Study Guides (292,296)
CA (139,403)
Humber (52)
NURS (5)
Study Guide

NRS 213- Final Exam Guide - Comprehensive Notes for the exam ( 23 pages long!)Premium

23 pages115 viewsFall 2016

Department
NURS
Course Code
NRS 213
Professor
Danielle With
Study Guide
Final

This preview shows pages 1-3. to view the full 23 pages of the document.
Humber
NRS 213
Final EXAM
STUDY GUIDE
You're Reading a Preview

Unlock to view full version

Subscribers Only

Only page 1 are available for preview. Some parts have been intentionally blurred.

Subscribers Only
You're Reading a Preview

Unlock to view full version

Subscribers Only

Only page 1 are available for preview. Some parts have been intentionally blurred.

Subscribers Only
NURS 2132 Objectives & Required Readings
Week 3
Dosage Calculations, Medication Administration, Adverse
Drug Reactions
1. Discuss standards of care in the application of the nursing process.
To be able to prevent and respond to ADRS. Adverse drug reactions are all types of clinical
problems these include medication errors (MEs) and adverse drug reactions (ADRS). Note that
not all errors may cause the patient harm. Two major type of ADR are allergic reaction (often
predictable) and idiosyncratic reaction (usually unpredictable)
Some therapeutic drug medications have similar names, right documentation such as labeling
can prevent MEs.
Proper documentation helps to organize and increase efficiency in the work place
Increases patient safety
Proper documentation is need to assess prescription, dispensing and drug administration
2. Explain the importance of documentation in the administration of medications.
Dispensing-to select prepare and transfer stock medication for one or more prescribed
medication doses to a client or the client representative for administration for at a later time.
3. Discuss factors contributing to medication incidents.
Organizational issues
- prescribing faults and prescription errors most common, most can be caught by pharmacist
before entry or by nurse before administration
- administration next most common point of error, followed by dispensing and transcription
- Technology that is difficult to use, inadequate education or training, difficulties mastering can
increase medication error as well
Education system issues and impact on MEs
- commonly reported student nurse errors involve; unusual dosing times, medication
administration record issues (unavailable, failure to document doses, failure to review),
administration of discontinued or held medications, failure to monitor vitals or la results,
administration or oral liquids as injections, preparation of medications for multiple patients at
same time, dispensing of medications in different doses from those ordered
find more resources at oneclass.com
find more resources at oneclass.com
You're Reading a Preview

Unlock to view full version

Subscribers Only

Only page 1 are available for preview. Some parts have been intentionally blurred.

Subscribers Only
Medication errors and related sociological factors
- Poor relations with physicians, unsupportive co-workers and low job security
- workplace bullying, disruptive physician behaviour, and lack of institutional response affect
nurse job satisfaction, nursing staff retention, erode personal health and professional well-
being
- result in communication breakdown, lack of collaboration, increased risk of MEs
This points out that the strength of the nurse-physician relationship directly effects the patient
outcomes.
Health care study and practice puts a lot of pressure on students and doctors to be smart and
strong-willed individuals however, the constant expectation that one be "smart" and "on top of
things" regarding clinical knowledge often leads to denial, fear, or shame about being wrong.
This is when professional will make guesses about medications instead of verifying it
Medication errors and related sociological factors
Increasing amount of drugs on the market some with similar sound-alike or look-alike names
(SALAD sound alike look alike drugs, LASA look alike sound alike drugs)
Misunderstanding of abbreviations, miscommunication during verbal or telephone orders, and
confusing drug nomenclatures
50% of all preventable adverse drug events occur during the medication ordering stage of
prescribing (handwritten drug orders can often be hard to read a solution for this is to use
computers to prescribe drugs and barcoding medication so nurses can verify medication
electronically)
- most MEs result from weaknesses in systems within health care organizations rather than staff
shortcomings
- weaknesses include failure to create just culture non punitive work atmosphere for
reporting errors, inadequate staffing/nursing hours, hours worked per week, over time, staffing
mix (professional vs unregulated), interruptions during medication preparation and
administration, lack of interdisciplinary communication, lack of reporting (reporting leads to
designing ways to prevent)
4. Identify the process in reporting and managing medication incidents and adverse drug
reactions (ADRs).
Once patient assessed, urgent safety issues addressed, complete a ME report after contacting
the doctor, charge nurse, nurse supervisor, or for a student nurse contact the patients nurse
and student instructor
- implement follow up procedures, tests or antidotes as prescribed
- highest pioit at all ties: patiet’s phsiologial status ad safet
find more resources at oneclass.com
find more resources at oneclass.com
You're Reading a Preview

Unlock to view full version

Subscribers Only

Loved by over 2.2 million students

Over 90% improved by at least one letter grade.