Patient Education And Medication Administration

Improving the quality of discharge planning in acute care include addressing the lack of appropriate staff and patient education about appropriate planning for discharge (4). This includes implementing proper discharge teaching regarding signs and symptoms to seek medical attention, management and care of medical equipment, and access to community resources (4, 5). Other challenges are patients with complex comorbidities too difficult to discharge as well as lack of community supports and equipment for newly discharge patients and lack of rehabilitation and nursing home beds (4). Consequently, acute care units are pressured to vacate hospital beds in response to the growing elderly population. Hospital professionals tend to focus discharge teaching and preparation on medical areas such as diet, activity, treatments, and medications (5). Community referrals to appropriate services at the time of hospital discharge does not often happen contributing to poorer patient outcomes and re-hospitalizations

For my seventh clinical shift at the Loma Linda Veterans Affairs Medical Center, my assigned preceptor Filipina Gumangan assigned me three patients on the 4NW unit. The unit where I precept is an intensive care step down unit. Filipina’s objective for giving me three patients this shift was to give me an opportunity to continue exercising my time management skills and to practice my reporting and charting skills, and wound care. This shift I was responsible for many clinical duties corresponding to the care of these patients. My patients this shift were Mr. B, a 72 year-old Vietnam War veteran newly diagnosed with colon cancer, Mr. S, a 65 year-old Vietnam War veteran in the hospital for complicated urinary tract infection, Mr. R, a 90 year-old Korean and Vietnam War veteran. Caring for these patients taught me more about the humanbecoming perspective of nursing and showed me about multidisciplinary coordination with peers, colleagues, and more.

The intended use of medications is meant to improve a person’ health, it is very important the individual administering medication or self-medicating use the drugs correctly, by following the doctors’ instruction for the medication prescribed. Medication is given to diagnose, treat, and prevent illness. Medication can be very dangerous, which can potentially cause harm or even deaf if it’s not used properly.

rights, health, and safety of the patient.” This provision, identifying patients, medication safety are related because it is a nurse’s responsibility to protect the patient from harm and promote safety. Nurses are taught to use multiple checks before administering a drug and use two identifiers. These checks include checking the medication against the order when obtaining it, checking again when preparing the medication and the last check is done at the patient’s bedside prior to giving the medication. Also it is imperative to question any medication order that does not seem fit. The order should include a date, time, name of the medication, dosage strength, the route for

Ineffective discharge teaching often leads to unnecessary admissions to the hospital resulting in negative patient outcomes and decreased patient satisfaction. This negatively impacts the well-being of the patient and creates a financial burden on institutions. As a result, this universal practice issue requires a call to action on the part of the nursing profession. Nurses can proactively assist in assuring incidents of readmission do not occur. Nurses as educators play a critical role in the successful transition of patients from hospital to home. The overall goal of discharge education is to ensure there is an exchange of critical information between the patient and nurse in which plans of care are understood and followed. The research

Nurses are undoubtedly one of the most trusted professionals worldwide. Patients, family members, and doctors entrust nurses to provide the utmost quality care to sick individuals. Top priorities of all nurses are advocacy for their patients: including advocating for their physical health, holistic welfare, and utmost importantly, their safety. Patient safety will always be the top priority when providing patient care. The nurse’s responsibility during every patient encounter is to ensure that each patient under her care, receives no harm. As a direct result of the previous statement, it is crucial that every nurse knows their rights to refuse unsafe patient assignments, the process to refuse unsafe patient assignments, and the legal or ethical ramifications that could present themselves if proper judgement is not used. By understanding these rules, nurses not only achieve the responsibility of advocating for patient safety but also safeguard their careers and license.

The second week of my preceptorship brought many new experiences for me, and I can honestly say that each day I spend with my preceptor is better than the last. This week I focused on time management of a full patient load with continued documentation practice as well as admission and discharge procedures. I’ve had brief experiences in my past rotations assisting with discharge teaching and admission assessments however I have never been able to fully take charge and complete the process from start to finish, so this was a great learning opportunity for me.

Medication administration is not only an increasing source of civil and administrative liability for school districts, but may lead to legal questions for school counselors, psychologists, and social workers(Mazur-Mosiewicz et al, 2009). Medication and its administration in school settings by school personnel have been topics addressed by both the Office of Civil Rights (OCR) and the U.S. Department of Education and the federal courts as it relates to Section §504 and the IDEA. The rulings clearly suggest that schools have little power to limit their legal responsibilities, selectively deny administration of psychoactive prescriptive medication, and delegate the service to parents(Mazur-Mosiewicz et al, 2009).

It is essential for nurses to understand which appropriate method and tools should be utilized for an individual and their families when performing discharge teaching in order for the patient education to be successful which in turn will promote proper healthy healing (Bastable, 2014). The purpose of this discussion board is to develop two objectives from my teaching plan and describe the instructional methods that will help Tina with meeting these objectives, identify which evaluation method I will utilize to help determine if the objectives were met and explain why I chose this particular evaluation method for Tina. And further discuss any potential barriers that might be expected and discuss how I plan to address these potential barriers.

In the curriculum it says that the medication aid is legally responsible for their own actions. The other legal responsibilities/ abilities include; working under a RN/LPN, to administer various kinds of medication including oral, topical, and vaginal, name a few, to perform certain procedures if we are taught to and to supervise a license nurse if deemed competent. You can also legally refuse to perform a task that the CMA has not been trained to complete or if you don't feel competent to do so.

The National Patient Safety Goal 13 was to encourage patients to actively involve in their own care as a patient safety strategy. As per the Joint Commission (2007), the teach-back method is the preferred method to address that goal. According to Fenwick ( n.d.), “Teach-back can help providers communicate with people with low health literacy, but it can also help with communicating overall—even with people with proficient health literacy”. Both the National Quality Forum and The Joint Commission endorse the teach-back method for use in teaching and proper administration of discharge instructions for both the patients and caregivers (Fenwick, n.d.). The American Medical Association also provides the tool kit to educate health care professionals in the use of the teach-back method (Fenwick, n.d.).

The NMC Code (2008) charges nurses to protect confidential information, and to only use it for the purposes given – for their treatment. Therefore all patients and events mentioned in this essay are inspired by real patients and events, but names, locations, dates and other details have been altered or obscured to make identification impossible. Following the introduction of the knowledge and skills framework (DH 2004a) and emphasis on quality of health care and patient centred, interprofessional, health and social care (DH 2000; Leathard 2003; Thompson et al. 2002) health care professionals and students will need to be able to

Plan: The primary goal for the nurse is to ensure Caroline is discharged able to administer and monitor her medications as well as recognise the indication, desired effect and potential side effects and adverse reactions for each drug. The nurse must apply health literacy principles, consider verbal and non-verbal communication techniques as well as apply adult learning principles to achieve this goal.

The ability to become reflective in practice has become a necessary skill for health professionals. This is to ensure that health professionals are continuing with their daily learning and improving their practice. Reflective practice plays a big part in healthcare today and is becoming increasingly noticed.

This patient needs an interpreter for Spanish to assist with discharge instructions. He needs to be informed of the medications the MD discontinued, new meds that are ready to pick up at his pharmacy, the co-pay involved for those medications, proper administration of the medications, side effects and when to call the doctor if there are any adverse effects. He also needs to be taught the importance of fluid restriction to 1500mL/day. This includes water, ice, gravy, soup, ice cream, dairy, soda or other fluids. He needs to be shown an example of how much 1500mL of fluid looks like and taught the importance of daily weights. This patient did not have a scale at home, so he needs to be informed that there are scales available for low cost at a local store. Dietary restrictions of potassium, calcium, phosphorus and protein should also be addressed. He