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Following standard procedure, the nurse who'd processed the doctor's order had also sent the pharmacist a copy of her transcription. This transcription error is a good example of how illegible handwriting causes problems and why at least two professionals-a nurse and a pharmacist-must interpret every drug order.
Luckily, the pharmacist caught this transcription error before the patient received twice the prescribed amount of Rocephin. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Anywhere RN™ creates a flexible medication administration process that positively impacts nursing and patient safety.
The latest release of Anywhere RN software features enhanced privacy for patient data and more configurable options to improve patient safety and assist in meeting regulatory requirements. Crowding at the ADCs takes valuable time away from nurses and also limits access for pharmacy. By reducing the number of trips to and from the ADC, Anywhere RN helps reduce the potential for interruptions that can lead to medication errors in nursing, and it frees up more time for patient care. Fewer lines at the cabinet during the medication pass process increases nurse satisfaction. When used with Omnicell's Savvy™ mobile medication workstation, nurses can securely retrieve medications for multiple patients in one trip to the cabinet.
Today, I am writing about a potential complication that can happen when treating diabetes type 2. A lot of people living with diabetes tell me that this is one complication they do not care for. This is why it is very important that a person living with diabetes wears a medical alert bracelet letting people know they have diabetes. Medications- Medications called oral hypoglycemic agents are common causes of hypoglycemia. If you notice a co-worker, a friend or relative with diabetes type 2 start acting strange, all of a sudden ACT FAST.
This is one of those situations where even if your physician is using mid-level providers such as a nurse practitioner or a physician assistant that you should request to be seen by a doctor. Make sure that if you are taking oral hypoglycemic medications or insulin that you eat shortly after taking your medications. She graduated from medical school in 1987 with awards in Obstetrics & Gynecology, Clinical Pharmacology and General Surgery. She is trained as an ontological life coach and is committed to helping professional women achieve a higher level of wellbeing as the roadmap to experiencing a more wholesome life. She is also an author of a book empowering patients to live a more powerful life with diabetes. She graduated from medical school in 1987 with several awards in Obstetrics & Gynecology, Clinical Pharmacology and General Surgery.
She is also an author of a book on diabetes, designed to educate people about diabetes in an easy to understand way. It is truly amazing to me how big of an impact hypoglycemia can have on a person’s life. Passing your driving test and getting the keys to your first car is a milestone in any teenager’s life and is symbolic of your progression into adult life and independence. As we should all be painfully aware, despite the fact that driving can be a lot of fun and allows you a greater amount of personal freedom, it can also be extremely dangerous.
There are many startling and worrying facts about teenage driving and whilst you may be a perfectly safe and responsible driver, it makes a lot of sense to at least be wary of the dangers that you may be facing as a young driver.
It is a fact that drivers who are aged between 16 and 19 are up to four times more likely to die in a car crash than a driver who is aged between 25 and 69, so those early years on the road are definitely a danger zone for teenage drivers. The first six months of your driving career are very significant, when you consider that statistically speaking, this is the period where you are most likely to have a fatal crash. America has a high mortality rate when comparing the rate of traffic deaths to some other countries. The motor vehicle death rate for male drivers and passengers aged 16 to 19 was almost two times that of their female counterparts.


Teens driving with teen passengers: The presence of teen passengers increases the crash risk of unsupervised teen drivers.
Putting your own life at risk behind the wheel is bad enough, but the statistics involving teen drivers and their passengers don’t make good reading either. Teenage drivers contribute to about 60% of all teen passenger deaths and nearly 20% of all deaths on the roads in the United States, irrespective of the passenger’s age.
When you consider the level of general awareness surrounding the use of seatbelts and how they improve your safety, it is quite a revelation to discover that over 50% of teenagers killed in car crashes were found not to be wearing their seat belts. Distracted driving is a major source of accidents on our roads everywhere and teenage driver deaths and accidents involve a number of specific distractions.
It is probably not a great surprise that the summer months are considered to be the most deadly times to be driving a car when you are a teenager. May, June, July and August are peak months for teenage road accidents and fatalities, with the 1st of January singled out as a day that is an especially treacherous one for teen drivers. Weekends account for over 50% of all teenage car deaths and just over 40% of all fatalities involving drivers less than 21 years of age, occur between the hours of 9pm and 6am. Having seen the statistics and the dangers facing all teenager drivers, wherever you happen to be in the world, there are definitely some things that you can do to improve your odds of survival and become a better driver into the bargain. Try to find a car that has a good safety record and if you can get a slightly bigger or heavier car that is suitable, this may help to improve your odds of surviving a crash.
If you are a parent of a teenage driver, there are definitely some things that you can do in order to keep your teenage son or daughter away from danger on the road as best as possible.
You may not always be popular as a parent when you try to provide driving advice to your teenage offspring but parents do tend to have more influence on driver education than is often credited to them.
Young drivers often overestimate their level of driving skill and also tend to underestimate their level of vulnerability, so you can help them in these areas with some parental guidance.
Another key bit of advice that parents can impart to their teenage son or daughter, is to restrict the number of passengers they have in the car. Adjust the headrest on your seat to a height behind your head, not your neck, as this will help to minimize whiplash in the event of an accident.
Safety experts suggest you hold the steering wheel at the 3 and 9 o’clock position on the wheel, or even lower at 4 and 8 o’clock. Always try to drive with consideration for other road users and don’t make assumptions about what other drivers are going to do.
Not everyone is going to be courteous and compliant about sharing the road with you so watch out for aggressive drivers and try to keep out of their way, no matter how much they annoy you. Do not pull out in front of anyone or swerve into another lane without plenty of notice, and avoid tailgating, as driving too close to another driver is never going to be a good idea.
Hopefully, the crash statistics will have given you a clear idea of the potential dangers that you are facing when you get behind the wheel. Texting while driving is now a major issue and nearly 50% of teenage drivers who were recently surveyed admitted to texting while driving. Drinking alcohol and driving are a complete no-go area and you should never be tempted to drink and drive.
Distractions are all around us and even simple things like changing the radio station or turning round to a friend for a brief second is enough to cause an accident. For example, the nurse may forward a transcription of the order-but not the original order-to the pharmacy.
It is a web-based application that lets nurses remotely perform medication management tasks away from the automated dispensing cabinet (ADC). Nurses often feel rushed if others are waiting in line, which causes stress and can increase the potential for medication errors.
Nurse interrupted: South Jersey Hospital uses technology to reduce disruptions, avoid errors.
And from my experience as a physician in clinical practice, once they experience this, they do all they can to avoid it in the future. If you must have an alcoholic beverage, check your blood sugars to make sure they are not running low.
Eno Nsima-Obot is a board certified Internal Medicine Physician, with over 20 years of experience in the health & wellness industry. She was also the recipient for the quarterly award for compassion when she worked as a primary care physician with a large multi-specialty medical group in Chicago.


Eno Nsima-Obot is a board certified Internal Medicine Physician, with over 20 years of experience in the health & wellness industry. She is passionate about placing a human touch to healthcare and was the recipient for the quarterly award for compassion when she worked as a primary care physician with a large multi-specialty medical group in Chicago.
Eno is committed to helping woman living with chronic illnesses such as type 2 diabetes achieve optimal health and wellbeing, so that they are able to experience a more wholesome life. It is imperative to stay on top of your blood sugars always as the odd and life threatening consequences of not doing this can actually destroy your life, even your relationships etc.
This way you can give yourself a better chance of not contributing to some alarming statistics. This is particularly significant when you consider that alcohol plays a key part in many road crashes around the globe, and that drinking laws in the States are more punitive than many other places. It may be tempting to get behind the wheel of a more powerful car but the more power to the pedal the greater your chance of a crash or a speeding ticket.
Try not to rely solely on driver education, which often provides the basics and mechanics needed to drive a vehicle, yet does not focus so much on actual safer driving skills, which are gained through experience. When you consider the high level of crashes that involve teenage drivers between 9pm and 6am, it makes a lot of sense to try and impose some sort of curfew for their own safety.
Teenage passengers are a major distraction and can also sometimes lead to the driver being encouraged to take risks, so try to advise a restriction on passengers, especially in the early months of their driving career. Going too fast gives you less time to stop or react and speeding is one of the main causes of teenage accidents. At certain times of the day, light reflecting off your dirty windshield can momentarily blind you, and it only takes a split second to crash. If you are involved in an accident and the airbags are deployed, you will be safer with your hands not flying into your face from the impact of the airbags. It is not worth it and your intended message can often wait for a safer time when the car engine is off. Drugs are also a major issue and your chances of being involved in a crash rise dramatically, so do not get behind the wheel if you are under the influence in any way at all. Eliminating distractions is vital to increasing your odds of survival and if you can limit your passengers to parents or instructors for the first 12 months of driving, you will be greatly improving your odds of staying safe on the road. This most often occurs in critical care areas of the hospital, such as the operating room, emergency department, and intensive care unit. And without enough glucose, a diabetic may slip into a hypoglycemia coma.  If this is reversed early, by giving glucose, then no permanent damage occurs. When a diabetic starts an exercise program, over time it may be necessary to adjust their medications.
If you have several episodes of unexplainable hypoglycemia,  make an urgent appointment to discuss this with your primary care physician. Where possible, offer them a lift or give funds for a taxi ride on special occasions and celebrations. However, if the low blood sugars levels persists for many hours, the nerve cells in the brain could begin to suffer damage.
They are commonly used to treat heart disease, hypertension and early kidney disease in diabetes type 2.
There are a small number of diabetics who can control their blood sugar with diet and exercise alone.
Similarly, a problem might come up if a nurse doesn't double-check the pharmacist's work when he interprets the order and prepares a computerized MAR.
Yet alarmingly, they account for some 30% of the total costs of motor vehicle injuries amongst males and 28% of injuries involving females.



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