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Medication errors by nurses
Reflection on a medication error
Medication errors in nursing
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There is an opportunity at the Alvin C. York VA Medical Center to improve the safety of patients and staff during the administration of medications on the acute psychiatric units. Currently, all inpatient units at the Alvin C. York VA Medical Center utilize a Pyxis medication station to store patient medications. The current physical location of the medication room and Pyxis stations are not ideal. The Pyxis machine that stores the medications is placed against the back wall close to the nursing station. The location of the Pyxis is next to the medication room where the nursing medication administration cart and scanning system is located.
Week Eight Response to Jurgensen Michael, I chose the Clinical Nurse Leader (CNL) role in the emergency department (ED) for my project as well. However, the CNL facilitating the implementation of care for the ED boarded psychiatric patient is brilliant, and not something I had considered. Likewise, our ED boards psychiatric patients, frequently for numerous days prior obtaining inpatient placement for them. In various facilities a physician assistant (PA) assumes the responsibilities for establishing ED boarded psychiatric patient care, however, the CNL stands as a considerably superior individual to expedite care during the transitional period for the ED psychiatric patient boarding for extended periods (Jayaram, 2006).
This is something that needs to be looked into more and more monitoring of how the nurses are able to treat their patients. There has been too many episodes where nurses just didn’t want to do their job like give meds when they were suppose to be administered or reporting when patients were in extreme
On a word document, write 4 paragraphs (4-6 sentences each) on the following: 1. Merits/elements of Fisher v. UT- Austin Petitioner The Petitioner believes that Abigail Fisher was denied admission to the University of Texas Austin because UT had a race conscious admissions program. This violated the 14th amendment which grants rights and citizenship to all people born as naturalized citizens in the United States. The petitioner observed that before the individual was picked, some students were accepted based on their race.
Donnelly and Kenyon conducted an interview study of 30 rape crisis centers to demonstrate the male rape myths and beliefs among counselors and crisis workers. They found that only 9 centers had provided assistance to male sexual assault victims. Ten centers stated that they would help but have no experience with male victims of any crime. The remaining 11 centers stated that they would not provide assistance to men (qtd. in Davies,
In 2008, Abigal N. Fisher, a caucasian female, applied as a undergrad student at University of Texas at Austin, but was denied admissions. UT admissions policy has a top 10% rule which means, the first top 10% of high school graduates are automatically admitted. Fisher was not in this 10% category and was not admitted based on this rule. UT bases its admission decision partially based on race of the applicant. Based on this consideration, Fisher believes she was denied because of her race.
Furthermore, some patients were not even assessed on that day. This was just Amandeep’s story, I am sure many other were affected by this as unit clerk and the manager confirmed his behaviour towards nurses. If an order was not clear to nurses or pharmacy, it must be clarified or double checked by the prescriber for high quality patient care. As mentioned in the story, Amandeep informed her manager about this incidence, but nothing was done. This makes me feel uncomfortable, it sounds like everyone agreed to this behaviour and adapted this as a norm.
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.
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.
Casual Sexual Relationships Shelbi Wooley PSY 2306.01E Texas A&M University-Commerce Literature Review The researchers of this study wanted to know if adolescents understood what the differences in the four main types of casual sexual relationships known to society. Casual sex is very common among people of the ages of 18 and 25. People have different meanings depending on the relationship, but the researchers have neglected to relate that depending on the circumstances of the relationship, the terminology can be altered. The main issue is researchers never validate what the terminology means to the participants.
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).
Compared to paper charting and orders physicians may become victim to causing more errors with medication orders, treatments and consults. The transfers of orders are fast and easily assessable and if the staff ignore to pay clear and careful attention to details than mistakes can happen which could be harmful to patients. There has been an incident where a physician order medication in the CEOP for a patient which was entered in the wrong patient. Luckly, I was assigned both the patients that day and during one of the physician rounding I was present in the patients room. I informed the physician and charge nurse of the mistake and was able to discontinue the incorrect order and continue the treatment in correct manner for both
During clinical hours I get to observe the nurse administer medications to patients and I see that once you scan the patient you must enter in the correct site, and amount of medication that needs to be administered at what rate and must document what time and route the right medication was given. The software that the hospital uses to document on patients assists nurses with providing the best care possible for their patients and is the key to communication among all health care professionals involved in a certain patients care. Once I was in the med surg floor and the nurse I was following had to discharge a few of her patients, I found it very interesting that on the same software that healthcare providers use to document and keep patient records is the same software that can also provide the patients nurse with research and education for discharge services. Any certain type of disease process that the patient may have, the nurse can print out information that is provided by the software in order to educate the patient on certain diseases to become compliant with such complications and try to maintain the healthiest life style possible. This paper is very informative
There is a lack of support from physicians as a separate medication ordering system will be used, creating an increased in workload and reduction in patient interaction time (Park et al.,
Pharmacology Self Reflections Neida Blondet Frontier Nursing University Prescribing medications to patients is a part of the advanced practice registered nurse’s (ARNP) role. As I started Advanced Pharmacology a few short eleven weeks ago, I did not realize how much more there was to that “simple” task. As I reflect on my journey through Advanced Pharmacology, I will share with you a few important facts about my journey, such as how my expectations of prescribing changed, any ah ha moments I had, what I felt to be the most significant piece of knowledge I acquired and finally what I think about Florida’s approved medication schedule for ARNPs. As I began Advanced Pharmacology, my perception of prescribing medications was that it