Tutorial 15 2023.pptx in the materal science

h 3 proteins student print

1. Module 5: Tutorial 15 - Quality and Safety in Medication Administration [Part B] NURS3010 The Professional Nurse

2. Acknowledgement of Country Flinders University acknowledges the Traditional Owners of the lands on which its campuses are located, these are the Traditional Lands of the Arrernte, Dagoman , First Nations of the South East, First Peoples of the River Murray & Mallee region, Jawoyn , Kaurna, Larrakia, Ngadjuri , Ngarrindjeri, Ramindjeri , Warumungu, Wardaman and Yolngu people. We honour their Elders and Custodians past, present and emerging. Today, over 400 Aboriginal and Torres Strait Islander students are enrolled in courses at Flinders University. The artwork is the creation of contemporary Aboriginal artist Elizabeth Close, a Pitjantjatjara Yankunytjatjara woman and Flinders alumna, who graduated from the University with a Bachelor of Nursing in 2011. It is located in the Tjilbruke Student Lounge

3. ROLL CALL

4. Activity 1: Polypharmacy What is polypharmacy What are the complications of polypharmacy? Why is polypharmacy such an issue in the elderly? Watch: Polypharmacy in an aging population [2.57] https://www.youtube.com/watch?v=f0DaJhQDQ_Y 4. What can be done to prevent polypharmacy? This Photo by Unknown Author is licensed under CC BY-NC-ND

5. Activity 2: Medication Communication According to the text reading for this tutorial, what are the 9 steps in the medication process in the hospital setting? Errors in documentation, how many can you identify? What is the most common medication error for which nurses are responsible? This Photo by Unknown Author is licensed under CC BY-ND

6. Activity 3: Medication errors A How many types of medication errors are there? What causes medication errors How can medication errors be prevented? Have you ever witnessed or been involved in a medication error? Should a medication error always be disclosed? Look at the following two scenarios https://medcominc.com/medical-errors/common-nursing-medication-errors-types-causes-prevention/ This Photo by Unknown Author is licensed under CC BY-ND

7. Overmedicated and Misinformed Overmedicated and misinformed [8.09] https://www.youtube.com/watch?v=CcROGhtu33w Medication errors https://www.youtube.com/watch?v=U6we_nLGEME [4.02]

8. Activity 4: Medication errors B Scenario 1 Scenario 2

9. Scenario 1– Should the error be disclosed? Ann is a night duty nurse in a local hospital. Over the past couple of weeks, she has been working a series of double shifts as several the nursing staff have been absent due to illness. In addition to the long working hours, Ann also cares for her disabled son and elderly mother at home and is usually extremely fatigued when she arrives for her shift. One evening during a particularly busy shift, Ann accidently administers the wrong medication to one patient, Bob. After realising her mistake, Ann immediately checks Bob’s medical history and is certain Bob won’t suffer any adverse reaction from her error. Bob is a particularly anxious patient and has previously been given incorrect medication. On that occasion he suffered no adverse reaction to the medication. However, he was so upset after hearing of the error that he decided to initiate legal action against the RN concerned. Ann discusses the matter with a colleague who suggests that, given Bob’s history, it is probably in Bob’s best interests if he is not told of the error as knowing about the error will only exacerbate his anxiety. The colleague adds, ‘We’re doing the best we can here. You just made a mistake.’ Scenario taken from (and adapted); McDonald, F., & Then, S. (2019) Ethics, law & health care: a guide for nurses and midwives (2nd ed.) (p. 180 & p. 270). Red Globe Press

10. Scenario 2– Should the error be disclosed? An agency RN was working on a ward when she noticed that the vial in the patient’s cupboard for their prescribed medication (due 3 times daily) was the incorrect drug. The patient had been on that particular medication when admitted to the hospital 3 days previously, but the order was changed on admission. The name of the original medication and the newly prescribed medication were quite similar, but their mode of action was different. From the circumstantial evidence, (that the incorrect medication was in the cupboard) it appears that the patient has been administered the incorrect medication at the new medication dose rate for the past 3 days. The nurse brought the drug error to the attention of the team leader for the shift, who becomes a quite agitated about the situation and then quickly sent the nurse on a meal break. When she returned to the ward, the incorrect medication had disappeared from the patient’s cupboard and the correct medication was in there, no incident or medication error report was visible. When she asked about completing an incident report, she was told not to worry about it anymore, that the problem had all been “fixed” and that nothing further needed to be done. There was no documentation in the patients notes about the event. It appeared that the problem had “gone away”. In this scenario, what should have been done?

11. Simulation medication error [12 mins]

12. Near-fatal medication error leads nurse to make patient safety a priority [10.36]

13. Stephen Robert Atkins – aged 53 The conclusion 1) The cause of death can be attributed to fentanyl and oxycodone toxicity; 2) The death was a preventable death; 3) The proper application of the hospital escalation pathway protocols that were already in place at the FMC at the relevant time would have most likely prevented Mr Atkins’ death; and 4) Since the death a number of measures have been implemented at the FMC which are designed to reduce the likelihood of the recurrence of a similar event in the future.

14. https://www.9news.com.au/national/man-drugged-to-death-at-medical-centre-inquest-hears/070eee45-e657-420e-af12-946236f910b1

15. Assignment 1