M.S. is a 35-year-old female who came into urgent care at Kaiser Permanente Riverside. She presented with a sore ankle that was causing her problems after accidently twisting it by missing a step in going down a set of stairs. The only prior medical history that M.S. has is a history of asthma that is currently managed with appropriate medications. Even though she has a history of asthma, she reports smoking cigarettes and often drinks alcohol. She also reported not having a very healthy diet. Upon examination of M.S. ankle, it is concluded that she minors sprained. During normal examination, her vitals signs are obtained which showed a respiratory rate of 16, pulse of 100, temperature 97.2OF, blood pressure of 151/91, pulse oximetry of 99%. Since it was noted that her blood pressure and heart rate where both high, it is assessed on the opposite arm and it showed a blood pressure…
This involves giving an injection which may only be carried out by a trained nurse or a doctor…
Anderson, R. (2002) Responsibilities of prescribing. In Humphries, J.L. Green, J. (2002) Nurse Preacribing 2nd Ed McMillan Press…
There must be an implemented of the safe medication administration by a double checking of the high risk medication to prevent any over dose administration of medications to the patient. It should be standard policy enforcement regulation in the matter of the proper stocking of the rooms with the functional equipment such as: oxygen, suction, gloves, masks, etc by the staff to ensure the safe and prepared environment in the case of emergency in the Emergency Department. It would be necessary to constantly evaluate the system to ensure that there are no kinks, and if there is any so the necessary changes can be made. Implementation of the intervention will generate a system which is more unified and it is based upon the effective and proper training and communication among the staff to practice in their duty in order to maintain the highest safety in care of the…
Drugs may be given 30 min before and 30 min after prescribed time (some facilities allow 1 hour before and 1 hour after)…
• Pharmacy Medicines (P) - medicines available from a pharmacy under the supervision of a pharmacist.…
Task 1 : Identify current legislations, guidelines policies and protocols relevant to the administration of medication…
As mentioned above, different strategies have been implemented to prevent the unfavorable effects of medical errors, particularly mistakes in medication administration. Because of medication errors, the patients’ mortality went up, which costs the U.S. healthcare systems billions of dollars yearly. It was also reported that every year, there are approximately 450 000 unfavorable medication circumstances of which 25 percent could have been prevented, that caused an injury to the patient. Therefore, other than the CDSS/CPOE implementation, the following systems were being used to aid in the improvement of the medication administration efficiency: intravenous infusion pumps with preprogrammed drug information, barcode-assisted medication administration…
Lowe, L., and Hurst, R., (2002) Nurse Prescribing: the reality. In Humphries, J.L., and Green, J., (eds) Nurse Prescribing 2nd Ed. Palgrave : London.…
In today’s nursing world, more is expected from a nurse than following doctor’s orders, administering medications and starting IVs. The nurse must be able to make critical decisions about a patient’s care, to question the doctor if orders seem inappropriate and educate a patient and a family. These skills take an education that is broad based, one that includes critical thinking and exposure to many different people, thought processes, and culture and societal norms. Nurses are prepared in two different educational backgrounds, the baccalaureate degree level of nursing and the associate-degree level of nursing. ADN and BSN graduates are both required to take and pass the NCLEX licensing exam before they can practice as a nurse. Even though both degrees train students to perform the same duties as a nurse there are some differences between the two programs. Nursing organizations recommend that nursing candidates get a four-year Bachelor of Science degree. According to The Future of Nursing, “Nurses must be prepared to meet diverse patients; needs; function as leaders; and advance science that benefits patients and capacity of health professionals to deliver safe, quality patient-centered care.”…
I hope all is well. In regards to PJ's medication dispensment. I have providing him with his medication at 6 am during the week (per his request and he says he gets up at that time to prepare for the day). This time as well works for me because I begin my morning rounds of the tower around at 6am.…
Completing these courses was highly beneficial. I am always worried about making errors especially during the medication administration process. With the many interruptions that may erupt, I honestly always do my best to remain diligent. I do my best to always go through check the six rights of medication as a prevention measure. To hear the anesthesiologist speak about the error that he blindly made is truly an eye opener.…
References: Cutting,K. White,R. Edmunds,M. (2007) The safety and efficacy of dressings with silver- addressing clinical concerns. International Wound Journal.4 p.177-184…
The project “PHARMACY MANAGEMENT SYSTEM” is designed for the company Altosys Software Technologies Limited. The pharmacy management system is an application, which involves administrational functional, related to various details like stock maintenance, sales list, purchase list, billing list etc. Realizing the need for quick retrieval and easy management of data, the system was studied in depth, analyzed and computerized.…