Reflection On Hi Ashaben

Further research into my experience has revealed similar scenarios being played out across long-term care facilities nation wide (Kirsebom, Wadensten & Hedstrom, 2013). Premature discharging from hospitals has resulted in medication discrepancies, incomplete discharge orders, and inappropriate medical treatments. Recent studies show that three out four skilled nursing facility admissions experience medication discrepancies from the discharging institute (Tjia, Bonner, Briesacher, McGee, Terrill & Miller, 2009).

Nurses should be encouraged to question the doctors if a wrong drug is prescribed. They should also restrain from taking verbal orders. Written signed orders should be mandated.

My first clinical experience for this nursing program was completed at New England Rehab Hospital. I walked in with some clinical experience but no experience in the realm of nursing or certified nursing assistants (CNA). During that first semester we followed CNAs to understand their job and gain basic nursing skills like bathing patients, bed making and other daily tasks. It was useful and I’m still happy we were able to have that experience. A situation that made me uncomfortable during that semester that one particular CNA never sanitized his hands when entering and exiting a patient’s room. In most hospitals and nursing facilities there is a “pump in, pump out” rule to abide by when entering and exiting a patients room rule to ensure health care workers are not spreading bacteria to themselves and other patients. This particular CNA admitted to me that he pretends to push the hand sanitizer and rub his hands together without actually getting any sanitizer in his hands. His reasoning was that he found it overly drying to use the sanitizer so frequently despite the hospital providing lotion as well.

* Have a written policy in place, which describes the local procedure for recording of unwanted medication to be returned to the pharmacist.

Laws like these are being implemented and changed widely across the United States to help ensure patients are receiving adequate care that they deserve.

M1 – discuss organisational policies and procedures are by influenced legislation and guidelines with regard to the administration of medication

The American Health Care system needs to be constantly improved to keep up with the demands of America’s health care system. In order for the American Health Care system to improve policies must be constantly reviewed. Congress still plays a powerful role in public policy making (Morone, Litman, & Robins, 2008). A health care policy is put in place to reach a desired health outcome, which may have a meaningful effect on people. People in position of authority advocates for a new policy for the group they have special interest in helping. The Health care system is formed by the health care policy making process (Abood, 2007). There are public, institutional, and business policies related to health care developed by hospitals, accrediting organizations, or managed care organizations (Abood, 2007). A policy is implemented to improve the health among people in the United States. Some policies

1. In the workplace there is a generic Medication Management Policy and Procedures for Adult Services (Issue 10, 2012) document. This is kept to hand in a locked cupboard, readily available to read. It requires that all Healthcare Staff are given mandatory training and refreshers are provided. Legislation which surrounds the administration of medication includes The Medicines Act 1968, The Misuse of Drugs Act 1971, The Data Protection Act 1998, The Care Standards Act 2000 and The Health and Social Care Act 2001

2. The hospital has failed to place a policy into effect for licensed personnel that address the issue of look-a-like and sound-a-like medications that it stores and dispenses. The Joint Commission requires hospitals to take preventative action to reduce and prevent errors that involve medications that can be interchanged and appear on the list.

The policy is a very realistic approach to solve this problem because as more individuals are insured under the ACA and have access to healthcare, they will utilize health facilities and hospitals more frequently for services or procedures and hospitals will have increased occurrences of adverse outcomes, if this is not addressed. Patients are the consumers. They seek satisfaction and quality with services. Quality health care and patient safety should be important to the patients, hospitals, health facilities, physicians, nurses, pharmacists, risk managers, and medical professionals and staff. Medical staff may feel over burdened to comply with the necessary steps to ensure the improvement of patient safety, which may require additional training.

One of the most important policy’s we drafted was the medication reconciliation policy. We felt like this was a major patient safety issue that needed to be gotten

Spring semester starts May 5th. So, I will probably start my clinical hours that day. I don't have my schedule for the next semester yet, but if classes start later in the day I will probably do most of my hours on Thursdays.

A physician could make mistakes in prescribing, the pharmacy could send the wrong medication, but who actually gave it to the patient is accountable for the consequences. For this reason, it’s our responsibility to implement change in our practice based on the evidence in order to ensure safe patient care.

Hi Alyssa, I really liked reading your post. I was also very interested by the history of child research because I found it interesting how parents used to have to study their children all by themselves. I can only imagine how stressful it must have been to have an underdeveloped child in the 1800's because of the lack of resources and information about it. I also liked learning about the theorists, and I thought it was really interesting to see how their theories can be integrated into our classrooms. Chapter 2 was also very interesting. Like you, I liked learning about the brain, but it was really just a refresher for me because I took human biology when I was getting my AA. I am really glad that I took that class because it has really

My typical day at Namaste started off with “chat in’s” at the beginning of my shift and “chat out’s” at the end of my shifts. This is extremely important because my chat in’s allowed me to merge my goals for the day, but also my supervisor’s expectations. For me, one of my goals was to better understand all the residents and learn how to best meet their social needs within their mind, body, and spirit. My supervisor’s assigned me to do one-on-ones where it would be challenging for me and the residents. One-on-ones are basically spending 10-15 minutes with a resident, interacting and engaging with them in the present moment. One-on-ones are also assigned to residents who are declining at an intense rate compared to others. I absolutely appreciate this style of communication from my supervisor, because I was able to learn based on my interest, and then able to transfer that growth into my learning based on program’s obligations to the residents.