Medication Administration Reflection

Principles for safe medication administration: • All medications must be administered according to a physician’s orders. • The medication orders must be clear, legible and not open. • The same person should select, prepare, administer and record the administration. • Doses must be prepared for only one patient at a time, immediately before the intended use • Medications should be prepared for immediate administration to a single patient and not retained for later use due to the risks of contamination, potential instability, potential mix-up with other medications and to maintain security of the medication • All medications must be stored in patient care areas in the same container as received from pharmacy. • All RNs and ENs without notation must successfully complete the Medication Assessment Paper prior to administering medications.

Medication errors are preventable adverse events and costly to patients, insurance companies and health care organizations (Institute of Medicine, 2006). It is estimated that for every adverse drug event that occurs in a hospital, adds over 8,000 to the hospital stay (Institute of Medicine, 2006). One of the essential components in reducing medication error is a collaborative partnership with the patient and healthcare providers to facilitate communication. Patient education regarding risks, side effects, drug interactions and contraindications must be thoroughly reviewed with the patient (Institute of Medicine, 2006). The use of technology for prescribing, dispensing and to obtain detailed information regarding

The prevention of medication errors is a process that should involve all staff in the emergency department. Yes, it is the registered nurse (RN) that administers the medication. However, patient safety is a concern in which all staff can assist. According to Kim and Bates (2013) medication errors represent one of the major concerns in patient safety. The process of medication administration first starts when the RN receives the order.

Interview on Reporting Medication Errors This assignment is about interviewing and discussing with a pharmacist methods to report medication errors per facility’s policy and ways to encourage nurses to report medication errors promptly. This was a face-to-face interview with pharmacist BB at work. He is a qualified professional pharmacist and appropriate for this assignment.

My comfort level with medication administration has grown significantly. Unlike before when I needed my preceptor to standby to make sure that I practice safe medication administration, I can now administer medications on my own. I have a better knowledge of the medications on my unit than before. As I saw some of the medications over and over again, I became more knowledgeable of their indications,

Medication errors We are all human beings and given that we sometimes forget our tasks. One of the things that nurses commit is disbursing an incorrect quantity of medication or giving out the wrong medication to a patient. This mistake should be much avoided and presence of mind should be incorporated.

the order being suspended/ changed, dose adjusted, the medication is out of the designated time frame, and/or the pharmacy loaded the wrong medication or dosage into the Omnicell (medication dispenser). There are a series of cause-and-effect scenarios the nurse must play out to resolve the discrepancy. Therefore, “informatics can enhance thinking, but thinking is also a requisite to the effective use of informatics” (Rubenfeld and Scheffer, 2015, p.

In the medication administration management process, the prescribers (Physician, Nurse Practitioner, Physician Assistant), orders the medication and treatment for patient. The order is signed and send to the pharmacist. The pharmacist received the order, review, interprets the order, detect therapeutic incompatibilities, dispense by labeling and packing for administration. The last management process is the nurse. The nurse duty is to review the received medication from the pharmacist then administer the medication to the patient.

doi:10.1016/j.ijmedinf.2015.01.018 Running Head: Annotated bibliography 3 The specific aims of this journal are cultivate strategies to a methodology and tools, which is for clinical decision support systems in order to reduce the occurrence of medication administration errors. Moreover, the writers revealed there is seemed undervalue their necessity for support to the medication administration decision support tools by nurses’ evaluation as well as their actual performance.

Accountability for delivery of patient safety improvement targets with relation to medication errors. Janine was an enthusiastic and engaging speaker, and her passion for reducing medication error and the involvement of her junior doctors was evident. She spoke about the Juniors’ Educational Drug Initiative (JEDI) and discussed the ‘carrot and stick’ as a simple model to describe motivation.

Introduction Nurses are responsible for the care of the patient as a whole. Evidence based practices has encouraged patient centered care more in depth according to Jarvis (2014). A nurse’s responsibility is to provide safe practices to our patients. Developmental factors have proven to cause an effect on men, women, and children. Pharmacokinetics furthermore explains the medication action as it enters the body, how it’s metabolize, and then exits the body according to Jarvis (2014).

First will be to do the person approach in which the errors and lapses are being made by the individual doing the procedure. The second approach is the system approach, where-in environment and the conditions in which a person works in plays a factor in it. For we cannot change the condition where human plays a big role, we will be needing to work in the system approach where we will prevent or at the least minimize the disturbances in the surroundings of the caregiver doing the procedure. Studies have shown that this disruptions and interruptions doesn’t solely affect the chance of having an medication error but it also increases the time of completion of the task. With this, researchers tried to examine the effect on the rates of procedural failures.

Medication errors are defined as faults in drug prescribing, transcribing, dispensing, monitoring, ordering, and/or administration. These errors have significant potential for injuring or even killing a patient. Discussed below is an article that highlights the dangers of inaccurate drug administration. A case was reported of a 7-year-old boy with Fanconi’s anemia that underwent a successful bone marrow transplant and months later returned to the hospital for a minor febrile episode. The night before his discharge he was given 3.5 gm/m 2 of cytarabine over 2 hours, which the nurse calculated according to his surface area.

Tolicia, I agree that getting patients involved in all aspects of their care would greatly reduce the number of medication errors. If a patient knows what their medication looks like, what time they take it, what route it is administered, and what it is for, then this will protect them from receiving the wrong medication. Encouraging patients to get involved in their care would also present more opportunities for patient education and it would allow the patient to ask any questions they may have about their condition, and to mention any side effects or new problems they are experiencing. Urging patients to speak up about their medication administration could also allow the doctors and nurses extra opportunitites to evaluate if the medication

As the number of medication errors continues to rise daily, I believe the need for continuous advocacy at government level for safer medication administration policies and systems are in desperate need. And who better than nurses to advocate for these needs. Since nurses are in an ideal position to influence and demand change, I would collaborate with other fellow nurses to call, set up meetings or writing letters to government officials addressing the prevalence and effects of medication errors. I would also request for safer medication administration system or software that are user friendly. Lastly I would reach out to the Board of Nursing about nurse’s license revocation after an error is committed and request for lesser punishment instead