Topic > Pharmacology for nursing - 1539

a. Provide an analysis of the medication administration process used in your facility.b. Identify any problems in the system where an error could be made.c. What strategies could an RN use to prevent such medication errors? (20 points) When the patient is admitted to acute rehabilitation and physical therapy, the patient will arrive with a transportation package that contains a typed medical reconciliation from the place of discharge. The nurse can manually enter (by typing the name of each medication, each dose, route, times and special instructions) all of these medications as “household medications” into the MEDITECH system. This can be confusing as the medications may not necessarily be the home medications the patient was taking at home before admission to hospital, but just the newly prescribed hospital medications. The nurse will ask the patient (if alert and oriented, or a family member if present at the bedside) if he recognizes the drugs and knows their indications. If the patient is coming from an HCA hospital (which is common), the medications will already be in the electronic record, and the nurse will review the last administration of each medication before calling the doctor to review, change, or continue the patient's current medications. patient. Here the doctor has the possibility to change the route, dose, timing or to administer additional drugs. The pharmacy therefore needs to check for interactions and appropriate times of medications (such as cholesterol medications in the evening). Some drugs (usually very expensive or rare ones) are not stocked in the pharmacy and therefore it is a drug that is continued with an order labeled "ok for the patient to take their drug", which means that the patient's family may bring unavailable medication and nursing takes it to pharmacy for review and barcoding, otherwise medication is discontinued. After all, the pharmacy reviews the medication list and then uploads all electronically linked medication entries to the EMAR computer and OMNICELL machine. After 5pm, the nursing supervisor may have to track down the medication because the pharmacy is not present. If they can't find it inside the building, the patient could miss a dose that night, unless it's considered an urgent need, where the medication can be transported from the main campus hospital via transportation service. All admissions after 5pm are handled by the pharmacy at the main campus hospital, easily reachable by telephone.