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
In the case of Abbott Laboratories v. Portland Retail Druggists, the respondent brought an antitrust action against Abbott Laboratories claiming that they had violated the Robinson-Patman Act. The pharmaceutical manufacturers had sold drugs to not-for-profit hospitals at lower prices then to the commercial pharmacies (Showalter, pg 452). The Robinson-Patman Act of 1936, which was an amendment to the Clayton Antitrust Act (Elfand, n.d.), had made it unlawful to discriminate by placing a pricing difference between buyers of similar goods, when “the effect of such discrimination may be substantially to lessen competition” (Abbott Laboratories v. Portland Retail Druggists, 1976). As the petitioners, Abbott Laboratories claimed that the price
Healthcare professionals must talk to their patients about possible side-effects of drugs they are taking and make sure they understand what can happen. In doing so, patients may start to understand why something is happening to them and it is a normal side-effect, which can not only lead to trust from the patients to providers, but can lead to the passing of knowledge from one to another which may prevent future
It is important to follow any guidelines and leaflets in medication, as this helps the safe administration of all medicines. It is also important to find out if a person has already taken medication prior to the care support worker giving them any. This is to ensure that you do not overdose the individual. A service user usually has a MARS sheet where the medication that is administered in signed off by the care worker that last administered it to them, so that the care support worker can clearly see that last time the medication was administered to service user, and when they are next due to have the medicine.
Electronic Health Records and Patient Confidentiality Technology has become an essential part of our everyday life therefore, it makes sense that doctors and hospitals get rid of the old fashioned paper charting and use technology to access patient records. Electronic health records (EHR) provide quick access to information, as doctors no longer have to wait for other providers to fax previous records to them. The accessibility of Electronic Health Records assist medical providers to make quick medical care decisions, by accessing previous care provided to patients including treatment and diagnosis. Quick access to information through EHR enables health care providers to treat patients faster as there is no need for records to be mailed or
This is in place because there must be an overall agreed standard set by government that all organisations must be at for people to be treated in. Patients/residents must be confident that they will receive a high level of care in any health care setting. Having a high setting within health care settings means that the risk of injury is lower and patients should feel more relaxed in this environment. This act means that when medicines are being administered, a registered health care professional must take on this duty and it must be done the way that the organisation has trained the workers to do. The medicines must also be stored away and any that are taken from the secure safe must be recorded to ensure that all are being used correctly.
In care settings the currently legislations, guidelines policies and protocols relevant to the administration of medication would be: - The misuse of drugs act 1971 - The Medicines Act 1968 - Care Standards Act 2000 - The Health and Social Care Act 2001 The Control of Substances Hazardous to Health Regulations 1999 - The RPS Handling Medicines in Social Care Guidelines The recording, storage, administration and disposal of medication must be adhered by employees in accordance with the current policies and procedures. The policies are in place to protect everyone - training must be undertaken or up-to-date before support workers can administrate any medication.
These systems identify if a patient is doctor shopping or if a doctor is mis-prescribing medications. They can also identify if a dispenser is selling drugs illegally or by the book. More research
(Rissmann et al., 2012). Hence, considering the aspect of patient, NMC has picked up a cue as it is used by pharmacists while helping them in advising people in order to buy medications. Thus, this aspect is not strong enough to go into isolation as if it is combined with the charge, which ensures that medication history is taken along with OTC, herbal, POMs, allergies since patients need to explain that these aspects need to explain that which aspect is essential. Hence, assessment of holistic needs of patient looks for the determinants of health. However, patients frequently omit to explain regarding the OTC preps plus the herbal needs, which also needs to explain the usage of contraindicated drugs as it all explains the illegal needs of the
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
If there is someone who is prescribed pain medications and is worried someone may try taking them, they can count the pills regularly. Counting the pills regularly can help keep track of how many a person has and it’s a way for them to know they aren’t being taken. If someone is worried about a family member and they suspect that someone is abusing prescription drugs, they can look for any signs of change in the person’s behavior. If someone has prescribed medication and doesn’t want children or anyone but them to be able to get ahold of it, it is best to store the pills in a secure
In this case the concurrent review was chosen. As discussed previously in the assignment it was decided that drug kardex documentation would be audited. A drug kardex, also known as drug prescription or drug script is defined by the World Health Organisation (2002) as ‘’an instruction from the prescriber to the dispenser’’. In this instance the prescriber will be identified as any doctor in the hospital setting with prescriptive authority and the dispenser can be identified as any registered general nurse.
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.
Therapeutic drug monitoring (TDM) is the clinical practice of measuring specific drugs at timed intervals in order to maintain a relatively constant concentration in a patient's bloodstream, thereby optimizing individual dosage regimens. It is not necessary to use therapeutic drug monitoring for all the of medications, and it is used mainly for monitoring drugs with some narrow therapeutic ranges, drugs with marked variability in pharmacokinetic, medications with target concentrations which are difficult to monitor, and drugs that are known to cause therapeutic and adverse effects. The process of therapeutic drug monitoring is based on the assumption that there is a specific relationship between dose and plasma or blood drug concentration, and between concentration and therapeutic effects. Therapeutic drug
