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. The nurses must turn their back to the patient that is due to receive medication. Not being able to see …show more content…
York VA Medical Center would be to install a pneumatic tube laboratory and pharmacy delivery system. Currently, the medical center utilizes pharmacy techs to deliver medications across a widely spread out hospital campus. The medical center also utilizes licensed staff members to delivery lab specimens across the campus. This delivery task can take up to 20 minutes to complete. Budgetary constraints are currently limiting our ability to hire more healthcare provdiers, so an ability to utilize licensed caregivers more efficiently would be helpful. By installing a pneumatic delivery system, the hospital system could have the licensed caregivers focus more time on providing excellent care to our patients. There are some noted concerns that using a pneumatic tube system for laboratory specimen delivery may increase the risk of hemolysis in a blood sample (Lima-Oliveira et al., 2014). However, this risk of hemolysis does not pose a substantial harm to patients and is clinically insignificant in the vast majority of cases. This is particularly true in the case of the Alvin C. York Medical Center as the units that would utilize the pneumatic tube system are units that do not serve patients with acute medical conditions. The delay that currently exists due to the extended length of time it takes to transport a specimen from one side of the campus to the other is likely more of a detriment to patient care as the risk of hemolysis from rapid
Education, information and resource referral was provided to address the following: 1. Veteran had concerns about, how to file a service connected claim. (Veteran was educated on how to process a service connected disability claim). 2. Veteran was not aware of all the services provided at the local VA Medical Center. (Veteran was provided with information about the services, clinics, and groups, i.e. Women’s Clinic, MVPC program, suicide).
Background statement: Heritage Valley Medical Center has had a wonderful reputation for providing excellent health care services to their community. Initially, their community was 80% Caucasian, 40% African American, and 5% Hispanic. However, in the last 5 years, the population has changed to more minorities and the whites have moved out to the suburbs. This caused the Center’s occupancy rate to go down 40% because many of their traditional, more affluent, private-pay patients had left the neighborhood. To bring in revenue, they campaigned to bring in more Medicaid patients.
After review of the clinical information provided by University Hospital of Brooklyn, the Medical Director has denied your admission to University Hospital of Brooklyn. It was determined that the clinical information did not justify an inpatient stay. Acute inpatient hospitalization was not medically necessary. You are a 35 year old woman with history of hypertension (high blood pressure), type II diabetes mellitus, sleep apnea on continuous positive airway pressure (machine that helps with sleep apnea-breathing), pulmonary hypertension (high blood pressure in the lungs) and pancreatic insufficiency (inability to properly digest food due to a lack of digestive enzymes made by the pancreas) due to alcohol abuse who presented to the hospital with complaining of frequent episodes of nausea,
The nurse's role in this would be to advocate for the patient in granting the order and respecting the patient's right to
Objective One During my clinical day three, I demonstrated entry-level competence in professional nursing practice in caring for patients with multiple and/or complex unmet human needs. I addressed safety needs, safety in medication administration, effective communication, and surveillance for my patients. First, I addressed safety needs my ensuring the appropriate safety measures were implemented for the patients. Some of the safety measures included, wearing non-skid socks, wearing a yellow armband which indicated fall risk, keeping the bed in lowest position, two side rails up, bed locked, and the call light within reach.
A Phlebotomists Nightmare Deep within the bowels of Camden Clark Medical Center I began my workday as any other. My basket consisted of sharp fresh needles, silky gauze, alcohol swabs, and several unused tubes. My patients dreadfully awaited to be drawn as I stock my supplies.
Twenty patients completed both interviews at home. They noted that none of the patients stored their medications safely or properly. Only one patient showed proper disposal of the
I am requesting access to a weekly supply of new and stile catheters in order to prevent any infections.
In response to these tragic events, activists have introduced many best-practice approaches to minimize these occurrences. One instance is a new cleaning checklist developed from culture methods from other industries to reduce the risk of Staphylococcal infections. Another best-practice approach is the invention of a Pyxis medication dispensing unit, which is a form of medication management that includes barcode technology. This provides another safety check for the nurse as it implements the five rights of medication administration, and minimalizes any further medication errors.
Secondly, nurses were not taking any kind of permission from patient before changing her clothes. They were not showing any kind of respect to the patient and acted like as if she was taken for granted. While changing her clothes, the doctor in charge unveiled the curtain abruptly without caring for the patient’s privacy. 2. Other than errors in communication, several safety concerns were presented.
In 2005, a family friend by the name of Randy Birdsong was a patient at Audie L. Murphy Memorial VA Hospital located in San Antonio, Texas. The Veteran Affairs (VA) medical staff was performing surgery on his abdomen. After the surgery, he was notified that there was insufficient space to accommodate his continued care. The V.A. advised him to keep his wound clean with a fresh roll of gauze, and sent him on his merry way. A few days later, Randy was back at the V.A. hospital with a noticeable infection taken place in his abdominal region.
Instead the patient is actually hot and prefers to have the covers off , but the nurse failed to eye contact and address the patients actual need. Non-Therapeutic Communication Quote: “Get use to that because you’re going to have a lot of that while you’re here.” … “When I got breath back, I asked him what he had done. Nothing, yet,” he replied.
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
Ethical Issues in Nursing: Nurse-Patient Ratios Megan Harvey, Katie McKelvery, Erica Robbins & Cassandra Tingley St. Johns River State College March 2018 Ethical Issues in Nursing: Nurse-Patient Ratios Every day nurses are faced with ethical dilemmas. Challenges in these situations are becoming more and more complex due to increasing workload and sicker patients. When a nursing unit is understaffed not only are nurses more likely to become burnt out, but their patients are far less likely to receive the quality of care they deserve. The problem is that the Federal regulations require hospitals who participate in Medicare to “have ‘adequate’ numbers of licensed nurses (RN, LPN, CNA) to provide care to all patients as needed,” but the regulations
Introduction Massachusetts General Hospital is ranked as second in the United States in 2013 by U.S. News & World Report (2013). This hospital is a 999-bed facility in the center of Boston and is known for providing sophisticated diagnostic and therapeutic maintenance in almost every speciality of medicine and surgery. Massachusetts General Hospital (MGH) provides healthcare at local, national and global levels (About MGH, nd, World-class patient care). Impact of a social event on the growth of MGH Prior to the MGH inception, there were marine hospital and Boston dispensary to attend to the healthcare needs of the local people. The chaplain of Almshouse in Boston, Rev. John Bartlett planned for providing state-of-the-art health care to the