Medication Administration Errors free essay sample

Administrationrsrizontal Violeneed to be considered during the time of administration. verything. Medications should always be Errors By: Amanda Sandstrom Grand Canyon University: NRS-433V April 13, 2013 Problem Statement Medication errors are one of the most common errors in healthcare. Sentinel events lead to research in determining why errors were happening and how they can be prevented. Learning why medication errors occur, and the events leading up to the error is important to understand so policies and procedures can be implemented. Nurses are play a vital role in reporting and preventing medication errors, as the nurses are the last person in the medication administration process. The Institute of Medicine reports 44,000 to 98,000 people die in hospitals annually as a result of medication errors that could have been prevented (Stetina, Groves amp; Pafford, 2005). Deaths caused by medication errors more than doubled in ten years from 2,876 in 1983 to 7,391 in 1993 (Stetina, Groves amp; Pafford, 2005). Medication errors and the complications due to them increase patient stays, costs, and patient disabilities. We will write a custom essay sample on Medication Administration Errors or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Medication administration is a complex process and an error can occur at any point within the process. Prescription, transcription, dispensing and lastly administration are all part of the process. The last process of administration is provided by the nurse who must be vigilant and ensure there were no errors within the whole process before administering the medication. Purpose and Research Questions The purpose of this study was to focus on how nurses experience making a medication error, and being involved in the process in which an error occurred, what constitutes a medication error, and what steps need to be taken after an error occur Questions sought to be answered by this study are: What constitutes a medication error? How are medication errors reported? Are the five rights of medication administration used consistently? The answers sought to these questions, and the purpose of this study was relevant to the clinical problem. The Heideggerian phenomenological method was used in this qualitative research, by conducting an eleven question interview. Literature Review The other used several quantitative studies research. The author also used a survey, and journal articles. The references are not current some of them are actually almost thirty years old. The study itself was conducted seven years ago; however current research was used to support this study. The author did not state any specific weakness, but suggests further research of a more diverse geographical population. Additionally research could be done specifically how nurses vary in their practice according to patient load, acuity, and day to day circumstances in the practice environment (Stetina, Groves amp; Pafford, 2005). The study did find adequate information regarding how and why medication errors occur. Unfortunately with medication errors being such a problem in practice there are many causes, and new systems in place for reducing them that are constantly being updated. There is an abundance of literature on this topic all researching different aspects. This study did find that though all the nurses surveyed identified the â€Å"five rights† as the process of medication administration and prevention of errors (Stetina, Groves amp; Pafford, 2005). Many nurses acknowledged not always adhering to the five rights of medication administration; this was especially evident when it came to right time. Many nurses admitted to not always giving medications at the right time, and felt this was not considered to be a medication error. Conceptual / Theoretical Framework The author did not identify a specific perspective in this study. The framework for this study was finding answers to questions regarding medication administration and how errors occur. Nurses in different practice settings were interviewed to find the answers to the questions. The study set out to explore the understanding and management of medication errors by nurses (Stetina, Groves amp; Pafford, 2005). Conclusion Since nurses administer medications they are the last ones in the medication administration process to intercept a possible error, or they can be the ones making the error. It is imperative to be diligent when passing medications. Many advances have been made with the use of bar code medication administration programs, and electronic medical records with electronic ordering. With the advances in technology many nurses have come to be dependent on these systems. Pharmacy has also become a larger part in inpatient settings and nurses in this study have also come to rely more on them to prevent incompatibility complications. Nurses must always keep their clinical reasoning skills sharp, when administering medication we must consider everything. Medications should always be reviewed with patients prior to administration; since patients know what they take and can alert the nurses to a possible error. Lab work, dosage, patient’s weight, allergies, treatments, and compatibility of intravenous medications all need to be considered during the time of administration. Although all of these tools are valuable it is imperative that we do not become dependent upon them, we must use clinical reasoning and judgment to ensure patient safety. References: Clinical reasoning can prevent mediation errors. 2012, August 22). Retrieved from http://confidenceconnected. com/connect/article/clinical_reasoning_can_prevent_medication_errors/ Hartnell, N. , Mackinnon, N. , Sketris, I. , amp; Fleming, M. (n. d. ). Identifying, understanding and overcoming barriers to medication error reporting in hospitals: A focus group study. (2012). BMJ Quality and Safety, 21(5), 361-368. Stetina, P. , Groves, M. , amp; Pafford, L. (n. d. ). Managing medica tion errors: A qualitative study. (2005). Medsurg Nursing, 14(3), 174-178.

English 102 Essays

English 102 Essays English 102 Essay English 102 Essay Essay Topic: Communist Manifesto Kathleen Ahlgrim HST 142-001 March 15, 2010 Communist Manifesto 1. Two things gave the manifesto its force: first its vision and second its recognition of the necessary long term historical tendencies of capitalist development. 2. Karl Marx (1818-1883) Born in Trier, Prussia, Marx was a German philosopher, economist and sociologist. Marx was the principle author of the Communist Manifesto and also his ideas created the foundation of modern communism. Frederick Engels (1820-1895) Born in Barmen, Prussia, Engels was social scientist, author, political theorist and philosopher. Engels edited and assisted Marx on the Communist Manifesto. The Communist Manifesto was written in 1847 as a commissioned piece on the behalf of a group of radical workers call the Communist League, who met in London. The content was meant to spread information about the communist movement. It was a piece written for a particular moment in history, but became less useful because of the change in language and the historical point of which is written. 3. 3. Bourgeoisie is the upper middle class of society. They also tended to be the business owners. the epoch of the bourgeoisie, possess, however, this distinctive feature: it has simplified the class antagonisms. (pg 35) the bourgeoisie historically played a most revolutionary part. (pg37) Proletariats were the workers; The Industrial Revolution created a group of workers who were living in poverty and under terrible working conditions. They had little or no political representation. Of all the classes that stand face to face with the bourgeoisie today, the proletariat alone is a really revolutionary classâ„ ¢ (pg 21) it is coming into being in Germany only as a result of the rising industrial developmentâ„ ¢ (pg 23) 4. 5. New methods of production diminishes the worth of handicraft because of the new means of production (44) The bourgeoiese unfit any longer to b a ruling class because incompetent to assure existence to it slave ( 50) 6. Communism is already acknowledge by all European powers to be itself a power ( pg33)

The British Mandate Research Paper Example | Topics and Well Written Essays - 250 words

The British Mandate - Research Paper Example The article stated that nations that were unable to hold their own government were to be given under the trust or leadership of advanced countries that were willing and capable of handling the affairs of such states until such states could have gained enough strength to operate their own government affairs (Miller 162). The concepts of the Article 22 were approved, and later in June 1919, the same concepts were taken to the Treaty of Versailles. However, it should be noted that, in April 1920, executives from different countries questioned how the Treaty of Versailles was to be executed. This led to deciding of the roles of the mandates among different allies countries, and such roles were decided by the supreme council. The Mandates in the Middle East were decided and demined by adopting what was considered the basic features of Sevres. The British was allotted the administrative control of the Palestine leading to the naming of the territory as â€Å"the British Mandate of Palestine (Miller 124).† However, in July 1920, the mandate’s civil administration took over the military and named Jerusalem the capital

Successful Marketing Case Study Example | Topics and Well Written Essays - 1500 words

Successful Marketing - Case Study Example Whatever, Anything, a local Singaporean beverages product manufactured by Out of the Box Pte., has successfully met the challenges of the prospect of intense competition and has successfully penetrated into this seemingly closed market. Even though the market situation, as outlined above, communicates the impression of the beverages' market as a closed one, this is not entirely true. The key is marketing. Maoz and Tybout (2002) contend that a well-design marketing campaign is based on the accurate identification of the product's most likely consumer segment and speaks to potential consumers in their language, addressing their needs and even personality traits/quirks, A marketing campaign which subscribes to the principles of advertising and communication excellence will facilitate a new form/product's successful entry into an otherwise closed and highly competitive market. But what is excellence in marketing, communications and advertising According to Hastings and Saren (2003), the theory of excellence in marketing is predicated on the principles of social marketing and interpersonal communication or, at least, the impression of it. In order to give the impression of interpersonal communication with consumers and, as such, garner their loyalty to the product, it is imperative that both the nature of the product meet consumer expectations and demands and the campaign in question combine between public relations and social marketing (Hastings and Soren, 2003). Expounding upon the characteristics of successful campaigns, Barlow-Hills and Soren (2003) begin with the concepts of product choice and innovation. The product must address a market need or aspiration and, within the context of highly competitive markets, be innovative enough to attract consumer attention. While the fulfillment of this first requirement invaluably contributes to the market success of a product, success is ultimately predicated on the marketing and communications campaign which introduces the product to consumer and incites an interest in it, and desire for its possession. Such a campaign, according to Barlow-Hills and Soren (2003) is characterized by innovativeness, on the one hand, and the exploitation of the language and the lifestyles of its targeted consumer market segment, on the other. Whatever, Anything fulfils the two requirements for success outlined in the preceding. The product, per se, may not be innovative since, as already mentioned, the beverages market is practically saturated with drinks to suit all tastes and age groups. Anything is a group of carbonated and Whatever a group of non-carbonated cold drinks. In other words, the product is not new in itself and hardly offers consumers something which is not already present in the market. What is new is the concept behind the product. Both Whatever and Anything come in six different flavors each but are packaged in generic cans with non-identifiers. Accordingly, the customer does not know which flavor he/she will receive, bringing the element of surprise into the equation. in other words, even though the product is not innovative, its manufactures, Out of the Box Pte., imposed innovation upon it through its packaging. It is, thus, that the first requirement for successful marketing was satisfied - product in novation. The

Narrative Using the Hobbit Essay Example for Free

Narrative Using the Hobbit Essay It was a fine spring morning according to Prince Reno of Lorien, who was to set off with his seven most trusted friends-the dwarf brothers Korin and Gorik, the three mighty elf leaders loki,Lorin and Algain and two of the finest Dalish Warriors Phalarix and Cagaris-on a quest. These eight men together were very powerful throughout the land, no-one could match their wisdom and might. Prince Reno’s quest was to avenge his father’ death meaning he had to kill the evil enchantress Sirenia. He was walking away from his life of luxury and riches in order to do so, also meaning he gave up his right to be crowned king. It took them many days to be in a viewing distance of the Mountains of Lorencia, and at the very heart of the mountain was Sirenia’s fortress. It would take them three days to reach the mountains and another two to get to the fortress so they rested up that night and set off the next morning. Two days later it was unfortunate when Lorin died and that they got lost. They buried him and then Reno remembered an enchanted compass he had which would take them on the shortest but most dangerous path so they all took a vote and decided to use it. Upon arrival at the mountains they encountered a horrifying and disgusting site of three gigantic hob-goblins protecting the path to Sirenia. As soon as they saw the hob-goblins they attacked and if it weren’t for Korin sacrificing himself none of them would have survived. Prince Reno knew this might have been the last few days of his life, he knew that two people had already died throughout this quest and that there may be many deaths to come. As they approached the fortress they found a quick entrance to sneak in through, they crept through the fortress to Sirenia’s quarters but she knew they were coming and had turned into her demon dragon form but Prince Reno used this to his advantage as he had an enchanted blade covered in the poisonous blood of the blue and red fire-snape and started slicing and slashing at Sirenia waiting for the poison to kick in, as he watched his friends die brutally and then it happened, Sirenia dropped dead and Prince Reno knew that it was time to flee, finally being at peace knowing his father’s killer was now dead.

Hamlets Behavior in Hamlet by William Shakespeare Essay -- Hamlet Wil

Hamlet's Behavior in Hamlet by William Shakespeare Hamlet's behavior affects that of the other characters in the play in that his action drastically alters, not only their perception of Hamlet and his intentions, but also their actions and words in dealing with Hamlet. It is difficult to classify Hamlet as either sane or insane; however, it is certain that his mad behavior, whether feigned or authentic, serves only to heighten the confusion and eventual suspicion of the court, particularly Ophelia, Rosencrantz and Guilderstern, and Polonius and Claudius duo. Hamlet's mental state is hard to decipher due to the complexity of the issue and the variety of ways his actions can be viewed. Edward Strachey believes that Hamlet is, "†¦A character made of many elements, ramifying themselves in many directions, some being healthy and some diseased" (Strachey 173). Strachey goes on to say that an attempt to classify Hamlet as either mad or sane is an, "†¦Over simplification of what is most complex" (Strachey 173). At the beginning of Hamlet, Ophelia tells her father about the vows of love that Hamlet has expressed to her. Polonius immediately questions Hamlet's intentions and reminds Ophelia that making a rash decision could cost her; but Ophelia assures her father that, "†¦He hath importuned me with love In honorable fashion†¦And hath given countenance to his speech, my lord, With almost all the holy vows of heaven" (Shakespeare 17). However, after Hamlet visits Ophelia in a crazed state she immediately turns to her Father and reports Hamlet in a much darker light. Lord Hamlet with his doublet all unbraced,No hat upon his head, his stocking fouled, Ungartered and down-gyved to his ankle, Pale as a shirt, his knees knoc... ...t for revenge. If Hamlet is indeed truly mad then he alerts his foes to this information and they in turn become very circumspect of Hamlet and his plans. Hamlet's madness serves to call attention to himself and raise suspicions of his enemies. Works cited Coleridge, Samuel Traylor. "Notes on the Tragedies of Shakespeare: The Character of Hamlet." Shakespearean Criticism. Ed, Thomas Middleton Raysor. Vol. 1. Cambridge, MA: Harvard University Press, 1930. 40. Lennox, Charlotte. Shakespeare, the Critical Heritage. Ed, Brian Vickers. New York: Routledge & Kegan Paul, 1976. 129. Shakespeare, William. Hamlet. Norton Critical Edition. Ed, Cyrus Hoy. New York: W. W. Norton & Company, Inc., 1992. Strachey, Edward. A New Variorum Edition of Shakespeare: Hamlet. Ed, Horace Howard Furness. Vol. IV. J.B. Lippincott Company, 1877. 173.

Mixed Ability Grouping

MIXED ABILITY GROUPING Ana Redondo I/ INTRODUCTION: The main purpose of this module is to present to you some general evidences of different researches about method of mixed ability grouping versus other forms of organising pupils in MFL teaching and learning perspective. II/CONTENT 1/ Political context (in England and Wales) * 1944 the educational system in Britain streamed into diferent types of secondary schools, student with special educational needs being educated in special school. Since 1980s central government break up the Local Education Authorities by introducing Local Management of School * 1991-1993, chidren with special education needs into mainstream school, private school: 20-25%, conprehensive school being skew. * Throughout 1990, setting had proved to be effective in many secondary schools for mathematics, science and language. Pupils grouping are cosidered under such pressures: Student’s achievements (examination results), policy and society, local needs and parental choice. / Mixed ability grouping * In the title clerly indicates: ‘Mixed ability grouping’ also refer to a group in which children of varied ability are taught together rather than being set apart. * -No group of pupils is ever homogeneous. Differences in areas: ability, gender, self-concept, self-estem, ethnic background. a. Advantages of Mixed abilitiy grouping * Mixed ability grouping provides all pupils with equality of opportunity and reduces the negative results often associate with homogeneous grouping. It avoids the problems associated with allocating pupils to homogenous groups. * It promotes a good relation among pupils, between teachers and pupils. * Reduce competition and the labelling of pupils. * Low ability pupils are supported more benefit. b. Disadvantages of mixed ability grouping * It is hard to ensure that higher ability Ss are stretched sufficiently. * The meeting the needs of high and low ability pupils can result in failure. Teachers need to be sensitive to aware the differences of in order to set appropriate work, maximize learning outcomes and avoid conflicts between teaching and learning. * Mixed ability grouping makes unrealistic demands on teachers' pedagogical skills. * The majority of the class is often poorly supervised. Mixed ability grouping pose particular difficulties in MFL. 3/ Other forms of organisind pupilss – MFL teaching and learning perspective * Students have multiple intelligences, there for, some are better at certain things than others. Homogeneous groupings are likely to alow teachers a greater opportunity to meet the individual’s needs of students. * Homogeneous groups of pupils can achieve more efficiently in MFL. * Homogeneity of teaching groups- when classes share a greater similarity of learning qualities and characteristic, allows the techer to carry out their teaching more effectively. * It is difficult to allocate students to the appropriate group, no stigma is attached. Both ‘mixed ability grouping’ and ‘ability grouping’ have advantages and disavantages.III/CONCLUSIONS * I suggest here to consider ‘homogeneous groups’ and ‘within -class groups’ as pragmatically feasible options. Seated group work, collarborative project work, co-coperative learning, flexible learning, task-based learning or carousel work can all be applied in various different ways to ensure academic and social learning. (Ana Redondo) * The grouping of pupil is only one of several factors affecting the learning environment of the classroom. The quality of instruction and the curriculum are central. (Halam, 1996:2)