RAFT Task 1

Goal three by the National Patient Safety Goal for 2014 is to use medicines safely. Many errors occur regularly with medications which is why communication is so important with the doctors, nurses and patients. One process that Joint Commission requires in accredited HCO’s is medication reconciliation “creating the most accurate list possible off all medications a patient is taking, including drug name, dosage, frequency, and route, and comparing that list against the physician’s admission, transfer, and/or discharge orders with the goal of providing correct medications to the patients at all transition points within the hospital (Finkelman & Kenner, 2012, p. 388)”. Ensuring medication reconciliation to the patient, health providers and any new consults that are

The Joint Commission is scheduled to visit Nightingale Community Hospital for its triennial accreditation survey within the next 13 months. The purpose of this document is to provide senior leadership with an outline of the hospital’s current compliance status in the Priority Focus Area of Communication. Recommendations for corrective action are included in this document which are designed to bring the organization into full compliance in the areas where deficits have been identified.

Identifying patients is key in preventing medication errors and relates to provision 3 in the code of ethics, “The nurse promotes, advocates for, and protects the

This paper aims to explore the role of the V100 nurse prescriber. The development of nurse prescribing will be outlined, followed by a reflective case study in which ethical and legal implications will be discussed and finally a reflective conclusion will be drawn. Where appropriate the paper will be written in the first person (Webb 1992).

“Errors in communication give rise to substantial clinical morbidity and mortality (Riesenberg, Leitzsch, & Cunningham, 2010).” As a result, the Joint Commission has identified effective communication as one of its National Patient Safety Goals (Dunsford, 2009).

Nightingale Community Hospital is a 180-bed acute care hospital that is a not-for profit entity. The hospital is community based and provides leadership in quality health services in which they provide. Their vision is to be the hospital that people choose, the place employees, physicians and volunteers want to work and a hospital of choice for the community. They are committed to providing a healing environment to their patients with a compassionate commitment to healthcare excellence.

Nightingale Community Hospital's care and treatment are planned to ensure that they are appropriate to the patient's needs and severity of disease, condition, impairment, or disability. Furthermore, care is supposed to be planned and provided in an interdisciplinary collaborative manner by professionals. The hospital assesses pain in every patient in addition to planning operative

Patient safety is the first priority of all accrediting agencies. Joint Commission play a vital role to control over most of the healthcare organization. Effective communication is one of the top requirement of today’s competitive health care professions field. United State as a multicultural country there are many different languages that are used for communication. English is not the primary language for many of us, meaning they have low health literacy rate and have difficult using the health related information. Joint commission is providing a lot of information to improve communication between patient and health care provider. They are developing different types of monograph that will inspire healthcare organization to integrate the concept from communication. They are distributing different types of paper and electronic tools that are used in most of the health care organization to increase the way of communication between patient and healthcare provider. All health care organization are required to use these types of informative tool to record the way

Each year medical errors cause more than 400,000 American deaths and at least 10-20 times that number experience serious harm. Researchers say that is equivalent to “three 747 airplanes crashing each day.” Medical errors rank as the third-leading cause of death in America. Therefore, patient safety is a national concern.

Nurses play a huge role when it comes to healthcare and keeping individuals alive and healthy. Nurses aid in the well-being of their patients by promoting, protecting, and optimizing their health by relieving suffering through various steps of nursing diagnosis, treatment, and by being advocates for their client’s. Registered nurses (RN’s) are a type of nurse that is registered with the College of Nurses of Ontario and they have a major role and responsibility in the direct care for their patients. According to the College of Nurses of Ontario, “Nursing is a profession that is focused on collaborative relationships that promote the best possible outcomes for clients.” (CNO, 2014, pg 3, para 2) To provide best possible outcomes for clients, the roles of nurses are constantly changing due to the fact there are many possible different ways to improve and treat health because each individual is unique. An area that needs to be expanded within the registered nurse’s range of practice is the ability to prescribe drugs since it is a topic that registered nurses currently are not competent to do so. The healthcare system in Canada and Ontario would be faster and more efficient if registered nurses are allowed to prescribe medications.

Hinderance or advancement? The five rights of medication have been an active participant in the medical field. They are essentially five guidelines for safe medication administration. The five rights to medication administration include the nurse verifying: the right patient, the right drug, the right time, the right dose, and the right route. Although each step has been implemented as a maintenance to improve medication administration throughout the medical field, many question their place. According to an article written by Matthew Grissinger, medication administration poses many risks for patients on the receiving end. Grissinger introduces different theory’s including but not limited to: at what point do medication administers stop following

A nurse should always have a second plan for things. I have proposed one solution to assist with decreasing the amount of polypharmacy in my workplace, but there is another proposed solution I have. The second solution would be to create a tool to help obtain all of the patient’s doctor’s names, and have them all sign off on the medications the patient takes when they come on hospice services, with the nurse guiding them to recognize the duplicates and unnecessary medications. To implement this process a form would be created and added to admission paper work, this way it can be addressed at the start of care. The form will name all of the medications and then the doctors

Nurses offer support in these practice areas and can assign assistance or administer a client’s own medication when the medication is labeled according to the dispensing standards.Third is Nurses follow related employee policies example aware of whether are authorized to perform this practice in the facility. Consistent with the policies of the agency in which the nurse practice and the client’s overall health related plan of care , the nurse must monitor the client, document the nursing action and communicate with the health care team.Nurses can perform a nursing assessment to determine that clients conditions warrants an over the counter medicine.Nurse advice to clients to avoid drinking alcohol when taking over the counter medications.In additional use of current evidence example research to support decision for administer over the counter medicine.Nurses also can collaborate and consult with a pharmacist as a require. Example possible interaction with other prescribed or non prescribed drug therapies.Nurses encourage the client is referred to other care providers like family physician or pharmacist when the client’s specific health information or medication history is not known. Occupational health nurses are often called upon to interact with workers about over the counter medication. Thus, they are in a strong position to provide essential safety information to many individuals. Furthermore documentation is are important element as a nurse role the recommendation and or administration of an over the counter medicine according to employer

As stated medical errors are not the result of one person or one thing, it is the accumulation of various factors (Spector, 2011). These factors include the environment, person directly involved, and colleagues, as well as hospital administration. To address these areas, the American Nurses Credentialing Center (2016) has

Nightingale Community Hospital provides professional care that ensures total security and satisfaction to those who wish to benefit from our care.