NRSG 314 Unit 2 – Discussion Board CTU
NRSG 314 Unit 2 – Discussion Board CTU
NRSG 314 Unit 2 – Discussion Board CTU
According to the World Health Organisation (WHO), are the major cause of death and harm, globally (edication errors cost an estimated US$42 billion annually worldwide, which is 0.7% of the total global health expenditure.5 Recently the nurse RaDonda Vaught was in the news for potentially facing prison time due to a medical error that killed a patient of hers. She had overrode the pyxis machine for a medication starting with VE, pulled out vecronium instead of versed. This resulted in the death of the patient. As a nurse, we do know that these types of mistakes can happen; yet facing jail time was what had us as nurses feeling that we are vulnerable and many of us were also left wondering if nurses would be honest enough to report mistakes in the end saving more lives than doing harm.
At our hospital, we are able to override medications to pull them out earlier if in a rush. Sometimes we have pulled out dilaudid and other pain medications when doctors rush in and demand items for bedside procedure and they just cannot wait. We have asked that doctors call the unit beforehand to ask for what they would need and when this way nurses can be ready and prepared, vs rushing to get everything on the spot. Once you are able to slow down and be prepared, mistakes are less likely to happen.
Yet we have another safety mechanism that we use for medications which is bar code scanning. We are able to scan the patients barcode which will open up their chart, then scan the medication. If the medication is not in the patients chart , or is not due at the certain time, or the dose is incorrect, there will be a flag. This is one of the most efficient systems in safegaurding nurses and patients to prevent medicaiton errors. Our hospital also uses audits to make sure each nurse is 100% compliant in barcode scanning; there should not be any reason a medication cannot be scanned. If for some reason a certain nurse does not scan medications they are alerted by management.
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Manias, E., Kusljic, S., Wu, A. (2020). Interventions to reduce medication errors in adult medical and surgical settings: a systematic review. Therapueutic Advances in Drug Safety.
Primary Discussion Response is due by Thursday (11:59:59pm Central), Peer Responses are due by Saturday (11:59:59pm Central).
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Primary Task Response: Within the Discussion Board area, write 250 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. You are required to use 1 scholarly resource, in addition to your textbook. Be substantive and clear, and use examples to reinforce your ideas.
In your current medical facility, or in any medical facility where you have recently worked, consider the following:
Explain and describe what is being done or has been done to reduce medication errors.
Analyze what could be done in addition to the current protocol to decrease medication errors.
Responses to Other Students: Respond to at least 2 of your fellow classmates with at least a 100-word reply about their Primary Task Response regarding items you found to be compelling and enlightening. To help you with your discussion, please consider the following questions:
What did you learn from your classmate’s posting?
What additional questions do you have after reading the posting?
What clarification do you need regarding the posting?
What differences or similarities do you see between your posting and other classmates’ postings?
Discussion Board Rubric
The Discussion Board Grading Rubric is a scoring tool that represents the performance expectations for the discussion. This grading rubric is divided into components that provide a clear description of what should be included within each component of the discussion. It is the road map that can help lead your discussion. Discussion Board Grading Rubric
For assistance with your assignment, please use your text, Web resources, and all course materials.
As Nurses, we are expected to adhere to the five rights (the “R’s”: patient, drug, route, time, and dose) of medication administration to guarantee safe drug delivery and prevent administration mistakes. Medicine errors are the biggest category of errors and often come from faulty procedures, inadequate personnel, and a lack of teamwork among those engaged in the medication delivery process (Sherwood, 2021).
Examples of medication errors have included writing the wrong prescription or prescribing the wrong medication, giving the wrong medication to the patient, not verifying the patient’s identity, calculating the wrong dosage, giving the wrong medication to the patient, not administering the medication the right way, and/or not checking the patient for any side effects or complications after giving the medication. Each year, medication mistakes result in approximately 7,000 fatalities (Sherwood, 2021) To replace the outdated, paper-based medication administration record (MAR) methods, the electronic medication administration record (eMAR) was adopted at my facility in 2008. After a pharmacist approves the medicine orders, nurses use a barcoding system found on the patient armband. If done properly, this ensures that the proper medication is given to the right patients at the right time in the right dose. This stricter approach to medication administration helped by eMAR has been associated with decreased rates of medication error (Booth et al., 2017).
In addition to the barcode scanning to the eMAR to decrease medication errors, nurses need to be aware of multiple doses of medication coming up in a labeled bag from the pharmacy. The correct medication should always match the label on the bag. One such example was when the nurse scanned the bag label to give the medication dose. While opening the blister packet to give the medication, it was noted that it was not the correct medication. Even though this was a near miss, the nurse should always scan the medication package prior to giving it so to decrease the chance of any medication errors.
NRSG 314 Unit 2 – Discussion Board CTU References:
Booth, R., Sinclair, B., Strudwick, G., Brennan, L., Morgan, L., Collings, S., Johnston, J., Loggie, B., Tong, J. & Singh, C. (2017). Deconstructing Clinical Workflow. Nurse Educator, 42 (5), 267-271. doi: 10.1097/NNE.0000000000000361.
Sherwood, G., & Barnsteiner, J. (2021). Quality and Safety in Nursing (3rd Edition). Wiley Global Research (STMS).
Medication errors are events that can cause harm and significant risks to patients. They can vary from mild to severe adverse effects and can even cause death. Medication errors continue to arise in many healthcare settings and according to Aljasmi et al. (2018), ‘the likelihood of such errors and the consequent harm to patients is increased by a high flow of patients, reduced consultation times, ignorance, and incompetence.” The demand for healthcare providers and nurses to care for more patients whether in an outpatient or inpatient setting, seem to be a common practice nowadays. Nurses are expected to perform more tasks, increase workload, and responsibilities but often with insufficient staff/resources, which in turn, causes medication error and other mistakes to occur.
There are many ways to avoid medication errors in health care. In our Primary Care Outpatient clinic, we implemented a designated medication prep-area that is meant to provide a distraction-free space in order to prevent and or lessen medication errors. This practice was effective on areas with enough space and less traffic, and so long as there is compliance from nurses and other staff. The implementation of medication/immunization scanner is another tool that we use to reduce medication error in our clinic. Though it took some time getting used to, I find that medication scanner, in conjunction with electronic health record, is very effective and useful in preventing medication errors.
Quality improvement tools, processes, and implementations are helpful in reducing medication errors, but human error is a fact of life and nurses/staff are not an exemption to it. Taking ownership of the mistake and putting the patient’s safety first is the most important intervention for nurses/staff to do when a medication error occurs. Taking immediate corrective measures such as reporting the incident to the patient’s doctor is imperative so that actions can be taken as soon as possible to correct or reduce any adverse effect from the incorrect medication that could potentially save a patient’s life.
NRSG 314 Unit 2 – Discussion Board CTU Reference:
Aljasmi, F., Almalood, F., & Ansari, A. A. (2018). Prevalence of medication errors in primary health care at bahrain defence force hospital – prescription-based study. Drug, Healthcare and Patient Safety, 10, 1-7. https://doi.org/10.2147/DHPS.S147994
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