Medication Administration: A Case Study

Improved Essays
The role and responsibilities of an RN especially with regards to medication administration, hold great significance as they coincide with legislations and codes. According to the discussed documents, Jo’s lack of competence was evident as demonstrated through her medication error, she had an inability to keep to her scope of practice and also to the medication management system created in the residential aged facility. Jo did not practice ethical nursing as the ethical issues that arose in this scenario were not dealt with correctly; she did not ask for help when she needed it, nor did she show respect to her colleague’s (the prescribers) role when she took on the role of the prescriber herself. Neither did she demonstrate the important values

Related Documents

  • Improved Essays

    Many people suffer from anxiety or depression which can be caused by many things, including brain chemistry or environmental factors. The high cost of prescription medications is unbelievable and is ever-increasing. Many Americans, similar to John Smith, do not realize that there are prescription assistance programs (PAPs) for Cymbalta and many other antidepressant medications. Throughout this investigation, most PAPs programs require the applicant have: limited or prescription drug coverage from private or public sources; a demonstrated financial need based set income and assets limitations; and proof of U.S. residence or citizenship.…

    • 642 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    Administering medications to patients is a daily task performed by almost all nurses. In the Bachelor of Nursing curriculum, the 7 rights and 3 checks of medication administration is taught, practiced and performed by all nursing students to ensure proper habits are developed. The problem occurs when health care providers are no longer under supervision of an instructor, and short cuts are acquired. These short cuts, although time saving, ultimately cause more complications for the patient and the health care system. As a group, we have found that CARNA’s Medication Administration Guideline (2016) is not being implemented or enforced as it should to prevent medication errors.…

    • 1087 Words
    • 4 Pages
    Superior Essays
  • Improved Essays

    The provider facilitated a session focused on psychiatric medication management. The staff educated James how important is to refill his medications box. James refilled his medications box few minutes before the session began. The staff double checked his medications box to ensure his medications were correct. In which they were.…

    • 170 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    Nmc Role

    • 834 Words
    • 4 Pages

    When treating patients nurses must consider users dignity when they are caring for them effectively and to avoid any assumptions, as nurses they need to understand the different choices everyone makes and recognise the diversity they will come in contact with. As a role of a nurse they will need to understand users concerns that are on their health, changes to the medication, operations procedures concerns or that can affect them to their daily life and respond compassionately to help distress them, this will mean to take in on how they take in the information that’s provided to make sure they are understanding the information that is been provided and as a nurse you are supporting them. For example, a service user who can’t speak or understand English will need a translator to be able to translate into the language they require. However, as a patient they can refuse any care, medication due to The Human Rights Act 1998, which a nurse needs to respect the decision the service user has made but will have informed consent and is documented before any action can be taken after a decision is made.(NMC…

    • 834 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The demand for specialty medications will significantly increase. By 2020, 9.1 percent of healthcare spending will be for using specialty medications. After the Orphan Drug Act was enacted into law in 1983, more and more biological products and new medications have been developing to treat rare and critical diseases. Also, the Affordable Care Act ensures that patients cannot be denied coverage for pre-existing or high-cost conditions, which may require specialty medications. These laws create opportunities for new medications to be marketed and increase access to those medications (PBA Health, 2015).…

    • 458 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Nurse Practice Act As a registered nurse, the most important responsibility to have is to the patient. The nurse is a trusted advocate, not only providing care, but also education and support that benefits the patient’s overall well-being. There is an obligation that registered nurses must maintain a safe and competent practice for every aspect of nursing and this is how the Nurse Practice Act becomes incorporated into the care. Many possibilities can arise in nursing and situations are never the same, thus, continuously creating new standards produced by laws. These standards are constantly changing due to the growth and demand of society and accomplishes protection for clients and the guidance of nurses in their practice (Russell, 2012,…

    • 736 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Drug Therapy Case Study

    • 374 Words
    • 2 Pages

    Status - uncontrolled Drug therapy problem - indication: needs additional drug therapy - CD does not have the optimal medication regimen for chronic heart failure. Drug therapy problem - safety: adverse drug reaction - CD is experiencing frequent falls and dizziness, this may due to his lisinopril. Rationale: Based on the 2013 ACC/AHA guideline for diagnosis and management of heart failure, the goal of patients has heart failure with reduced ejection fraction (HFrEF) (NYHA Class II, EF 40%) are controlling symptoms, preventing hospitalization, preventing mortality indefinitely.…

    • 374 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    There are now seven rights of medication administration that the home health nurse should have done to prevent the death of Claudie. The seven rights are: right patient, right medication, right reason, right route, right dose, right time, right documentation (Smeulers, Verweij, Maaskant, de Boer, Krediet, Nieveen van Dijkum, Vermeulen, 2015). The nurse failed to check off “right dose” medication right. Quality indicators such as verification by pharmacy and protocol address the right drug, right dose and right reason of the medication administration rights (smeulers et al., 2015). Better communication between the nurse, the patient, the pharmacy and the doctor were necessary to prevent Claudie’s…

    • 965 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    While each nurse should have accountability in delivering safe and competent care including medication administration, often the organization itself which creates problems. It is the organization that provides the context in which nurses and physicians communicate because it directs the behavioral norms and determines how nurses and physicians communicate with each other. Conflict can arise in the context of nurses performing their roles as independent practitioners resulting in dysfunctional nurse-physician communication when individual authorities are challenged. Organizations often do not provide environments that are conducive to fostering teamwork and collaborative communication between nurses and…

    • 1655 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    According to the Institute of Medicine (IOM), one of the key recommendations for structural change in the health care profession is “Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression (The Future of, 2010). In my opinion this should be one of the highest priorities for Registered Nurses (RN). As nursing continuously evolves the practice of nursing continues to change as well. During these times we are faced with more critically ill patients as well as a faster growing population of ill patients. The elderly are living longer than they did 20 years ago and their comorbidities make their care challenging.…

    • 767 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    Marketing Principles Employer – Pharmed Pharmaceuticals- we are a complete healthcare provider of Pharmaceuticals products i.e. we buy products from manufacturer and sell to medical practitioners. Question 1 What is a Value Proposition?…

    • 1837 Words
    • 8 Pages
    Great Essays
  • Improved Essays

    150). The RN breached Value Statement Seven of the Code of Ethics for Nurses in Australia which outlines the significance of ethical management of information and the value of honesty and professionalism. Atkins, de Lacey, & Britton (2014, p.6) recognise that it is an expectation that nurses do not divulge information about a patient to anyone that is not authorised to have that information or without consent from the individual. Similarly, Standard One of The National Competency Standards for the Registered Nurse outlines the expectation that a nurse ensures that their actions ‘demonstrate awareness of legal implications of nursing practise’ (NMBA, 2006, p. 2, para.10). The RN in the case study is ignorant to the legal implications associated with confidentiality as demonstrated by her actions in disclosing patient information.…

    • 533 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Drug administration is an integral part of a nurse’s role. Responsibility for correct administration of medication rest with the nurse, yet medication errors are a persistent problem associated with the nurse practice act. Medication errors are a multidisciplinary problem and multidisciplinary approach is required in order to reduce the incidence of errors. Drug administration forms a major part of the of a process that also involves doctors and pharmacist (Betz & Levy, 1985). Medicines are prescribed by the doctor and dispensed by the pharmacist, but responsibility for the correct administration rests with the registered nurse and student nurse.…

    • 410 Words
    • 2 Pages
    Improved Essays
  • Great Essays

    Nurses that administer medication are accountable for recognizing the medications prescribed, the patients need for the medication and their therapeutic and non-therapeutic effects (Crisp and Taylor, 2013). The purpose of this essay is to examine the importance of understanding the registered nurse’s role and responsibilities when administering medication. Equally, it will cover all the key concepts of legal and ethical issues relevant to medication administration. The legal and ethical issues are discussed in relation to the documents NZ Nurses Organisation Guidelines for Nurses on the Administration of Medicines (2014), Nursing Council of NZ Competencies for Registered Nurses (2016), Health Practitioners Competence Assurance Act 2003, Local…

    • 1927 Words
    • 8 Pages
    Great Essays
  • Improved Essays

    Nurses are the last step of the train to check medications, going downstream from the physicians’ orders, the pharmacist filling the order, sending it up to the nurse to administer it to the patient. There are ways set into place to ensure that the correct dosage is delivered to the patient and to make sure the nurse is giving the right amount of medication and putting their patient in harm’s way. Many hospitals today use the Five Rights of Medication Administration, the right patient, the right drug, the right dose, the right route, and the right time. According the Vice President of the Institute for Safe Medication Practices, “They are merely broadly stated goals, or desired outcomes, of safe medication practices that offer no procedural guidance on how to achieve these goals. Thus, simply holding healthcare practitioners accountable for giving the right drug to the right patient in the right dose by the right route at the right time fails miserably to ensure medication safety.”…

    • 1128 Words
    • 5 Pages
    Improved Essays