Anderson, R. (2002) Responsibilities of prescribing. In Humphries, J.L. Green, J. (2002) Nurse Preacribing 2nd Ed McMillan Press…
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.…
7. Define each rule related to the “six rights”, and define how the nurse is absolutely sure he/she has the correct medication…
Outlines the requirements for the prescription, storage and record keeping of certain medicines (controlled drugs). It also defines offences with drugs as those of production, cultivation, supply and possession. Under this legislation, controlled drugs have been categorised into five separate schedules. Care workers may administer prescribed medication (including controlled drugs) to a service user with consent, so long as this is in accordance with the prescriber’s directions (The Medicines Act 1968). This is called ‘administering medication’. However, when medication is given by invasive techniques, care workers will need additional specialist training and be assessed as competent in performing any such procedure.…
Ethics and societal values are part of what makes each individual unique. We all form our opinions based on what we believe in our hearts to be the right way to act and think. As nurses, sometimes these personal values correlate with our professional beliefs, and sometimes they may not. There are times that we may have religious or philosophical views that are not in conjunction with the opinions of the patients or families we care for. When this occurs, we must focus on what our professional code of ethics dictates is an appropriate response.…
Throughout a nurse’s professional career, many difficult ethical and legal situations will arise. Since nurses are given the unique privilege of caring for patients and their families, it is important to uphold certain professional standards. The American Nursing Association (ANA) Code of Nursing Ethics provides a foundation on which a nurse should conduct her professional life. In addition to the Code of Ethics, nurses must also balance their personal values along with legal standards to make the best decisions for their patients.…
The National Minimum Standards require the registered person puts in place policies and procedures for the receipt, recording, storage, administration and disposal of medicines. These policies and procedures are to protect not only the service users but also the…
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.…
One of which is drug administration or medicines management. Prior to becoming a NQN all drug administrations are carried out under direct supervision from a mentor or any other qualified nurse (NMC, 2008). As a general rule the majority of trusts require NQN to complete a drug administration booklet that is usually signed off by the practice educator of the ward to deem the NQN competent to administer oral medications (Whitehead & Holmes, 2011). The same type of book is required for the administration of Intravenous medication (IV). A NQN must not administer or countersign IV or oral medications until these competencies have been assessed and approved according to trust policy (NMC,…
Core Competency 1: Demonstrates knowledge base on the health /illness status of individual / groups…
Griffiths et al (2003) states that “administration of medicines is a key element of nursing care”. 7,000 individual doses are administered daily in a ‘typical’ hospital; and up to 40 per cent of nurses’…
One-third of all of the reasons that cause harm to the patient may occur during medication preparation and administration. When violate one or more of the in seven right medications (right patient, right drug, right dosage, at the right time, right route, right reason and right the document), these drug administration errors (MAES) occur. There are a number of environment and workload problems caused by nurses due to the management process of the medication; an error is likely to occur. However, nurses are in an important position, who are blocking the influences on the patients and can be identified and correct the error (Smeulers, Onderwater, Zwieten, Vermeulen, 2014).…
National Prescribing Centre (1999) Signposts for prescribing nurses-general principles of good prescribing. London, Prescribing Nurse Bulletin.…
Nurses should be concerned about values and laws that pertain to patients. There should be concern for those patients that are homeless without insurance and not receiving the care that they should because it goes against the ethical principle beneficence, to remove and do no harm. Beneficence, is one of the primary ethical principles that guides us to do good for our patients (Epstein & Ward, 2016). Ethical principles provide the foundation for nurses and the duties that they perform (Epstein & Ward, 2016). The Emergency Medical Treatment and Active Labor Act (EMTALA) in 1986, allows patients to be treated in emergency situations regardless of their means to pay (Dunford,…
As nursing profession continuously progresses in its quest for excellence, its nature becomes complex in the light of meeting the standards set forth by the implementing bodies in nursing profession. These standards are indeed the result of careful assessment and observation made to resolve the never ending issues and concerns pertaining to the legal responsibilities and ethical obligations of nurses.…