Healthcare Incidents Case Study

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Introduction
Healthcare is becoming progressively more complex. There are numerous areas within health care that demand change in everyday healthcare practice. Nonetheless, it is the onus of the medical providers to deliver high quality care and make a significant different in the general well-being and health of every individual they provide services to. In the contemporary setting, patient-centered care is at the heart of healthcare. Nurses are obligated to adhere to healthcare policies and standards. These take into account decisions, plans, as well as actions that are established and undertaken to accomplish specific health care objectives within the society. Every health care professional is responsible for considering the appropriateness of applying them in the setting of any certain clinical circumstance or situation The main objective of this paper is to analyze a case study of a 2nd year nursing student on her Professional Experience Placement and consider her actions through the perspectives of law and ethics and cultural safety.

Incident 1

The first incident is linked to law and ethics. Specifically, there is the incident of medication preparation and administration devoid of any medication order. When the 2nd year nursing student approached Mrs. Gianopolis, her daughter-in-law informs her that her mother-in-law is experiencing pain and that she requires something to hemp. Subsequent to checking the patient’s medication orders, the student notices that she has nothing ordered. The team leader, Adam Vronksy, tells the student to give the patient 2 Panadol and that he will fix it up later with the doctor, even devoid of the medication order. One of the key general principles in medication administration that is imperative for a nurse to adhere to is to individually prepare any medications that have been properly ordered for a patient and thereafter personally administer such medications. Even though there might be occurrences where more than one healthcare is necessitated to administer a single medication, for instance in a code, it is not largely acceptable nursing practice to prepare any kind of medication for another person to administer. In the same manner, it is not acceptable nursing practice to administer a medication that another has prepared (Brent, 2015).

As an authorized provider, the second year student must have a medication order so as to administer medications to patients. In addition, the student may not take any verbal medication orders from a prescribing practitioner as this is outside the scope of what one can do as...…With increasing dependence on medication therapy as the key medical intervention for a great deal of illnesses, medication administration is pivotal to guarantee patient safety and quality patient-centered care. In this case, I have attained knowledge that a nurse is accountable for the preparation, administration and documentation of the medications given. More importantly, it is obligatory to have a medication so as to administer medications to patients and also one is not permitted to take any form of verbal medication orders from a prescribing practitioner as this is beyond the scope of what I am permitted as a nurse. Secondly, I have also gained important insight on cultural safety and the importance it plays in the nursing setting. Cultural safety encompasses the aspect of addressing the needs associated to accessibility and use of healthcare services for all patients. Imperatively, I have learned the significance of cultural competence, which incorporates the behavior of the nurse and the attitude towards the patient and the capability to form a trusting relationship. The patient should feel that he or she is valued, respected and listened to by the nurse and that his or her sense of wellbeing is being maintained at all times.

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References

Barton, A. (2009). Patient safety and quality: An evidence?based handbook for nurses. Aorn Journal, 90(4), 601-602.

Brent, A. (2015). Understanding the basics of medication administration. Nurse.com. Retrieved from: https://www.nurse.com/blog/2015/12/16/understanding-the-basics-of-medication-administration/

Hughes, R. (Ed.). (2008). Patient safety and quality: An evidence-based handbook for nurses(Vol. 3). Rockville, MD: Agency for Healthcare Research and Quality.

Nelson, S. (2006). Ethical expertise and the problem of the good nurse. In S. Nelson and S. Gordon (Eds.), The complexities of care: Nursing reconsidered. Ithaca, New York: Cornell University Press.

Richardson, F. (2011). What is cultural safety and why does it matter? Nursing Review. Retrieved from: http://nursingreview.co.nz/what-is-cultural-safety-and-why-does-it-matter/



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