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
In the first article, the main focus is the cause of errors and what can help nurses to not make mistakes anymore. As a student nurse myself, I can relate and see the ways that these distractions occur. This article gave me an insight of what not to do and what I need to look out for. In Let 's do no harm: Medication Errors in Nursing Part 1, the article is more about the costs of medication errors and how it leads to the eventual loss of trust by clients in the healthcare system. It also talks about small ways that can contribute to making mistakes.
I observed that nurse researchers are held in high esteem by the younger nurses and student nurses who are mentored by the nurses. In clinical areas, I educate my patients based or recent findings that will improve nursing care. I have realized that a major barrier to evidence best practice in our profession is lack of research reports and articles because of the difficulties involved in accessing such reports and articles. 6.2 SOCIAL CONTEXT The body of knowledge underlying nursing needs to be extended and nurses must learn to make decisions which have a research base. Research is costly in terms of money, time, energy and expertise.
I will ensure my growth towards these competency areas by seeking consultation from more experienced colleagues when clinical data do not support my working diagnoses. To ensure safe clinical outcomes, I will act on the clinical intuition that I developed as an ICU nurse to rule out worst case scenarios, refine my 12-lead electrocardiogram interpretation skills as a bedside nurse, listen carefully to patients while charting accurately on electronic health records, and remaining cognizant of time pressures and increased susceptibility to errors in these situations. To proactively prevent future ethical dilemmas, I plan to address end-of-life directives with all appropriate patients in a sensitive manner while in the primary care setting. Reflective practice is a learning method that consists of exploring both positive and negative experiences to elicit meaning and analyze critically in order to improve practice.6 I plan to apply this skill in my future practice, especially as a novice, by keeping a personal journal of my experiences in this new role, verbally reflecting with my NP colleagues and mentors, and analyzing how my own inherent assumptions and worldview influence my
As I pursue my career in nursing, the skills and experiences that I have gained from 4-H will continue to play a major role in my life. Planning and organizing, critical thinking, and empathy are definitely needed in order to become an exceptional nurse. It is crucial to be organized when taking care of patients. Paperwork must be adequately filed for each individual patient and any confusion with documents is unacceptable. Inaccurate documentation could potentially lead to medications being misused, which would in turn harm the patient.
What subtle changes in their condition are important? When do you respond to or call a doctor to intervene in their condition? Can you anticipate the coming needs of your patient based on the numbers and the results given to you? Can you correctly calculate a medication dosage? All of these questions are based on physical signs and personal intuition and are aspects of the science of nursing.
Other preventable interruptions defined in the literature are the propensity of nurses to impede each other with discussions without correlation to medication administration while arranging drugs and reply quickly to demands from other staff when interrupted. The research synthesis reinforces the plan that interruptions are an acceptable area of nursing operation and proposes the necessity for culture modification to restrain preventable disruptions, specifically during convoluted or vulnerable to commit errors nursing activities such as medication administrations. The greater number of disseminated clinical quality ingenuity to limit interruptions during med pass are nurse expert quality clinical improvement projects creating or involving implementations of a set techniques to restrain interruptions. The goal of the project is to guide nurses with time to be mindful, attentive, smooth, and unruffled while preparing for medication to
As the number of medication errors continues to rise daily, I believe the need for continuous advocacy at government level for safer medication administration policies and systems are in desperate need. And who better than nurses to advocate for these needs. Since nurses are in an ideal position to influence and demand change, I would collaborate with other fellow nurses to call, set up meetings or writing letters to government officials addressing the prevalence and effects of medication errors. I would also request for safer medication administration system or software that are user friendly. Lastly I would reach out to the Board of Nursing about nurse’s license revocation after an error is committed and request for lesser punishment instead
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
It is perhaps the hope that creating algorithms, good computer programs, and standard protocols will replace the expert. Expert nurses are vital in each specialty of nursing. Dr. Benner makes it clear that, expert nurses are infinitely adaptable with their responses in an unfolding situation, because they are able to engage situated, context driven reasoning that shifts between the general and the particular, and draws on similar past experiences. The expert nurse has the ability to teach and mentor the preceding phases of learning for the learning nurse. If the profession of nursing does not support expert practice or foster the development of expertise, it risks losing what is fundamental to nursing