Harish Singh
Pharm 858
Journal Reflection #3
In the first week of the Integrated Lab class focused on becoming familiar with HER during which we learned how to navigate and access important patient information. EHR is utilized by all healthcare professionals to document all therapeutic interventions. Documenting everything efficiently and accurately ultimately leads to better patient care. I believe by being accustomed to using and documenting in an EHR, pharmacy students can be better prepared when transitioning to their APPE rotations. The second few weeks we spent time learning drug information research techniques, Aminoglycoside dosing, abbreviated SOAP notes and vital skills Lab. In drug information research, we were taught how to respond appropriately to a drug related question posed by a health care professional. There was a class review of the appropriate resources to utilize while formulating a response to the inquiry. Appropriate citing methods were also highlighted during that session. Learning how to respond in a clear and concise manner while referencing appropriate literature is a skill set indispensable to all healthcare professionals. During the last few weeks, we did inpatient hospital simulation, IV room simulation and APPE Boot Camp. In Aminoglycoside dosing case, we discussed PK/PD parameters of Gentamicin, tobramycin and Amikacin along with their adverse effects and monitoring parameters. Given a case scenario, each student had to assess patients
Goal three by the National Patient Safety Goal for 2014 is to use medicines safely. Many errors occur regularly with medications which is why communication is so important with the doctors, nurses and patients. One process that Joint Commission requires in accredited HCO’s is medication reconciliation “creating the most accurate list possible off all medications a patient is taking, including drug name, dosage, frequency, and route, and comparing that list against the physician’s admission, transfer, and/or discharge orders with the goal of providing correct medications to the patients at all transition points within the hospital (Finkelman & Kenner, 2012, p. 388)”. Ensuring medication reconciliation to the patient, health providers and any new consults that are
Topics covered include the top 200 drugs; drug information resources; drug regulation; language of pharmacy; prescription process; compounding labs; orphan and investigational drugs; alternative medicine; compounding sterile preparation; hands-on preparation during variety of laboratory sessions; and preparation for the national Pharmacy Technician Certification Exam (PTCE).
My Butler University academic training and intern experience has positioned me to recognize and appreciate the essential role performed by the clinical pharmacist. Although sometimes transparent, it is the clinical pharmacist that is central to a patient’s ultimate successful recovery. This was evident during my clinical rotations, where I directly participated in the optimization of medication therapy to achieve patient-specific outcomes; it is for this reason I am impassioned and compelled to pursue a residency. As a PGY-1 resident, I plan to apply my clinical knowledge in the acute and ambulatory care settings to identify medication-related problems and make therapeutic recommendations in collaboration with other practitioners. Upon completion
By Kent R. Spitler, MSEd, RN, NREMT-P EMS Educator Charlotte, North Carolina Introduction Medication calculations can cause frustration for EMS providers. Math and pharmacology can make it difficult to succeed on course exams, in the clinical setting, and in the field. There is a solution to make medication calculations easier. The answer to this problem is simple by showing students how to perform calculations using a simple process. While there are plenty of good drug and solution textbooks, study guides, and presentations available showing the methods of medication calculations, It seems that it much of it causes mathematical confusion often called “math mental blocks” for many EMS
The team is aware that currently they have a computerized system that they use for reporting and tracking labs, radiology and scheduling, but all documentation is paper based. They
Using the air temperature, dewpoint and wind field in the images below, how many different airmasses are located in Oklahoma?
6. Use certified EHR technology to identify patient-specific education resources and provide to patient, if appropriate
Outcome measures assess whether the interventions to improve medication safety practice will be successful. During the interview of the new employee, competency evaluation related to medication administration will be applied first. In addition, during the orientation for these new employees, adequate training will be provided to ensure the importance of preventing medication errors. They will be given a list of similar and look-alike medications and will focus on medications that cause the most adverse reactions when errors may occur. Then, after training and when staff start working, they will be supervised during their first few months. When they are not supervised, they will be assessed and evaluated for any errors. During this process,
When patients are brought back for rooming, the nurse or medical office assistant will review the printed list with the patient prior to documenting in the EMR. During the office visit, we will review polypharmacy and are adding a document to our resources section of the EMR regarding polypharmacy and accurate medication list that will be given to all patients. I have always been aware of the importance of accurate medication list, but was not reviewing this often enough in our patients EMR.
The SCHC addressed meaningful use by recording patient demographics, maintaining an active medication lists and incorporating clinical lab test results into the HER, as apart of their meaningful use objectives. For recording patient demographics, they maintained data for accurate billing and ensured that the practice workflow was adjusted to capture all of the necessary patient data. They addressed active medication lists by following the requirements for e-prescribing. Patients were able to review their active medication list during their visit. Changes to the medication list were reviewed with the nurse and adjusted within the EHR system by the doctor. They communicated information for the care coordination process by making test results efficient and safe to access. Physicians were able to make real time decisions when they receive the test results from LabCorp, Quest, and other health
Encourage the use of computer-generated or electronic medication administration records. Plan for the implementation of computerized prescriber order entry systems. Consider the use of machine-readable code (i.e., bar coding) in the medication administration process. Use computerized drug profiling in the pharmacy. Be a demanding customer of pharmacy system software; encourage vendors to incorporate and assist in implementing an adequate standardized set of checks into computerized hospital pharmacy systems (e.g., screening for duplicate drug therapies, patient allergies, potential drug interactions, drug/lab interactions, dose ranges, etc.)”. (Association,
Health information technology is a familiar entity for most working nurses in the year of 2017. Many nurses, have lived through the transition from paper charting to online charting. This transition has not always been a progression of ease. Change is never easy. The process of paper charting with pen and paper and the use of paper medication administration records have been the routine process for many years. With the new onset of the electronic health record (EHR) many processes have become easier, safer, and more efficient while some tasks have become more complicated, confusing, and more time consuming. The goal of this paper is to describe the electronic health record system, expand on the essence
In my NUR-301 Class, I had the opportunity to practice on Interprofessional Education. Our nursing student team was partnered with first year pharmacy school students to learn about each other professions and to study on how we could work in a team of healthcare professionals to attain a common goal. As this was my first time experience to meet other students from a different department of Notre Dame of Maryland University, I was not sure what to expect from our discussions. Even if I have some experiences working both in hospitals and in a pharmacy, I was no fully aware of the responsibilities of a pharmacist directly to the patient or to the healthcare field specialists.
"I see your point, Juan. I felt the same way, too. This course was interesting, though, because it didn't focus on crunching numbers. I have some ideas about how we can approach making improvements in prescription accuracy, and I think this would be a great project. We may not be able to solve it ourselves, however. As you know, there is a lot of finger-pointing going on; the pharmacists blame sloppy handwriting and incomplete instructions from doctors for the problem; doctors blame pharmacy assistants like me who actually do most of the computer entry
Information technology use in HMHP has been implemented in the past few years. The organization as a whole has gone to a system called EPIC that was at first difficult for staff to get used to but now is an asset to the organization. Advances in information technology have introduced new design approaches that support health care delivery and patient education (Demiris et al., 2008). The electronic medication administration record has made it safer for patients when receiving medications in the hospital because of the checks it uses upon administration. Also, the double verification of medication like heparin and insulin help to reduce errors. Physicians entering their own orders and having electronic notes has also made it easier to carry out orders and know what the plan entails. Information technology has also