Question

CASE ANALYSIS. It is the responsibility of the nurse to clarify any drug order that is...

CASE ANALYSIS.

It is the responsibility of the nurse to clarify any drug order that is incomplete – that is, order that does not contain the essential seven parts discussed in this module. Let us look at an example in which this error occurred.

SCENARIO 1: Failing to clarify incomplete orders

Suppose a physician ordered omeprazole capsules p.o. at bedtime for a patient with an active duodenal ulcer. You will note there is no dosage listed. The nurse thought the medication came in only one dosage strength, added 20 mg to the order, and sent it to the pharmacy. The pharmacist prepared the dosage written on the physician’s order sheet. Two days later, during rounds, the physician noted that the patient had not responded well to the medication. When asked about this, the nurse explained that the patient had received 20 mg at bedtime. The physician informed the nurse that the patient should received the 40 mg dosage for high acid suppression.

Potential Outcome:?

Prevention:?

SCENARIO 2. Omitting medication due to incorrect scheduling of dose.

An order was written for ampicillin 500 mg IV PB q4.h, which was handwritten on the medication administration record (MAR). The registered nurse was distracted while verifying the order and writing in the scheduled times of administration. The nurse saw the number 4 and instead of scheduling the medication every 4 hours, scheduled the medication to be given 4 times a day at 6-12-6-12 timing. For 2 days, the shift nurses each checked to see what medication needed to be given on their scheduled shifts but did not take time to compare the ordered frequency to the scheduled times. Eventually a nurse did look over the entire medication record and noticed the error. The medication times were corrected and the doctor was notified. A medication variance form was completed, documenting the error, and it was submitted to the hospital risk management department.

Potential Outcome:?

Prevention:?

Homework Answers

Know the answer?
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Not the answer you're looking for?
Ask your own homework help question
Similar Questions
A nurse noticed that the physician had typed a new drug order on the Physician's Order...
A nurse noticed that the physician had typed a new drug order on the Physician's Order Form in the patient's electronic medical record. The order was for vitamin K 5 mg. The nurse then proceeded to go to the medication room in the nurses' station and select a vial of potassium chloride from which to administer the drug. What error in critical thinking did the nurse make? What type of safeguards should be in place to prevent these errors?
Medication errors by a nurse happen every day. In fact, adverse drug events account for almost...
Medication errors by a nurse happen every day. In fact, adverse drug events account for almost 700,000 ER visits and 100,000 hospitalizations every year. In many cases, these errors can lead to medical malpractice claims made against individual practitioners or even against entire health care teams. The majority of medication errors are preventable, and knowing how they happen can teach you what to be aware as future nurses. These five real-life medication error case studies that involved nurses. While these...
The order is for promethazine 25 mg IM stat and 15 mg IM every 4 hours...
The order is for promethazine 25 mg IM stat and 15 mg IM every 4 hours as needed (prn). How many mL of promethazine will the nurse administer Calculate the gtt/min for 2 L of IV fluids to be given over 5 hours. The available IV tubing has a drop factor of 10 gtts/mL. A client is ordered 75 mcg of Fentanyl citrate intravenously. How many mL will the nurse administer? The doctor has ordered 100 mL of IV fluids...
NURSING SITUATION # 2 Nurse Torres carried out an order of 60 u of regular IV...
NURSING SITUATION # 2 Nurse Torres carried out an order of 60 u of regular IV insulin to patient X. The medication was administered to the correct patient. However, he manifested significant hypoglycemia when presenting a Dxt of <28 mg / dL, so he had to immediately manage and administer 2 vials of dextrose at 50% plus place a D5W% drip down to 60 mL / hr. The patient was placed in the Intensive Unit under observation. When the order...
QUESTION 10 The nurse is prioritizing what step to take first when beginning to care for...
QUESTION 10 The nurse is prioritizing what step to take first when beginning to care for a client. Which step should occur first? a. Prepare the morning medications. b. Introduce oneself and confirm the patient's identity. c. Assess the patient and document the findings. d. Check the patient's chart and last set of vital signs. 11.When entering the client's room for assessment purposes, which of these actions would be questionable? a. Asking the client to share his or her date...
Case 24: Medication Error You are a physician making rounds on your patients when you arrive...
Case 24: Medication Error You are a physician making rounds on your patients when you arrive at Mrs. Buckman’s room. She’s an elderly lady in her late ’70s who recently had a colon surgery. She is also the wife of a prominent physician at the hospital. She has been known to be somewhat confrontational with the nursing staff. However, today she states she was just given a shot of insulin to cover her elevated blood sugar and the amount of...
Objective: The student will apply course objectives through evaluating patient assessments, identifying treatment options and developing...
Objective: The student will apply course objectives through evaluating patient assessments, identifying treatment options and developing teaching plans for patients with obesity, peptic ulcer disease (PUD) and gastroesophageal reflux disease (GERD). Part I: Obesity & Bariatric Surgery A 32-year-old obese patient has come to the bariatric outpatient center to have an initial evaluation. The patient reports that they were always overweight, even as a child. The patient states that they are frustrated because they gained 100 pounds over the last...
SCENARIO : OPIOID WITHDRAWL OUTGOING NURSE : So we have an Evet Ogam. She is a...
SCENARIO : OPIOID WITHDRAWL OUTGOING NURSE : So we have an Evet Ogam. She is a 34-year-old female brought in by ambulance, last night at 1800 for a heroin overdose. She was given 2 doses of naloxone, 2mg each dose. She vomited twice following the naloxone. Following stabilization in the ER, she has been brought up to our floor for monitoring. Pt is allergic to aspirin and has a history of back surgery in 2012, Pt has been admitted twice...
Clinical Scenario: CHIEF COMPLAINT: Acute Altered Mental Status HISTORY OF PRESENT ILLNESS: Mrs. X is a...
Clinical Scenario: CHIEF COMPLAINT: Acute Altered Mental Status HISTORY OF PRESENT ILLNESS: Mrs. X is a 56-year-old Caucasian female with medical history notable for chronic pain and polypharmacy. Beginning three days ago she felt as though she had a flu-like illness. The symptoms began with a cough 3 days ago, then progressed to a feeling of fatigue 2 days ago, and then 1 day ago she became confused. She has been barely verbal and unable to communicate with her family....
Clinical Scenario: REASON FOR CONSULTATION: Desaturation to 64% on room air 1 hours ago with associated...
Clinical Scenario: REASON FOR CONSULTATION: Desaturation to 64% on room air 1 hours ago with associated shortness of breath. HISTORY OF PRESENT ILLNESS: Mrs. X is 73-year-old Caucasian female who was admitted to the general surgery service 3 days ago for a leaking j-tube which was surgically replaced 2 days ago and is now working properly. This morning at 07:30, the RN reported that the patient was sleeping and doing fine, then the CNA made rounds at 0900 and Mrs....
ADVERTISEMENT
Need Online Homework Help?

Get Answers For Free
Most questions answered within 1 hours.

Ask a Question
ADVERTISEMENT