Pediatric Overdose Research Paper

Risk assessment is a powerful means by which individual children can be encouraged to manage their own medication. Through agreeing a number of risks of a child administering their own medication such as giving themselves an incorrect dose, procedures can be put into place

Additionally, the facility should have a system in place that alerts the staff regarding high dosages. One way to alert the pharmacist would be via a computerized system that monitors the dispensing of all medications. The system should contain an up to date database for referencing medications. Also, the computerized system should have parameters set for alerting pharmacy and nursing staff for all high dosages. When taking cost into consideration, the facility might not have the feasibility to implement an entire computerized dispensing system that provides dosage alerts and cross check off of medications. To maintain patient safety with limited funds, the facility should have remote access to a pediatric pharmacy where all pediatric medications can be cross-checked and verified. If the facility was unable to have a pediatric pharmacist on staff, the remote access would provide a safety net for pediatric medication dispensing. In addition to the pharmacy staff having access to a computerized system, the physician should as well. Had the physician had computer access and been required to enter medication orders, the tenfold error could have been noted and not reached baby Miguel.

In the event a physician is prescribing a medication, he must prescribe in accordance with the size and weight of the patient. For example if the patient is a child the physician must facilitate the aspects of good practices as outlined in the English National Service (NSF) for Children, Young People, and Maternity Services (Caldwell, 2013).

It is composed of actively practicing physicians, other prescribers, pharmacists, nurses, administrators, quality improvement managers, and other health care professionals and staff who participate in the medication-use process. The P&T committee should be responsible for overseeing policies and procedures related to all aspects of medication use within an institution. The P&T committee is responsible to the medical staff as a whole, and its recommendations are subject to approval by the organized medical staff as well as the administrative approval process. The P&T committee’s organization and authority should be outlined in the organization’s medical staff bylaws, medical staff rules and regulations, and other organizational policies as appropriate. Other responsibilities of the P&T committee include medication-use evaluation (MUE), adverse-drug-event monitoring and reporting, medication-error prevention, and development of clinical care plans and guidelines. The hospital’s internal policies follow all national standards for how the P&T committee should

As we learned in class last week, victimless crime can be one of many things. Victimless crime is defined as a crime taking place where there are no harmful injuries done from one person to another. Instead, the damage being done is committed by the individual who is committing the crime. Some examples of a victimless crime are, Drug use, prostitution, gambling, suicide, traffic citations and trespassing.

Opiate overdose may cause significant failure to health, physical distress, breathing damage and increase mortality and morbidity. Vitamin D deficiency causes muscle aches, periodontal disease, osteomalacia and osteoporosis [6-10]. Low bone mass has also been reported in opioid-dependent individuals

- The doctor’s role is to determine what medication the patient needs. It is his/ her responsibility to prescribe the correct medication, the dose, and the type of medication needed and the correct amount to be administered.

One of the standards that has been implemented is Standard 4: Medication Safety. The Australian Commission implemented this standard with the intention of ensuring that competent clinicians safely prescribe, dispense and administer appropriate medicines to informed patients and monitor the effect. (Australian Commission on Safety and Quality in Health Care, 2012) In healthcare, one of the most common treatments is medication. As a result of this, there are many incidences of error, many more than any other healthcare interventions. According to the Patient Safety Network (PS Network, 2015) medication errors account for nearly 700,000 emergency department visits and 100,000 hospitalizations each year. Medication errors are often a result of the unsafe and poor quality practice of healthcare professionals or system errors. Medication errors are costly and many are avoidable. For this standard

One important aspect of prescribing medication by an APN is they should consider the size of the child might not reflect the chronological age. Taking into consideration, the ability that the child must be able to metabolize and excrete the drug. The conflict of under and over medicating the child becomes a major problem. When the question of under medicating the children is an issue, the therapeutic level has not been reached, and the child is still sick. With the use of antibiotics for example, if the correct dosage is not given, bacterial resistance can occur. With the use analgesics, the child is still having discomfort after medicating this can be avoided, if the proper dosage was given. However,

Medications will be dispensed only when medically necessary (as determined by the administration staff ) and may include but are not limited to nebulizer EPL pens and inhalers. We do not dispense fever reducers pain relievers, cough suppressants antibiotics ear or eye drops or other medications which aid temporary conditions. One of the directors will administer medical lay necessary medications only upon written authorization from parents and proper health care treatment plan from and authorization from the child’s physician. Children are not allowed to keep medications in there backpacks or cubbies. It is at the discretion of the administration as to what is deemed medically necessary

Each year, roughly 1.5 million adverse drug events (ADEs) occur in acute and long-term care settings across America (Institute of Medicine [IOM], 2006). An ADE is succinctly defined as actual or potential patient harm resulting from a medication error. To expound further, while ADEs may result from oversights related to prescribing or dispensing, 26-32% of all erroneous drug interventions occur during the nursing administration and monitoring phases (Anderson & Townsend, 2010). These mollifiable mishaps not only create a formidable financial burden for health care systems, they also carry the potential of imposing irreversible physiological impairment to patients and their families. In an effort to ameliorate cost inflation, undue detriment, and the potential for litigation, a multifactorial approach must be taken to improve patient outcomes. Key components in allaying drug-related errors from a nursing perspective include: implementing safety and quality measures, understanding the roles and responsibilities of the nurse, embracing technological safeguards, incorporating interdisciplinary collaborative efforts, and continued emphasis upon quality control.

The administration of medication can be associated with a significant risk with it is recognized as a central feature of the nursing role. It should continue in order to avoid a possible medical malpractice continuous care. Nursing staff have a unique role usually given to patients to manage their medication and responsibilities, then they can report these identified medication errors. Some of the most distinguishable events can be related to errors in professional practice, prescribing, dispensing, distribution, and education or monitoring. Since medication errors can arise at any state of the administration process, it is essential for nursing staff to be attentive of the most commonly encountered errors. For the most part, the common of the perceptible aspects related with medication errors are due to minimal awareness about hospital policies, inappropriate implementation or latent conditions (Farinde, n.d).

Medication error is one of the biggest problems in the healthcare field. Patients are dying due to wrong drug or dosage. Medication error is any preventable incident that leads to inappropriate medication use or harms the patient while the medication is in the control of the health care professional,or patient (U.S. Food and Drug Administration, 2015). It is estimated about 44,000 inpatients die each year in the United States due to medication errors which were indeed preventable (Mahmood, Chaudhury, Gaumont & Rust, 2012). There are many factors that contribute to medication error. However, the most common that factors are human factors, right patient information, miscommunication of abbreviations, wrong dosage. Healthcare providers do not intend to make medication errors, but they happen anyways. Therefore, nursing should play a tremendous role to reduce medication error

The United States is currently in the midst of an Opioid overdose epidemic. Deaths from overdoses of prescription drugs continue to be the leading cause of unintentional death for Americans. Last year, 47,055 people died from drug overdoses - 1.5 times greater than the number killed in car crashes. Overdose is an excessive and very dangerous dose of a drug. Opioids are substances that act on opioid receptors to produce morphine-like effects. Medically, they are primarily used for pain relief. The most commonly prescribed opioid medications are Vicodin, OxyContin, and Percocet. Drug overdoses can be either accidental or intentional. They occur when a person takes more than the medically recommended dose. Treatments for overdose include medications

A philosopher is a person who is has learned philosophy and in words by definition I am a philosopher. I started this course not knowing what I would be learning and the simple title of the course was intimidating. I thought, am I going to be capable of understanding what great philosophers once debated? Religion is a huge issue I wasn’t sure I was going to be able to overcome since a lot of philosophers didn’t believe in God. I wasn’t sure if I would be able to separate my idea of life and viewing it as an intellectual philosopher. I thought that every idea wouldn’t have proof and that the only proof we had was the bible. The bible was the only piece of proof that I knew and that everything else wouldn’t be sufficient enough to make me change