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Flexible medication times were the norm amongst these nurses. Even experienced nurses felt that late medications were not critical during busy times, stressing the need to prioritize when giving care (Stetina, Groves & Pafford 2005:4). Nursing judgment was another justification for flexible medication time, as noted by one "relatively new labor and delivery nurse" who described two situations arising on a specialty unit. The first situation related to purposely omitting a drug because of possible harm to the patient: 'Like with Pitocin[R] we have an (pause) orders to increase it by so much every 20 minutes, but if the baby's not tolerating it, we don't do it. And that's nursing judgment [not an error]" (Stetina, Groves & Pafford 2005:4). A perhaps more candid experienced ER nurse admitted that the risk of error increases when emergences occur" as a fact of hospital life (Stetina, Groves & Pafford 2005:4).
A medical-surgical...
However, reliance upon hospital-imposed assistive system, including medication administration records (MARs) and automated medication dispensing machines (AMDMs) can also increase the risk of errors, if patient allergies and drug interactions are not recorded in the system. In addition to variance from standard practices, "nurses showed an increased reliance upon computerized and systematic checks put into place in health care systems. Nurses viewed the systems as infallible and as a relief from the duty of systematic checking against error" (Stetina, Groves & Pafford 2005:4). However, the author's studies express considerable concern about the nurses' willingness to suspend their own judgment and leave themselves and their patients at the mercy of automated systems, as well as the nurses'…
Previous studies suggested that the top three causes of medication errors were failure to check the patient identification band with the prescription, nurse fatigue and illegible doctor handwriting. Another study suggested that nurses did not identify what most would call a medication error, such as giving medicine late. It was "discovered that nurses believed it was not an error if the nurse could correct the situation safely, if the patient status required a change, or in emergency situations" it did not 'count' as an error if the medication was given late (Stetina, Groves & Pafford 2005:1).
The authors embarked upon a new phenomenological study of nurses working in wide variety of clinical settings and levels and types of experience reporting (Stetina, Groves & Pafford 2005:3). Flexible medication times were the norm amongst these nurses. Even experienced nurses felt that late medications were not critical during busy times, stressing the need to prioritize when giving care (Stetina, Groves & Pafford 2005:4). Nursing judgment was another justification for flexible medication time, as noted by one "relatively new labor and delivery nurse" who described two situations arising on a specialty unit. The first situation related to purposely omitting a drug because of possible harm to the patient: 'Like with Pitocin[R] we have an (pause) orders to increase it by so much every 20 minutes, but if the baby's not tolerating it, we don't do it. And that's nursing judgment [not an error]" (Stetina, Groves & Pafford 2005:4). A perhaps more candid experienced ER nurse admitted that the risk of error increases when emergences occur" as a fact of hospital life (Stetina, Groves & Pafford 2005:4).
A medical-surgical nurse provided a different perspective, saying that her hospital's methodology of double-checking charts was helpful in preventing errors. However, reliance upon hospital-imposed assistive system, including medication administration records (MARs) and automated medication dispensing machines (AMDMs) can also increase the risk of errors, if patient allergies and drug interactions are not recorded in the system. In addition to variance from standard practices, "nurses showed an increased reliance upon computerized and systematic checks put into place in health care systems. Nurses viewed the systems as infallible and as a relief from the duty of systematic checking against error" (Stetina, Groves & Pafford 2005:4). However, the author's studies express considerable concern about the nurses' willingness to suspend their own judgment and leave themselves and their patients at the mercy of automated systems, as well as the nurses' lack of concern about correct dosage times when busy or fatigued.
Nurses Medication EXPERIENCE OF NURSES WITH MEDICATIONS The Lived Experiences of Nurses with Medication Nurses are tasked with the proper distribution of medications. Unfortunately, they sometimes are unable to perform that task properly due to various factors. This paper presents five separate studies, two qualitative and three quantitative or mixed, which researched how nurses commit medication error, what the antecedents are, and how they can be avoided. The studies are examined according to
Conversation Pamela a Virtue Rewarded written Samuel Richardson Text conversion Text Message from Pamela Hi mum and Dad, we travelled well and reached our destination safely. We are grateful to God for bringing us to our new home safely. My Husband has gone through a great deal in making our new home. He is hesitant at changing the design of the house. He argues that the house looks its best the way it
His leadership has also led to the build-to-order strategy becoming an exceptionally profitable manufacturing strategy across dozens of industries. References Buffington, J. 2011, "Comparison of mass customization and generative customization in mass markets," Industrial Management + Data Systems, vol. 111, no. 1, pp. 41-62. Dell Investor Relations (2012). Investor Relations. Retrieved February 23, 2012 from Dell Investor Relations and Filings with the SEC Web site: http://content.dell.com/us/en/corp/about-dell-investor "A revolution of one: Michael Dell invented
Michael Bennet-What makes him unique Michael Bennett was born in 1943 under the full name of Michael Bennett DiFiglia. He was devoted to the theater and over the course of his life was a dancer, choreographer and director; before succumbing to AIDS complications at 44 years old. His unique style was his legacy to Broadway -- particularly regarding Musical Theater. Musical theater has a rich and storied history; dating back centuries. First
Community Treasure Hunt: Pleasant Grove, Texas In Pleasant Gove news coverage has stopped depicting violent crimes in its articles because it's old news. People die here every day, it's nothin'. Pleasant Grove, Texas resident c. 2015 I was born and raised here and have traveled the world, but I could never imagine any place lovelier to call home. Norma Davis, Chair, Pleasant Grove Historical Society, 2015 Introduction, Demographic Information, and Community Immersion (suggested length: 3
Lesson Plan Amp; Reflection I didn't know what state you are in so was unable to do state/district standards! Lesson Plan Age/Grade Range; Developmental Level(s): 7-8/2nd Grade; Below grade level Anticipated Lesson Duration: 45 Minutes Lesson Foundations Pre-assessment (including cognitive and noncognitive measures): All students are reading below grade level (5-7 months) as measured by standardized assessments and teacher observation Curricular Focus, Theme, or Subject Area: Reading: Fluency, word recognition, and comprehension State/District Standards: Learning Objectives: Students will develop