Chemotherapy IV Room Observation Report

is that pharmacists prepare medications and technicians simply deliver them. This view of their job is both accurate and inaccurate.

The uncomfortable part about this rotation was mostly working with the elderly adult population. I felt cheated, again. The first time I earned a degree I expressed interest in working with mothers and babies and I did not have the opportunity to do so. That same thing happened again in this program. I found myself counting down the days until clinical was over. I do not feel that activities of daily living, although important, should be the primary focus of

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

One of the critical core components of Skilled Nursing Facility is medication administration. As cited by Tenhunen, Tanner, and Dahlen (2014), they stated that 88% of the residents living in the nursing homes are aged 65 years old and older. They discussed that every five of administered medications in nursing home has one probability of error. This means that about half of the residents have the possibility of two or more medication errors daily. This applies to the Pasadena Care Center (PCC) because its residents are mostly older adults who require medications on a daily basis. Moreover, residents are prescribed with multiple medications, which make them vulnerable to medication errors. The staff at PCC is trying their best to ensure safe medication administration, however, it still in need of a major change. The goal of the proposed change is to decrease the medication errors in this organization to ensure patient safety.

In the midst of September 2013, I began volunteering at The Valley Hospital as a pharmacy department assistant. My primary task while attending two-hour shifts was to organize the medicine returned by doctors into specific compartments. Along with that I also had the responsibility to empty medicine carts and associate them into boxes for the next volunteers to organize after I finished my shift. Sometimes, one of the pharmacists available would instruct me to open boxes of saline solutions, tape the appropriate nozzle shut, and use a “price gun” to print appropriate dates on each bag. During this entire experience, I have learned to have responsibility and to act in a mature manner when working alongside pharmacists who are so talented in

I remembered one time when the nurse was in the patient's room and ready to give the patient the medication, all of a sudden, the patient presented symptoms of a seizure. The nurse called the physician right away to check out. To my surprise, before the physician went into the patient's room, she invited pharmacist on the floor come with her. When they arrived at the patient room, the physician asked the pharmacist several questions and they both agreed on the medication use, the pharmacist called IV pharmacy immediate to be ready for this seizure medication order and verification. In the meantime, physician, pharmacist, and nurse helped the patient to calm down. I run to the tube station to received the IV bag. Everything finished within a very short period of time. These actions made by the pharmacist showed the collaboration between each healthcare providers, this valuable collaboration

As clinical site co-ordinator with many years of clinical experience I feel competent in the drug administration via a variety of routes. Generally the patients I attend have become acutely unwell with most prescriptions not having the third eye of a pharmacist and most drugs being delivered intravenously. It is imperative therefore that the prescription and drugs always be thoroughly checked which relies on good communication throughout. Furthermore, most emergency drugs have a protocol for administration developed by the hospital. However within this situation the nurse is generally the last defence before any medication error actually occurs, therefore it is the nurses responsibility to ensure the prescription is correct and to challenge prescription written

Medication errors are among the most significant cause of patient injury in all types of medical errors (Johnson, Carlson, Tucker, & Willette, n.d). In the nursing profession, medication administration errors occur 34% of the time, second only to physician ordering errors (Gooder, 2011). The introduction of information technology, such as the Bar Code Medication Administration (BCMA), offers new opportunities for reducing medication administration errors. BCMA was developed by the Veteran’s Affairs Medical Center in 1998 to help improve the documentation of medication administration, decrease medication errors and provide

Currently, more responsibilities are being given to the pharmacy technician that were traditionally performed by pharmacists, such as clarifying prescriptions and entering orders. With these additional responsibilities for the pharmacy technician, this will allow the pharmacist to spend additional time with patients. However, with these additional responsibilities enables more opportunities for error. In 2008, a study was performed at Wentworth-Douglass Hospital, a 178 bed acute care facility

When I followed the RN's at Woodland Height's we mainly passed out medicine to the patients, but we also took care of other tasks. We also checked on new mothers in Labor and delivery. I myself got to inject morphine into a woman in pain who had just gave birth to a new baby boy. That was a huge thing for me considering I am not licensed to do it.

Administration of medicines is a key element of nursing care. Every day some 7000 doses of medication are administered in a typical NHS hospital (Audit Commission 2002). So throughout this essay I will be evaluating and highlighting the learning that took place whilst on placement at a day unit.

My primary goal of getting a practical experience in pharmacy was to develop the knowledge and skills to actively participate in patient care, improve self-confidence, approach any task with an open mind, and having eagerness to learn what the rotation has to offer. I participated and attempted all the tasks that were assigned by my preceptor throughout my rotation. A very first activity I learned to perform was counting medications properly before pharmacists dispense them. While working on this task, I also learned to change the manufacturing number and do the partials for medications. Although it seemed like a very simple task, it requires attention, fast pace, and accuracy. Most of the errors in the pharmacy occur due to incorrect medication, dosage strength, or dosage form while filling so it is critical to pay attention to small details. Furthermore, my preceptors allowed me to perform vaccinations from the very first day which helped me develop one-on-one interactions with patients and improved my knowledge on administrating and recommending different vaccinations to patients. Since pharmacists hold a great source of information on vaccinations and they are easily accessible in neighborhood, pharmacists play a prominent role in prevention and safety of public health. When I heard news of my preceptor’s participation in flu clinic at the Village of Hanover park, I offered him my help for several hours. After administrating vaccines continuously

With this in mind, I entered my last clinical rotation on the OR floor in a large teaching hospital. It contained 19 operating room suites and personnel included a VP of surgical services, a unit manager, a supply manager, an education coordinator, a few supervisors, and an array of surgeons, anesthesiologists, circulating nurses, scrub nurses/technicians, unit clerks, and surgical aides. My preceptor trained me in the position of circulating nurse. As the circulating nurse, I acted as the patient’s advocate while the patient was under the influence of anesthesia. During surgery, I was delegated the task of anticipating needs and trusted to use my clinical judgement when split second decisions were required.

There are other pharmacy staff who also have roles in relation to the safe dispensing of medicines. A pharmacist is responsible for: Overall checking of a prescription to make sure that it is legal and written by a person qualified to do so, dispensing the right quantity of the correct medicine, ensuring that medicines are correctly labelled with the person’s name, the name of the medicine and the dosage, providing advice and treatment for minor illnesses, injuries and health concerns, providing a repeat prescription service in co-operation with GP

Set-up and workflow of my pharmacy is pretty good for patient centered care. Patient does not have to wait too long for their prescriptions to be filled. Patients can call for their refills via telephone or online, which makes their life easy as they don’t have bother coming in-person for refills. Patient profile shows all medication history as well as number of refills remaining. This makes it easy for pharmacist to know whether to refill a prescription or call doctor for refill request. After confirming to fill a prescription pharmacist runs claim through insurance and print label after claim is successful. All medication is arranged alphabetically on shelves, thus it is easy and quick to retrieve. Then after technician fills medication and then pharmacist checks it. This workflow is quite smooth and quick to process. Final check is done by pharmacist, who confirms right medication for right patient as well as the NDC dispensed, amount dispensed, direction for use, and day supply. All these steps of process take place on working table in sequential order, which helps to reduce errors in filling and have effective prescription filling. Once the prescription is filled pharmacist do all paper