Principles for safe medication administration: • All medications must be administered according to a physician’s orders. • The medication orders must be clear, legible and not open. • The same person should select, prepare, administer and record the administration. • Doses must be prepared for only one patient at a time, immediately before the intended use • Medications should be prepared for immediate administration to a single patient and not retained for later use due to the risks of contamination, potential instability, potential mix-up with other medications and to maintain security of the medication • All medications must be stored in patient care areas in the same container as received from pharmacy. • All RNs and ENs without notation must successfully complete the Medication Assessment Paper prior to administering medications. • …show more content…
If the nurse is interrupted during the distribution of medications, the trolley must be locked and the key taken with the nurse. • If a medication is not given, this is to be noted on the medication chart and also in the clinical progress notes including the reason why it was not given. • Always remain with the patient until such time the medication has been administered. • Always check name, strength of the medication, expiry date on the ampule or bottle. If details are not legible, return to Pharmacy. • Infection control, hand hygiene and workplace health and safety policies must be followed. • Aseptic technique must be followed in preparation and administration of
1. Dosing recommendations can vary according to indication and patient-specific parameters. All dosage adjustments are based on creatinine clearance calculated by Cockcroft-Gault equation. CrCl = (140 – age) (weight in kg) x 0.85 (if female) 72 (serum creatinine*) 2.
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.
New Prescription Abandonment Imagine going to the doctor’s office because you are having some pain in your wrist and knees. The doctor diagnoses you with rheumatoid arthritis and hands you a prescription for Humira to help subside the pain and prevent further damage to your joints. Everything seems fine and dandy until you reach the pharmacy to get your script filled. You have insurance but the copay comes out to be $120 for a one-month supply of the medication.
Table of Contents Mission Statement pg. 2 Philosophy pg. 2-3 General Information pg. 3-4 General Staff/Volunteer Expectations pg. 4-5 Professional Development pg.
The primary prevention is the best way to eliminate the potential for exposure. Since hand washing is the most effective mean of spread of infection, it would be my primary goal to increase the compliance of hand hygiene among healthcare workers, but also an extensive education of patients and family members on hand washing before and after touching the patient as well as afar any contact with any potentially contaminated materials (surface, body fluids or respiratory secretions). Mandatory education of patients, visitors and healthcare workers, across the system as well as cross department compliance practices are single best mean of preventing the spread of infection. For example, every patient and family member can be educated about hand hygiene, use of PPE-personal protective equipment (face mask, gowns and gloves). Although, the practices are already being utilized, I believe the compliance is poorly monitored.
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
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.
Administering medication is a fundamental role in a nurse’s daily routine in the ward. This process happens at least twice daily and on average takes up to forty percentage of nurse’s time. It is also this skill that is higher risk, it is a step that is very susceptible to errors that can lead to consequences in patient safety. Medication governance has been put in place to prevent errors and promote patient safety. However, medication errors are still recurrent and persistent.
This discussion is an excellent example and perception of the nursing scope of practice. Often, nurses understand what is within their scope of practice, and never think of what they are not allowed to do within their scope of practice pertaining to the setting they work in. While administering medications to patients is within our scope of practice, having the knowledge of why we are administering it and if it is appropriate to administer is also our responsibility. For instance, on my unit we are only allowed to administer enalapril intravenous push and metoprolol intravenous solutions for lowering a patients' blood pressure.
6. If monitoring medications, contract with client or solicit assistance from a responsible caregiver. Pre-pouring of medications may be helpful with some clients. Successful contracting provides the client with control of care and promotes self- esteem while establishing responsibility for desired actions.
Unlike in my country, charts are used during the administration. This new method is important and effective in ensuring that the patient is safe. Elaborate. This activity occurred during
Willingness to achieve patient safety with zero medication error need a strategy of standardizes process. After review many article about medication error conclude the following recommendation: 1. Up-to-date learning and clearly written practical policies and procedures Increase the awareness of health worker and patient caregiver about the adverse effect of psychotropic medication error and the importance of medication adherence, using a checklist to promote patient safety. Increase accountability related to use a high-risk medication error. 2.
Counterfeit Medications By Yolanda Smith, BPharm A counterfeit medication or drug is defined as a pharmaceutical product that is produced and sold with the intention to deceive the consumer about the origin, authenticity or efficacy of the product. This has the potential to be dangerous for consumers as the formulation may contain unusual ingredients or quantities of the ingredients, which can affect the effect of the medication in the body. Additionally, mislabeling of the pharmaceutical goods may also cause problems Issues with Counterfeit Medications There are several different errors that may be intentional or accidental that may cause a medication to be classified as counterfeit.
Even in a physician practice, medication labeling, record keeping, and storage must be handled in the same manner as in a pharmacy. If medications are not routinely checked, an expired medication could be given to a patient and may cause a negative reaction or may not be effective. Also, sample medications should be stored in a secure location in plain view of office staff members. Some practices simply do not have the space to provide adequate security for medication samples. Safety Practices for Dispensing