Nobody downloaded yet

Reducing Errors by Improving Pain Medication Knowledge - Thesis Proposal Example

Comments (0) Cite this document
Summary
The specific problem is that the subject of this study works in the Post-Anesthesia Care Unit (PACU) at UC Davis Medical Center in Sacramento, California. The Unit has a staff of 60 RN's who are certified nurses at levels I, II, and III. At times the Unit will receive patients that have received medications for specific reasons or they have received pain medications for post-surgery purposes…
Download full paperFile format: .doc, available for editing
GRAB THE BEST PAPER97.7% of users find it useful
Reducing Errors by Improving Pain Medication Knowledge
Read TextPreview

Extract of sample "Reducing Errors by Improving Pain Medication Knowledge"

Download file to see previous pages Therefore, it is necessary for the post-anesthesia care unit nurse to be familiar with these
medications such that medication errors or overdoses may be avoided. In order to
prepare a nurse to be adequate in the PACU, proper procedure should be reviewed with
regards to these medications so that he or she is well-prepared to face challenges in
pain management, which include: being able to manage the control of pain with dilaudid
and fentanyl, being able to alleviate loneliness or other psychological challenges of the patient; and helping the family to be supportive of the patient in the post-anesthesia care unit.
Area I:
The Problem and its Environmental Context
The specific problem is that the subject of this study works in the Post-Anesthesia Care Unit (PACU) at UC Davis Medical Center in Sacramento, California. The Unit has a staff of 60 RN's who are certified nurses at levels I, II, and III. At times the Unit will receive patients that have received medications for specific reasons or they have received pain medications for post-surgery purposes. Typically, the patients have received both fentanyl (a short-acting pain medication) and dilaudid (long-acting) pain medication. At times the anesthesiologist will not report when they gave the last dose of pain medication.
The medication has been administered early in some cases, or late in the case of the patient having been in the operating room. However, this information is documented on the anesthesia work sheet. The Unit receives the patient from the operating room (OR) in the PACU and the patient may screaming or saying they are in pain. Also, at times they are not breathing very well at all and need stimulation, oral...
However, this information is documented on the anesthesia work sheet. The Unit receives the patient from the operating room (OR) in the PACU and the patient may screaming or saying they are in pain. Also, at times they are not breathing very well at all and need stimulation, oral airways, nasal airways, and Narcan.
Nurses tend to give a lot of dilaudid in five-minute increments per the anesthesia orders, not knowing it peaks in one hour. It is difficult to determine where patients are in the opioid cycle as they may be still sedated from anesthesia and not the pain meds. Thus, the patients may have too much dilaudid or fentanyl on board upon arrival to the PACU. Sometimes the best choice is to use the fentanyl-which is short-acting and has a peak time of 30 minutes and small amounts of the dilaudid. If a nurse gives a patient too much of either fentanyl or dilaudid, the patient may stop breathing or have complications which is considered a medication error and/or overdose. Managing pain medication in the PACU based on assessment is an art. It takes experience, great assessment skills, and knowing one's medications. Administering too much may slow the patient's breathing down and narcan may be needed to be given. ...Download file to see next pagesRead More
Cite this document
  • APA
  • MLA
  • CHICAGO
(“Reducing Errors by Improving Pain Medication Knowledge Thesis Proposal”, n.d.)
Retrieved from https://studentshare.org/miscellaneous/1512568-reducing-errors-by-improving-pain-medication-knowledge
(Reducing Errors by Improving Pain Medication Knowledge Thesis Proposal)
https://studentshare.org/miscellaneous/1512568-reducing-errors-by-improving-pain-medication-knowledge.
“Reducing Errors by Improving Pain Medication Knowledge Thesis Proposal”, n.d. https://studentshare.org/miscellaneous/1512568-reducing-errors-by-improving-pain-medication-knowledge.
  • Cited: 0 times
Comments (0)
Click to create a comment or rate a document

CHECK THESE SAMPLES OF Reducing Errors by Improving Pain Medication Knowledge

Medication Errors

...systems (CDSS) have been cited as potential IT tools that can help reduce prescription errors that lead to medical errors because of knowledge-based mistakes (Day et al. 2011). This system is meant to help in the drug selection process because it is possible that some errors in medication start with the making of decisions on which alternative drugs to use for different cases. According to Rothschild et al. (2011), 3% of prescriptions that involved new drugs had dispensing errors, and these errors could be corrected through the use of electronic prescribing systems (e-prescription). A...
6 Pages(1500 words)Essay

Medication errors

...them against one another prevents administration errors. Alternatives for Reducing Medication Errors Targeting high alert drugs and procedures is an alternative way or reducing medication errors. Apart from that, it is vital to implement a carefully planned series of low-cost intervention that will focus on medications having high risks, having information derived from internal event reporting. This should be designed in such a way that will improve medication safety in the hospitals. High potential error drugs such as potassium chloride, cancer...
4 Pages(1000 words)Essay

Medication errors

...and tend to fall into a pattern and therefore changes in the right policies will advertently reduce the number of medical errors. Furthermore it is important to note even the most meticulous and the very best of professionals make mistakes and placing such errors squarely on medical officers is a definite oversight. An error could occur as early as in the diagnosis stage of a patient or during the latter stages of administering treatment and drugs. All medical staff involved in this process can be the cause of such an error and therefore are directly or indirectly affected by its effects. Patients...
4 Pages(1000 words)Essay

MEDICATION ERRORS

...to omission as opposed to commission; hence, there is a certain level of preventability for the occurrence of these mistakes. To formulate preventative measures, one must analyze the underlying cause of these errors. These errors usually occur upon failure of a medical service provider to detect the state of disease, hence, prescribes the incorrect drug therapy, failure to detect the mechanism of drug interaction, negligence to patient’s drug allergies and general patient knowledge deficits (Harn, n.d). The above mentioned errors can be avoided if time is taken to counsel the prescriber and improving his/her working conditions (Harn,...
3 Pages(750 words)Essay

Medication errors

..., stressed, and exhausted. This lack of support is the main cause of high turnover rates among nurses. Health care institutions have to be staffed with professional nurses that are thoroughly trained in medicine administration. These professional nurses know that service users should be listened to, especially when it comes to their medication. The article by Dorothy McCaughan and Gerri Kaufman (2013) entitled ‘Patient Safety: Threats and Solutions’ raises a contentious issue in the importance of enhancing the careful administration of medications and preventing or reducing harmful side effects of medications. Emphasizing the term ‘error’, the authors...
3 Pages(750 words)Research Paper

Medication errors

...at critical times of administrating medications that have a negative impact on their working memory and their ability to focus on the task at hand. Modern health care settings is a demanding place for nursing professionals, making them more prone to errors, when we take into consideration the nature of the working environment, and the numerous and complex functions handled by the nursing professionals. More so with the several advances in science and technology that is being witnessed. In such a complex environment it is not easy to predict the course of events and develop a set of controls to address the issue of medication errors, but it is essential to...
5 Pages(1250 words)Essay

MEDICATION ERRORS

...Medications Errors Sociology This paper analyzes the measures nurses can take to prevent medication errors. With new technology such as bar code administering and computer based prescription; nurses can reduce the number of errors by misinterpretation of abbreviations or poor handwriting. The double check method also allows nurses to ensure the drug being administered coheres with the disease of the patient. They can also verify the doses of the drugs. Report systems are a very convenient method for nurses to report their errors more efficiently. This data can be analyzed and used to prevent the reoccurrence of such...
3 Pages(750 words)Essay

Medication Errors

...with most of the errors being done at the prescribing stage. Most errors that nurses do however are the administering errors that make up 26-32% of total medication errors (Unver et al, 2012). The most unfortunate thing about these errors is that they have not been intercepted by anyone but recent technological advancements focus on reducing them. It can be argued that most nurses do not conduct these errors knowingly as there are many factors that contribute to the medication errors. One factor that makes nurses make errors in administering...
2 Pages(500 words)Research Paper

Medication errors

...Question What changes or patterns do you see in the data? What remedies might be suggested for any Problems? The data in the table indicates a worsening trend in all the parameters examined for both quality or performance and patient satisfaction measures. Medication errors, for instance rose from 3.20% to 10.42%, while x-ray discrepancies went up from 0.15% to 0.21%. Patients levels of satisfaction in the overall service provided also went down from 40.52 to 20.74%. This is a worrying trend that needs immediate attention if the health facility is to meet its objectives. In order to get back to the right track, the board needs to take drastic measures to remedy the situation. One such measure is to...
2 Pages(500 words)Assignment

Medication Errors

...in medication errors. From the Journal of Medical Ethics and History of Medicine, the article, ‘Medication Errors of Nurses in the Emergency Department,’ which records an exploration of the rate of reporting medication errors, the types of errors and their causes, presents critical insights into the medication errors in ER. The descriptive study which used a sample of 94 ER nurses appreciates medication errors as a major nursing problem in ER (Ehsani et al., 2013). Giving recommendations on improvement of the situation,...
5 Pages(1250 words)Term Paper
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.

Let us find you another Thesis Proposal on topic Reducing Errors by Improving Pain Medication Knowledge for FREE!

Contact Us