Nurse Compliance

In: Science

Submitted By zzcc
Words 2489
Pages 10
Increasing Nursing Compliance with Safe Medication Preparation and Administration
Marie Shelly

Capstone Course
Increasing Nursing Compliance with Safe Medication Preparation and Administration
The importance of safe medication preparation and administration in healthcare settings is being increasingly recognized. There have been numerous publications describing the transmission of bloodborne pathogens, viruses, and bacteria related to unsafe injection practices. The current field of nursing requires concerned parties to exercise a critical appraisal of research findings, and, establish a synthesis of contextual and empirical evidence that is relevant. However, practitioners have not established better alternatives regarding their practice. In addition, the essential evidence-based methods and critical skills in thinking are still lacking; yet they are ideal for the maximization of the cost-effectiveness and quality of health care (Camiletti, & Huffman, 1998).
The Center for Disease Control reported that between 1998 and 2008 a total of 33 outbreaks of patient to patient transmission of HBV or HCV due to breaches of infection control by health care personal (http://www.cdc.gov/injectionsafety/CDCsRole.html1). More than 60,000 patients were at risk and 448 patients acquired with HBV or HCV. The disease transmission was primarily from lapses in aseptic technique, the reuse of syringes and contamination of medications that were multi-dose vials. In 2001(Luby, 2001) The World Health Organization reported the single largest outbreak that resulted in 133 patients infected with HBV or HCV due to the reuse of needles and multi-dose vials on multiple patients for sedation.
The purpose of this course project is it to formulate a plan to reduce or prevent the transmission of infections due to unsafe handling and administration of medications. Forming a medication…...

Similar Documents

Nurses

...Nurse Patient Relationship ------------------------------------------------- The nurse patient relationship is a central to patient satisfaction. Nurses spend most of the time with patient. Therefore nurses attitude toward their work, co-workers and hospital influences patients’ opinion and experience about the hospital. It is imperative to have positive nurse patient relationship to establish rapport and achieve healing. Patients and families count on nurses to keep them informed, to connect them to their physicians and other caregivers, to listen to them, to ease their anxiety, and to protect and watch over them during their healthcare experience. Because of these high expectations of nurses, it’s no wonder that nursing performance, and more specifically, the nurse patient relationship, is so central to patient satisfaction and a quality patient experience. ------------------------------------------------- ------------------------------------------------- It is a nurse’s job to care for a patient’s medical needs. However, caring for their emotional well-being can have just as beneficial an impact on patient care. The relationship between nurse and patient requires trust, as well as understanding. For a patient to disclose private or embarrassing details about their physical or mental condition, they need to first trust that their nurse will treat them with dignity and respect. Furthermore, patients will only follow the advice of their nurse if they trust in his or...

Words: 457 - Pages: 2

Nurse

...it is very important that a well-trained professional nurse should learn about physical science, social science, biological science, and technology. The American Association of Colleges of Nursing (AACN) states “education has a significant impact on the knowledge and competencies of nurses.” In United States, based on the education, the nursing degrees range from diploma to doctoral level. Associate degrees in Nursing (ADN) and Bachelor of Science in nursing (BSN) are the most common degree programs in United States. A community college or university can provide an Associate degree in nursing (ADN) with license to practice in health care settings (American Association of Community Colleges, 2003). On other hand, Bachelor of Science in nursing (BSN) are offered by senior colleges and universities that require different basics and prerequisites, and in BSN program, training will be provided to improve leadership skills in addition to clinical nursing skills. Fairleigh Dickinson University started first ADN degree in 1952. In United States this entry level nursing degree is awarded by community colleges or technical colleges. Associate degrees will train the students in technical application of the nursing process. However, one of the disadvantages of the associate nursing program is that it never give emphasis on research based learning or evidence-based nursing practice. On other hand, most of the professional nurses hold a BSN degree which makes them to role away......

Words: 741 - Pages: 3

Compliance

...Running head: CORPORATE COMPLIANCE PLAN Individual Assignment: Corporate Compliance Plan LAW/531 YOUR NAME(S) DATE NAME OF PROFESSOR Corporate Compliance Plan DATE Memo to: Riordan Officers and Directors From: YOUR NAME Re: Managing legal liability This memo implements enterprise risk management such as prevention and management strategies for Riordan officers and directors (O/D) to implement in areas of legal risk based on the Committee of Sponsoring Organizations of the Treadway Commission’s (COSO) recommendations. COSO in a voluntary private organization that helps businesses establish, “more effective, efficient, and ethical business operations on a global basis.” (COSO, 2008). Alternative Dispute Resolution (ADR) Legal Principle: ADR is an alternative form of settling legal disputes that is less costly and time consuming than courtroom litigation. (Jennings, 2006). Binding arbitration, for example, is where the dispute cannot be escalated to a formal litigation. (Jennings, 2006). Laws: Business torts include intentional, liability, and strict tort liability such as invasion of privacy, negligence—when a party does not live up to the expected standard of care, or strict tort liability—when there are few defenses to a direct violation of a federal law. (Jennings, 2006). Liability: Riordan’s O/D who will be held liable for the tort of negligence if, for example, a custom heart valve is defective causing harm or death to the patient.......

Words: 281 - Pages: 2

Nurse

...Jean Watson’s Theory of Human Caring Caring Moment - “The moment (focal point in space and time) when the nurse and another person come together in such a way that an occasion for human caring is created” In Jean Watson's theory of caring she has tried to make “explicit nursing's values, knowledge, and practices of human caring that are geared toward subjective inner healing processes and the life world of the experiencing person, requiring unique caring-healing arts and a framework called "carative factors," which complemented conventional medicine, but stood in stark contrast to "curative factors." At the same time, this emerging philosophy and theory of human caring sought to balance the cure orientation of medicine, giving nursing its unique disciplinary, scientific, and professional standing with itself and its public.” (Watson, 1999) Concepts: • Carative factors (evolving toward "Clinical Caritas Processes") • Transpersonal Caring Relationship • Caring Moment/Caring Occasion Jean Watson’s 10 carative factors that can be used as a guideline to help nursing interventions. These carative factors provide a framework that aids the nurse to pay attention to the caring processes. 1. Embrace altruistic values and practice loving kindness with self and others. 2. Instill faith and hope and honor others. 3. Be sensitive to self and others by nurturing individual beliefs and practices. 4. Develop helping – trusting- caring relationships. 5. Promote and......

Words: 2064 - Pages: 9

Nurse

...health ICT are identified as important: Telemedicine – use of communication technologies for the support of healthcare delivery over a distance (e.g. patient consultation by telephone or web conferencing, support of a local healthcare professional by experts at a distance and health education at a distance). eHealth –  connecting stakeholders to allow the sharing and use of health related data for individual treatment or setting overall policies (e.g. electronic medical records). NB eHealth is also used as an encompassing term for all electronic support of health that includes telemedicine and mHealth. mHealth – health practices supported by the use of mobile devices (e.g. the use of SMS messages to send reminders that facilitate treatment compliance). Major Environmental Issues Outdoor Air Quality Poor air quality is linked to premature death, cancer, and long-term damage to respiratory and cardiovascular systems. Progress has been made to reduce unhealthy air emissions, but, in 2008, approximately 127 million people lived in U.S. counties that exceeded national air quality standards.2 Decreasing air pollution is an important step in creating a healthy environment. Surface and Ground Water Surface and ground water quality applies to both drinking water and recreational waters. Contamination by infectious agents or chemicals can cause mild to severe illness. Protecting water sources and minimizing exposure to contaminated water sources are important parts of environmental......

Words: 1387 - Pages: 6

Nurse

...com/home/notes/pharmacology-drug-study-notes/carvedilolAssessment: Prior to administering Colace, the nurse should make a full assessment of the patient to identify possible causes of constipation. WD.com recommends enquiry into: diet and lifestyle; duration of constipation and whether it is acute or chronic; all medications taken, whether prescribed over the counter or recreational; associated symptoms such as bleeding from the rectum, abdominal pain, vomiting. Implementation: Oral preparations of Colace should be administered on an empty stomach at least one hour apart from other medications, meals, milk and antacids. It may be given in juice to prevent possible throat irritation. Six to eight ounces or 180-240 ml of water should be taken with oral preparations. When administering rectal preparations, beware of forcing past impacted feces. Discontinue the medication at the first sign of nausea and vomiting, abdominal cramps or rectal bleeding.http://preventconstipation.methodsofprevention.com/colace-nursing-considerations/Assessment: Assess fluid status. Monitor daily weight, intake and output ratios, amount and location of edema, lung sounds, skin turgor, and mucous membranes. Notify health care professional if thirst, dry mouth, lethargy, weakness, hypotension, or oliguria occurs. Monitor BP and pulse before and during administration. Monitor frequency of prescription refills to determine compliance in patients treated for hypertension. Assess patients receiving digoxin......

Words: 2080 - Pages: 9

Compliance

...cting as a “compelling event” in the adoption of new breeds of risk management and corporate compliance products and services are the recently highlighted fraudulent business practices occurring within many of America’s Fortune 1000 corporations. Governmental and regulatory investigations have identified, secured, and utilized significant amounts of incriminating evidence from within the corporate Information Technology (IT) infrastructure. Purposeful fraudulent activities aside, second-level effects are now beginning to trickle down into thousands of well run corporations that operate within highly regulated market sectors. For many, their only “questionable act” is a commitment to the deployment of technologies and business practices that promise to improve workforce productivity, client and supplier relationships, and shareholder return. The challenges for corporate entities to address the issues is often one of trying to “herd cats.” The insatiable desire for technology that enables real-time communication, as well as immediate capabilities to develop and distribute information has created a huge information management quandary. Our ability to communicate and distribute information “at will” has created potential significant corporate risk associated with failure to adhere to governmental, industrial, or self-imposed corporate compliance metrics. Although much is in place to regulate previous generations of communication and information distribution methods, recent......

Words: 1966 - Pages: 8

Nurse

...nursing, are the nurse–patient relationships that result in a therapeutic outcome. Hers is a theory of human caring that has a foundation in dignity, respect and trust. Watson’s theory and her four major concepts of human being, health, environment and nursing can be applied to the problem of frequent hospitalization due to non-compliance issues that occur. Human Being Nurses that work in hospitals that provide health care for people with poor socio-economic status often experience “frequent flyers”. An example of such patient is Mr.K, a 56 year old African American male admitted with hypertensive urgency with a B/P of 242/138. This is his third admission within the past two months. Mr.K stated that he had been drinking “gallons of vinegar” to lower his blood pressure after he “ran out of medicine”. Mr.K does not receive any type of income because he does not have a job and is currently living in a shelter. Regardless of his noncompliance and poor socio-economic status, Watson states that this patient is a “valued person to be cared for, respected, nurtured, understood, and assisted” (1988). From the first interaction or “caring moment” as Watson puts it, the nurse must establish a caring relationship which can only be attained by the display of unconditional acceptance. Watson states that a helping- trusting authentic caring relationship must be developed and sustained(1988). Sensitivity and openness to his condition must be demonstrated. Nurses must......

Words: 1299 - Pages: 6

Nurse

...In order to deliver nursing care to different cultures, nurses are expected to understand and provide culturally competent health care to diverse individuals. Culturally competent care is tailored to the specific needs of each client, while incorporating the individual’s beliefs and values (Stanhope & Lancaster, 2006, p. 90). By being culturally competent, nurses are able to help improve health outcomes by using cultural knowledge and specific skills in selecting interventions that are specific to each client (Stanhope & Lancaster). Therefore, nurses “should perform a cultural assessment on every client with whom they interact with” (Stanhope & Lancaster, 2006, p. 90) to help understand client’s perspectives of health and illness and discuss culturally appropriate interventions. In this paper, the author will demonstrate how nurses can utilize a cultural heritage assessment tool to help develop a cultural competent nursing care plan, which can be referred to in Appendix A and B. By culturally assessing client, nurses will be able to identify the needs of culturally diverse individuals and find out if what's important to the culture is really important to the person in terms of specific health needs. Introduction In order to deliver nursing care to different cultures, nurses are expected to understand and provide culturally competent health care to diverse individuals. Nurses must find out about people’s traditions, ways of life, and beliefs about health care so that the......

Words: 277 - Pages: 2

Nurse

...physician. “The joint commission considers wrong site surgery to be sentinel events that are an unexpected occurrence involving death or serious physical or physiological injury, or the risk from that point forward. Serious injury specifically includes loss of limb or function” (Dillon, 2008) Mr. Joseph Benson is a sixty-two-year-old who has circulation problems and is diabetic; one of his limbs requires amputation. I will explain in this negligence paper the differences that separate negligence, gross negligence, and malpractice. I will look into the reasoning why nursing shortages and union problems may have caused the disaster. Finally, I will state why it is important to document because of the chances of negligence should I be Mr. Benson’s nurse. Briefly I will describe my ethical principles concept, this will guide my hospital practice and I documented the case that will satisfy legal and moral requirements. Negligence “Negligence is described as failure to use such care as a reasonably prudent and careful person would use under similar circumstance” (Weld and Bibb, 2009, p.3). Negligence can be deemed as “carelessness a deviation from the standard of care that a reasonable person would use in a particular set of circumstances. (Guido, 2010, p.92). Some typical examples that point to negligence are as follows: inadequate hydration, malnutrition, never turning on an Apnea monitor and lack of care. Negligence occurred when the Neighborhood hospital, amputated the......

Words: 1197 - Pages: 5

Nurse

...My Dream Job My dream job would be to become a Nurse. I love working with people and helping in any way that I can. Most people get sick when they see blood and bones. I like to learn about the human anatomy. I am very good at dealing with people who are sick. Being in hospitals does not bother me to most people it does. I have an aunt who is a nurse at Baptist; she loves her job and is extremely good at it. That is what inspired me to become a nurse. I also have a lot of cousins that are nurses. Making people healthy is a goal that I as well try to follow by. Everyone should feel good about themselves. Nursing takes a huge commitment; you have to study a lot and also may have to work double shifts. Working is something I enjoy doing, I would not mind working double shifts if I was needed to. Depending on what type of nursing you go to school for depends a lot on the type of studies required for that field. Most nursing you do have to know a lot about the human body as well as math and chemistry. To me you would have to like science, and being around people who are hurt and need your help. Going to school is how I am receiving the requirements for my dream job. Making money is always a huge part of a job, especially in this economy. .I would like to have a job that I love doing and make little money rather than have a job I hate making a lot of money. If I was asked to travel as a traveling nurse I would agree to go anywhere they wanted me to. It would give me a great......

Words: 396 - Pages: 2

Compliance

...response to an assignment that has been given by the International Compliance Training for the International Diploma in Governance, Risk and Compliance. It looks at the factors surrounding financial services compliance along the industries lines of legislative, economic, industry driven, political, environmental and possible scandals relating to all of these areas. The information has been gathered from the British Virgin Islands jurisdiction from sources such as Financial Services Commission, British Virgin Islands Government and internationally, from the International Monetary Fund, the Organization for Economic Co-operation and Development and the text, International Compliance Training Ltd. The research is basically theoretically driven to ascertain if the industry would be better off with regulation or left for participants to operate freely. Introduction: Scandals (such as Enron, WorldCom), the September 11 attack and financial crisis of 2007 and 2008 brought attention to loopholes of legislation that market participants have been taking advantage of for years. It was never the intention of regulation to cause market abuse, insider dealings or loss of investments or tangible properties. This paper details the shortcoming of legislation but also highlights how an effective regulatory environment can be achieved. What is Regulation? Regulation is defined according to the International Compliance Training Ltd as a set of binding rules by a public or......

Words: 3412 - Pages: 14

Compliance

...Running head: Patient Compliance Patient Compliance Tiffany Parker Grand Canyon University HLT- 306, Advance Patient Care 12/04/11 Patient Compliance Being on privet private duty is not as easy as some think. When working privet private duty (comma) you one deals with patient compliance. Not only does one you deal with patient compliance, you one deals with the family compliance. After being on privet duty (comma) one you learns, the happier the patient, the happier the family. On occasion you one could have a patient that has a hard time remembering things. When this happens, the health care provider restate your must make the statement in a different way. For example (comma) if you one asks (comma) “Are you hungry?” and they he/she did not understand, you one could ask, “Would you like something to eat?” Compliance is the action or fact of complying with something. Noncompliance is when you refuse to conform to or follow rules and guide lines. At times, says Falvo (2011) patients react to their illness or to those around them by behaving in a way that is opposite to their actual feelings or thoughts (p. (space) 114). (space So, when you push a person to do something that they he/she does not want to do, you could push them him/her to be noncompliant. At this point, it is time for you to collaborate with someone on how to handle the situation. Collaboration is when you work with someone to make or create something. Collaboration plays a vital......

Words: 926 - Pages: 4

Nurse

...I’m not one of those people who grew up always knowing that they wanted to become a nurse. I went through the usual childhood fantasies: pilot, lawyer, scientist, architect, etc. But, never a nurse. My complete fascination and admiration for the profession is something that came to me rather recently in my life. In fact, what inspired me to pursue nursing was my experience with my pregnancies and the birth of my second child. Second child? Yes, I have two babies. So maybe I am going about things in a somewhat unorthodox manner, but it sure makes for an interesting and challenging learning environment. Given my life situation, maintaining a 3.3 GPA in my undergraduate studies and a 3.5 GPA in my prerequisite coursework has proven difficult, though I hope my persistence and hard work will ultimately pay off. The delivery of my first-born child was by way of cesarean section. While it was perfect and beautiful and completely orchestrated, I knew almost immediately after the birth that if I were ever blessed with another baby, I wanted to do things differently. When that time came around, the plan was to attempt a vaginal birth after cesarean section (VBAC). Jumping feet first into this “plan”, I made sure to complete hours upon hours of research as to be armed with applicable information to provide to my obstetrician. While I knew VBAC deliveries were not necessarily favored in the medical community, I never anticipated the difficulty I would face when proposing my wishes.......

Words: 543 - Pages: 3

Nurses

...Tyshauna F. Epps Mrs. Louise M. Brown English 101 29 June 2011 Working as a Nurse V/S Working as a Teacher As stated in the 6th edition Columbia Encyclopedia, nursing has always existed as an occupation, and recently, it has developed as a specialized profession. Teachers have been around for millions of years providing students with the proper education. Nursing is a better career choice than teaching is. Every student needs continuing education preparation to have any type of college degree. Students who become interested in nursing may want to become registered nurses or licensed practical nurses. The requirements for degree programs and licensure vary for these two groups. When training for licensed practical nurses, students study a 1-year program from technical schools, vocational schools, or community colleges. As for a registered nurses degree, students study from 2-4 years at an accredited nursing program. To become a teacher, students need to complete 4 years of study at any university. If students opt to become preschool teachers, a 2-year degree program in early childhood development must be obtained. When you choose to go into any profession, continuing education preparation is required. Nurses have more job opportunities than teachers. If you look around, nurses are needed at hospitals and nursing homes every day. With over 100,000 vacant positions and an ever-growing need for healthcare workers, the career outlook is excellent for the nursing field.......

Words: 564 - Pages: 3

Fairy Tail: Final Series Episode 6 English Sub | Отклыкаченные (2017) | Bel Canto