Case 10.1 Anaesthetic Drug Chartss

Labeling issues-The lack of labeling as well as pre-labeling can put the patient at risk. The unit sited for this is the Operating Room.

“The medical necessity criteria for coverage have not been met in this case. As a result, we are unable to

MMCC, a Medicaid managed care organization, is located in the low-income community of Baltimore City. It is positioned across from a major medical center that does not provide its services. MMCC seeks to reduce their medical loss ratio (MLRs). As part of their strategy, they enroll poor people of the community through incentives, utilize a distant medical center to provide their services, and cut back on administrative requirements. To get communities members to enroll, they offer turkeys to enrollees during holiday times. They fail to inform members that they must use the medical center across the city and not the one directly across from their location. Once a member of MMCC, the patients experience poor quality care. Operators are limited and cannot keep up with calls to make appointments. Health care delivery site’s parking lot has limited parking spaces. The waiting room has limited seating. The actions of MMCC are legally and ethically questionable.

Nurses were required to confirm the right patient, medication, dosage, time, and route. The five rights aided in the process but errors were still made. Nurses working long hours, mandatory overtime, budget cuts, increased patient nurse ratio, and high patient acuities are also noted to contribute to the increase of errors. For many of these issues there is not a quick remedy. Geiger shared the elimination of retribution for medications errors would help decrease the effects associated with medication administration.

This journal talks about it takes failure to resolve medications across changes in care is an important cause of harm to patients. There is not a lot to known about medication discrepancies before patients are admitted to a skilled nursing facilities. To describe the prevalence of, type of medications involved in, and sources of medication discrepancies upon admission to the SNF setting. Cross-sectional study. Patients admitted to SNF for subacute care. Number of medication discrepancies upon admission to the SNF setting. Cross-sectional study. Patients admitted to SNF for subacute care. Number of medication discrepancies, defined as unexplained differences among documented medication regimens, including the hospital discharge summary, patient

I cannot to begin to express how often prescription drug errors occur when physicians give patients handwritten prescriptions. E-Prescribing eliminates the chances of illegibility and misunderstanding of instructions on handwritten prescriptions.

Waters, Renita Apr 4 2017 12:21PM Waters, Renita April 4,2017 10:05 AM TC Beth Orrick RN nurse from Bent Wood Nursing for information on Mr.Allen Union who was in Bent Wood for a wound on his feet. Ms. Beth explained Allen was getting OT, and PT and was on a walker. Beth stated Mr. Allen wanted to leave and go pay his rent and other bills yesterday he didn't return back. Beth stated she TC Mr. Allen at home and he refuse to come back for any more therapy. Beth explained to Allen he must have more treatment on the wound on his feet to heal and he did take Bent Wood walker back he took. I asked Beth was Allen on any medicine she commented he left all his medication. Beth stated Allen is a diabetic and has high blood pressure including a open

At the end of the medication round facility X’s policy and procedures state that the trolley shall be cleared of all items, washed down with alcohol cleaner, cups and spoons washed in hot soapy water and drug chart folder is to be wiped down then everything is to be put back together on the trolley again.

“With unanimous support, the House of Representatives passed the Protecting Patient Access to Emergency Medications Act (H.R. 304).” The bill was written by Representatives Richard Hudson (R-NC) and G.K. Butterfield (D-NC), passed the Senate in 2017.

The article is, Evaluating the Impact of Medication Cabinets in Patient’s Rooms on a Medical-Surgical Telemetry Unit, and it is a study about the impact of medication cabinets in each patient’s room on the administration of medication. In the article it states, “Nurses spend 27% of their time on medication-related activities and over 73% of their time on nonmedication-related activities, and they are responsible for 26-38% of medication errors in hospitalized patients,” (Arinal, M. F., Cohn, T., & Avila-Quintana, C., 2014, pg. 77). From personal experience in the hospital, it is no surprise that nurses spend so much time on medication administration. A majority of the morning is spent gathering supplies and

This article will be used for the statistical information and potential solutions to lessening interruptions. The sample size was a convenience sample and could be biased due to the Hawthorne effect. This article may bring attention to the unit nurses and the supervisors concerning the number and kinds of work interruptions that occur. Addressing work interruptions may lead to improved patient safety during medication rounds. This article highlighted potential work interruptions that require addressing in order to maximize safety.

This is because specialty drugs tend to be expensive and are usually not covered by insurance. In order to get the patients the specific medication they need, we must work with the patient and physician to justify the need for the medication to insurances through submission of prior authorizations. The bedside delivery component of this

We keep your physicians and loved ones up to date on your progress while completing a variety of medical services, as needed, including physical, occupational and speech therapy, wound care, and administering medication.

In addition, illegible prescription is one the factors, which can increase the risk if medication errors regardless of the accuracy, and completeness of the prescription. Education intervention programs and computer-aided prescription order entry can substantially contribute to lowering of these errors and impose prescription writing according to recognized and published

Not only does the electronic method of prescribing save time, it has also cut down on the number of accidents caused by the misinterpretation of handwriting. Although now almost obsolete, hand-written prescriptions have been the cause of many medical errors because certain sound-alike or look-alike drugs have, in the past, been incorrectly substituted for one another. A report given by the insurance company, Excellus BlueCross BlueShield disclosed that if all physicians were to begin using electronic-prescription systems, “more than two million adverse reactions or events – ranging from inconsequential to severe – could be avoided each year” (wgrz.com). According to pharmacist and associate director for the Food and Drug Administration’s Office of Drug Safety, Jerry Phillips, “Six-hundred sound-alike or look-alike drug pairs have been identified as possible sources of error since 1992” (nytimes.com). For example, Lamictal, a mood-stabilizing anticonvulsant, is quite similar in spelling to Lamisil, an antifungal drug. Because of these strong similarities, it is not difficult to understand how easy it could be for medical personnel to mistake certain medications. But with e-prescribing, because the prescription is sent directly from the prescriber to the pharmacy, the number of accidents caused by misinterpretation of handwriting has already been