Rights Of Medication Essay

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

Medication errors are the leading cause of morbidity and preventable death in hospitals (Adams). In fact, approximately 1.5 million Americans are injured each year as a result of medication errors in hospitals (Foote). Not only are medication errors harmful to patients but medication errors are very expensive for hospitals. Medication errors cost America’s health care system 3.5 billion dollars per year (Foote).Errors in medication administration occurs when one of the five rights of medication administration is omitted. The five rights are: a) the right dose, b) the right medication, c) the right patient, d) the right route of administration, and e) the right time of delivery (Adams). Medication administration is an essential part of

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

Also, by properly conducting a time-out session where the patient is provided with a standardized briefing prior to the patient is sedated in the OR could also eliminate some the sentinel or adverse events in the OR. Furthermore, follow a checklist, which not only pertains to the surgery itself, but also focuses on the other procedures involved such as admissions, anesthesia equipment, and discharge (Mulloy & Hughes 2008).

VASNHS Surgical Specialty Outpatient department has a designated pre-operative management unit that oversees the patients undergoing surgery. The predicaments stem from various guidelines or protocol originating from numerous surgeons and clinics. At present, the pre-operative nurses abide simple pre-op instructions (NPO protocol, medications, what to bring, during the surgery, transportation, cancellation instructions) for the entire Surgical Specialty Outpatient department. Surgical procedures are being canceled due to lack of communications and cancelations of patients prior to surgery date.

Could you imagine going through a surgery without anesthetics? You know, an anesthesiologist isn't the only one who gives anesthesia—it's a team effort. Nurse anesthetists have been the primary administers of anesthesia since World War II. Many health care facilities do not have anesthesiologists on staff, but they have a CRNA, or a Certified Registered Nursing Anesthetist. They are the nurses that put IVs (intravenous sedatives) into patients before surgery, as well as a combination of other medicines to relax the patient ("Nurse Anesthetist" Career Articles). The anesthesia promotes a controlled state of unconsciousness, muscular relaxation, and insensitivity to pain. So when you go to the operating room, you will most likely have a nurse

In nursing education, students are educated on the importance of using the medication “five rights” to practice and prevent drug administration errors. The nurse plays an important role in medication administration and should focus on error prevention. ( Escolar-Chua et al., 2013).

According to the systematic review covered by Apfel, Turan, Souza, Pergolizzi & Hornuss, 2013 there is a significant reduction in postoperative nausea and vomiting and opioid use when using intravenous acetaminophen. The reviewers used Medline and Cochrane databases to conduct their search along with a hand search of abstracts to identify randomized-controlled trials using intravenous acetaminophen. The review was to determine if the acetaminophen was going to have a significant decline in nausea and vomiting following surgical procedures as

Preoperative Teaching: during preoperative period its best to teach the patient about their surgical procedure and probabilities before and after the surgery. During this time the patients are alert and free. It’s better for the patient and their family if they know what to expect so they can participate in the recovery. Nurses alter the instructions given and explains them to the patient to they are able to understand them properly. The teaching plan helps the nurse assess the patient’s perception. Once the patient understands what they have to do in order to recover quicker than they are most likely to follow the preoperative instructions and cooperate with the healthcare team members. The information given in the preoperative plan varies with the type of surgery and the length of the hospitalization. Examples of information to include in preoperative teaching: Preoperative medications—when they are given and their effects, Postoperative pain control, Explanation and description of the postanesthesia recovery room or postsurgical area, Discussion of the frequency of assessing vital signs and use of monitoring equipment. Preoperative Preparation: for preoperative care it is essential that the patient is prepared for surgery both physically and psychosocially. Preoperative Medications: anesthesiologists frequently order preoperative medications. Before administering

After a year in nursing school, drug administration and nursing responsibilities are firmly drilled into our heads. The 6 rights: right Medication right route, right time, right client right dosage, right documentation, and the right to refuse any medication. Before giving the medication the nurse must fully ensure that the patient knows what the medication is for and what to expect. The nurse must check the patient’s armband before administering medication, ask the patient to verify his name and date of birth, only administer meds the nurse has prepared herself, and if there is something the nurse is unsure about she should look it up or ask for help.

In 1966, a Spanish couple welcomed a new baby to the world in a Denver hospital. Because the couple only spoke Spanish, communication between the couple and the healthcare staff was impaired. The mother had a history of syphilis, and it was difficult for the hospital to understand how the mother had been treated for this disease. After discussion between employees, a decision was made to treat their newborn for congenital syphilis and an order was written for Benzathine penicillin G 150,000U IM. The hospital pharmacist read the order incorrectly, mistaking the “U” for a zero making the order 1,500,000 units. The nurse caring for the baby expressed concern about injecting a high amount intramuscularly as the label on the bag instructed. Further discussion took place between staff, and a decision was made to administer the medication intravenously (IV) instead. The IV administration resulted in the death of the infant died. An autopsy later revealed that the baby did not have congenital syphilis, and therefore no treatment was truly needed (Aspden, 2007, p.43-44). Medication errors can be deadly as the previous example shows. A medication error is defined as, “any preventable event that may cause or lead to inappropriate medication use or patient harm while

Efficacy and safety data in patients undergoing surgery was not showed in the use of Andexanet Alfa

A surgical nurse is responsible for monitoring and ensuring quality healthcare for a patient following surgery. Assessment, diagnosis, planning, intervention, and outcome evaluation are inherent in the post operative nurse’s role with the aim of a successful recovery for the patient. The appropriate provision of care is integral for prevention of complications that can arise from the anaesthesia or the surgical procedure. Whilst complications are common at least half of all complications are preventable (Haynes et al., 2009). The foundations of Mrs Hilton’s nursing plan are to ensure that any post surgery complications are circumvented. My role as Mrs Hilton’s surgical nurse will involve coupling my knowledge and the professional

Postoperative nausea and vomiting (PONV) is an unpleasant experience that distresses surgical patients during the first 24 hours after a surgical procedure (1-8). The general incidence of vomiting is about 30%, the incidence of nausea is about 50%; and in high-risk patients, the PONV rate can be as high as 80% (2, 3, 5, 6, 8). PONV is a dangerous post-operative complication that increases the chances of developing threatening wound dehiscence, hematoma formation, aspiration, esophageal rupture, dehydration and increases intraocular and intracranial pressures due to acute blood pressure elevations (2, 4, 7, 9). According to the Consensus Guidelines for the Management of Postoperative Nausea and Vomiting, a combination of antiemetic medications is recommended as the best treatment for patients with moderate and high risk factors for PONV (6). PONV can be classified as either early PONV (0-2 hours) or delayed PONV (2-24 hours) (6). Post-discharge nausea and vomiting (PDNV) are episodes that occur after the patient has left the hospital (6).

.However, intravenous dexamethasone may affect the blood glucose profile of the patient and eventually wound healing. In this study, we have studied the effects of intravenous (IV) dexamethasone administered at induction on blood glucose concentrations in adult, non-diabetic patients under general anaesthesia for superficial surgeries, eg, otological surgeries, breast surgeries, hernia surgeries, etc.Key-words-Intravenous dexamethasone, superficial surgery, non-diabetic adult patients, blood glucose concentration. Introduction Intravenous(IV) dexamethasone is commonly used for the prevention of postoperative nausea and vomiting (PONV). , , When administered at induction of anaesthesia, it has been shown to improve the postoperative pain