If the nurse’s errors with medication during administration, she/he is solely to blame however. Other professionals are equally at fault when a medication error occurs along the stages. The four stages involve the prescription, the transcription, dispensing and
Unfortunately, there are many ways a patient can be injured or harmed while staying at a hospital. Even though there have been several attempts to make a hospital visit one hundred percent injury preventable, accidents and mistakes still happen. The three leading types of patient injuries are medication errors, patient falls, and pressure ulcers. However, if the entire health care team, such as: health care providers, pharmacists, nurses, etc, work together then hopefully the percentage of patient injury will decrease each year. (Berman, A. 2011)
• Intermittently confusion or disorientation and disorganization can cause high fall risk. So, provide physical assistance with toileting on a regular basis. The author proposes to realize the EBP project in the geri-psych units on November 7, 2015. The objective of this project was to determine whether EPFRAT was more sensitive and specific than not using EPFRAT, when assessing geri-psych population for risk for falls in units.
Few things need to consider when telling to patients and patients family with regards to their prognosis like patients reactions or emotions and even financial resource. Health care professional are expected to give the detailed information to their client whether it is desirable or undesirable news. But on the other hand, they need consider whether telling truth would help or make situations more worst. Ethical dilemma among health care professional arises, either telling the truth or withholding the truth would benefit the patient.
For example, if this health crisis is related to mental health disorder that resulted in physical health emergency then case manager would need to talk and include the mental health provider and medical doctor as part of the health care planning team. The case manager would need to know all past mental health breaks or if this new mental health issue for the client. This may sound trivial but many times not all providers are included in planning process for patient, when all participates not included can lead to adverse outcome. This could result in malpractice or lack of care standards on the part of the case manager. The case manager needs to talk to the physicians to ensure they are clearly communicating their patients' condition and that they are on board with the plan care all way to the discharge plan.
Grief Counseling for Pediatric Nurses I believe that pediatric nurses should have ready access to grief counseling and support groups in order to help them easily deal with the loss of patients. Pediatric nurses are not just expected to be a health care provider; they are also supposed to be a caring person who is able to make the scary environment of a hospital feel more like a home to these children. These individuals are around these children almost 24/7 and they do tend to get attached, but when that child is taken away from them, it is going to affect them both personally and in their work. Access to things such as grief counseling and support groups within the hospital setting will help pediatric nurses be able to go into a case more
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.
Advance directives help inform health care providers with the patient’s wishes on how they would like to be treated medically. Advance directives allow a patient to be in control of their treatment plan as well as end of life choices. Therefore, when the time comes, and the patient is no longer able to make these decisions, there is a legal document that has been put in place to carry out the patient’s wishes. Advance directives are critical documents that are often ignored because of the uncomfortableness the subject of end of life care brings up. Advance directives are most common in the geriatric population since people often associate advance directives primarily with end of life decisions.
One advantage of propofol as an induction agent is the greater depression of pharyngeal and laryngeal reactivity. This can be of benefit during upper airway instrumentation and insertion of the laryngeal mask airway.
Current Issues and Trends One of the major issues that is currently impacting nursing leaders and managers is the ongoing problem with medication administration errors. It is a nurse’s job to verify that the correct dose, route, frequency, and duration of the drug is administered and monitored appropriately. Unfortunately, numerous studies show the significance of this problem amongst nurses. For example, within a certain study performed involving 237 nurses, 64.55% of them had made medication administration errors, while 31.37% of them were on the verge of making a mistake (Cheragi, Manoocheri, Mohammadnejad, & Ehsani, 2013).
Issue: For many alcohol withdrawal patients, providers will order assessments using the Clinical Institute Withdrawal Assessment (CIWA). Since it is not ordered for all withdrawal patients, there is confusion at times among staff on how to use properly. Action: As the unit champion for CIWA, she collects data and performs chart audits on patients on the CIWA protocol. With the data she collects, she ensures proper documentation is completed and the bed alarm is on or a Patient Safety Aide is present. She updates staff on issues discovered during audits and informs them of changes to the CIWA protocol.
Patient safety is one of the key determinants in providing quality healthcare. “The goal of preventing medication errors in pediatric care is to protect the safety of patients” (Caple, 2015). A medication error (ME) is defined as “any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in control of the health care professional, patient, or consumer” (Schub, Patient safety: Medication errors and improving medication safety for pediatric patients, 2015). They are the most prevalent medical error, posing a risk for all patients, but pediatric patients are more likely to experience them (Schub, Patient safety: Medication errors and improving medication safety for pediatric patients,
One study by Arnold et al. (2010) directly compared the two drugs in question for this project and provided credible information to the development of an evidenced-based answer to the problem (Arnold et al., 2010). A second systematic review by Akl et al. (2014) researched the effects of the two drugs in question in the thromboprophylaxis treatment of patients (Akl et al.,
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
In this paper, computerized physician order entry (CPOE) systems will be discussed. The reduction of medication errors as a result of CPOE will be addressed, as well as, the possible errors or problems that it can still cause. The ease of use and how clinician input affects the efficiency, usability and safety will be included. Lastly, possible solutions to the problems and issues that arise from CPOE will also be provided. CPOE systems are very effective at reducing errors and assist with workflow.