Chapter 28, Problem 4RP

Summary Introduction

To discuss:

How can you communicate observations or concerns related to hazards and errors to patients, families, and health care team?

Case summary:

During the clinical rotation, the nurse met person FB who was an elderly man with a wound infection. He requires an intravenous antibiotic therapy. He was due for a certain antibiotic which has to be hung at 1000. When the nurse checked his drawer at 0800 and 0900, the antibiotic was not there. Another nurse told not to call pharmacy since the pharmacy staffs will replace the medication carts before the time. At 1000, the nurse found the medication bag in the drawer. It was found to be the right drug and the right dose, but it was the wrong patient. The label on the bag had another patient’s name on it. This patient was also in the same unit who is receiving the same drug and same dose but at a different time.

Summary Introduction

To discuss:

What is the role of the nursing student in preventing error?

Case summary:

During the clinical rotation, the nurse met person FB who was an elderly man with a wound infection. He requires an intravenous antibiotic therapy. He was due for a certain antibiotic which has to be hung at 1000. When the nurse checked his drawer at 0800 and 0900, the antibiotic was not there. Another nurse told not to call pharmacy since the pharmacy staffs will replace the medication carts before the time. At 1000, the nurse found the medication bag in the drawer. It was found to be the right drug and the right dose, but it was the wrong patient. The label on the bag had another patient’s name on it. This patient was also in the same unit who is receiving the same drug and same dose but at a different time.

Summary Introduction

To discuss:

What legal principles did the nursing student adhere to with the described actions?

Case summary:

During the clinical rotation, the nurse met person FB who was an elderly man with a wound infection. He requires an intravenous antibiotic therapy. He was due for a certain antibiotic which has to be hung at 1000. When the nurse checked his drawer at 0800 and 0900, the antibiotic was not there. Another nurse told not to call pharmacy since the pharmacy staffs will replace the medication carts before the time. At 1000, the nurse found the medication bag in the drawer. It was found to be the right drug and the right dose, but it was the wrong patient. The label on the bag had another patient’s name on it. This patient was also in the same unit who is receiving the same drug and same dose but at a different time.

Summary Introduction

To discuss:

Suppose the nursing student has given the medication without double-checking all of the information. What legal principles must have been violated?

Case summary:

During the clinical rotation, the nurse met person FB who was an elderly man with a wound infection. He requires an intravenous antibiotic therapy. He was due for a certain antibiotic which has to be hung at 1000. When the nurse checked his drawer at 0800 and 0900, the antibiotic was not there. Another nurse told not to call pharmacy since the pharmacy staffs will replace the medication carts before the time. At 1000, the nurse found the medication bag in the drawer. It was found to be the right drug and the right dose, but it was the wrong patient. The label on the bag had another patient’s name on it. This patient was also in the same unit who is receiving the same drug and same dose but at a different time.

Summary Introduction

To discuss:

What evidence in nursing literature provides guidance for decision making regarding care of this patient?

Case summary:

During the clinical rotation, the nurse met person FB who was an elderly man with a wound infection. He requires an intravenous antibiotic therapy. He was due for a certain antibiotic which has to be hung at 1000. When the nurse checked his drawer at 0800 and 0900, the antibiotic was not there. Another nurse told not to call pharmacy since the pharmacy staffs will replace the medication carts before the time. At 1000, the nurse found the medication bag in the drawer. It was found to be the right drug and the right dose, but it was the wrong patient. The label on the bag had another patient’s name on it. This patient was also in the same unit who is receiving the same drug and same dose but at a different time.

Summary Introduction

To discuss:

What does this tells about the nursing student and about the advocacy of the nursing student’s skills for professional practice?

Case summary:

During the clinical rotation, the nurse met person FB who was an elderly man with a wound infection. He requires an intravenous antibiotic therapy. He was due for a certain antibiotic which has to be hung at 1000. When the nurse checked his drawer at 0800 and 0900, the antibiotic was not there. Another nurse told not to call pharmacy since the pharmacy staffs will replace the medication carts before the time. At 1000, the nurse found the medication bag in the drawer. It was found to be the right drug and the right dose, but it was the wrong patient. The label on the bag had another patient’s name on it. This patient was also in the same unit who is receiving the same drug and same dose but at a different time.