The Achilles heel of most business is profit, the ability to keep up those margins and cut losses. Company Q's bottom line was too shallow resulting in the closing of two stores. Both locations were in heavy metropolitan areas with high crime rates and poor neighborhoods. Such actions can have a ripple effect on the community, causing current issues to intensify while adding to unemployment. Poverty that already existed within the community will be more prevalent now. The increase in poverty will hurt the other stores still open, as they will now be targeted for theft. Company Q 's decision to throw away day old items is not socially responsible. They are being socially irresponsible by putting needs of the company first and disregarding the needs of the community. Furthermore, Company Q is being wasteful by throwing food away that could be used by the less fortunate. Company Q is also labeling good employees as untrustworthy employees. This can create tension between owners and staff. The actions of company Q are going to hurt their business in the long run, because community and staff will notice the lack of social responsibility. People want to shop at and work for a place they are proud of and feel loyal to.…
Based on the intake, Benjamin will greatly benefit from attending individual and group therapy to learn cope with the loss and inherent depression. In his case CBT/DBT approach, self-monitoring thought log it is useful to apply as he has difficulty regulating emotion and behavior that primarily manifested in the excessive alcohol use and poor relationship with his daughter. Apparently, Benjamin experienced renewed, intense grief that led him “drinking to feel better” behavior. The CBT approach is effective in the group therapy as well that focuses in changing thoughts and behavior.…
Care should be taken at all times when administrating medication as it could be given to the wrong person which could lead to them suffering, or something as simple as the wrong dose. This type of mistake can have a devastating result for example in 2005 2 nurses miscalculated the dose of a drug needed to slow down a baby boys heart rate. He was given 10x the dose and he died.…
Some factors that can influence medication administration include patient acuity, staffing levels, shift length, and workloads. Nurses need to adhere to the “seven rights” when preparing and dispensing medications. Furthermore, nurses should feel compelled to use an evidence-based approach in collecting data to make decisions in their practice considering human lives at risk (Marquis & Huston, 2017). Propose two solutions the nurse manager could consider.…
Any kind of error, whether it causes no harm to the patient or kills the patient, is still an error that needs to be reported and addressed. This collection of data begins with looking at the CPOE (electronic physician orders), Pyxis dispense history, eMAR, narcotic waste history (if a narcotic error), barcode scans, and the stage that the error occurred. These are all important data pieces to collect and analyze in order to pain the picture of what happened and why. The stages of where/when the error occurred are very important for identifying patient harm. Stage one is considered a prescribing error where the incorrect drug or dose is selected for a patient. This kind of error is also the cause of illegible handwriting and/or the misspelling of a drug with a similar name (Williams, 2007). Prescription errors make up for between 1-11% of all written prescriptions (Sanders & Esmail, 2003). Stage two is where dispensing errors occur. This is considered to be selection of the wrong product where usually there are look alike and sound alike drugs involved such as Losec and Lasix. Step three and four are the preparation and administering stages and the rates of these errors vary between 3.5% and 49% (NPSA, 2007). These stages are areas of high risk within nursing practice where nurses fail to verify important information such as drug, patient, dose, time, and route (Williams, 2007). IV drugs are suggested to be as high as 25% of medication errors in these stages (Bruce & Wong, 2001). Stage five is errors in monitoring outcome. Patients take certain drugs that require continuous monitoring to ensure the dosing is correct and there are no adverse…
The nurse manager has direct impact on the development and implementation of tools such as…
Errors made while administering medications are one of the most common patient safety, health care errors reported. It is estimated that 7,000 hospitals deaths yearly are attributed to medication administration errors, and each error can cost a health care organization over $8000 per occurrence. (Anderson & Townsend, 2015. p.18). Nurses spend a significant amount of time managing, preparing, and administering medications. Nurses can spend up to forty percent of their day, involved in tasks that center around medication administration (Bourbonnais & Caswell, 2014). Over the past few years, there has been an incredible amount of new technology introduced in health care that affect medication administration. Electronic health records, computerized order entry, smart pumps, and bar-code medication charting all add complexity to the task of medication administration. Bar-code medication administration (BCMA) is one safety measure that can be implemented that can reduce medication administration safety errors and adverse…
Within this assignment it is intended to present an example of a prescribing situation that arose in practice, to ensure prescribing issues are illustrated. The rationale for the decisions reached will also be discussed. A brief overview of the nurse prescribing initiative and how it developed will be addressed. The importance of ethical principles, accountability and legal issues that surround nurse prescribing will be demonstrated. As a patient will be addressed in the example, a pseudonym will be used.…
When doing the job of nursing one of the most important aspects is patient safety. The biggest danger to patients is medication. A medication error is when the nurse gives a patient the wrong medication or the dose of medication could be wrong. The danger of the medication error is that it can lead to an over dose, a reaction, or even death to a patient. There are several things to know when dealing with medication errors like who should fill it out, who should receive a completed report, why would you fill one out, what is included, and what a near miss is.…
Each year in the United States there are just over 450,000 reported medication errors, they are the sixth leading cause of death, as well as costing the health care industry roughly 3.8 billion dollars (Flanders & Clark, 2010). QSEN’s published mission statement is to, “Address the challenge of preparing future nurses who will have the knowledge, skills and attitudes (KSAs) necessary to continuously improve the quality and safety of the healthcare systems within which they work.” (2016). QSEN has seen the devastating effects that medication errors have had on the nursing profession and are continuously publishing refined guidance and evidence based best practices to better prevent…
Recent research has had little success in identifying the specific factors that are associated with high medication error rates but nursing professionals can help to reduce the amount of medication errors in health care facilities by participating in research and educating others on the identified factors associated with medication errors.…
Serious medication errors are common in hospitals and often occur during order transcription or administration of medication. To help prevent such errors, bar coding technology has been put into place. The software was designed to improve medication administration accuracy and to generate online patient medication records. Barcode Medication Administration software enables users to document electronic administration of medications at bedside. Millions of Americans are injured each year due to medication errors. Within the hospital systems, medication errors cost over three billion dollars per year. Nurses are at the frontline of medication administration. At a three hundred-bed community, hospital bar coding administration was implemented. This application was created and implemented by an IT representative, staff nurses, nursing and pharmacy administrators. These individuals initiated the process, by changing medication policies and procedures, downtime procedures, workflow designs, planning for nursing training, and changes to medication administration. With positive results bar-cod technology reduced medication errors by eighty percent. Implementing barcoding technology decreases medication administration errors in with in different care settings.…
As a result of the literature and analysis, I learned that safe medication administration is one of the most important skills that a nurse can have. If a medication error occurs, it can have many ethical, social, economic and safety ramifications. The research presented has also allowed me to see that medication errors are more likely to occur in certain situations, such as a hectic and distracting workplace. The literature suggests that I should do the best that I can to avoid such situations by finding a quiet space and taking my time to attentively go over the required medications to prevent error.…
Barnsteiner, J. (2008). Chapter 38: Medication reconciliation. In Hughes, R.G. (ed.). Patient safety and quality: An evidence-based handbook for nurses. Rockville, MD: Agency for Healthcare Research and Quality. Retrieved from: http://www.ncbi.nlm.nih.gov/books/NBK2648/.…
It is a tragedy. Nurses should be careful when administering medication to patient and I agree with you. The hospital administration should take action against these nurse. There is a barcode medication administration (BCMA) is available in market which prevent human errors. BCMA is an inventory control system that ues barcodes in hospitals. Using this system 65% to 85% medication errors can be reduced. Medication errors is the Third leading cause of death in US according to John hopkins studies. Policy makers should focus on these problems and with a little attention these medication error death can be avoidable and reduce future problems.…