The Biomedical Excellence For Safer Transfusion

This unit is aimed at health and social care professionals involved in the use of

For the purposes of this paper, the author will only focus on National Patient Safety Goals 01.01.01: Identifying patients correctly and 01.03.01 Eliminate transfusion errors related to patient misidentification.

According to Arthur Miller, Reverend Parris is against the theory that his daughter (Betty) has been bewitched because it can ruin the reputation of both himself and his niece Abigail. In the beginning of act 1, Parris is in a sorrow state and is interrupted by his niece Abigail. He then interrogates Abigail, asking questions the night Abigail and Betty were dancing in the forest;Betty reassures him that all they did was dancing. Parris then says, “But if you trafficked with spirits in the forest I must know it for now, for surely my enemies will, and they will ruin me with it” (Miller 10). Parris mentions his enemies, as this event can cause such damage to his name as the Minister of Salem.

But nobody ever set any parameters on what to do if the hemoglobin ranged between 7 and 10. This left the physician to decide when to start a blood transfusion. The Johns Hopkins study revealed that because of this most physicians always erred in the side of “safety” by ordering a transfusion any time the hemoglobin was at or below 10.

I have completed the on shadowing experience at Country Manor on two separate days. The first shadowing took place on November 21st, 2016 from 6:30pm to 9:30pm and the second shift was completed on November 22nd, 2016 from 6:30am to 10:am. I shadowed Janet Groshong and Stacie Derry. They both were friendly and I was able to observe medication distribution. I was able to see multiple types of medication administration as well as to meet new people.

If I were to walk down the hallway and hear a fellow nurse making the statement that they are trying to administer medication, and the cannot complete the task because the medication administration program is telling them wrong patient my first action would be to ask that nurse if I could assist her is finding a solution. Hopefully that nurse would allow me to assist. Then I would be able to check the chart and the patient’s identification band manually. If it was not the correct due to patients having similar names such as James Stewart or Stewart James, then the problem would be easily solved by selecting the correct patient’s chart. However, if the patient’s identification bracelet is correct and matches the selected patient’s HER, then

As good practice recommended by SaBTO (2011), Patient X and two nurses had to confirm that the blood received was tested and prepared for her. Norfolk, (2013) recommends that its good practice for two nurses to verify ABO and Rh compatibility, patient’s name, hospital ID number, and the number on the red (if patient has allergies) or white bracelet. Patient confirmed her details verbally and had to match with details on the tag of the donor blood bag, patient’s wristband and prescription chart. Details on the RBC bag include: Name of patient, Medical Record Number, Blood Group – Patient and Product, Expiry Date and Time and Product No. of Blood. The rationale of the practice is ensure to that the right blood is transfused to the right patient.

I have chosen the Hospital National Patient Safety Goals. One goal is improve the accuracy of patient identification. The Joint Commission wants hospitals to use at least two patient identifiers when providing care, treatment, and services. I believe that the person, who is checking in the patient, needs to be made aware of the importance of this process. One way would be to request two pieces of personal identification. Fraud is happening everywhere and requesting two pieces of identification might make this less likely to happen. Every person that comes in contact with the patient needs to check their identification bracelet with the medical record, orders and prescriptions. The HIM professional manages the master patient index and must

In providing a safe and effective environment for a patient, it is important the nurse follow the National Patient Safety goals and implement them in their daily routine. These goals were developed by the Joint Commission’s Patient Safety Advisory group which consists of physicians, nurses, risk managers, pharmacists and other professionals involved in care giving. These goals are put into effect “to assist accredited organizations to address specific areas of concern in regards to patient safety” (TJC, 2015). One of the first goals is to correctly identify patients, which should be done for each patient before any procedure that involves the patient or anytime they are receiving medication or blood products. Identifying the patient should be done by using 2 identifiers which would be name and date of birth. This is used to help prevent a medication or procedure being given or done on the wrong patient. As a nurse it is critical to report severe or life altering lab tests or situations right away to the right person, which is another patient safety goal. Medications are given frequently in the hospital so a goal is for each medication to be given safely and correctly. This can be done according to the National Patient Safety Goals by monitoring patients closely who are taking blood thinners, making sure that

A third risk in a hospital is medication errors. These occur when either the pharmacist can’t read a physician’s hand writing on a prescription, or the physician does not know the patients medication history and so on. The quality outcome of the patient’s wellbeing is affected in this risk.

After reviewing the 2014 Patient Safety Goals, the one that drawn my attention the most, is the Patient Identification goal. The article that I chose is Patient Safety Solutions. This article was written back in May 2007. This article is about the failure to identified patients correctly and the consequences that occur as a results. Some of the bad outcomes as a result of such failures include, patients received wrong blood transfusion, laboratory received wrong blood for different patients. There were wrong patients being operated on, and patients were given wrong medications.

According to the “Hospital National Patients Safety Goals”, it puts the “Identify patients correctly” in the top one place instead of preventing patient falls. In the article, it also requires healthcare staff use at least two ways to identify the patient. Because a mismatched patient can cause serious consequences in any stage of the diagnosis and treatment, such as diagnostic testing errors, transfusion errors and wrong-site procedures, etc. Especially

Determining what blood type a person has is very important. It is important because if one were to lose a great deal of blood in say, a car crash, the doctors would need to give him or her a blood transfusion. In order to give one a blood transfusion, the doctors would need to know him or her blood type. Blood types are determined by the agglutinogens, located in the red blood cells and the agglutinin, located in the blood plasma. For example, if a person is blood type A they have A agglutinogens and B agglutinin. If one were to have Blood type O, he or she would have neither B nor A agglutinogens and both A and B agglutinin. If a doctor gave someone the wrong blood type, that person’s immune system would attack and destroy the new blood that was transfused. This can cause an acute hemolytic transfusion reaction which can be fatal.

Observations should be undertaken and documented for every unit transfused. Good record keeping is an integral part of nursing practice and is essential to the provision of safe and effective care. The nurse should ensure that the patient is in a setting where they can be directly observed and where staff are trained in the administration of blood components and the management of transfused patients, including emergency treatment of anaphylaxis, she/he should advise and encourage the patient to notify her/him immediately if they begin to feel anxious, or if they feel any adverse reactions such as shivering, flushing, pain or shortness of breath, (Hebert, Wells, Blajchman, Marshall, Martin& Pagliarello, 2012

I will explain each right in detail to you. “The right patient”. To make sure that you are administering medication to the right patient you have to verify two different types of identification.