Fisher Week Three Response to McConnelly Yvonne, your post was extremely intriguing to me as a community health department is not an environment I have had the privilege of experiencing. Interestingly, the utilization of computerized order entry does not prevent the prescriber from ordering an incorrect medication dose or the wrong drug (Lapane, Waring, Dube’, & Schneider, 2011). Do the facility employ process to assure nurses are checking the medication in order to avoid the administration of an incorrect drug or dosage? Distractions have been linked to medication errors, consequently, and the ability to care for a solitary patient at one time clearly minimizes the distractions and interruptions that a nurse may experience during medication
Clarissa, I would agree that, Certified Nurses Assistants are not medically trained to administer medication and that task should be handled by an LPN or an RN. Just for the fact that administering medications involves more than giving the residents their medication, there are tasks, such as, including reviewing the order; confirming that the medication order is correct; reviewing all warnings, interactions, and allergies; evaluating the patient after the medication has been administered.
When a patient’s arm band is scanned, the current medication list for the designated timeframe comes into view and the nurse can then scan each medication. The nurse knows she has scanned the correct medication, with the correct dose, and that no changes have been made to the order when she sees a green check populate next to the medication. If there is an issue, a message will alert stating the issue, such as a change in the dose of the medication or that the scanned medication is not recognized. This process has helped to cut down on human errors and improve patient safety in regards to medication
By creating this comprehensive list of the medication plan given to the patient, the hospital pharmacist can then send this information to the community pharmacist and make sure that the information is held up to date. This would allow for a smoother transition for the patient and it would allow the patient to be more informed of their medications. The pharmacist is “poised to play an important role in improving medication management during transitions of care and reducing readmission rates” so the pharmacist should play a more active role to help ensure the best therapy for the patient (7). The pharmacist should ultimately design an ideal system for Medication Reconciliation to help reduce medication errors and better inform patients on ADEs to prevent any unnecessary medical
On September 2, 2016 at approximately 2035 hours. Security Officer Ariel Weiland along with Security Supervisor Steven Evans was called for a (53S) Medicate Patient in Medical Unit. Both Officers responded and on arrival stood-by room 409 bed 1 while Nurse Larissa David and Assistant Nurse Manager (ANM) Erika Sosa administered medication to patient, Steven Rios (DOB/FIN: 06/01/1963-86109515). Patient, Rios complied and did not physically resist nursing staff during the procedure.
Catherine, I did not realize how important the modifiers were to the Medicare billing process. Since reading some of the discussions this week I understand the role of modifiers much better. It is essential that we are able to choose the correct modifier because it can avoid fraud and abuse. After doing a little research I found that one of the top billing errors is from choosing the incorrect modifier. Because every code does not require a modifier I 'm afraid I will have trouble determining which code needs a modifier and which ones do not.
The idea remains that the dispersal of stable patients to MNAs in regards to medication administration allocates more time for RNs/ LPNs to prioritize care for critical patients. A stable patient is defined by the New Hampshire Board of Nursing as one “whose overall health status, as assessed by a licensed nurse, is at the expected baseline”. Research conducted by Randolph and Scott-Cawiezell revealed trends in medication errors prior to and following the integration of MNAs. “Before the introduction of medication aides, error rates were as follows: RN (11.55%) and LPN (10.12%) with a mean error rate of 10.4%.
Preventable medical mistakes cause approximately 200,000 deaths around the United States each year. (1) More than 1,000,000 Americans are negatively impacted by medication errors each year caused by inadvertent mistakes in the prescription filling process. With 4 out of 5 adults taking at least 1 medication daily and 1 out of 4 adults taking 5 or more medications daily nationwide, errors like these cost healthcare industry billions of dollars per year. Health information technology were developed to transform healthcare services, the way they are provided and compensated. Electronic prescribing (e-prescribing) becomes an internal part of that transformation process, which can be confirmed from annual Surescripts’ National Progress Report.
Staff work with the same residents day after day, and the CMs know what the residents take for medications every day. An intervention for preventing the medication error from happing again is implementing a better system in which the medications are administered. First, the medication administration record (MAR), could become computerized. This way it makes it difficult for the CM to sign off all the medications at once for the residents when setting them up. This would alert the nurse that all the residents were getting their medication at the same time, which is impossible.
All prescription and OTC drugs must be kept out of their reach. Adult patients sometimes don’t understand the instructions on how or when to take their medications safely. Others simply aren’t able to take drugs without assistance. Part of in-home care includes monitoring and administering medications in the correct dosages according to schedule.
Keyword: Nursing Home Negligence Meta: Title: How To Determine If You Have a Nursing Home Negligence Lawsuit The decision to place a loved one in a nursing home can be an emotional ordeal for everyone. You search for the best facility to entrust loved one’s care.
To create an environment where these errors are a rare occurrence, all healthcare professionals must dedicate themselves to implementing QSEN's six core competencies each and every day. These professionals must also speak up when they see room for improvement in their workplace. Regardless of the healthcare setting or demographic of patients, safe outcomes are the purpose of providing patient-centered care. Since nurses are the largest subgroup of healthcare professionals, their ability to make strides towards improved medication administration is undeniable. As the nursing code of ethics states, nurses have the duty to protect the health and safety of those in their care (Winland-Brown, Lachman, O'Connor Swanson, 2015).
Nurses' perceptions of how physical environment affects medication errors in acute care settings Introduction "Medication errors results from the interaction of multiple factors that include regulatory environment, organizational leadership and commitment, management policies and procedures, complexity of tasks involved, work culture, and physical environment" (Chaudhury, Mahmood, & Valente, 2009, p. 229). Health care services that nurses perform in the hospital environments are physically and psychologically intense, which can potentially result in burnout, stress, and medication errors. Crowded and poorly designed work spaces are factors that contribute to staff stress, resulting in the risk of increase medication errors (Chaudhury et al., 2009). Ulrich, Zimring, Quan, Joseph, and Choudhary, 2004 (as cited in Chaudhury et al., 2009) "argued that reduction of nursing staff stress and error by physical environmental dimensions (such as air quality, acoustics, lighting, and so on) can have a significant impact on staff health and efficiency" (p. 230). There is limited research on the how physical environment affects medication errors.
As I reflect on my medication pass, I not only realize the lessons I learned, but also the things I will take with me with me for a lifetime. This was quite the experience of learning and lessons to become a registered nurse, so as I began my day, I began by looking up my patient’s medication. I would be passing in the MAR – on the computer. This is where I proceeded to check for allergies (medicine and relevant food), this should be done every time you give a medication. The instructor said ok are you ready?
One of the topics discussed in our IPPE class was types of medication errors, and one of the errors listed was “wrong time”. West Florida Hospital has a system where medication is administered throughout the hospital at set times throughout the day. The morning medications are taken at 0900 so when someone comes into the ER in the morning and they cannot remember the last time they took the medication it is very difficult to avoid the “wrong time” medication
