Medication Timeless

 The article Medication Timeliness – Timely Medication Administration Guidelines for Nurses: FewerWrong-Time Errors? highlights the problems and inherent safety risks associated with the unrealistic30 minute rule for the majority of non-critical medications. One quote from the article truly brings theissue to the forefront of the clinical practice arena.Healthcare has changed since “right time” was first defined many years ago. Hospitalized patients aresicker, more medications are prescribed to each patient, and the formulary has expandeddramatically. The medication administration process (from physician order to patient administration)has grown in complexity with the addition of computerized physician order entry, medicationbarcoding, automated dispensing cabinets, electronic medical records, and time-consuming patientidentification procedures. The 30-minute rule was outdated and impractical even before itbecame “law.”Answer the questions that follow in paragraph format using the readings for context and citations. Part one1. Think about the information from the power point, article and the readings about errors andanswer the question: Can you see the patient safety risks related to continuing to try and followthe 30 minute rule?Use and cite at least one concept or content from the article Part two: Using this short scenario, answer the questions in 2-3 paragraphsAt an acute care hospital, a change in the process of medication administration is occurring becausethe unit is piloting use of a bar coding system for medication administration.One month after the barcoding system was initiated, the nursing unit receives information from thePerformance Improvement Department identifying that a significant decrease in the timeliness ofadministration of antibiotics has been noted. The nurse manager has written several reprimands forthe staff involved. Using concepts from the chapters and required articles, answer the followingquestions.1. Is this nurse manager taking an appropriate approach to this problem? Address the concept ofBlame or a Culture of Safety.2. During this same time, the nurse educator and the students notice that additional patient ID bandshave been placed on the side rails of the beds. The instructor explains that this is a form of awork around, allowing the staff to scan the patients ID band more easily for the bar codingsystem. What are the inherent risks associated with work arounds and this one in particular?  Share on Facebook Tweet Follow us This question has been answered. Get Answer

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