NURS-FPX4020 Assessment 3: Improvement Plan In-Service Presentation
Nurses should always work in nonthreatening environments. One way of promoting safe practices is to enhance nurses’ knowledge of how to identify and deal with problems occurring at points of care. In-service training imparts knowledge and help to increase staff nurses’ confidence to handle clinical matters. The current program aims to enlighten nurses on medication errors’ prevention. They will understand how they occur, particularly during prescription, dispensing, and administration of medication, as Kapaki (2018) suggested. The audience will better understand the adverse impacts of medication errors. They include irreversible injuries, extended hospital stays, and death (Dedefo et al., 2016). It is a program for quality improvement.
The audience will be actively involved in the training program in several ways. To better grasp the concepts, they should reflect on personal accounts of medication errors. They should have an idea of what these adverse outcomes represent before learning more about their dynamics in healthcare settings. They should actively participate in the session too. Doing so will ensure that they will understand concepts as explained as they take notes on what is taught. They should also make suggestions, discuss concepts and role play as different parts of the training program prompts. The other part of active engagement will be asking and answering questions as they surface.
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Overall, the presentation is expected to improve nurses’ knowledge by helping them to reflect on what medication errors represent, effects, and their manifestation through data. Concerning data, Elden and Ismail (2016) observed that about 1.5 million people yearly are harmed by medication errors. The presentation will be a way of ensuring that staff nurses are more familiar with evidence-based strategies used in medication errors’ prevention. They will be guided by the idea that medication errors are a source of undesirable consequences, including increased morbidity, decreased self-reliance, and even death (Linkens et al., 2020). The program will also teach nurses how to collaborate with colleagues to enhance safety in work environments.
A case study has been selected as the reflection point for this presentation. The case involves a scenario where an organization stores unrelated vials in the same refrigerator. Considering that the refrigerator is not well segregated and the labeling of drugs is inadequate, a nurse ends up administering insulin instead of influenza vaccine. The outcomes are profound considering that the patients’ health gets complicated to the extent of deserving further hospitalization. Through this case study, staff nurses can see how medication errors emerge at care facilities and their damaging effects. The issue of readmissions as one of the adverse impacts of medication error becomes vivid as well.
The proposed plan is a combination of strategies aiming at reducing the rates of medication errors as much as possible. One of the key proposals of the plan is storing drugs in segregated refrigerators. As this happens, they should be labeled as much as possible and those with similar colors stored in containers with different colors. Medication should be confirmed and reconfirmed electronically, particularly using barcode scanners. Generally, the improvement plan aims at addressing issues to do with medication confusion, inaccuracies, and location. Reduction of errors ensures that the probability of nurses engaging in unethical practices reduces by significant margins.
The organization will benefit a lot from the in-service training due to increased knowledge on medication administration and prevention of errors. Overall, it is a way of enhancing patient safety. Gorgich et al. (2016) claimed that medication errors threaten patients’ safety since they can cause death and permanent injuries. Reducing the rates of medication errors in health care facility increases patients’ confidence in seeking care. They trust health care providers since the care providers do not engage in practices that harm patients’ health. The knowledge gained from the presentation is also essential in reducing the rates of readmission. The rates reduce when patients are treated correctly. Medication errors also impose substantial costs between US$ 6 billion and US$ 29 billion annually in the United States (Elden & Ismail, 2016). Reducing them is a cost-saving procedure.
The staff nurses will play a fundamental role in driving the implementation plan. They will be more ready to report errors and avoid assuming any if identified. Since they know the importance of labeling, staff nurses will be committed to helping in labeling medication correctly and separating them as much as possible. The reviewed case study also shows the need for health care facilities to segregate drug storage refrigerators. Staff nurses are expected to help in the same too. Where possible, nurses can provide technical knowledge regarding counterchecking of drugs before administration as they partner with their colleagues to double-check the identity of drugs before administration. The staff audience is critical to success since every quality process is nurses-centered.
If they embrace their role in the plan, the staff audience is expected to enjoy several work benefits. One of them is improved practice outcomes since they will learn new skills and processes for preventing medication errors. These new skills will be applied to enhance patient safety in the workplace. When patient safety is high, comfort in practice also improves since nurses are free from ethical and legal issues that may put them in danger. Reduced rates of medication errors increase patient trust, which improves the nurse-patient relationship. Understanding how to deal with practice problems also improves efficiency in health care facilities as well.
The processes that will emerge through this presentation include drug re-confirmation before administration. Indeed, this is a skill that the in-service training will emphasize in making nurses better and more informed health practitioners. The other new process is tracking the drugs’ administration process. Their flow from refrigerators to the dispensation points and up to patient homes should be known. Use of technology to identify errors and confirm medications will be another set of skills. Role-playing will allow the staff audience to practice and ask questions about these new processes and skills. The best way is to simulate the flow of the medication process.
In-service training is an education process. It is important to evaluate whether it is achieving the intended objectives through feedback. Several methods can be used to solicit feedback. Firstly, the staff audience can be asked questions to evaluate their understanding levels. A case study would trigger them to think more about how and why medication errors happen, making nurses ask relevant questions. Group discussions and pairing participants can provide summaries of the staff’s understanding of the taught material. Overall, they are expected to be ready to participate and respond as long as there is a way to engage them. The feedback can be integrated into practice as the basis for policymaking, among other ways, as described above.
Dedefo, M. G., Mitike, A. H., & Angamo, M. T. (2016). Incidence and determinants of medication errors and adverse drug events among hospitalized children in West Ethiopia. BMC pediatrics, 16(1), 1-10. https://bmcpediatr.biomedcentral.com/articles/10.1186/s12887-016-0619 -5
Elden, N. M., & Ismail, A. (2016). The importance of medication errors reporting in improving the quality of clinical care services. Global journal of health science, 8(8), 54510. https://doi.org/10.5539/gjhs.v8n8p243
Gorgich, E. A., Barfroshan, S., Ghoreishi, G., & Yaghoobi, M. (2016). Investigating the Causes of Medication Errors and Strategies to Prevention of Them from Nurses and Nursing Student Viewpoint. Global journal of health science, 8(8), 54448. https://doi.org/10.5539/gjhs.v8n8p220
Kapaki, V. (2018). The anatomy of medication errors. In Vignettes in Patient Safety-Volume 4. IntechOpen. doi: 10.5772/intechopen.79778
Linkens, A. E. M. J. H., Milosevic, V., van der Kuy, P. H. M., Damen-Hendriks, V. H., Mestres Gonzalvo, C., & Hurkens, K. P. G. M. (2020). Medication- related hospital admissions and readmissions in older patients: an overview of literature. International Journal of Clinical Pharmacy, 42, 1243-1251. https://link.springer.com/article/10.1007/s11096-020-01040-1
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