In this paper, I will talk about the numerous ways medication errors can occur and how nurses have a great role preventing them, in order to keep all clients in the healthcare system safe. Reducing Medication Errors in Nursing Practice This article touched on the countless ways that medication errors can occur. Medication errors are one of the most common sources of accidental harm to clients (Cloete,
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. The prescribed medicines influence patient’s behaviour by taking medicines and improve adherence. 7 steps of safe prescribing with respect to NMC standards It is stated that the entire process to prescribe or not is assumed as a complex aspect method that wants different many factors, which is considered before that all significant piece of paper that is all given to the patient by prescribing the pyramid of steps and process that may help in prescribing either nurse or midwifery, in that way he or she would be responsive of all bases, which has been enclosed (Stahl,
In the hospital there is continuously a chance of medical errors, “Chasing Zero” is the initiative to change that. Families who has suffered tragedies due to human error in the healthcare setting have come together to ensure future patients do not suffer from the same mistakes. There are multiple improvements that are being put in place. One major change is to help with medication errors, it is an additional check to ensure the nurse is following the five right of medication administration. Before administrating the medication along with the three checks the nurse themselves should have already done, they also have to scan the medication along with the patients wristband.
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.
Ask which side effects or unusual signs need to be reported right away. Some things can wait until the next office visit, or until regular office hours when you can call and speak to a nurse. But if you are having severe or unexpected side effects, you need to know how to reach your doctor when the office is closed. Be sure you have this phone number and that your loved ones have it, too. Family members may wish to speak with members of your health care team.
Ironically, the hospital wanted to make sure they got a good score on Joint Commission as a patient was dying in the next room due to a medication error. The case of Lewis Blackman is now a teaching tool to nurses and other members of the medical team on cognitive barriers we can have while delivery care and we all need to focus on our decision making skills to ensure red flags are not missed to keep patients
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. As the years have passed, technology plays a significant factor in improving patient safety.
By fulfilling patient needs and not doing anything to put them in harm is an example of following a policy. These policies serve as a resource for doctors, nurses, and other staff. Additionally, the caregiver must understand exactly what the patient needs at the time; they also know what procedures to assist patients with. Code-switching is extremely crucial when communicating with convalescents; using medical terminology with patients can be very frustrating for them. To give a clear example, a nurse would tell a patient to take the medicine before meals, rather than telling them to take the medicine “a.c.” This knowledge that a nurse must possess is indispensable, it serves as a form of admiration, coherence, and reassurance for the most
Therefore, the clinical staff, at Pro-Active Resources, can diagnose the level of care a person needs and will make referrals based on those needs such as: detoxification, half-way house and inpatient treatments. Referrals create an ethical dilemma with therapist because one always needs to put the client’s needs before your own. Therefore, therapist must be careful when referring a client as not confuse competence/scope with personal beliefs and values. Another ethical dilemma stems from dual relationships because counselors, who were once addicts, are now attending the same AA meetings as their clients. This ethical issue leads to the major legal concern in substance abuse counseling.
Given the complications of his condition chronic liver failure and hepatic encephalopathy, the need for IV Thiamine will be crucial. However patient still refused treatment ordered by the doctor. An analysis of this case indicates that it is important to maintain patient’s autonomy however it is also critical that patient receive the IV thiamine treatment. The nurse has a role to play to exercising the principles of beneficence and non-maleficence for her patients. As according to Butterworth (2009) there is a need for prompt, effective thiamine supplementation in all patients with chronic liver failure.