Essay On Nurses Role And Responsibilities When Administering Medication

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 …show more content…
The scope of practice sets out the area of practice nurses work in, and their competencies, responsibilities, and qualifications”. RNs must remain within their scope of practice at all time whether off or on duty as they are accountable for their nursing advice. If a RN is recommending or administering Over the Counter (OTC) medicines they must have the necessary knowledge of the medicine in order to continue. Liz administered Nurofen to Mr. A which is an over the counter medicine. Nurofen is an analgesia and used for pain relief, its active drug is ibuprofen (Benckiser, 2015). According to Medsafe, when administering ibuprofen nurses should be considerate that elderly patients are more prone to adverse effects and should be cautious with patients that have renal impairment or impaired liver function. Ibuprofen should not be given to patients who take aspirin and other non-steroidal anti-inflammatory medication to stimulate signs of asthma, rhinitis or urticaria. Some adverse effects include nausea, heartburn, constipation and many more (medsafe, …show more content…
Health professionals want to maintain a perfect image, therefore, admitting to an error be challenging. Nurses need to maintain a high standard of behavior on and off duty and take full responsibility for their action and claim accountability of any mistake made. Documentation is a vital part of nursing as it contains all the information of the patient which then can be accessed by the government organizations during an audit. In RN Liz’s instance, she breached the code of rights, domains of the competence and standards of the principle in the code of conduct. She did not show professionalism and did not take proper responsibility while administering medication to Mr. A. she also failed to document the incident and to speak to or take advice from her co-workers or seniors RN’s in response to her situation of feeling

Related Documents

  • Superior Essays

    This is supported by the reading, “…to conduct oneself as a reasonably prudent person would in similar circumstances. A breach of duty imposes liability if it results in injury to property or another person” (Showalter, 2017, pg. 141). The case involving Norton vs. Argonaut Insurance Co. has me inclined to believe that an emphasis must be placed on hospital patient safety, in order to force the courts to recognize and implement a stricter regime designed to make nurses and staff evaluate and question medication protocols and orders and if warranted, have the right to refuse to administer a drug. In retrospect, nurses and hospital staff could find themselves frequently named in civil litigation suits involving medication errors, a hospital safety issue plaguing a great number of nurses and other medical staff in every patient care setting. With regards to these and other changes that need to take place, nursing boards will need to protect patients as well as nurses by guaranteeing that regulations governing nursing responsibilities are consistent with any expanded definition of a nurse’s role as implemented by the courts currently or in the future.…

    • 1455 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    Chasing Zero Summary

    • 864 Words
    • 4 Pages

    First, the patient lost her life as a result of an avoidable error. Second, a competent nurse lost her license and was fired for her human error. Nothing was done by the hospital to try and learn form this mistake. Rather than investigate the factors that caused the event, such as over worked nurses and similar labels on drugs, the hospital placed blame on the nurse in order to try to avoid expensive lawsuits. Listening to Thao’s story made me fearful as a future nurse.…

    • 864 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    Safe Nurse Staffing Ratios Danielle Scott Vermont Technical College Safe Nurse Staffing Ratios In the last few years, there has been a rising need for an increase in registered nurses in the hospital setting. This rise in registered nurses is related to increasing acuity of hospitalized patients and a shorter duration of stay. The safety and quality of patient care is closely associated to the quantity and skill of the nursing workforce.…

    • 1386 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    Nurses Role In Failure

    • 1058 Words
    • 4 Pages

    Failure to Rescue A nurse is caring for Mrs. W. who is recovering from a cerebral vascular accident and has been making a good recovery. The physician ordered vital signs and neurological checks every four hours. As the nurse is performing her first assessment the patient complains of a headache and had a moment where she forgot where she was. The nurse gives her Tylenol for her headache and goes about the rest of her assessments without documenting her patient’s complaint.…

    • 1058 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The current board members are Natalie Hall, R.N-President, Holly Presley, L.P.N- Secretary, Cecelia Smith, R.N, Lynda Narwold, R.N, Anne Ogle- Consumer Member, Kim Cooper, R.N- Vice President, Marcia Laux, R.N, Constance McIntosh, R.N., and Ed. D The four major activities of ISBN are to protect the health and safety of the citizens of Indiana in its receipt of nursing services, to examine, license, and renew licenses of qualified applicants, to determine appropriate discipline when there is an allegation that an Indiana-licensed nurse has failed to comply with the requirements for licensure, and to accredit and monitor Indiana nursing education programs. How does a school of nursing maintain their accreditation?…

    • 703 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    It is the nurse responsibility to be aware of medications anticipating adverse effects before administering the medication to her/his patients also educate her/his patient about the anticipating averse effects, what to look out for in aspect of signs and symptoms for adverse effects in order for the patient to report this sign and symptoms in order to minimize the adverse effect outcomes. For example, the medication class Carbonic Anhydrase Inhibitor can cause a serious blood disorder therefore the nurses responsibility is to educate his/her client for the client to recognize and immediately report effects.…

    • 94 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    This essay will point out different laws and legislations available for safe practice of nursing in Australia focusing on Laws relevant in day to today practice of nursing in Australia such the Acts relevant to Poisons, laws pertaining to protecting Children, Acts related to mandatory reporting and privacy of the patients. Understanding the standards that the laws expects from a nurse will keep the nurse out of trouble. If a nurse understands those legal expectations then he/she can put in place safe practice in the clinical and community settings. Poison related legislations are amended to have a control over the procurement, supply and usage of poisons with a aim to protect the public health and it minimizes accidental and deliberate poisoning, reduces usage of poisons illegally and for wrong purpose .…

    • 1158 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    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.…

    • 736 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    The nurse personally reviewed the patient but no proper documentation of her observations even though there was no improvement in vital signs [Conyard, 2015]. This clearly breach standard 1.6 of NMBA standard of practice as documentation defined by Barnett, Treas, and Wilkinson (2016) as a legal evidence where legal experts will examine if a dispute about client care arises such as interventions were timely and appropriate and a tool for communication between the multidisciplinary team about the patient’s status and…

    • 1343 Words
    • 6 Pages
    Improved Essays
  • Superior Essays

    At the beginning of my nursing career most of the medical terms I’ve come to use and understand I had while little knowledge about. Some of these terms I picked up in practical experience and other I learnt in lectures. One of these terms has come to be very important in my nursing career and that is medication management. At first my understanding of this concept was very limited and I didn’t understand many of the different factors that all came together to make up the whole. Over my studies this understanding has evolved and become a core part of my nursing practice.…

    • 1335 Words
    • 6 Pages
    Superior Essays
  • Superior Essays

    WHAT The Transitional year is widely regarded to be the most challenging period in a novice Registered Nurses ' journey. Transition Shock is a term coined to reflect the newly graduated RNs’ initial feelings of anxiety and incompetence (Clipper and Cherry, 2015, p. 448) and the conflict between “school-bred” and “work-world” values (Boychuk Duchscher, 2008, p. 1104). A number of factors contribute to transition shock for the newly graduated RN. These can be broken into four domains: emotional, physical, intellectual and socio-developmental.…

    • 1453 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    Some medication comes in both liquid and tablet form and it is important to select the appropriate form for your patient if it is not stated. Through this progression, it was important that I observed staff nurses and the methods in which they implemented in order to improve my own practice; each staff nurse I observed had a different method of practice for medication rounds, providing tips in order to improve my practice and the promoting of patient welfare for the medication rounds. Whilst I was dispensing medication, I ensured to ask the nurse accompanying me to check that I had calculated and measured the medication properly, providing positive encouragement and criticism where…

    • 863 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    When this is done incorrectly, it results in it being the most common reason for a competence notification to the Nursing Council (Cook, 2014). Some factors that can lead to administering of medication errors are loss of concentration, interruptions, not following the proper procedure, stress in the workplace, being understaffed and the nurses health status (Cook, 2014). It is why critical thinking is needed to avoid these errors in medication, but also in patient care. Her understanding of nursing practices allowed her to question the soundness of the care plan change, and realize that it made no sense in the circumstances. Having observant nurses, that take care to understand their patients care plans and treatments, protects the patients from mistakes that can occur in such a large organization.…

    • 764 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    There were 50 nurses that participated in the study. There were 4 common themes in the nurses, one was fear of job loss, issues with colleagues, and lawsuits. The second was excusing the error. If there was no harm done to the patient then there was no need to report. The third was knowledge of how to report the error and the exact knowledge of what exactly makes an error.…

    • 467 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    “Professional practice” is one of the domains that consist of the National Board National competency standards for the registered nurse that gives an account of the professional, legal and ethical accountabilities which would require evidence of a sufficing evidence base practice, responsibility and liability for practice, working in compliance with legislation affecting nursing practice for patient care, and securing patient’s rights. (Nursing and Midwifery Board of Australia, 2010) In this particular scenario, the nursing staff who failed to obtain patient consent before proceed the nursing procedure would not satisfy the section 1 and 2 of professional practice on the National competency standards for the registered nurse, which are explaining the legal implication for nursing practice, relevant legislation controlling nursing practice, appropriate response towards unprofessional and compromising practice and how can the nurses practicing in the boundary of code of ethics and conducts. In addition to the violation of professional practice, it is also disregarding one of the values on code of ethics for nurses in Australia which related to providing quality nursing care to the individual. According to “value statement 1” on code of practice, the witness nurse needs to report to the nursing staff’s unethical and insufficient practice to the nursing authority.…

    • 1460 Words
    • 6 Pages
    Improved Essays

Related Topics