Looking back on this clinical day, I would state that I effectively met my overall goals for the day - Safely and efficiently administer medication, enhance my nursing/CNA skills, and determine how to implement infection control into a health care setting. During medication administration, I did come across some difficulties – dropping a few pills and being unsure of the medication in the med cart – but that did not prevent me from safely administering my medication. I completed the three medication checks, while ensuring that I recognized the six medication rights. This experience sanctioned me to acquire comfort in passing meds, and permitted me to see how to prioritize time when a patient takes numerous medications. Alongside medication
I have graciously been given the opportunity to broaden my horizons and learn a variety of practices in the pharmaceutical environment. Since the October of 2017 I have been employed at Hoey Apothecary under the care and teaching of many pharmacists and pharmacy technicians. At Hoey Apothecary I work as a pharmacy assistant, and only because of the Youth Apprenticeship Program that Monona Grove High School has offered to it’s students. During my time in the program I having developed a variety of skills and learned the inner works of the cooperation between the technicians and pharmacists. Specifically as an assistant, I am tasked with the responsibilities of; ensuring that the patients are receiving the correct prescription, at the right time,
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
I arrived at clinical 0630 and picked up patient information the morning of. I reviewed all assigned diagnoses, medications, labs, and orders with my assigned students, and we discussed our plan for the day. We both took report from the patient's nurse and then Elizabeth presented at preconference. Kala shadowed the Nurse Lead and I helped Elizabeth with brief changes, pericare, and vital signs. I continued to check on both Elizabeth and Kala throughout the day. Last, lunch and then post-conferance.
During clinical this week we were shadowing a nurse on our clinical unit. I had a couple personal goals at the start of the day. First off I wanted to get comfortable with the unit. I wanted to learn where everything was located in case my patients, throughout the rest of the quarter, asked for something. I also wanted to learn how my nurse prioritized patients. While I am aware that I will only be taking care of one patient on any given day this quarter, I know that learning this skill will be useful in my nursing career.
The earlier in a nursing student schooling they are aware of the impact medication errors can have on patients the more of an impact the education will have. One of the basic tenants of safe medication administration is the three checks and the five rights. Three checks of medication labeling should be performed when reaching for the medication, when retrieving from the medication dispersal unit and before giving the medication to the patient. The five rights of medication: right medication, right patient, right dosage, right route and right time are also to be performed before each distribution of medication to a patient. (Taylor, Lillis, Lynn, & LeMone, 2015). This simple intervention can help to eliminate most potential medication error problems. But while learning such strategies is essential to helping build a culture of safety within a health care facility nothing compares to hands on experience. Getting nursing students’ clinical medication administration experience early in their education can build confidence and instill the qualities needed to be a safe
At this point I know that I am confident, I can critically think and independently plan, organize and provide quality care to my patient. I have made a tremendous improvement on medication knowledge, application and administration and these competencies will be demonstrated in my clinical rotation at Holy redeemer. I have also put studying materials and practices that will help me recall and comprehend what I had learn so far to help me finish strong in this course that I have journeyed so
It is evident that patient safety is one of the most important principal in place as a nurse. To insure this there are many standards that are set in place that as a registered nurse need to be met, some including, professional responsibility and accountability, having knowledge based practice, ethical practice, service to the public and self-regulation (SRNA, 2014). “These standards and foundation competencies serve as the criteria against which all registered nurses, practising in all domains of nursing practice (direct care, education, administration, and research, and the evolving domain of policy) will be measured by clients, employers, colleagues and themselves”(SRNA, 2014). Having these standards allows register nurses and the public to have a clear understanding of what needs to be met in order to insure that there is proper patient safety. However there are still many issues that contribute to unacceptable patient safety, including medication administration errors, post operative care, and patients mental health. However, “medication errors are one of the most common types of medical errors that occur in healthcare institutions” (J.Choo, 2010). A medication error, according to The National Coordinating Council for Medication Error Reporting and Prevention “is any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient or
The purpose of this essay is to identify problems which caused a medication error in the provided videos (Edith Cowan University, 2016). By comparing two different scenarios, poor nursing practice, poor communication, lack of teamwork, and workloads are identified as the problems. On top of that, it is important to understand and adhere to the registered nurse standards for practice (Nursing and Midwifery of Australia, 2016) because registered nurses are assessed by them and they will guide us to be competent nurses. This essay analyses the standard 1 of nursing practice in relation to the area of concern identified in the videos given as examples and discuss how poor nursing practice resulted in the medication administration error.
In the event, I felt distressed and frustrated because I failed to perform daily tasks on time, most importantly medication administration. Furthermore, these emotions were heightened by feelings of not being able to deliver the best possible care and thoughts of my nurses being disappointed in me because of my poor performance. Essentially, these negative feelings arise from my values and beliefs of being punctual and providing safe and high quality care. These values are shaped by my family and profession as I was always disciplined and taught the importance of being on time and promoting patient safety, respectively.
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.
I chose goal 3 because as a practicing student nurse, I’m aware that medication error is common in the health practices, but it can be avoided if proper knowledge and resources such as the eMAR, BCMA and NUPASS guidelines are implemented to secure patients or resident’s safety when administering medication.
The purpose of this journal is to reflect on my experience and skills gained during my clinical placement at Ben Taub Hospital. On my first clinical day, I was excited and nervous at the same time. My first placement was in the PREOP/PACU area. I was assigned to help a patient who had been in the PACU area going on 2 days. Normally, once the patient comes from surgery they are only in the PACU area for a short period of time before they are discharged home or given a bed in another area of the hospital. This particular patient still had not received an assignment for a bed. The physicians would make their rounds to come check on him daily. The patient was a 28-year-old Hispanic male, non-English speaking, he had a hemicolectomy. He had a NG tube, urinary Foley catheter, and a wound vac. My preceptor had just clocked in and she needed to check on the patient’s vitals and notes from the previous nurse. Once she introduced me to the patient and explained while I was there, she then asked me to check his vitals. (Vital signs indicate the body’s ability to regulate body temperature, maintain blood flow, and oxygenate body tissues. Vital signs are important indicators of a client’s overall health status (Hogan, 2014). I froze for a quick second. I have practiced taking vitals numerous of times and I knew I could do it correctly. I started with the temperature first, when I was quickly corrected on a major mistake I had made by my preceptor. I HAD FORGOT TO WASH MY HANDS and PUT
I have always enjoyed writing, and I believed writing was a subject I was naturally good at. I turned in papers that were still rough drafts, I did not evaluate my sources, nor did I ever take the time to fully understand the prompt. It was not until my first semester of college, in my writing composition course, I realized that I had a lot of work ahead of me to be as good a writer as I thought I was. In the writing course, the students were required to compose several essays using different methods to help progress on the course objectives. The work in this portfolio demonstrates that I have used the methods of synthesis and evaluation of sources to advance my critical thinking skills and develop personal responsibility. Though I have
During the course of the quarter, I feel that I have progressed somewhat. I've gained a lot of knowledge on rhetorical strategies and how to present arguments effectively. In the writings I have written, I feel that each writing works towards meeting the course goals. Logos, ethos, and pathos were strategies and ideas we were introduced to (if not already in the past) and were built upon throughout the quarter. The knowledge gained over the course of the quarter weren't only those three types of appeals. Rhetorical strategies like proposals helped reinforce the course and using rhetorical analysis in different situations have become easier throughout the quarter. I believe that I have made sufficient progress towards becoming a better