2.
b. If the physician aggress to an alternate medication, the pharmacist will receive the order, write it on a physician’s order sheet, and notify the unity. The physician’s orders and medications will then be taken to the unit.
c. If there will be a delay in prescribing the medication, the pharmacist is to notify the physician and a physician’s order to change the start day if indicated. The pharmacist is then to notify the unit of such communication and order.
3. After Pharmacy Hours
a. The RN is to notify the home supervisor of non formulary medication orders
b. The supervisor is to call the pharmacist on call and a decision made collaboratively as follows
i. Pharmacist will call SW hospital for medication and arrange for pickup ii. Pharmacist will deliver where the first dose has to be given
4. RN’s CVM’s are expected to resolve the issue of non formulary medications on their shift. When faced with situations when there communications are delayed or unclear they are to call their PCC/Supervisor in the building. The CNO is to be notified in cases where the supervisor cannot be reached.
5. Ultimately it is the responsibility of the RN to notify the physician if a prescribed treatment is not given for any reason.
If the prescribed treatment is delayed, the physician is to be notified of reason for delay and plan to meet treatment needs. All such communications are to be documented in the medical ---
6. Effective 5/2 both- there forms are obsolete.
a. Miceing Medication Sheet
b. Pharmacy to physician communication
7. RN’s and CVN’s are admitted not to borrow medications. During pharmacy hours they are to call the pharmacy and outside of pharmacy hours the supervisor is to be contacted.
The Kings Park Psychiatric Center has had a large effect on the social changes of Long Island. A small town grew larger and prosperous from the direct effect of this State hospital from the time of 1885 to the present. The history of the town, the patients and court cases held, and the concluding plans for the land after its closing have all had a significant mark on the social changes of the town.
...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.
The stigma and negative associations that go with mental illness have been around as long as mental illness itself has been recognized. As society has advanced, little changes have been made to the deep-rooted ideas that go along with psychological disorders. It is clearly seen throughout history that people with mental illness are discriminated against, cast out of society, and deemed “damaged”. They are unable to escape the stigma that goes along with their illness, and are often left to defend themselves in a world that is not accepting of differences in people. Society needs to realize what it is doing, and how it is affecting these people who are affected with mental illness. If we continue to not help them, and to foster their illness, it will only get worse.
To provide appropriate care, long-term care admissions must be well thought-out and explicit tasks fulfilled prior to the patient’s arrival. There should be a smooth transition between facilities to promote continuity of care (LaMantia, Scheunemann, Viera, Busby-Whitehead & Hanson, 2010). If discharge planning is inadequate, patient safety and health can be compromised. For example, scheduled drug regimens, such as antibiotics and controlled medications, must be available within a timely manner. Most long-term care facilities do not support an in-house pharmacy. In addition, many pharmacies require original hard scripts before filling controlled medications. If admitting orders are inadequate or cannot be carried out within the appropriate time span, the admitting facility may be unable to meet critical needs. I have experienced this first hand on more than one occasion. The most recent o...
Arrange for the administration of Demerol to the patient scheduled next on the operating table.
The main quality initiative affected by this workaround is patient safety. The hospital switched to computer medication administration as opposed to paper medication administration documentation because it is supposed to be safer. So, when the nurse gets the “wrong medication” message the computer thinks something is wrong, this is a safety net that is built into the computer system. If the nurse were just to administer the medication without any further checks, he or she would be putting patient safety on the line. The policy involved that pertains to this workaround is the “8 rights of medication administration”, which are: right patient, right medication, right dose, right route, right time, right documentation, right reason, and right response (LippincottNursingCenter®, 2011). Each nurse it taught these eight rights of medication administration in nursing school, therefore it is a nursing policy. When this workaround occurs the nurse should use his/her judgment before “scan overriding” and ensure these eight checks before administering the
According to the National council of state board of nursing (2005), the task should be performed if it can be performed with a predictable outcome and does not endanger a client’s life or well-being. For example, the nurse can delegate to the nursing assistant to collect and measure urine output and report it to the RN. This is a non-invasive task and would not harm the patient. However, if the patient were requiring straight catherization to collect a urine specimen, it would be delegated to the LVN since this is an invasive procedure that requires skills and knowledge of performing this procedure. Right circumstance is the next right of delegation. Even though the RN can delegate to nursing assistant to have the patient ambulate, if the patient is recovering from hip surgery and had issues with bleeding during surgery, it would not be appropriate for the nursing assistant to do. The RN should do this task, since the patient is at a risk of being unstable (NCSBN, 2005). The third right of delegation is the right person. After determining what is the task or assignment that needs to be completed, the nurse should decide who would be the best person to do it. Factors that influence the RN’s decision are the knowledge and skill of the person who is performing the task (NCSBN, 2005). Most facilities check skills at the
For many decades the mentally ill or insane have been hated, shunned, and discriminated against by the world. They have been thrown into cruel facilities, said to help cure their mental illnesses, where they were tortured, treated unfairly, and given belittling names such as retards, insane, demons, and psychos. However, reformers such as Dorothea Dix thought differently of these people and sought to help them instead. She saw the inhumanity in these facilities known as insane asylums or mental institutions, and showed the world the evil that wandered inside these asylums. Although movements have been made to improve conditions in insane asylums, and were said to help and treat the mentally ill, these brutally abusive places were full of disease and disorder, and were more like concentration camps similar to those in Europe during WWII than hospitals.
Once upon a time, long ago in the mists of time, sprawling brick structures housed countless individuals with mental disturbances. These massive structures were known to the world as mental asylums for the insane. In reality, the majorities of these individuals were not insane, but in contrast were suffering from mild mental problems such as depression or anxiety. These people were looked down upon in society and were labeled as "freaks" or "batty" because of their mental disorder. In the early twentieth century, mental issues were considered taboo. If a family had a sibling or relative who was suffering from a mental disorder, they were swept under a rug; to be taken care of at another time. These days, these immense structures are an object of the past, a bygone era. Many asylums still stand tall as monuments to the world of health care, while many do not stand at all.
nurse becomes the patient advocate letting the physician know the effect of the medication the
Currently, through observations and clinical experience on Med/Surg at Cary Medical Center, medication is administered by the nurse. Nurses are responsible and accountable for administrating medications to patients. Patient medication education is conducted by the nurse. Medication education includes informing the patient the reason for the medication, when and how long to take the medication, drug interactions, and importance of checking with primary care provider prior to taking any over-the-counter or herbal products. If the nurse is unfamiliar with a certain medication, a drug book is available for the nurse to utilize and gain knowledge regarding the drug use, action, adverse reaction, and contraindications.
B) Teach patient about his medications: their purpose, side effects, any interactions with other medications, and any other relevant information.
More basic than MTM is counseling, and more basic than that is appropriate dispensing. The pharmacy patient information system tracks potential dangers to each patient in every prescription order, and if there is a safety issue or an error in the patient’s medication use, the system will inform either the pharmacy tech or myself, and I plan on paying attention to those warnings and assuring that everything is appropriate for every medication order before dispensing it to the patient. By doing this, I hope to avoid any serious medication errors and protect my patients and assure that they receive the best medication therapy possible. If I don’t properly use my pharmacy informatics resources, I am responsible for any patient harm that is caused by my negligence.
There are hundreds of different careers in the medical field ranging from neurosurgeons to nurse practitioners. Psychiatry deals specifically with the diagnosis and treatment of mental, behavioral, and emotional ailments. The main purpose of a psychiatrist is to help people coop with issues and stress in their environment that make it difficult to lead a normal and healthy lifestyle. These issues may arise from abuse, addiction, mental disability, disease, or physical injury. It is the psychiatrist’s job to ensure the patient can maintain a healthy attitude and continue to provide for themselves. A Psychiatrist may choose to specialize in many sub classes of mental health including children and adolescents, geriatric psychiatry, addiction, and pain management. While requiring an intense and difficult education, the occupation in psychiatry is one that offers meaningful, fulfilling work and a high-end salary.
Care planning is one of these tasks, as expressed by, RNCentral (2017) in “What Is a Nursing Care Plan and Why is it Needed?” it says, “Care plans provide direction for individualized care of the client.” A care plan is for an individual patient and unique for the patient’s diagnosis. It is a nurse’s responsibility to safely administer a patient’s medication prescribed by the doctor. Colleran Michelle Cook (2017) in “Nurses’ Six Rights for Safe Medication Administration,” she says, “The right patient, the right drug, the right dose, the right route and the right time form the foundation from which nurses practice safely when administrating medications to our patients in all health care settings.” Nurses must be safe when dealing with medications, and making sure they have the right patient. Nurses document the care that is given to their patient, as said by, Medcom Trainex (2017) in “Medical Errors in Nursing: Preventing Documentation Errors,” it states, “Nurses are on the front lines of patient care. Their written accounts are critical for planning and evaluation of medical interventions and ongoing patient care.” Nurses must provide an exact, complete, and honest accounts of everything that happens with a patient. Doing this allows for the proper evaluation, and medical interventions for the patient. The typical tasks a nurse involves care planning, administration of treatments and medication, and documenting the care given to a