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…
Anderson, R. (2002) Responsibilities of prescribing. In Humphries, J.L. Green, J. (2002) Nurse Preacribing 2nd Ed McMillan Press…
Administration (BCMA) in acute care and long-term care settings. Background: Medication errors are the most commonly documented cause of adverse events in hospital settings. Scanning of bar codes to verify patient and medication information may reduce medication errors. Method: A prospective ethnographic study was conducted using targeted observation. Fifteen acute care and 13 long-term care nurses were directly observed during medication administration at small, medium, and large Veterans Administration hospitals to detect workaround strategies. Results: Noncompliance with recommended practices was observed in all settings and facilities. A larger proportion of acute care nurses than long-term care nurses scanned bar-coded wristbands to identify…
7. Define each rule related to the “six rights”, and define how the nurse is absolutely sure he/she has the correct medication…
Medications assume an imperative part in the lives of individuals (Procedures and Protocol Research. These are critical in enhancing human wellbeing, in the meantime they are debilitating for the human wellbeing. Methodology and conventions in a medicinal services office are imperative with respect to the taking care of, putting away and checking of medications. You require an exceptionally strict graphing framework set up and a particular arrangement of rules and principles to take after. You require a hierarchy of leadership with uncommon morals, and more than one individual staying informed regarding each and every solution conveyed and disseminated inside of you office. We have extremely strict conventions with regards to taking care of, putting away, and checking medications that must be taken after once a…
In the adult social care setting it is vital that when handling medications are involved, service providers must follow the organisational policies and procedures to the letter, as this is keeping in line with the law. It is important to acknowledge and be aware of your own limitations when it comes to handling medications; this ensures the safety of the service provider, service users and to others. When following the policies and procedures it is necessary to receive the appropriate level of training associated with handling medications this includes: storing, ordering, receiving, administration, the recording and the disposal of medication. It is vital that training is kept up to date on a regular basis in case of any changes in legislation or policies and procedures. It is also vital to only do what you are trained for and deemed competent to do so, working in line with the codes of conduct. In addition if there were any unsafe practices; for example, if a person asks you to distribute medication without training, then it is a must to report those unsafe practices to the manager immediately.…
Some of the processes or policies that are implemented to ensure patient safety are using a complete quality assurance procedure to ensure medication is accurate and safe before providing it to the patient. All prescriptions that is received by the pharmacy must go through a lot of verification to make sure it for one a legitimate prescription and to ensure there are no medication errors, before dispensing back to patient. When dealing with filling medication a system must be put in place to prevent errors from according with systems put in place there could be errors that could have been avoided. To ensure medication errors are avoid some systems that are put into place is provided extensive quality training to all pharmacy employees, having…
Controlled substances have the ability to be utilized alternatively than what the substances were originally prescribed. The overuse or abuse of these substances is an inevitable fight that will not stop completely but can be significantly reduced. People constantly recognize the latent functions of the drug that is design to help them, and use the drugs as ploys in order to make extra money or experience some type of high. Substances that have alternative uses should be tracked or carefully watched in order to confirm that the potent drug is being used as it originally designed. Individual states have limitations and different laws concerning drugs, which increases the difficulty in ceasing the product of its secondary use. Some states have views contrasting to those of the federal perspective. The commencement of a unified national system which can protect the original purpose for a drug to continue the overall manufacturing of that particular product. The nation-wide system will fulfill two functions, monitor dangerous drugs and uniform legislature between all states.…
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…
With increasing operation costs, patient safety awareness, and a shortage of trained personnel, it is becoming increasingly important for hospital pharmacy management to make good operational decisions. In the case of hospital inpatient pharmacies, making decisions about staffing and work flow is difficult due to the complexity of the systems used and the variation in the orders to be filled. Pharmacy turnaround time is a crucial metric for patient safety and caregivers’ satisfaction. Pharmacy management is under constant demand to reduce turnaround time. In order to help The Methodist Hospital Pharmacy Management make decisions about work flow, a team was created to analyze the impact of an alternate work process. The team examined the impact of the process and work flow changes on the amount of time medication orders take to be processed. The goal is to help the pharmacy management team find the best process and workflow to get medications to the patients as quickly as possible. Systems Thinking and Kaizen are used as tools to achieve that goal by using pharmacy staff effectively and make the process more efficient.…
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.…
Errors are an innate part of human life. Execution Safe execution of medical orders is plays a significant part role of in patient care. It is also the main component of nursing performance and has a distinguished role in patient safety. Medication errors are a healthcare professional’s worst nightmare and has become one of the biggest issues devoted encountered in today’s healthcare setting. According to the National Coordinating Council for Medication Error Reporting and Prevention (2016), “a medication error is 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. Such events may be related to professional…
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’…
The excessive use of prescription medications has become a major pandemic around the world. It seems that teenagers are familiar as to what prescription medication abuse is, and are not aware of how easy it is to become addicted. Statistics say that it is quite normal to overtake prescription medications at very adolescent ages. “In fact, use of prescription painkillers by teens between the ages of twelve and seventeen has jumped 10-fold since the 1960s” (Teens Increasingly Abuse Painkillers Science Daily). Even though commonly used drugs, such as Advil or Tylenol, are helpful for minor health problems; they are not meant to be taken in huge amounts. Teens are influenced by the atmospheres they are exposed to and have curious minds, which…
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…