• The use of technology at the healthcare setting with electronic records, hand held devices, and easily accessible drug reference manuals can help screen for possible drug–drug interactions before prescribing or administering medication (Delafuente, 2003, p. 141). • Providing training courses for healthcare providers to participate in to prevent and teach the importance of drug-drug interactions.…
The patient must be given information on the medications they should be taking when the patient is discharged from the hospital. The Rosa Parks Wellness Institute for Senior Health (RP-WISH) created a program that focused on improving the safety of care by making an increased effort to schedule follow-up appointments and medication reconciliation within 1 week of discharge. They wanted to make this program because the RP-WISH office manager wanted clinical pharmacy specialists and inpatient pharmacists to be directly involved with medication reconciliation which they were never part of before. The plan was to help in care transitions in regards to medications by reconciling patients’ home medication use with primary care and hospital records (Liu & Garwood, 2015). They intended to call patients that were discharged home when the pharmacy finds medication-related problems and to intervene to resolve those problems to avoid adverse drug effects.…
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.…
This step is as important as picking up required medications. Nurses need to educate the patient that they need to remove unnecessary medications to prevent adverse medication interactions. Home health nurses help with this process because sadly many times facilities will not help fill med boxes. This challenge of ensuring correctly filled medication boxes can be a struggle. Without proper knowledge, errors easily happen.…
For this project I interviewed 3 people who work in the pharmaceutical industry. I interviewed a clinical pharmacist, and a retail pharmacist. During my interviews I was able to gain insight into my future career. I was also able to ask questions that I have never knew who to ask. This interview also helped me learn more about what interests me in the field of pharmacy.…
RANBAXY DRUG-ADULTERATION CONTROVERSY The Food, Drug and Cosmetic Act of United States (abbreviated as FDCA) is a set of laws passed by Congress in 1938 giving authority to the Food and Drug Administration (FDA) of the country to oversee the safety of food, drugs, and cosmetics. As per the act: A drug is adulterated if the methods used in or the facilities or controls used for its manufacturing, processing, packing or holding do not conform to or are not operated or administered in conformity with current Good Manufacturing Practice (cGMP) regulations.…
We also have the dispenser-patient relationship because we need to talk with the pharmacist but most of them want to dash in and out of the pharmacy. They include: None, Information, advice, negotiation and relationship. We do not only asses the risk but we help them manage it. We should also that the patient has the final say and they have all these network around them that they can get information’s from outside the healthcare provider. Some of them have both religious, cultural and norm beliefs that attributes to their medication intake which we come across with the…
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.…
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 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.…
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…
Some nurses found that patients did not communicate certain aspects of their medications such as side effects or even the wrong dose. Patients sometimes see nurses as an authoritative figure and do not speak up when they question something. Another barrier found in this study was that some nurses questioned how they could encourage patients’ participation if the nurses could not even keep up with the changing drug regimens. Lastly, some nurses felt that their patients would lose trust in them if they asked the patients to participate in the medication administration process.…
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).…
Nurses devote a considerable amount of their time administering medications. Nurses administer medications to multiple patients throughout the day. In a fast-paced environment, medication administration is a high-risk assignment. There are so many different ways a medication error can occur. When a medication error happens, it can lead to very serious and costly consequences for the patient and the hospital (Chu, 2016).…