Occupational behavior comes to mind again for this subtopic. It can be something as simple as telling a patient you’ll be right back with pain medication. And then, as soon as you walk out of their room, a million other things happen all at once. Things like that are out of your own personal control. If your client is in severe pain, and you promised you would be back with pain medication, you should do so. If whatever the situation is not involving that specific client happens and for whatever reason takes priority, the nurse should at least go back to a client’s room to explain it may take a moment or two due to another situation. The key aspect here is building a sense of trust. This goes right along with one’s personal lives as well. Your immediate family should trust you. How can a relationship be built without trust? As a mother, I want my children to have absolute faith in what I say is true. I would never want my children to believe that I was leading them down a wrong path or did not have their absolute best interest in mind. Same goes for any patient that I take care of. In an academic setting, this subtopic brings to mind assignments and deadlines. If one is always coming up with excuses regarding why an assignment or assignments are uncompleted, no trust or rapport is established with the instructor.
Accountability for own behavior
Accountability is key in all aspects of a person’s life. Until one can learn to be accountable, maturation will be difficult to achieve. In an occupational setting, as a nurse, medication errors happen. Speaking from personal experience, a medication occurred because an antibiotic was missed due to a patient receiving blood during the scheduled time. I had no choice but to hold myse...
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...ieve it would display good professional character to announce that whatever piece of information given was made in error and should be omitted during the presentation. In a personal situation, at home with a family member, errors should also be addressed in a timely manner. The main point with this subtopic is again, trust and accountability. When an error is made in any situation, it should be addressed. Preferably in as soon as it happens, but every situation has its own certain aspects that make it unique.
The main point of this whole paper is about being accountable for one’s actions and building trust and rapport. Whether it be with a family member, an instructor or a boss at work. No one is perfect. Mistakes will happen. What matters is how a person handles themselves. Ideally the person will conduct themselves in a manner of good professional character
The evidenced based problem that was identified for this research assignment, was that nurses were causing multiple medication errors in a clinical and practice setting. According to the authors Wolf, Hicks, and Serembus (2006), a medication error is defined as any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer. It is very important for experienced nurses and nursing professors to identify medication errors to prevent them from harming the patient. Some of the errors that were identified were not reported because registered nurses didn’t want their peers to think they were irresponsible (Unver, Tastan, & Akbayrak, 2012). Nurse shaming did not help increase positive outcomes of reporting errors among nursing students and registered nurses (Harding & Petrick, 2008). When medication errors were reported they were not being reported properly, and the consequences for improper reporting were not taken seriously.
Of the 28 participants interviewed, nine reported making a medication error or experiencing a ‘near miss’ with particular focus on the level of supervision that was provided. A ‘near miss’ refers to a time when a student makes an error in the preparation of medication for a patient (Reid -Searl, 2010). The error had the potential to cause harm but no harm was initiated because it was corrected before administering it to the patient. Most of the participants who stated causing an actual error described receiving no supervision from a registered nurse at the time. One participant even stated that when realizing he made an error he went straight to the nurse to confess and she told him to not tell anyone and brush it under the rug. The results of the study suggest that errors are more likely to be made when required supervision levels are not provided by the registered nurse.
According to Poorolajal, medical errors occur when health care providers choose inappropriate methods of care or improperly execute an appropriate method of care (Poorolajal, et al. para 5 -10), which could potentially lead to loss of life and severe or permanent trauma to the victim. Valiani et al. argues, “Committing an error is part of the human nature” (540). Valiani et al. insist that no health care practitioner is immune to committing an error event if they demonstrate mastery of their skills (540). However, error in health care systems is dependent on many causes and factors. Management of such factors is essential to reducing the occurrence of errors in a health care system. Therefore, what strategies can medical practitioners implement to reduce medical errors? Medical practitioners can implement strategies such as communication, verification, and eliminating extended work shifts. These strategies are most effective because they help medical providers fulfill their full potential in doing their job in the most effective
. Policy Problem Rising sea levels are becoming a prominent issue along with global warming and climate change for many regions near coastal areas, with Miami, Florida being one of the most detrimental areas. With a current population of 413,892 living just 6 feet above sea level, Miami is positioned as one of the first areas to experience some of the disastrous effects of climate change (Johnson). Within the next 100 years, rising sea levels have the ability to damage South Florida’s fragile barrier islands, the population that lives near coastal areas, and its appealing subtropical beaches (Madigan A12). Coastal areas, which provide the largest area for disaster, however, are not the only areas that will experience the effects of climate change.
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).
Responsibility and accountability become important when medical staff gives or doses patients with medication. The chance for making a medication error presents itself at all times. Those passing medications must follow established policies and procedures developed and laid forth by t...
The nursing field requires nurses to be honest and maintain patient integrity as one of the most important factors to be successful. Patients are at their most vulnerable state and many times they cannot defend themselves or even speak for thems...
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.
I was part of a cult. Actually, that’s not entirely true because my parents were the only ones who took it all seriously. What’s more, the cult never really thought of me as a good member. They did not take me under their much needed wing of compassion and longing. Why? Because, I never acted in the way that they saw fit. So much so that I was eventually expelled from their schools, ostracized from the community, and basically blacklisted.
A newly employed critical care nurse was just about to finish a 12 hour night shift when she realized she had one more patient to administer medication to. It was the busiest Friday night shift she has ever worked due to poor nurse-patient ratio, and the workload felt impossible. She gave her last patient the properly prescribed medication, but failed to notice that the physician hastily wrote an updated dosage for a high risk medication, Digoxin. The patient’s heart rate began to slow down and life-saving procedures had to be activated. Medication errors are “any preventable event that may cause, or lead, to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer
Trust is the first one of the characteristics and is very important in our profession. Without trust in our profession we could not accomplish anything. In Chapter on...
Accountability is a very important concept in nursing practice. It is defined by ABA (2000a) as being responsible for the actions than one makes during their nursing career. In this situation, Linda is not being accountable as she has not reported what she has done. Therefore, she is not practicing according to the scope of nursing practice. Furthermore, Accountability is the essence of professionalism in nursing practice (ABA 2000a). According to NMBI (2013), Nurses are answerable for not acting in a way in which they are professionally obligated. This would deem Jack liable for not reporting Linda if he chose not to do so and would convey that Jack would ...
...a work environment, this process can be facilitated by giving workers an incentive to complete an accountability and responsibility workshop. In the workshop one of the factors they would discuss would be the fear associated with admitting one has made an error because of the likelihood of being reprimanded. Instead, individuals would be taught the importance of admitting wrongdoings as soon as possible. This is because not doing anything while the problem remains unsolved is only making matters worse.
Tzeng, H., Yin, C., & Schneider, T. E. (2013). Medication Error-Related Issues In Nursing Practice. MEDSURG Nursing, 22(1), 13-50.
Drug administration forms a major part of the clinical nurse’s role. Medicines are prescribed by the doctor and dispensed by the pharmacist but responsibility for correct administration rests with the registered nurse (O'Shea 1999). So as a student nurse this has become my duty and something that I need to practice and become competent in carrying it out. Each registered nurse is accountable for his/her practice. This practice includes preparing, checking and administering medications, updating knowledge of medications, monitoring the effectiveness of treatment, reporting adverse drug reactions and teaching patients about the drugs that they receive (NMC 2008). Accountability also goes for students, if at any point I felt I was not competent enough to dispensing a certain drug it would be my responsibility in speaking up and let the registered nurses know, so that I could shadow them and have the opportunity to learn help me in future practice and administration.