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.
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
This supplement is a record of my actions in cases 16-125169 (April10, 2016) and 16-125698 (April 12, 2016). On April 12, 2016 I was assigned case 16-125169 which involves Ms. Mya Navia a fourteen year old Francis Hammond School Student. On April 13, 2016, I was assigned a second case which was 16-125698 involving the same juvenile. On April 13, 2016 I touched base with Arrosa Kanwai (mother) who had previously denied me access to her daughter (16-119375).
In terms of the benefits and challenges the current medication system has on the patient, many exist. In terms of benefits, the aspect of using a separate drawer for patient’s own medications can lead to easier accessibility. It not only saves time for the patient, but also saves time for the nurse or healthcare provider getting them. In terms of challenges associated with the medication system, the medications held within the Pyxis Medstation can often take a tad longer to supply the patient with compared to the drawer.
This case study highlights the conflict that can arise between nurse practitioners (NP) and physicians due to lack of proper communication, poor physician attitude, and lack of respect. Clarin (2007) labels these items as barriers that inhibit effective collaborative care and ultimately hinders the goal of medical institutions. In this case study, the way that the physician treated the new NP encourages other physicians in the practice or staff members that it is acceptable to treat another provider in this manner. This poor behavior will continue the cycle of disrespect and distrust when we should be collaborating with one another in the healthcare field. Not to mention, creates an unhealthy work environment.
Veterans Affairs Nurse What a blessing it is to have the United States Department of Veterans Affairs (VA), Veterans Health Administration (VHA) providing multiple healthcare services to our heroes, our veterans! To be afforded the opportunity for our heroes to attend and be treated, at little to no cost, for a wide range of ailments from the common cold, to a mental health disability, or for the possibility of a healing surgery is a well-deserved and a wonderful privilege. One of the major demographics of care providers within the VHA is the registered nurse. There are over 51,000 registered nurses nationwide, with 60.7% of the total population of providers of healthcare, within the VA hospitals, VA outpatient clinics and VA Patient Care Medical Homes (VHA, Office of Nursing Services, 2012).
Najla Morshidi NURS 301 Case Study Health History and Analysis of Finding A 75 year old female patient alert and oriented X 3, weigh 115 Lbs, her height 5?8?? , has a hearing aid and wear glasses for reading. The presented Patient has a history of hypertension diagnosed with CHF on 2013, positive for Hepatitis B due to contaminated blood transfusion. Had a cervical dysplasia on 1994 resolved by a total abdominal hysterectomy and bilateral oophorectomy the following year.
They may have a lack of confidence in their ability to adapt to new technologies, or may perceive the change as a threat. Some nurses have adopted a short cut process of administering medication to save time, which is pre-pouring medications. Workaround is another big barrier which occurs when nurses pass the medication without scanning the medication and the patient’s identification (ID) band, to save time and scan them later. Which is dangerous, and a high risk for making an error. The change agent or the nurse leader will need to use the driving forces that will help the project to be successful.
A Nurse Practitioner (NP) can increase the revenue in different ways. An Np can see three or more patients per hour on average (American Association of Nurse Practitioners, 2017). A newly graduated NP without experience may see 10 patients per day for the first six months. After six months, when they become more comfortable and efficient, they may be able to see 15 patients. Eventually, that number can increase up to 24 patients per day (Buppert, 2015).
A total of 52 patients were enrolled, 25 in Group 1 and 27 in Group 2 (Table 1). The mean postoperative follow-up period was 18 months in Group 1 (range, 12–24 mo) and 18.2 months in Group 2 (range, 14–24 mo). In Group 1 (OD), there were 10 men and 15 women, with a mean age of 58 + 12.4 years. The vertebral level affected was L4–L5 in 14 patients (57.9%), L5–S1 in eight patients (42.1%) and double level in 3 patients. All patients in Group 1 presented with preoperative neurologenic claudication; 0% had motor deficits, 72% had sensory deficits (18 out of 25), and 40% had impaired or absent reflexes (10 out of 25).
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.
Medication Errors in Healthcare The nursing profession entails many responsibilities that range from providing emotional support to administering medications that could result in death for those receiving care. Approximately 40% of a nurse's day consists of passing medication, a duty that sets their level of liability above many other healthcare professions (McCuistion, Vuljoin-DiMaggio, Winton, Yeager, & Kee, 2018). Despite today's advances in technology and nursing education, the frequency of medication errors is still staggering. To ensure that the benefits of nursing outweigh the risks, nurses look to the Quality and Safety Education for Nurses (QSEN) six core competencies for guidance.
There is literature available to discern the impact of HIT related to medication error and quality of care delivered improvements. However, the research of the Patricia C. Dykes and Sarah A. Collins article reviews the impact of HIT on improvements between Nursing practices and patient outcomes. Achieving positive patient outcomes and quality care depends, in large part, on the integration of useful and accepted CDSS with the EHR. In attempts to comply with MU CQM data capture it is necessary to develop user centered EHR designs. The user centered design, with clinical end users in mind, improves the likelihood of improved usability; therefore, increasing chances of adoption, by nursing professional’s, into their clinical workflow.
Case study of Mrs. A thought her admission to a acute ward, demonstrated the skills that are needed to care for her. 21312829 This assignment is a case study looking at a patient who has been admitted to an acute hospital following a fall. It will look at why the patient has been admitted and what skills are needed to deliver appropriate care.
Reflection on Medication Administration Description (Competency 3j) I have looked over my moral development regarding medicine administration and have noticed there is the need for improved and has been agreed with my mentor to write a piece of reflection to identify areas of concern Feelings One of the major concern is the pace of dispensing and the time spent used to open charts and allocate them is one of my weakness. Although I am learner I need to back up the pace of dispensing so that patient doesn 't feel my skills is dull or boring and waste of time. I Had developed that feeling of being extra careful to avoid drug error and that makes me feel slightly nervous more also being under the influence of supervision as well. Evaluation
