Pros And Cons Of Transitions Of Care

Reporting medication errors is beneficial to improve the learning process for nurses. The factors of workload, ineffective communication, and distraction all contribute to medication errors (Sears et al., 2013). Nurses often excuse the behavior of colleagues when a medication error occurs, or nurses will pass the buck to a senior nurse to report the medication error (Haw, Stubbs and Dickens, 2014). Implementing a no blame policy for reporting medication errors, and providing nurses with the knowledge and training to report medication errors will result in an increase of medication errors reported.

Transactional Leadership is based on the principles of the social exchange theory, in which an individual would expect to give and receive benefits or rewards when engaging in a social interaction (Sullivan, 2012). The interaction will cease if one or both person decides that the exchange of benefits and rewards are no longer worthwhile. Transactional Leadership theory also focus on the task that need to be carried out and makes sure they are done the right way as compared to Transformational Leadership theory which focus on staff empowerment (Marquis and Huston, 2015).

Although the veterans are asked their full name and last four of their social security, the scanning provides the added comfort of providing the security or safety for everyone involved. The outcome of this research will show data that will be analyzed pre and post implementation of the BMCA system, which the approach is to show a significant change in the medication error rate. The outcome will be based on pre and post implementation of the barcode medication system by measuring the medication error rate. There will be 100 veteran patients that will be assessed prior to implementation of the BCMA, and 100 veterans post implementations. Observers that will analyze administration errors, presence or absence of an error in the dose of medication administered during the observation period.

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

Recognizing, acknowledging, and understanding medication safety is important when administering medications. Understanding which medications are high-risk ones, being familiar with the medications being given, remembering the five most important rights when administering medications, communicating clearly, developing checking habits, and reporting the medication errors will lead to safe outcomes for the residents. However, errors do occur from a lack of experience, rushing, distractions, fatigue, doing too many things at once, not double checking, poor communication, and lack of team work. It is not only the staff that commit errors, but also the work environment that contributes to the medication error. Two examples are poor reporting systems

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?

The nursing profession entails many responsibilities that range from providing emotional support to administering medications that could result in death for those receiving care. Approximately 40% of a nurse's day consists of passing medication, a duty that sets their level of liability above many other healthcare professions (McCuistion, Vuljoin-DiMaggio, Winton, Yeager, & Kee, 2018). Despite today's advances in technology and nursing education, the frequency of medication errors is still staggering. To ensure that the benefits of nursing outweigh the risks, nurses look to the Quality and Safety Education for Nurses (QSEN) six core competencies for guidance. These competencies include quality improvement, safety, informatics, teamwork and collaboration, evidence-based practice, and patient-centered care (Cronenwett et al., 2007). Each competency has its own knowledge, skills, and attitudes that when applied to medication administration, help warrant the best results.

Nursing assistants have long been the heartbeat of assisted living, long-term care and rehabilitation facilities alike. Over time, their roles in these settings have evolved to accommodate the needs of the RNs/LPNs they work alongside and the cliental they care for. In 2001, the National Council of State Boards of Nursing (NCSBN) expanded the capacity of NAs in an effort to facilitate safer staffing ratios. This provision allowed those in good standing with sufficient experience to become medication-certified barring successful completion of a training course and exam. The aim of this designation was not to replace the RN/LPN but to create a functional care partner. While this collaboration is an endeavor to improve patient outcomes, there are caveats. The purpose of this paper is to narrowly examine the usefulness of this role and

Medication reconciliation is a safe process that can benefit patients by providing accurate, up to date listing of current medications the patient is taking. Patients deserve high quality patient care that supports accurate medication list, eradicating potential medication errors, and providing superior safe patient care. Which then directs me to my clinical question, does accurate medication reconciliation (intervention) influence patient safety (outcome) in patent’s who have adverse drug events (problem) over a one year within ambulatory clinic settings (time)? My PICOT supportive research question has been further evaluated from the journal article, “Ambulatory Medication Reconciliation: Using a Collaborative Approach to Process Improvement at an Academic Medical Center” written by Keogh et al. (2016).

Before I discus on the potential action plans if at all there is reoccurrences on the similar incident, I would like to stress on that such incidence should not had taken place at all. I strongly believe that all the nurses including me had learned a lot from this incident and we do not wish to compromise another patient’s life by repeating the same error again. However, medication error is not something new in healthcare service. Researchers had identified medication error is the high numbers of incidents involving nursing practice. Therefore, we still need to plan as there is a saying ‘if we fail to plan then we are planning to fail’. A proper and well designed organizational system should be in place for the process of administration of

Transitioning from the paediatric to adult care involves a holistic multifaceted, active process that encompasses the health requirements of the young person and transcends beyond specific health condition needs to include the broader context of family, relationships, education, work and social care.1 It is defined as a purposeful, planned process that addresses the medical, psychosocial and educational/vocational needs of adolescents and young people with chronic physical and medical conditions as they move from child-centered to adult oriented health care systems.2 The chronicity of the medical conditions implies that the disease conditions occur more or less throughout life. The children would most likely have then developed a psycho-social

With common standards, clinical and patient safety systems can share an integrated information infrastructure whereby data are collected and reused for multiple purposes to meet more efficiently the broad scope of data collection and reporting requirements. Common data standards also support effective assimilation of new knowledge into decision support tools, such as an alert of a new drug contraindication, and refinements to the care

This is area that requires staff member’s immediate attention. Our goal is to review the current system process, and implement in advancing to excellence.

According to Julia Wood (2004), “communication is a systemic process in which individuals interact with and through symbols to create and interpret meanings. However, Sheppard (1993) suggests that, in the nurse–patient relationship, communication involves more than the transmission of information; it also involves transmitting feelings, recognizing these feelings and letting the patient know that their feelings have been recognized (M, 1993)”. It is a two way process. The patient conveys their fears and concerns to their nurse and helps them make a correct nursing diagnosis. An excellent communication skill between nurses and patients is essential for the successful outcome of individualized nursing care of each patient. The ability to communicate

Safe medication administration is a big aspect of nursing care, because if medications aren’t given safely, then it can lead to some serious adverse effects to the patients. There are many things that can go wrong, and that’s why nurses have to be very careful when handling and giving medications. Nurses can make mistakes, and give the wrong med, give it to the wrong person, or even give too much or too little of the drug. Careful medication administration can lead to not making big mistakes that can lead to hurting others.