Medication Errors Led to Disastrous Outcomes

 

Medication Errors Led to Disastrous Outcomes

Julie Thao was licensed by the Wisconsin board of nursing as a nurse and worked in the birth unit at St Mary’s Hospital in Madison. She made a medication error when delivering care to a patient who was scheduled for labor induction by administering the wrong medication that was not prescribed. The 16-year-old Jasmine Gant delivered through cesarean section after suffering a cardiac attack and could not be rescued and this led to Thao losing her job and being charged with patient negligence (Treiber & Jones 2018). Kimberly Hiatt was also a registered nurse who did a medication error by administering an overdose of calcium chloride to an infant who had a heart problem. The baby died after 5 days and this led Kimberly to lose her job and could be hired anywhere else and this made her to commit suicide.

According to the two cases, healthcare professionals should learn that when a medication error occurs can have serious effects on patients’ health and well-being. Healthcare professionals should be very careful when administering medications to their patients to avoid such incidents (Cadwell & Hohenhaus 2011). They should avoid situations that inhibit delivery of safe and high-quality patient care such as attending to patients when they are fatigued to avoid making harmful errors.

The principle of beneficence and virtue of benevolence could have been applied by ensuring that the patients were given the correct medication according to their prescription to avoid hurting them. The hospital administration acted legally by making the nurses to be accountable for their actions, but the decisions were not ethical, it was not established that the nurses had the moral intent to make the errors.

Colleagues could have given them support by finding a quiet environment for them and let them relax. After creating a quiet place for them they would get an opportunity to ask questions which are open-ended and be more informed about the errors. Also, they could have given moral support through a show of compassion, sympathy, love, and truth-telling to help them cope with the impact of causing injury and death respectively.

Telling others how you feel about the situation can be very helpful to navigate through the whole process. Seeking support from family and friends who understands your pain can assist to go through the process (Ozeke et al., 2019). If one struggles with emotions elicited by the event, it is necessary to seek help from a health care professional to assist in developing coping skills. Also, seeking help is not a sign of weakness but it is a sign of strength.

References

Cadwell, S. M., & Hohenhaus, S. M. (2011). Medication errors and secondary victims. Journal of Emergency Nursing, 37(6), 562-563. https://doi.org/10.1016/j.jen.2011.07.010

Ozeke, O., Ozeke, V., Coskun, O., & Budakoglu, I. I. (2019). Second victims in health care: current perspectives. Advances in Medical Education and Practice, 10, 593. https://doi.org/10.2147/AMEP.S185912

Treiber, L. A., & Jones, J. H. (2018). Making an infusion error. Journal of Infusion Nursing, 41(3), 156-163. https://doi.org/10.1097/NAN.0000000000000273

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Nursing/ Mental Health

. As a nurse, how would you establish trust and rapport with an adolescent?

2. List 5 reasons why adolescents are high risk for suicide.

3. What evidence-based screening tools are available to screen for suicide in adolescents?

4. If you could develop a resource for adolescent suicide prevention, what would it be?

5.  What are safety concerns you need to consider while caring for a patient with an anxiety/trauma related disorder?

6. What are the priorities when conducting your nursing assessment for a patient who has a mental illness and pregnant?

7. Which classification of medications are considered safe for pregnancy to treat an anxiety disorder?

Mental And Behavioral

Module 08 Case Study – Anxiety Disorder/Obsessive Compulsive Disorder

Course Competency

Assemble nursing care interventions for clients with behavioral or cognitive disorders.

Scenario

Lauren has been diagnosed with Social Anxiety Disorder and experiences obsessive thoughts that result in compulsive behaviors. This has a major impact on her life and day to day functioning.

Instructions

View the videos segments 1, 2, and 3 for Lauren.

Notice how the nurse continues to gather information to assess the extent of Lauren’s illness. The content relates to the objective that you will be able to describe the symptoms of anxiety and OCD.

Segment 1

Segment 2

Segment 3

Create a document which contains this information:

  • Describe at least three clinical signs of Anxiety observed in the videos.
  • Describe at least three Obsessive-Compulsive behaviors observed in the videos.
  • Explain at least three therapeutic communication techniques used by the nurse in the videos.
  • Discuss at least two nursing interventions appropriate for Lauren. Support your choices with rationales.
  • Support your ideas with at least two credible resources.

Tobacco Use On Adolescents Smoking In The Past 30 Days

Write a 4 pages research paper on Tobacco use on adolescents smoking in the past 30 days

 

Identify the leading health indicators from Health People 20/20-applicable to the adolescents’ community. what are some Ideas for Health Promotion Project that can help adolescents who smoke tobacco? Describes approaches to educate the target population about the topic. • The approaches are appropriate for the cultural target population. • Identifies specific ways to promote lifestyle changes within the target population. Identify the community-group of people and locations in adolescents smoking cigarettes in the past 30 days?

Advanced Pharmacology

When selecting drugs and determining dosages for patients, it is essential to consider individual patient factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes. These patient factors include genetics, gender, ethnicity, age, behavior (i.e., diet, nutrition, smoking, alcohol, illicit drug abuse), and/or pathophysiological changes due to disease.
For this Discussion, you reflect on a case from your past clinical experiences and consider how a patient’s pharmacokinetic and pharmacodynamic processes may alter his or her response to a drug.
To Prepare
• Review the Resources for this module and consider the principles of pharmacokinetics and pharmacodynamics.
• Reflect on your experiences, observations, and/or clinical practices from the last 5 years and think about how pharmacokinetic and pharmacodynamic factors altered his or her anticipated response to a drug.
• Consider factors that might have influenced the patient’s pharmacokinetic and pharmacodynamic processes, such as genetics (including pharmacogenetics), gender, ethnicity, age, behavior, and/or possible pathophysiological changes due to disease.
• Think about a personalized plan of care based on these influencing factors and patient history in your case study.
By Day 3 of Week 1
Post a description of the patient case from your experiences, observations, and/or clinical practice from the last 5 years. Then, describe factors that might have influenced pharmacokinetic and pharmacodynamic processes of the patient you identified. Finally, explain details of the personalized plan of care that you would develop based on influencing factors and patient history in your case. Be specific and provide examples.

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Felbry College School of Nursing

LABORATORY ANALYSIS ASSIGNMENT GUIDELINES

PURPOSE OF ASSIGNMENT

Integration of health alterations (medical and nursing diagnoses), presenting signs and symptoms, treatments, medications, and their effects on diagnostic laboratory results for a specific client.

DATA COLLECTION

The case scenario used for this Laboratory Analysis Assignment is similar to clients that you would have been assigned to in clinical.

FORMAT

· Introduction

· Description of health alterations

· Define medical diagnoses

· Explain the pathophysiology for each diagnosis

· Discuss how diagnoses are interrelated

· Signs and Symptoms

· Provide rationale for the client’s S&S in relation to the pathophysiology of his/her health alterations

· Complete Laboratory Analysis Table

· Analyze lab data for abnormal, pertinent normal, and therapeutic results, in relation to health alterations, client’s presenting S&S, and treatments (including medications). Explain how the lab results are a reflection of the pathologic process, client responsive or unresponsive to treatment, sign of a side effect or complication of treatment, and what S&S the client might exhibit from the lab results.

· Identify client problem—nursing diagnosis (NANDA) and/or collaborative problem based on the lab data.

· Identify NOC and write desired outcome for the client problem. Must be achievable and measurable.

· List NIC and nursing/collaborative interventions that address/correct the altered lab results. Include rationale for the interventions, with citations for the reference used (use APA format).

· Evaluate the expected effects of the interventions on the client’s status. Include evaluation of the effectiveness of the interventions, degree that desired outcomes have been achieved, and if the client problem was resolved.

· Use a separate Diagnostic Analysis table for each client problem. Related laboratory data can be included on the same table. For example:

· Health alteration: Glomerulonephritis

· Nursing diagnosis: Excess fluid volume related to inflammation of the glomeruli, decreasing filtration, as evidenced by weight gain, edema, I>O, hypertension, decreased total protein/ablumin, increased BUN/Cr, proteinuria.

· Lab Data: BUN, Creatinine, albumin, total protein, urinalysis

· Conclusion

· References (Use APA format)

Family Interview – Compare And Contrast Cultures Paper

It is important to identify and understand your own family culture in order to be able to understand and respect other cultures. Interview a family member, and an individual from another culture with which you are unfamiliar. Some examples of an individual from another culture to consider for the assignment include a neighbor, coworker, patient, or friend. Please inform the individuals of the purpose of this assignment and make sure you receive their consent.

Interviews:

Review the “Family Interview ” template prior to the interview. Additional space is designated on the template for you to create three additional questions to ask both interviewees (family member and person from another culture). Additional questions should be relevant to the readings or discussion and should provide value to the interview by helping to understand culture.

Some of the questions may include:

  1. Family beliefs: Have they changed over generations?
  2. Educational and occupational status in the culture and in the family
  3. Communication methods: verbal and nonverbal
  4. Current family goals/priorities
  5. Family member roles and organizational systems
  6. Spiritual beliefs: current practice and death and dying
  7. Alternative lifestyles
  8. Work attitudes and structure

Written Paper:

Using the “Family Interview ” template, interview your designated family member and the person from another culture. Be sure to write your responses in a way that will assist you in writing your paper. After the interview is completed, write a paper of 750-1,000 words that includes the following:

  1. An introductory paragraph with the reasons for selecting the interviewees
  2. A summary of the responses from the interview template gathered from the interviewees
  3. A comparison and contrast of your findings between the two interviewees
  4. A reflective concluding paragraph on how family roles affect the cultural domains and relationships for each individual

General Requirements:

Submit both the completed “Family Interview” template and the written paper” to the instructor.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Delegation In Practice

Delegation in Practice

What does your State Board of Nursing (MA) say about Unlicensed Assistive Personnel and their role, and the role of the Registered Nurse? Describe the responsibilities of the Registered Nurse when delegating patient care tasks.

How does the ICU environment differ from a general medical-surgical unit as far as assigned responsibilities for Unlicensed Assistive Personnel?

Assignment Expectations:

Length: 750 to 1000 words

Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. Please include at least two references

Ethics And Evidence-Based Research

Ethics and Evidence-Based Research

Write a 1250-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be three main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least two (2) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Part 1: Describe why ethical safeguards designed for clinical research may not be feasible or appropriate for evidence-based practice or evidence-based practice implementation projects.

Part 2:  Review the sectioned headed, Two Ethical Exemplars in Chapter 22 of the textbook (Melnyk and Fineout-Overholt, 2015, pages 518-519). Discuss three main ethical controversies related to implementing Evidence-Based Quality Improvement (EBQI) Initiatives. Describe how these controversies relate to the four core ethical principles.

Part 3: Identify which ethical principles may be in conflict with the concept of “patients having an ethical responsibility in improving healthcare.” Discuss how these conflicts may be resolved.

Assignment Expectations:

Length: 1250 – 1500 words
Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.
References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment

Community Teaching Plan: Teaching Experience Paper – 6 Pages

In 1,500 words, describe the teaching experience and discuss your observations. The written portion of this assignment should include:

  1. Summary of teaching plan – Poster presentation online to improve health literacy in teenagers
  2. Epidemiological rationale for topic –

It is estimated that one in three adults in the US have reduced health literacy. Additionally, minority populations, such as African Americans, have even greater percentages of persons lacking in health literacy. I reside in Texas where 19% of the population has low health literacy. The inability to read and understand health information is significantly correlated with reduced abilities to read and write. Furthermore, low health literacy costs the US billions of dollars each year.

Nursing Diagnosis: Ineffective self-health management related to low health-literacy as evidenced by inability to show an understanding of a nursing care plan.

  1. Evaluation of teaching experience
  2. Community response to teaching
  3. Areas of strengths and areas of improvement