Sodium Chloride Case

It’s not simply the particular giving of the medications that fare up all the time. It is checking the medical record with the hand written prescriptions, grouping the varied medications and also the instrumentation for giving them, and ensuring all the patients safety measure are covered.

The consequences of increasing credit period are more cash required to be invested in working capital and also losses due to increased bad debts.

The dosage was to high for the patient because the chart started going over the regular normal level

medications on the unapproved list. The patient will be responsible for the charges of the

I, Marilyn Dowling, am the vice president of the National Association Against Police Brutality. Which is more commonly known as the NAAPB. We have been made aware of the incident between Mr. Tony Roberts and Officer Blake Mattox. We would like to thank you for all of the footage that you sent with your letter. It was very useful in helping us decide that Officer Mattox is guilty. We believe this because of the video captured by Officer Mattox’s body camera. From what we saw it is pointing all of the blame to Mattox.

The patient also tells me she uses lorazepam very intermittently. She is almost out of that medication would like a refill today. I did write her for lorazepam 0.5 mg to use p.r.n. #20 with no refills.

My day in the E.R. was slow for the first hour and a half. We got our first patient at 7:57 am, and it went at a brisk pace for the rest of the day. The first patient came in with sinus tachycardia. She received one liter of NS 0.9% at a rate of 1L/hr. and two doses of IV diltiazem 10 mg each to cardiovert her, and it was successful. She was released home with instructions to follow up with her cardiologist. There were two patients with chest pain one patient received Nitro Sublingual tablets x3, and the other received Nitro Paste one inch on the left side of his chest. Troponin labs CMP, and CBC on both patients were within normal range. The urine culture on the patient who received the Nitro tabs had WBC in it. When I left the nurse was waiting for blood cultures and lactic acid labs to come back to try and pinpoint a reason for WBC in the urine the physician wanted to admit this patient to the

Problem Statement: Chem-Med Company is positioned strongly in its industry to achieve high growth and earn large profits in the future, but it is in need of financing. To secure this financing, Chem-Med must address concerns of potential financers and investors regarding liquidity, efficiency, cash flow, and the need for funding despite apparent growth. In addition, Chem-Med’s primary competitor, Pharmacia, is out-competing the company and stealing valuable market share and sales volume with lower prices. Analysis: To understand Chem-Med’s problems, we must first look at the company’s liquidity and efficiency through the calculation of various ratios. Common measures of liquidity, activity, and profitability for ChemMed and its competitor

Patient has been previously certified with 45 Tablets of Soma 350 mg, 75 Tablets of Norco 10/325 mg and 30 Tablets of Morphine ER 60 mg on 09/01/16 (Review

Essentially the faith of all the nurses administering medications in that hospital laid in the accuracy of the system being utilized. It is important for nurse leaders to assure the understanding to all nurses that the IT system is not a flawless system. Nurse’s must be aware that the basic nursing fundamentals must still be practiced. In this case, if the nurse utilized the basic nurse application of the Eight Rights of medication administration: the right drug, the right patient, the right dose, the right time, the right route, the right reason, the right response, and the right documentation (Nursing 2013 Drug Handbook, 2013) the medication administration error may have been avoided. It is important for nurse leaders to educate nurses to report glitches in the IT system right away if they are found. Even if the glitch may seem small, it could potentially cause a disastrous outcome. Providing an easily accessible person to report these system errors when found, assures patient safety, the best patient outcomes, and a safe working environment for the healthcare team. Lastly, nurse leaders should assure that nurses have a clear understanding on how to properly use the HER system. Accidental deletion of patient information or accidental omission of current patient information may cause safety related issues and an

Note amount, color, and character of sputum. Monitor pulmonary function tests before initiating therapry and periodically during therapy. Observe for paradoxical bronchospasm (wheezing). If condition occurs, withhold medication and notify HCP immediately. Implementation: PO: Administer oral medication with meals to minimize gastric irritation. Do not break, crush, or chew ER tablets Inhaln: Shake inhaler well, and allow at least 1 min. between inhalations of aerosol medication. Prime the inhaler befoe first use by releasing 4 test sprays into the air away from face – ProAir Respiclick doesn’t require priming. Teaching: Instruct pt. to take albuterol as directed. If on a scheduled regimen, take missed dose as soon as remembered, spacing remaining doses or increase the dose at regular intervals. Caution pts to not exceed recommended dose or frequency of doses; may cause adverse effects (paradoxical bronchospasm, or loss of effectiveness of medication. Instruct pt to contact HCP immediately if SOB is not relieved by medication or is accompanied by diaphoresis, dizziness, palpitations, or chest pain. Instruct pt. to prime unit with 4 sprays before using and to discard canister after 200 sprays. Actuators should not be changed among products. Evaluation: Prevention or relief of

Has anyone recently given a Synvisc injection using one of the syringes from the box in the medication room? The box has been opened and one of them is missing with no documentation on inventory log that it had been assigned to a patient. Please let me know so I can make sure that the charges and documentation were entered into the visit for that patient. The nurses will also need to update their inventory log to reflect the usage of the stock medication.

Dosage error can occur easily. Before, it is important to be cautious and making sure that patients will not be

Furthermore is was communicated that the medication trolleys are not user friendly – new bigger trolleys have however been ordered. Another concern that was picked up during the evaluation of the medication rounds was that the medication trolleys were not taken to the beds – this is also art of the evaluation

The collection, assessment, and planning stages of patient care were all done correctly. However, mistakes were made in the implement and follow up stages of patient care. During the implement process, the technician mixed the wrong dosage of saline solution for the patient and the pharmacist did not correctly check the work of the technician. Dr. Finnamore was the lead pharmacist for the day, thus giving her the responsibility of checking the technicians work. During the follow up stage, the pharmacist should have correctly monitored the patient and been more in touch with the other healthcare providers working the case.