Flow Chart for Medication Administration
The purpose of the medical administration workflow diagram is to represent the rational choices and improvement of steps at the end of a task precisely. The definition of workflow is a progression of steps (tasks, events, and interactions) that comprise a work process: involve two or more persons, and create or add value to the organization’s activities. Workflow is a term used to describe the action or execution of a series of the task in a prescribed sequence (McGonigle & Mastrian, 2012, p. 266). The Workflow diagram is a valuable implement. The workflow chart can identify optional or non-value-added activities and task that you might choose to eliminate ("Workflow Assessment for Health IT Toolkit," 2012). Additional information that may be helpful within the workflow diagram is comprehending the tasks, be knowledgeable about everyone positions that are taking part in the work, recognize significant areas, improvement medication administration. The paper will explain the practice of medication administration, depict the metric benefits to determine the accuracy of workflow and its success, look at the areas that
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Some areas need improvement. To begin, when the nurse is coming into the housing unit to pass medication instead of the nurses just asking the offender for their names and providing them with medicine. The correctional facility instituted a change in the process as of Jan 1, 2015. The offender were issued ID by security in which they had to have on the person at all times. The nurses were then told that during the pill pass the offenders' had to show their identification which had their name, picture, their ID issued number issued by the jail as well as their date of birth. This new process had reduced medication errors and mix up with the offenders’ names or numbers when their identification can be verified by the nurse who is providing the
Identifying patients correctly when providing Care: Nurses are supposed to have two resident Identifiers when trying to care for a patient for the first time and after that, one identifier is acceptable. Identifiers such as Room number or location are not acceptable. To ensure this is carried out correctly nurses must ask for two identifiers in situations such as specimen collection, when providing treatments or when collecting blood for clinical testing (containers must be labeled in front of the patient). The Purpose of this guideline is to ensure that the patients are been properly identified and that they are receiving the right treatments and medications (The Joint Commission, 2012).
4). Examples of how nurses can integrate this competency include; using current practice guidelines and researching into hospital’s policies (Jurado, 2015). According to Sherwood & Zomorodi (2014) nurses should use current evidence based standards when providing care to patients. Nurse B violated one of the rights of medication administration. South Florida State Hospital does not use ID wristbands; instead they use a picture of the patient in the medication cup. Nurse B did not ask the patient to confirm his name in order to verify this information with the picture in the computer. By omitting this step in the process of medication administration, nurse B put the patient at risk of a medication error, which could have caused a negative patient
The U.S is only 5% of the world’s population and houses a quarter of its prison inmates; well over 2 million people. In the past decade the war on drugs has filled many state and federal prisons with a numerous amount of inmates. Building new prisons is not the answer to tackling the prison overcrowding dilemma. The U.S doesn’t have the money due to economic strains, and it will not solve this issue head on as needed. “California may be forced to release up to 33,000 prisoners by 2013” (Shapiro & Wizner, 2011, p.1.). Some women and men do not belong in prison, and should be given other opportunities to sought help. Prison overcrowding is a growing concern in the U.S today. There are many different alternatives to end prison overcrowding versus releasing them into the community. For example by launching a parole support group or treatment or rehabilitation programs for inmates as well as ex-offenders, house arrest or probation are other routes to explore.
Implementing technology in a clinical setting is not easy and cannot be successful without a well-organized system. It is important that healthcare providers understand the electronic medication administration record (eMAR) and its role in improving patient safety. One of the most significant aspects of healthcare is the safety of our patients. Medication errors account for 44,000-98,000 deaths per year, more deaths than those caused by highway accidents or breast cancer. Several health information technologies help to reduce the number of medication errors that occur. Once of these technologies is bar-code-assisted medication administration (BCMA). These systems are designed to ensure that the right drug is being administered via the right
To Health Service In Correctional Evironments: Inmates Health Care Measurement, Satisfaction and Access In Prisons.” Howard Journal of Criminal Justice 50.3. (2011): 262-274. Academic Search Complete. Web. 5 May 2014.
The purpose of this paper is to distinguish, outline, and evaluate the affects that workarounds have on patient safety and quality. According to Alexander, Frith, and Hoy (2015), a workaround is defined as when a problems arise within the workflow and a worker uses an unauthorized way around the health information technology system. This being said, workarounds are present in the hustle and bustle of the stressful hospital workflow, and in return can potentially lead to negative consequences. Therefore, it is essential for health care professionals to recognize the workaround, analyze their workflow, and then develop possible solutions.
Analyzing Workflow for a Health IT Implementation by Lydia Washington, is a short shifted scenario published January 1, 2008 The inability to integrate electronic health records (EHRs) into clinician workflow is a well-documented barrier to implementing EHR systems. To address this problem, organizations must analyze their workflow processes before implementing an EHR system. Optimal workflow requires having the right information at the right time so that the individual performing a step or task can advance the process toward completion. To achieve optimal workflow, organizations must take a step back and analyze the flow of work.
Firstly, in order to gain a better understanding of the problems that plague or correctional system we must fully understand the enormous overcrowding problem that exist in the majority of or state and federal prisons. Since 1980 the prison population has quadrupled and only the numb...
With increasing operation costs, patient safety awareness, and a shortage of trained personnel, it is becoming increasingly important for hospital pharmacy management to make good operational decisions. In the case of hospital inpatient pharmacies, making decisions about staffing and work flow is difficult due to the complexity of the systems used and the variation in the orders to be filled. Pharmacy turnaround time is a crucial metric for patient safety and caregivers’ satisfaction. Pharmacy management is under constant demand to reduce turnaround time. In order to help The Methodist Hospital Pharmacy Management make decisions about work flow, a team was created to analyze the impact of an alternate work process. The team examined the impact of the process and work flow changes on the amount of time medication orders take to be processed. The goal is to help the pharmacy management team find the best process and workflow to get medications to the patients as quickly as possible. Systems Thinking and Kaizen are used as tools to achieve that goal by using pharmacy staff effectively and make the process more efficient.
Throughout county jails, there is a large population with serious healthcare needs, such as mental illnesses and medical conditions; The majority of these individuals are not violent criminals, most of the inmates have not gone to trial and the rest are serving short sentences for minor crimes. However, few jails are equipped to provide the extensive mental health services that are needed for these individuals. According to the Bureau of Justice Statistics (2015), only one-third of individuals who enter jail with mental conditions are receiving proper treatment. Since the mentally ill inmates do not receive the proper treatment, they suffer and the
One of many nationwide initiatives to help reduce the occurrence of unnecessary medical errors and adverse events is the use of the integrated Clinical Decision Support System (CDSS). A CDSS is a system that provides the right information to the right person in a right format through a right channel at the right time of workflow to facilitate better decision-making by clinicians, reduce errors, and also to prevent adverse events (AHRQ, 2008). This proposal is a case based CDSS system that provides point of care clinical decision support, ensures five rights of medication administration (right person, right drug, right dose, right time and right route), and is designed to prevent or reduce the occurrence errors and adverse events at Perpetual Order of Saints Hospital (POSH).
One of the main issues America face now a days within correctional institutions is affordable and proper health care for the inmates. The millions of inmates in the U.S. correctional institutions have high rates of communicable diseases, such as human immunodeficiency virus (HIV) infection, tuberculosis, hepatitis B virus infection, and gonorrhea. Before many of the inmates were incarcerated, most inmates had limited access to healthcare, which, together with poor compliance and lifestyle situations, it made it difficult to identify and treat within the general community.
Community corrections, halfway houses, and all correctional institutions are affected by these problematic issues. Probation and parole officers, at one point in time, closely monitored their clients (Klingele, 2015). Now, it is virtually
This particular question reflects the central theme of this case study regarding the various challenges that female offenders face. However, there is another importance issue that must be addressed in U.S. penal institutions and that is the issue of mental healthcare. Hanser and Gomila (2015) stated, “Mental health issues for female offenders are often tied to stages in their lifecycle and development, such as puberty, adolescence, and phases of reproductive development” (p. 87). Male and female prison facilities are not equipped with adequate mental health physicians and units that can assess mentally ill offenders.
Primary health care professionals are the first point of contact and provide a range of clinical care services in the prison. Services like clinic assessment, advice, treatment and referrals to other services that are appropriate according to the needs of each individual. According to the Prison Service Order (PSO) 0500 (HMPS, 2004) all prisoners who are newly received into custody are assessed using a standardized reception health screening tool. This is done at reception by a nurse and it’s done to identify any physical or health needs that require immediate attention. These include suicidal risks, mental health assessment history and any acute physical problems.