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With your full attention and presence of mind, you can reduce the likelihood of making mistakes. Never stop asking for the patient’s name for each medication you will give even if you do it several times in a shift.
For patients with problems stating their names, you can just look at their name band to check if you are dealing with the right patient. To ensure that you are dealing with the right drug, it will be best to use both the generic and brand name of the medication ordered.
Whenever you are not sure with the drug you will administer, don’t hesitate to double check with your drug handbook. If you have time, develop the habit of looking up a drug’s information before giving it to the patient. Sometimes, ordered medications are lost in communication among doctors, nurses and pharmacists. When receiving orders through phone, write down the instructions and repeat everything before hanging up. High alert medication are so potent that a slight variation in dosage given will directly affect the patient’s vital signs.
High alert drugs include heparin, dopamine, dobutamine, nicardipine, digoxin and many more.
To avoid unnecessary adverse drug reactions, always ask the patient about any known drug allergies before giving new medications. Sometimes, healthcare workers also forget to record the known drug allergies of the patient in their chart. Sometimes, nurses are more sensitive in overseeing drug incompatibilities in the patient’s treatment regimen. It is not advisable to put drugs into another container but if you must do it, label the new container properly. If you must give the drug through a nasogastric tube, clarify with the doctor first as you should not crush an extended-release tablet.
This is practical whenever you can’t read a poorly written medication order or if you think there has been a typographical error in the new order. For example, a nurse is having trouble reading the newly ordered medication for a 14 year old boy with seizures.
If one of your patients receives eardrops and eye drops simultaneously, you can create a simple marker so you don’t confuse using them interchangeably. To avoid medication errors, always keep the patient’s safety in mind while giving their medications. Last week the American Society of Health-System Pharmacists and the Institute for Safe Medication Practices issued a National Alert for Serious Medication Errors.  The alert warned health care professionals that dangerous medication errors could occur because of a shortage of Epinephrine prefilled syringes.
Alerts for Serious Medication Errors are only issued when there is a significant risk for serious or fatal errors.  Doctors, nurses and pharmacists are expected to take the immediate actions described in the Alert.
If you, or a loved one, are taking Epinephrine then ask your doctor, nurse or, pharmacist about the Alert and about the specific steps that they are taking to protect you from the potentially serious risks of medication errors. Medical Disclaimer: This site is not designed to and does not provide medical advice, professional diagnosis, opinion, treatment or services or otherwise engage in the practice of medicine, to you or to any other individual.
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.
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The project I’m working on is a very complex one, with a number of things being introduced as part of the overall project to transform healthcare. So, the goals are promoting patient safety and improving clinical outcomes for patients and this is to be accomplished through redesigning processes and using information technology (IT).
With concierge medicine, you get to practice medicine the way it was meant to be practiced.
BRIARCLIFF HAVEN HEALTHCARE AND REHAB CENTER located 1000 Briarcliff Rd, Atllanta, GA 30306 was cited recently as of October 2013 by the DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES for multiple counts of medication errors, lab tests not performed, physician orders not being followed and other related issues which could have resulted in serious harm or death to the residents. Additionally, for Resident #1, the facility failing to obtain the ordered laboratory testing related to the resident’s [MEDICATION NAME] anticoagulant drug therapy, and also resumed the [MEDICATION NAME] therapy with no order. The Administrator indicated that the facility had been unaware of significant issues related to medication administration errors and thus had not put corrective actions into place.
The facility therefore neglected Resident Z by failed to provide effective pain management.
Based on record review, staff interview, and resident interview, the facility failed to ensure the provision of effective pain management, by failing to administer [MEDICATION NAME] medications in conformance with physicians’ orders, for two (2) residents (C and Z), on the total survey sample of thirty-three (33) residents.
Even if your loved one has passed away, you can still make a difference for those left behind. A simple flaw in the administration of medication can put a patient’s life in danger. You can do this by simply asking the patient’s full name and date of birth to make sure the information given matches your medication card. Some hospitals even use a barcode scanning system where you can just scan the patient’s arm band with a small device to verify their names. There are lots of drugs with similar brand names like clonidine and klonopin, celebrex and cerebryx and many more. Be careful as well with drug packaging as some medicines come in deceptively similar packaging or canisters. A drug handbook is a wealth of important information about different drugs like adverse reactions, drug incompatibilities, precautions and many more. Over time, you will memorize important information for different drugs before administration. To avoid miscommunication, there are simple things you can do in carrying out doctor’s orders for new medications.
For this reason, it is important to have someone double check your high alert medications before you administer them to your patient. There are some occasions where patients forget to state their drug allergies upon initial history taking.


For these reasons, it is essential to verify and ask your patients about their known drug allergies when starting a new medication. If you have a smart phone, try to install a drug index app as it will be handy whenever you want to look up for a drug quickly.
If you think a newly ordered medication will do more harm to the patient than its intended therapeutic effect, clarify it with the doctor.
Relating the patient’s case in carrying out new medication orders is helpful in making clarifications. The written order reads like “prednisone” but considering the case of the patient, the nurse decided to clarify with the doctor if the patient really needs prednisone as part of his maintenance drugs at home. Considering the patient’s case in carrying out new medication orders saved him from unnecessary adverse drug reactions.
Applying a small colored sticker on one side of the container is helpful especially if you have lots of medications to administer in other patients. If you are just new in practicing the nursing profession, asking guidance from your senior nurses is also helpful in preventing medication errors. She is working as a staff nurse in the pediatric ward of a private city hospital for more than two years.
For decades, the firm has successfully represented thousands of people from all over the country who suffered injuries they weren’t warned about. 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.
There are many things that can be done to accomplish this – below are some notes from my reading on a number of different processes that can be used. This resulted in a situation in which the facility’s non-compliance with the requirements of participation caused, or had the likelihood to cause, serious harm, injury, impairment or death to residents. However, the Administrator acknowledged the significant medication errors involving resident drug therapy for the sampled residents of this complaint survey. The Administrator further acknowledged that, prior to this survey, the facility had not developed and implemented measures to address a problem involving a pattern of significant medication errors. Contact NHAA today on our toll free line, 1-800-645-5262 or visit our website here and fill out the contact form. A nursing home abuse and neglect specialist will contact you for more details regarding your loved one and their injuries very shortly. Fortunately, you only need one trait to reduce the risk of medication errors at work – attentiveness.
It is also more convenient if you will peel the old label from the previous canister and stick it to the new canister.
Be careful in crushing or cutting them up as these drugs will produce quick potent effects when taken without the extended-release coating. This is an easy technique in simplifying safety measures in giving medications to your patients.
Seasoned nurses know more techniques in reducing the risks of such mistakes so ask for their guidance and advice as you start working in your unit. This is general information and always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. However, the facility failed to administer pain medication as ordered for expressed pain, and these residents continued to experience pain.
We can help you file a complaint, refer you to a specialized lawyer for nursing home abuse or direct you to information on locating a better facility for your loved one. Never disregard or delay seeking professional medical advice or treatment because of content found on the Website.



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