Professionals like doctors, nurse practitioners, nurses and others are well prepared on when to medicate patients. It is important to be familiarized and understand about the pharmacodynamics of the medication. Also, it needs to be understood medication need, how and when to give it, dosage and possible side effects. According to the Food and Drug Administration (FDA, 2009), medication error accounts for 1.3 million injuries each year in the United States due to the wrong drug, dose, timing of administration, or wrong route of administration. Always keep in mind that route of administration varies depending on health conditions.…
Managing medications for these patients thus becomes an important safety issue. A way of managing these medications is through medication reconciliation. In medication reconciliation, a member of the health care team compares the medications a patient should be using to the new medications that are ordered for the patient and resolves any inconsistencies and discrepancies (The Joint Commission, 2017). The NPSG intends to help organizations decrease the amount of medication errors and negative patient outcomes related to medication discrepancies. Therefore, standards were created in the NPSG that focused on risk points of medication reconciliation such as maintaining and communicating accurate patient medication information, patient education on safe medication use, and coordinating information during transitions of care (The Joint Commission,…
In United States, each year nearly 7000 deaths occur due to medication error. These errors can occur at any stage of medication administration process such as prescribing, dispensing and administration. In the administration phase, a medication error occur when a health care professional administer the medication to a patient. These errors can be prevented by using Electronic Medication administration Record (EMR) along with a bar coding system. When a nurse administer medication to the patient, the EMR record all the medication administration details such as patient name, medication, strength, timing etc.…
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.…
Of all these medication errors 400,000 of these errors yearly have been reported that they could have been preventable (Hunter, 2011). The advantages of electronic medication administration records are that the five rights of medication administration are verified; when a medication that requires lab work the patient’s lab work will appear allowing the nurse to view the value before administering the medication; warning boxes appear when information does not match, for instance: “medication is for a different patient” (Hunter, 2011). During a study conducted by Karen Hunter published in the Online Journal of Nursing Informatics electronic medication administration records as well as barcoding systems where placed in hospitals. Sixty-two percent of the nurses stated they felt safer using the system and that the system actually prevented them from making a medication error (Hunter,…
Electronic Medication Administration Record and Patient Safety One of the reason medication related deaths occur are due to medication errors (Karen, 2011, p. 1). In fact, within the United States, approximately 7,000 people die each year due to medication errors (Karen, 2011, p. 1). According to Karen (2011) 1.3 million medication errors occur yearly, which relates to several injuries and approximately one death a day related to medication errors in the Unites States (Karen, 2011, p. 1). One major cause of medication errors can be explained using the medication administration process (Mccomas, 2014, p.590). When a health care provider is responsible to administer a medication, there are approximately 50 to 100 steps involved in this process…
However, if I implement the Nurse Practice Act in my daily routine, I will not only be a more competent nurse, but I will have confidence in the care I provide. One of my main jobs as a registered nurse is patient care, which includes the administration of medications. Medications are constantly changing, therefore the correct procedure of dispensing medications should be followed under the Nurse Practice Act. According to CNPA, medication needs to be ordered by a licensed physician, must identify the type of medication, including identification of the patient receiving the medications and if there are contraindications or side effects, also documentation of the medication given (CNPA, 2013, Section 2725.1(a), 2725.2(5)). Following this protocol not only ensures the appropriate action, as well as the safety of the patient and the safety of my career.…
The study that is summarized aimed to further delve into the current roles of hospitalization in prescribing error hazards and medication-related communication as patients are taken back and forth to ambulatory care. Many hazards come about in a hospital setting but a prescribing error is caused by the individual working for the health-care institution. The change-over between diverse levels of health-care, like hospital admission and discharge, display a large threat to the quality and continuance of drug therapy and that is what we will be discussing. The writing that is being summarized displays a clear understanding on how someone can analyze and decipher a given set of data using inferential statistics.…
Statistics also state that nearly 1% of hospital admissions have an adverse drug event (Runciman, Roughead, Semple, & Adams, 2003)As a graduate nurse looking to continually improve and develop my practice I need to develop strategies that will help me progress towards this goal. This goal will help to prevent some of those adverse drug event and prevent some of the medication admissions entirely. Being in a position that is directly responsible and accountable for the administration of the medications in a lot of the cases means that I need to continually strive to improve and maintain a high level of medication management. I have already mentioned a few strategies that I believe will help me to continually develop those skills to a desired level. familiarising myself with the medication will help to reduce the risk of a medication error slipping through and effecting the patient.…
Medication error is defined by many different things, whether it is administering medication to the wrong patient or giving a patient too much of the medication ordered (Xu, C., 2014, p. 286). All medication errors should be held as an emergency and should always be reported. The use of technology is starting to be used to help minimize the amount of medication errors, but the nurse should not assume that the technology will not make mistakes (Xu, C., 2014, p. 286). The registered nurse should always double check the medication being dispensed is the medication on the written…
Medication reconciliation must be completed by a nurse, physician or pharmacist on admission and discharge to avoid medication discrepancies. Perform medication reconciliation on every patient and if the patient is unsure of the medications they take then contact their caregivers or their pharmacy to obtain an accurate list. Then teach patients how to manage their own medications. Recommend pill boxes or charts for those with memory impairments. Enlist spouses and children to help ensure patients are taking their medications as directed.…
Medication being administered in a hospital setting is one of the most critical skills that a nurse must master. Many deaths and poor outcomes happen each year in hospitals due to incorrect medication administration. It is of utmost importance for the nurse to be skilled and proficient in this area for the importance of patient care. In the study about the administration of psychiatric medications the article states there are 7000 deaths per year due to incorrect administration of medications. The setting in the study was in a hospital that had around 900 psychiatric inpatients.…
National Patient Safety Goals: Help Avoid Mistakes with your Medicines Many people assume the role of their medication responsibility to their health care providers, while it is a combined duty of the patient as well (The Joint Commission,2016). In avoiding medication errors in healthcare The Joint Commission has created guidelines to further educate the importance of understanding one’s medications. Patients are given understanding on how to avoid mistakes while in the hospital, at the pharmacist and working with physicians. This paper will discuss The Joint Commissions brochure on “Help avoid mistakes with your medicines” summarizing their guidelines and if the brochure was effective for patients.…
My preceptor IPPE consisted of visits to Sanford Hospital’s cardiology floor where I got to shadow Dr. Kirsten Johnson. My first experience occurred on October 6, 2016 from 0800 – 1100, and the second work period was October 20, 2016 from 1630 – 1930. I enjoyed each visit to the hospital and felt very welcomed by Dr. Johnson. The only hospital setting experience I had was my IPPE II at Avera Queen of Peace in Mitchell, SD.…
Medication Reconciliation in the Hospital Setting The transition of patients from an acute care setting to a home setting is often challenging and stressful. It can be complex for the patient to understand the instructions for discharge and, more importantly, it can be challenging and dangerous when it comes to ensuring the patient understands the medication reconciliation process. Successful transition to home is multifaceted and depends partially on an accurate and complete overview of all medications with the patient. This is an imperative safety measure across the continuum of care (Ruggiero, Smith, Copeland, Boxer, 2015).…