korzon and Trimmer, “A supportive preceptorship relationship is a well-established primary support mechanism aimed at the successful integration of new nurse” (p.14). This statement doesn’t only apply to new nurses but nurses that are joining a new organization or a nursing specialty.
Currently my facility has a six to months mentoring program for new graduates. This program is in addition to the current preceptor program that orients the new graduates to the unit they will be assigned. Most of these new nurses are graduates from local nursing schools and have done most of their clinical nursing education at this facility. The hospital realizes that going from a classroom and clinical setting to on hands bedside patient care can be a rude awakening.
Physicians ultimately decide what dose and drug will benefit the patient and restore them back to health. Held by the standards set by The College of Physicians and Surgeons, Physicians must abide by the Health Professions Act. Physicians are responsible to prescribe the right medication and right dosage. It is thought that physicians and other prescribers are ultimately to blame for medication errors. Although malpractices do occur among physicians, nurses are responsible to have a thorough understanding of the medications one administers to their patients. A nurse does not just simply do what they are told and administer drugs without having a thorough understanding and background knowledge. Nurses are to know the purpose of each drug they administer, the therapeutic effects, side effects which can be harmless or injurious, and adverse effects which is a severe negative response to the drug (2009). In reference to the previously mentioned scenario, the physician’s handwriting was careless and illegible. Although the Physician demonstrated lack of clarity, the nurse noticed the hastily written sentence signed by the physician and continued to administer the drug as she had routinely done the past couple days. Nurse’s should have a strong pharmaceutical knowledge background and be aware of the potential harm a medication could cause. In the process of medication administration, registered nurses are responsible to “determine that each medication order is clear, accurate, current and complete. Medications should be withheld when a medication order is incomplete, illegible, ambiguous or inappropriate; with concerns being clarified with the prescriber (CNO, 2015)”. The critical care nurse demonstrated ineffective communication, which was shown by failing to ask the physician for clarification. Another instance of miscommunication is during medication
Tzeng, H., Yin, C., & Schneider, T. E. (2013). Medication Error-Related Issues In Nursing Practice. MEDSURG Nursing, 22(1), 13-50.
Medication errors made by medical staff bring about consequences of epidemic proportions. Medical staff includes everyone from providers (medical doctors, nurse practitioners and physician assistants) to pharmacists to nurses (registered and practical). Medication errors account for almost 98,000 deaths in the United States yearly (Tzeng, Yin, & Schneider, 2013). This number only reflects the United States, a small percentage in actuality when looking at the whole world. Medical personnel must take responsibility for their actions and with this responsibility comes accountability in their duties of medication administration. Nurses play a major role in medication error prevention and education and this role distinguishes them as reporters of errors.
Administration of medicines is a key element of nursing care. Every day some 7000 doses of medication are administered in a typical NHS hospital (Audit Commission 2002). So throughout this essay I will be evaluating and highlighting the learning that took place whilst on placement at a day unit.
Administration of medication is a vital part of the clinical nursing practice however in turn has great potential in producing medication errors (Athanasakis 2012). It has been reported that over 7,000 deaths have occur per year related to medications errors within the US (Flynn, Liang, Dickson, Xie, & Suh, 2012). A patient in the hospital may be exposed to at least one error a day that could have been prevented (Flynn, Liang, Dickson, Xie, & Suh, 2012). Working in a professional nursing practice setting, the primary goal is the nurse and staff places the patient first and provides the upmost quality care with significance on safety. There are several different types of technology that can be used to improve the medication process and will aid staff in reaching a higher level of care involving patient safety. One tool that can and should be utilized in preventing medication errors is barcode technology. The purpose of this paper is to demonstrate how implementing technology can aid patient safety during the medication administration process.
I was also responsible for monitoring medication orders and reviewing patient profiles to ensure that the proper drugs and dosages were prescribed and that the pharmacy technician had prepared them properly. In many instances there were mistakes made in the preparation phase and sometimes even before, with incorrect dosages or drugs being prescribed and prepared, which could result in serious adverse effects for the patient. A clinical pharmacist’s role, however, is to make sure that these mistakes never reach the