Nurse Prescribing Practice: A Case Study

In the following case study, the author will discuss the issues surrounding a seventy-year-old female with a chronic neuropathic ulcer on the sole of her right foot and the rationale and implications of

Nurse prescribing has an important contribution to make in improving the service to patient’s clients within the primary health care setting, its benefits was highlighted in the crown

Medication administration is a very imperative aspect in the field of nursing. The patients’ five medication rights: right patient, right drug, right dose, right route and right time is a very crucial part of nursing that has to be followed in order to lessening the possibilities of medication errors. Medication distributions among patients coincide with implementing the nursing process: assessment, diagnosis, planning outcome and intervention, implementation and evaluation. The nursing process aids nurses to carefully provide the appropriate patient care when it comes to medication management. Many times even with the proper nursing care and techniques nurses encounter interruptions when preparing and administering medications. In a research article, a tertiary care university teaching hospital conducted an observational study where it was established how often nurses were involved in interruptions

The patient is a 76-year-old Hispanic gentleman brought to the ED by his wife because the patient has been anxious for 2 weeks and now unable to sleep much of the night. He denies any chest pain but has had on-and-off palpitations that seemed not to be related to activity or a particular time of day. He denies any shortness of breath, lightheadedness or loss of consciousness. He had two episodes of syncope three years ago. He was diagnosed with having an MI. He was at that time treated at St. Mary's Hospital in Passaic and underwent cardiac catheterization and he has had some stenting done to his coronary arteries. He saw his PMD approximately a week ago who prescribed some sleeping medicine and neurology consult which the patient has

It is the nurse’s and pharmacist’s job to be cautious and aware of every medication they are administering by using their critical thinking skills and applying what they know to every situation. Although it is important for these individuals to be able to advocate for their patients, it also imperative that prescribers be aware of the impact they have on their patients as their actions have a domino effect. In conclusion, it is not the responsibility of a single profession to maintain safety in medication administration. It is the responsibility of everyone involved in the patient’s care. Each person who takes steps to improve the process and promote the patient as the number one priority is doing their part in refining how the healthcare system views medication

issues (Elnour, et al 2008& Schreiber, et al (2007) ).Research findings warn that more than half of life threatening

One of the greatest fears of any nurse is harming or killing a patient by making a critical medication error. The U.S. Food and Drug Administration reports that a person dies accidently every day from a medication error and approximately 1.3 million sustain an injury from medication errors (U.S. Food and Drug Administration, 2016). Medication errors can result from the initial prescribing of the order, transcribing the order, entering the order, dispensing the medication, repackaging the medication with improper labeling, administering the medication incorrectly,

This research study is about how nurses administer medications safely or how existing systems facilitate / hinder the medication administration, which has missed the opportunity for the implementation of practical, effective, and low-cost approach to optimize safety. The purpose of the study is to pinpoint factors that facilitate and/or hinder successful medication administration, which targets on three integral parts: nurse practices and workarounds, medication administration workflow, and nature of interruptions and distractions during medication administration. In effect, the findings showed three interrelated themes that facilitated successful medication administration in some situations, but also acted as barriers in others. These interrelated themes include (1) system configurations and features, (2) Behavior types among nurses, and (3) patient interactions. Some system configuration and features acted as physical pressure for parts of the drug round, however, some system effects were partly dependent on nurses ' inherent behavior, which were grouped as: 'task focus ' and 'patient-interaction focused '. The 'task focus ' is a more organized workflow with fewer interruptions, while 'patient-interaction focused ' empowers patients to act as a defense barrier against medication errors by being an active resource of information, a passive resource of information, and/or a 'double-checker '. Thus, researchers concluded that in order to reduce

The sampling was of 38 nurses and a convenience sample was used. Contributing factors to medication errors included nurses tired and exhausted, physician’s writing illegible, and nurses distracted/ interrupted. Distraction may lead to not completing the “five rights” of medication administration. Poor communication was also perceived as a reason for error. Preventative measures were listed as following the five rights and a computerized system for prescribing and documenting

Tony, I enjoyed reading your discussion board. Medication administration is a very serious task performed by nurses. As you mentioned, the responsibility isn’t with only the provider, but also the nurse. Nurses are responsible for every order they follow or choose not to follow. Per Burkhardt and Nathaniel (2014), “Accountability is an inherent part of everyday nursing practice. Each nurse is accountable for all individual actions and omissions” (p.139). It is the responsibility of the nurse to advocate for the patient, and ensure no harm comes to the patient. If at any time I refused to follow a physician order, I too would have a valid reason. It would only be after I have exhausted all my resources, such as notifying the physician with

I agree that knowing a patient diagnosis is good way to accurately prescribe medication for the elderly. Many elderly patients take multiple medications that they may receive from many different doctors. Due to this, when prescribing a medication, the doctor should take into consideration the other medications the patient is taken and any adverse effects. All medications should then be prescribed at a safe dose like you said. I also agree that non pharmacological techniques should be taken first. In addition, the doctor should consider pharmacology changes that occur with aging. As an individual age, they may have a decrease in absorption rate or decrease in their plasma protein. A patient may also be in a clinically trail making it hard to

Nurse prescribing has an important contribution to make in improving the service to patients clients within the primary health care setting, its benefits was highlighted in the crown report (DOH, 1989 ) in that patient condition will be managed more effectively , a better use of patient and practitioner’s time with minimum delays, overall improving patient care. Furthermore, the Crown Report published in 1989 (DOH, 1989) suggested that suitably qualified nurses with Health Visitor qualification should be given the authority to prescribe from the most recent Nurse Prescriber’s Formulary (NPF). The National Prescribing Centre (NCP) initiated a tool to aid prescribers in the process of making clinical decisions, also known as ‘The Prescribing

According to the Institute for Safe Medication Practices and the Agency for Healthcare Research Quality (AHRQ), there are some recommendations to reduce medication administration. The recommendations surround the use of three techniques, such as unit- dose dispensers, bar-coding medication administration (BCMA) and smart infusion pumps. Such combination strategies are effective against the wrong patient, the wrong medication, as well as incorrect drug dose. Similarly, it may reduce the incidence of medical errors associated with the administration of the drug at the wrong time. However, there are still cases of the medication errors which are related to administering nurse, who lacks knowledge of the drug. Lack of proper drug knowledge is the cause of 10% of mistakes and problems that result from information that the nurse has forgotten or does not use. The actual patient care situation represents 40 % of errors at the administration stage (Moss & Berner, 2015).

The aim of this essay is to provide a critique of two articles. The first article is, “Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience” conducted in Australia by Johanna Westbrook, Marilyn Rob, Amanda Woods and Dave Parry published on the 20th of June 2011. The second article is “Understanding the causes of intravenous medication administration errors in hospitals: a qualitative critical incident study”, conducted in the United Kingdom by Richard N Keers Steven D Williams Jonathan Cooke Darren M Ashcroft and published on the 13th of March 2015. In this critique the two articles will be analysed and there will be a comparison and contrast of the two. To begin of the

Over the past 20 years, the counselling role of the pharmacist has developed in both community and hospital settings. Clinical pharmacy has become a dominant part of the pharmacist 's role to enhance patient care. Gradually the pharmacist’s task extended to ensure that a patient’s drug therapy is properly indicated, the most effective possible, the safest available, and suitable for the patient. The term clinical pharmacy is used now generally to all pharmacists to illustrate the education, skills and attitudes needed to enhance patient care. As better clinical patient outcome became more dependent on the collaboration of different healthcare professionals. Nevertheless, in the developing countries such as Jordan, clinical pharmacy is progressing at a very slow rate (AbuRuz et al., 201; Wiedenmayer et al., 2006).