Clinical Audit Assignment

NOW WHAT (modifying future outcomes) At this level, the role of Anticoagulant team has its major part in treatment of Mr Moore plus NMC’s other patients, and also the colleagues of Anticoagulant management. This aspect makes sure the optimal level of Anticoagulant therapy by evading offensive risks of haemorrhage. The reflection case exemplifies to reflect the decision that I made is so perfect but in future if I had sufficient time I could ask patient’s general practitioner for the authorisation if he or she could fund new oral anticoagulants.

As the patient Mr McDonald becomes closer to his expected discharge date, it is important to arrange all home care considerations before departure from the hospital. Patients who are beginning self-management at home for discharge are to be given a written plan of action, prescription medication for self-initiating in case of an acute exacerbation. The nurse should offer both written down and verbal information regarding COPD and the therapeutic recommendations that have been made by healthcare professionals. It is also important that they are in contact with their case manager for any support and to have continual monthly check ups by telephone (Sedeno, Nault, Hamd, & Bourbeau, 2009). The nurse should ensure and arrange that the supplier of the oxygen equipment regularly visit and stock up as needed.

Any errors that occurs in this management can lead to medication error. The ethic code for all these professionals are to provide safety patient care and protect patients from harm. Therefore, this project target prescriber (Physician, Nurse Practitioner, Physician Assistant), pharmacist, and nurses in medication error related to sound-alike and look-alike

The first way would be to check the 5 rights more than once and very carefully. The right patient determination is essential, and typically two-forms of identification are required. This can include checking the patients identification bracelet, asking the patient to state their name and date of birth, or scanning the barcode on the ID bracelet. The nurse must also confirm any allergies. The nurse must have the knowledge to determine if the drug prescribed is the correct drug, correct dose, correct route, and the correct time.

If it is the right medication and the right patient the machine will

The Joint Commission will survey any healthcare organization that applies to be accredited. However, there are guidelines that a healthcare organization has to meet. These guidelines are: • The organization is in the United States or its territories or, if outside the United States, is operated by the U.S. government, under a charter of the U.S. Congress. • The organization assesses and improves the quality of its services. This process includes a review of care by clinicians, when appropriate.

Medication reconciliation assignment was an individual activity that I had to perform as a part of a course requirement. For this activity, we had clinical simulation lab organized with standardized patient. In simulation lab, I had to refer patient’s chart that includes his home medications and then interview standardized patient and get all detailed information regarding his medication schedule including name of medication, strength, dosage form, route, frequency and any adverse event associated with any medication patient is taking. After interviewing patient, I had to update patient’s medication list in to the patient’s chart and based on my clinical knowledge if I found any discrepancy in the patient medication list then I have to come

A better way to ask would be, “how are you taking your medications?”, and allowing the patient to explain how in their own terms. After asking this question it would also be a good follow up point to ask what issues they may be having with their medications. In practice we would be able to pull up that patents medication fill history and see how often they are picking up their medications at the right times and we would be able to discuss any further issues with that patient at that

Medication History Reflective Writing Pharmacy Practice II Shaymous Juhnke As a student in SDSU’s pharmacy program one of the activities required to prepare us for real world pharmacy practice is to perform a medication history. Performing a medication history and reviewing it can be helpful to in acquiring information about a patents disease states, keeping an up to date record on their current medications, and helps prevent and resolve potential and current issues with patents medications.

This would help inform decision making clinically. Nevertheless, the journals or article must have a realistic research question (s) and objectives that would determine the appropriate research design. The study is a randomised control trial (RCT) quantitative study conducted by Rose et al. (2005) with the sole aim of determining the effectiveness of topical chloramphenicol for children presenting with acute infective conjunctivitis in a primary care sector, United Kingdom (UK). Bowling (2009) defines RCT as an experimental method for the evaluation of the effectiveness of health services and interventions in relation to specific conditions.

Each veteran will be administered a new VA identification card that has “bar-lines” for scanning purposes. When a veteran’s medication is administered, the nurse scans the veteran’s card, in addition to scanning the medication that is to be administered. The veterans are asked their full name and last four of their social security number, however with the scanning of their cards, it provides the additional security when confirming their allergies, age, weight, and gender. The study will use a monitoring system that is used by the VA’s called Surveillance of adverse drug events (ADEs).

The bar codes had to match the patient profile when administering at the bedside (Strategies to Reduce Medication Errors: Working to Improve Medication Safety, 2015). In December of 2003, safety reporting was proposed by the FDA. This would require the submission of all suspected serious reactions for blood and blood products, and required continued reporting of important potential medication errors by all medical facilities and providers (Strategies to Reduce Medication Errors: Working to Improve Medication Safety,

This data not only includes the drug and dosage but the pharmacists are also required to record the prescribing doctor, the patient, and the dispenser. Some states also use a unique serial number that is captured in an effort to stop the duplication of prescriptions. This data is then entered into an electronic database which can then identify people who are abusing or at risk to start abusing these monitored prescriptions. These programs not only evaluate the dosage and times the drugs were dispensed, but they also can compare the chemical makeup of the prescriptions and categorize them with other similar prescriptions (Paulozzi, Kilbourne, & Desai, 2011). Therefore, they not only track the abuse of one drug but can identify a person who is receiving similar pain medications and is at risk for developing a dependence or even having an overdose.

The patient educational material on how to use BNX was developed following standards for providing patient medication education [Pantalon et al, 2004]. The education materials covered the main elements required for patient counselling as follows: i) What is the medication and why has it been prescribed ii) Expectations from treatment iii) How to use the medication and what is expected from the patient while on Suboxone® iv) How to monitor response v) What are the anticipated adverse events and alarming signs necessitating seeking help vi) What to do if a dose is missed and suggestions to help with forgetfulness vii) How to store the medications, viii) Any medication or food interaction [BUP prescribing information] Following the

Clinical practice guidelines are known as the finest and most significant foundations of efforts, which are used for improving health care by reducing all the affected issues. There is the fundamental relationship between clinical guideline and issue that has been mentioned above. This provides a pattern of taking decision to the management for generating a healthy competition, which is beneficial for patients, staff, and hospital. To reduce the problems of diversity, quarrels, and cross cultural communication due to the cultural competence, the American Association of Colleges of Nursing (AACN) and National League for Nursing (NLN) has been focussing on clinical guidelines (Bakos & Brown,