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Medication administration
Medication administration
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More handpicked essays just for you.
Medication administration
Medication administration
Don’t take our word for it - see why 10 million students trust us with their essay needs.
1.3 Assignment Nashaly Alverio Florida Technical College 1.3 Assignment : Case Studies Case 1: Jerry McCall is Dr. William’s office assistant. He has received professional training as both a medical assistant and an LPN. He is handling all the phone calls while the receptionist is at lunch. A patient calls and says he must have a prescription refill for Valium, an antidepressant medication, called in right away to his pharmacy, since he is leaving for the airport in 30 minutes.
The registered nurse (RN) is reviewing orders and completing the medication reconciliation (Med Rec) in the electronic Medical Record (EMR). Med Rec is a process for double checking medications, where the RN verifies that the details of the medications written on the provider's orders match those recorded in the medication administration record (MAR) used by the nurse. During the Med Rec process, several alarms/alerts go off. Does the use of EMR guarantee error-free patient care? If yes, why?
This objective will be assessed with every recommendation I provide to my preceptor 3- Be able to do medication reconciliation in ICU, since most of the patients are sedated. This objective will be assessed with every reconciliation I do in ICU patients Reflection: 1- Now I am familiar with different cases encountered at TICU such as traumatic brain injury, agitation, delirium, analgesia, sedation, paralysis,
Medication: Tylenol #3 1-2 tabs PO q4h PO prn Docusate 100 mg PO BID prn Rationale: Received 400mg ibuprofen 3 hours ago and her current level of pain is 7/10. I am choosing to give her Tylenol #3 to control the intense pain she is experiencing from the episiotomy and third-degree laceration and intense labour. This medication is appropriate because she reported experiencing a lot of pain since delivery. The length of time that is appropriate for her to take this medication is solely based upon continuous assessments of her pain between doses. Continuous pain assessment will determine how long she will take this medication as a major concern is the crossing over of codeine, acetaminophen and caffeine into the breast milk (Chow, 2013).
Medication Error Prevention Act of 2000 states: Amends the Public Health Service Act to make medication error information privileged for Federal and State administrative and civil judicial proceedings if the information is voluntarily submitted by a health care provider to a program, approved by the Secretary of Health and Human Services, for the purpose of developing and disseminating recommendations and information regarding preventing such errors (Medication Error Prevention Act, 2000). According to congress.gov (n.d.), this is still a bill in that 02/16/2000, this was introduced in the House by the House of Representatives and referred to the House Committee on Commerce. Then on 02/23/2000, it was referred to the Subcommittee on Health
From the moment a patient drops off a script to the moment they pick up medication, technology is utilized in the pharmacy. RxConnect, a popular information system utilized in many pharmacies, is an electronic medical record vendor that features e-prescribing in its software. Incorporating systems such as RxConnect into the pharmacy allows for drastically reduced patient wait time, a general decrease in drug errors as well as easy storage of medical data. While such a system greatly expedites pharmacy workflow, there are still shortcomings that need to be addressed. A bulk of the issues involved with such systems stem from the lack of compatibility between various medical systems.
After she checked out the prescription and send it to the printer. Technicians or interns picked up the prescription and brought the medications on the list. There was a scanner that I can check the prescription and medication. If it is match up the labels are printed out automatically, and if not the scanner says I get wrong medication. It is great way to double check the medication and reduce a mistake.
When using paper records it is difficult to understand what the doctor is saying by their handwriting. A lot of time people have been given the wrong medication because no one could understand the doctors hand writing. For example, at my job parents have to come into the office in order to get a script if it’s for any ADHD medication. At time, parents would have to come back because the pharmacist did not understand the handwriting or if the doctor forgot to sign the script, or even the date was wrong written. That why with other medications when we send them straight to the pharmacy we never have
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.
Medication reconciliation is a safe process that can benefit patients by providing accurate, up to date listing of current medications the patient is taking. Patients deserve high quality patient care that supports accurate medication list, eradicating potential medication errors, and providing superior safe patient care. Which then directs me to my clinical question, does accurate medication reconciliation (intervention) influence patient safety (outcome) in patent’s who have adverse drug events (problem) over a one year within ambulatory clinic settings (time)? My PICOT supportive research question has been further evaluated from the journal article, “Ambulatory Medication Reconciliation: Using a Collaborative Approach to Process Improvement at an Academic Medical Center” written by Keogh et al. (2016).
5.0 OVERCOME IN ELECTRONIC MEDICAL RECORDS 5.1. Encourage to use electronic medical records Successful correspondence is fundamental – in the two bearings – to keep EMR execution on track. Essentially, administrators need to recognize what clients think, and clients need to know precisely what the framework can do, so they can exhort on whether alterations may make it more powerful and effective. Doctors for the most part concur that their inclusion is required, yet they are additionally typically exceptionally occupied. Medicinal services supervisors must urge clinical staff to join the execution, contributing their necessities for influencing EMR to fit best into their work.
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
As a student, one of my competency to achieved to become a professional nurse is medication administration. Since medication error can kill, there is the need to be vigilant at all time in dispensing under supervision. I have managed to disperse quite a few times but occasionally get muddled with the whole process by doing little errors and the pace at which I administer needs to be faster due to factor of time and the amount of patient lined up for medication. I have noticed some errors that needs to back up all the time. I have discussed with my mentor {and all areas of weakness have been recognized as a great opportunity for improving my experience in medication administration.
Medication Adherence Reflective Writing Shaymous Juhnke As a P1 student in SDSU’s pharmacy program one of the activities required to prepare us for real world pharmacy practice would be to take part in a medication adherence simulation. The goal of this activity is to put ourselves in the patients shoes to get an idea about how patients adhere to their regimens in the real world. Through this activity I have learned that it is not always easy to take medications at the right times.