Against Medication Case Study

In today 's world, many health care organizations encounter the most critical problem, such as chemically impaired nursing practice, on a daily basis. All areas of the nursing profession are affected by a chemical dependency and the cost associated with this problem is a great concern for the health care organizations. According to Church (2000), “nurse impairment affects the safety of the public, the nurse’s well being and the profession as a whole” (p. 2). The delivery of care provided by the chemically impaired nurse lowers the standards and the prestige of the whole profession, creates serious liability for the employer, lowers productivity, increases the turnover rate, decreases staff members morale, and increases the risk for medication error (Wennerstrom and Rhooda, 1996). People’s lives, function and lifestyle can be dramatically changed due to a medication error caused by a chemically impaired nurse (Cook, 2014). The chief nurse executive (CNE) is frequently confronted with the problem of impaired nurse, furthermore, the CNE is responsible for the policy and decision making involving this issue (Hughes, 1995). The purpose of this paper is to examine nurse executives response to allegations of a chemically impaired nurse.

The nurse must verify the physician’s medication order, including the dose and time, and then the pharmacy is responsible for their own checks and balances via the BCMA system in order to complete the dispensing phase of the medication (Gooder, 2011). The nurse enters the BCMA system with a login and password and is able then to see a list of the virtual due list for a specific patient. The computer on wheels is then taken to that patient’s room and the five rights of medication administration begin. As nurses, we are taught to use the five rights of drug administration are (1) right patient (2) right medication (3) right dose (4) right route and (5) right time. By scanning the barcode on the patient’s hospital identification band, the nurse then asks for the patient to verbally state their name and date of birth, which can be verified by the nurse on the virtual due list and then choses the medication that are due for administration at that time. The medication is dispensed and the nurse is able to scan the barcode on the medication, the scanning triggers the automatic documentation of the medication given (Kelly, 2012).

As nurses, we are charged with providing the best possible care to our patients, meeting their needs and working towards positive outcomes. Nurses work with all ages, races, disease processes, every medication from A-Z, independently or with a team. Nurses take orders from physicians face-to-face, over the phone, and in writing. It may be shorthand, misspelled, or pronounced like you have never heard, and you must clarify it with the physician, the pharmacy, the patient’s chart, and the drug book before you administer. Some patient’s curse us, some praise us; We cry with

Are the “five rights” of the medication administration process being met? If yes, the nurse can continue to the next step. If no, the nurse cannot proceed, because the “five rights” of the medication administration process have not been met.

After administering any drug or medication to a patient, there are certain steps a first responder must take to ensure legal protection. To begin, there must be clear and thorough documentation of the situation and the patient’s signs and symptoms, their indications, and their contraindications. There are also basics that

Attached to your discharge papers you will find a list of the medications that the doctor wants you to take at home. The prescriptions have already been sent to your pharmacy and the pharmacy will deliver them all to your home this afternoon after 4:00 PM. I will go over each of your medications with you.

This hypothetical situation illustrates a common problem faced by nurses, as the roles we serve can be multifaceted and demanding. It is often tempting to cut corners, especially if we feel there will be no actual harm done. This, however, does not justify professional misconduct nor allow us to expand our practice beyond our designated scope. Not only do the Nursing Practice Acts define our role as nurses, they also designate what nurses may not do. The purpose of the Nurse Practice Acts is to protect the patient from harm. The Nurse Practice Acts state that the scope of nursing does not include acts of medical diagnosis or the prescription of therapeutic or corrective measures as stated in section 301.002. Thus, by signing prescriptions

Human Rights Watch reported in 2000 that, in seven States, African Americans constitute 80 to 90 percent of all medication wrongdoers sent to jail. In no less than fifteen states, blacks are admitted to jail on medication charges at a rate from twenty to fifty-seven times more noteworthy than that of white men. The quantity of 2000 medication confirmations was twenty two times the number conceded in 1983. Whites have been conceded for medication offenses in 2000 was eight times the number conceded in 1983, however their relative number is little contrasted with blacks and Latinos. Despite the fact that the larger part of medication clients and street pharmacists are white, three fourth of individuals detained for medication offenses have been

The problem with only prescribing Billy with medication is he still had some remaining behavioral problems at school and at home. For example, at school, Billy would still call out answers without raising his hand, or talk to his classmates during silent reading time. Another problem with just prescribing medication is if Billy stops taking it, he will go back to his old behaviors. The prescription only helped Billy focus more and control his impulses. He still needed help in social skills and cooperating at home. Involving Billy’s parents and teacher helps because they see Billy everyday and have to try to control his problems. For his parents, they learn behavioral management. His parents learned techniques to teach the child the behaviors

Francesca, thank you for your discussion. I enjoyed how you described what Jane is experiencing with her medication. What I would try to explain to her would be that each of our bodies operate in different ways. That some individual respond differently to all forms of medications and why some have allergic reactions. Therefore, it makes sense that the gentlemen that she met in the lobby has a different response than she does with a different medication. However, it in no way means that the medication that he is taking would be affective. Furthermore, I would explain that I would not recommend her to change the medication because right now it appears to be working. It appears that her system has reached complete equilibrium (Preston,

During my clinical rotation there was a code blue on the floor that I was assigned to. After the nurse called for help my nurse and I went in there to help. Since Parkland doesn’t allow students to participate in the codes I stayed on the side observing. While one nurse was doing compressions my nurse was looking for the ambu bag. In that moment I realized that the ambu bag was not in the room or hanging by the door, which is a direct violation of the safety checks each nurse has to perform at the beginning of their shift.

The PI was unsure whether or not the medication was ordered. The PI determined Naltrexone was never ordered, and the participant never received the first dose even after several nurses indicated the participant received the protocol doses. The ethical misconduct involving the nurses assigned to the participant ranged from protocol violations to falsification of research data. As a result the nurses were counseled for their ethical misconduct, and the participant was compensated and withdrawn from the study. An incident report was completed and reported to the institutional review board (IRB) as a protocol deviation.

The advance nurse practitioner is held responsible and accountable for the decision-making, respect and trust our patients. Goldsmith (2011). Documented that “Nurses have a responsibility to strive for excellence and aim to deliver the highest possible standard of practice wherever they work” (pg. 13). The standard of practice includes promoting the patient’s autonomy, trust, beneficence, and non-maleficence, therefore, if drug abuse is noted, patient should be educated on the implications, and drug program or resources provided for the

Being a nurse and as a duty of care as a medically indorsed enrolled nurse, going through the 5 rights of drug administration before giving medications is crucial and productive in minimising the risks of giving the wrong patient wrong medications.

Is a pill by itself worth 700 dollars? Depending on the drugs one buys price varies but overall people say the the price of prescription drugs is to high. It is extremely difficult to identify the actual cost of a drug because the pricing chains are complex.Variations in the price take place because of the power the drug companies have in their market. Drug manufacturers charge different customers different prices for the same drug as large purchasers can obtain discounts and rebates Overall, it is projected that Medicare beneficiaries will spend $1.2 trillion on prescription drugs over the next decade. With new drugs, generic drugs, and older drugs the price varies depending on what kind you get, who you get them from, and where you get them