Workflow Design: Clinical Case Analysis

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Workflow Design: Clinical Scenario The purpose of this paper is to explore a clinical scenario, answer pertinent questions, and list out the correct steps for administering an oral medication according to the “five rights” of the medication administration process (Edwards & Axe, 2015; Hunter, 2011). In addition, a workflow diagram was created to demonstrate the process from start to end.
Scenario Analysis
As healthcare providers, nurses are trained to follow the “five rights” of the medication administration process, which consists of the right patient, right drug, right dose, right route, and at the right time (Edwards & Axe, 2015; Hunter, 2011). According to Elliot and Liu (2010), the “five rights” were established to assist providers
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As for technology and clinical staff, the nurse will be required to access the CPRS, locate the patient’s EHR, and verify that an active order exist for the oral medication. By doing so, the nurse can review the patient’s medication profile, obtain details necessary to safely administer the drug, and assess for contraindications that would prohibit the administration of the medication. In addition, the nurse will need to gain access to an automated medication dispensing system, locate the patient 's medication profile, and retrieve the correct drug from the dispensing system. The nurse should assess the medication name, expiration date, dose, route, and timeframe for administering the drug against the patient’s medication profile prior to logging out of the system. Prior to entering the patient’s room, the nurse will need to obtain a glass of water from the ice machine and perform hand hygiene (HH) using an electronic alcohol based hand rub (ABHR) dispenser to ensure patient safety. Upon entering the patient’s room, the nurse must verify the patient’s identity at the bedside using two identifiers, assess the patient’s ability to swallow, and ensure that the “five rights” of the medication administration process have been met before administering the oral medication. (Edwards & Axe, 2015; Hunter, 2011). Equally important, the nurse must …show more content…
First, the patient chose to use the call system to communicate his or her need for nausea medication, which started the process. Next, the nurse chose to use hand hygiene technology before and after administering the drug to ensure the patient’s safety. The nurse also obtained a glass of water from an ice machine, which was necessary to assess the patient’s ability to swallow prior to administering the drug. Likewise, the nurse accessed software (i.e., CPRS) containing the patient’s EHR using a keyboard, mouse, screen, and computer. This software and technology allowed the nurse to review the patient’s EHR, medication profile, assess for contraindications, and verify order details necessary to meet the “five rights” of the medication administration process (Edwards & Axe, 2015; Hunter, 2011). The nurse also accessed an automated medication dispensing system using an assigned digital code and keypad. By doing so, the nurse was able to use the dispensing system keypad and touchscreen features to locate the patient’s medication profile, review order details, and retrieve the correct medication. Whereas, after administering the drug, the nurse accessed the patient’s EHR to document the process and record the patient’s response to

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