culture and environment of safety

culture and environment of safety

What should the \”culture and environment of safety\” look like when preparing and administering medications?

The safety culture and environment are some of the preeminent things to be measured and considered before planning and prescribing medications. The preparation and administration of medicine come with other obligations because each patient entrusts their life to their nurses in order to supply them with the best medication(s). Healthcare providers need to take safety precautions since a medication error may potentially cause a lifetime condition or death. Working in a safe environment with a culture encouraging the safety of medications can as well further reinforce safe practices in administering medication.

Discuss a common breach of medication administration.

Misreading medication names that look similar is a common breach in medication administration. (Duarte et al., 2015). Some medications not only can seem alike but sound so similar in pronunciation as well. If a nurse is taking a verbal prescription order from a physician, this could lead to a medication error or an adverse event. If there are ever any questionable doubts, clarifying the prescription with the provider is a must.

Identify three (3) factors that lead to errors in the documentation related to medication administration.

According to MedCom Trainex, 2019, three factors that can lead to errors in the documentation related to medication administration include; Firstly, using unsuitable abbreviations can lead to misinterpretation hence causing errors and confusion. Abbreviations that are not medical should be avoided since it causes errors in interpretation. The second factor includes entering entries late. Failing to register actions undertaken as well as other details immediately or quite soon after the occurrence could contribute to distorted information, necessarily when dealing with numbers, and potentially down-the-line errors that may affect the patient adversely. the late entry time and date should be stated clearly, showing the actual moment the treatment or examination took place, and should be indicated as “late entry.” The third factor involves excluding the actual name of the individual who entered the entry, time, and date when signing in entries. Each specific entry should contain the date, period, and identity of the person entering the entry. Except if you operate for an EHR / PMS that automatically enters such details, you have to enter it at every point. The date and time should be Indicated on paper maps alongside the title,  original initials, and last name in full.   If the records move from one page to another, the name alongside the time and date should be indicated on every page and marked as “continued from the previous page” on all the pages that follow.

What can I do to prevent medication errors?

What I can do to help prevent medication errors is by following the seven rights of medication administration with every patient. The seven rights consist of the right drug, the right dose, the right route, the right time, the right patient, the right documentation, and the right assessment. I must make sure that I make it a religious practice to do my three checks of the medication I am taking out, have in hand, and am about to administer. I must clarify any prescriptions that I have questions about, and I must make sure I verify prescriptions with another nurse for medications that requires a witness. As a novice nurse, learning from my mistakes is also important. If an error is found on my behalf, it is essential for me to report it and call the physician to see if something needs to be done. I must take responsibility for my actions, own up to them, and learn from them. It will only help me learn, grow, and become a better nurse.

References

Duarte, S. D. C. M., Stipp, M. A. C., da Silva, M. M., & de Oliveira, F. T. (2015). Adverse events and safety in nursing care. Revista brasileira de enfermagem, 68(1), 136-146.

MedCom Trainex. Medical Errors in Nursing: Preventing Documentation Errors. 2019. Retrieved from https://www.medcomrn.com/index.php/articles/prevent-documentation- errors-nursing/

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