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Essay on safe medication administration
Aspects of medication safety
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Pharmacology Assignment One
Administering medications is an important and common task done by Nurses. It is crucial that Nurses know how to do so in an appropriate manner to promote the safety of both themselves and their patients. The United States Food and Drug Administration (FDA) website offers current information on safety that can support the professional practice of a Nurse.
Question One
A warning letter is sent to a manufacture if the FDA believes the manufacture has violated FDA regulations (U.S. Food and Drug Administration, 2017). The letter states the error the manufacture has made and informs the manufacture that the problem must be corrected. The FDA must be notified on when and how the problem will be resolved: After the time
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Food and Drug Administration, 2017). In addition, the FDA regularly assesses and samples drugs produced in domestic and foreign drug manufacturing plants, as well as retail stores to ensure manufactures are following the laws. FDA also considers complaints made by patients and health care personnel regarding products during its surveillance (U.S. Food and Drug Administration, 2017).
This information informs Nurses of the measures taken by the FDA to ensure patients are given safe medications. It also ensures Nurses that they, and their patients can file complaints about medications to the FDA and that the FDA will review these complaints when assessing those medications.
Question Three
The FDA requires drug manufacturers to follow Current Good Manufacturing Practice regulations (CGMPs) to prevent the contamination of drugs (U.S. Food and Drug Administration, 2017). If contamination occurs during the production of a drug, the FDA requires the manufacturing company to stop the production of the drugs until corrections have been made. If it is found that contamination has occurred after the distribution of a drug, the manufacturing company is mandated to recall the items and perform a thorough investigation. Meanwhile the FDA requires the company to inhibit shipments of the goods and may obtain samples to find the contamination
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They discuss Risk Evaluation and Mitigation Strategies (REMS), which is special monitoring for patients using certain drugs (Karwoski, Bough, Colonna, & Gorski, 2012). For REMS to be an effective program, a patient, Physician, Pharmacist and Registered Nurse are needed. REMS allow for certain medication to be used that would otherwise not be allowed.
Dr. Todd Colonna starts off the discussion by discussing REMS programs used by Physicians, such as iPLEDGE, to track patients’ responses to medications (Karwoski et al., 2012). He explains iPLEDGE works by having Doctors and Pharmacists register under Its computerized system. Nurses then register under a Physician’s name to access data. Dr. Colonna states his job as a Medical Doctor is to talk about the risks and benefits of drugs to his clients and inform them of the iPLEDGE program if their potential medication requires such monitoring (Karwoski et al.,
Perusing warning letters in FDA’s Electronic Reading Room yields a plethora of violations regarding adulterated, misbranded or falsely claimed benefits of drugs and supplements. These three issues, consequently, constitute stumbling blocks in drug development or approval and additionally, perhaps also indicate a wanton disregard of compliance in manufacturing and marketing. Do the responsible companies prioritize compliant procedures and documentation? Through investigating three of the most commonly cited reasons for FDA 483 letters, applying them to the above violations, and exploring a culture of compliance, some rationale for causes in this case may be determined.
The Food and Drug Administration (FDA or USFDA) is a federal agency of the United States Department of Health and Human Services, one of the United States federal executive departments. The FDA is responsible for protecting and promoting public health through the regulation and supervision of food safety, tobacco products, dietary supplements, prescription and over-the-counter pharmaceutical drugs (medications), vaccines, biopharmaceuticals, blood transfusions, medical devices, electromagnetic radiation emitting devices (ERED), cosmetics, animal foods & feed and veterinary products.
To begin, the Federal Food and Drug Administration does not have the power to regulate supplements like it does with drugs. Once a product is out on the market, the FDA has to prove that it is dangerous or has illegal additives before it can be removed. The FDA has targeted around seventy tainted weight loss products after learning that they had been mixed with undeclared stimulants, diuretics, and antidepressants (Trebilcock 2). The Federal Food, and Drug, Administration is responsible for ensuring that the manufacturers of foods provide safe ingredients and the correct amount of dosages for their products.
review or pending approval unless the information has been in the public. The FDA has no legal
contamination, toxicity, and side effects. Most people believe these medications are compounded or mixed by a trained and licensed individual. However, this is inaccurate because the pharmacy technician actually compounds a large percentage of a patient’s medications. Compounding involves a techn...
The FDA is vital to our country, albeit makes mistakes. Sometimes the FDA can be too
Furthermore, short staffing affects the quality direct care each patient receives. The National Coordinating Council for Medication Error Reporting and Prevention (2012) states an estimated 98,000 individuals die every year from medical errors in the United States. One out of many significant tasks nurses do within their scope of practice is medication administration. Research shows a relationship between short staffing on medication errors: the longer the hours nurses work, the higher the chances of medication errors (Garnett, 2008). (include definition of medication error) Administering medications requires knowledge of patient rights, pharmacological information on the drug, adverse effects, proper dosage calculations, and hospital protocols. When nurses are assigned more patients, they are pressured to give due medications on time. Sometimes due to hunger or fatigue, nurses give the wrong medication to the wrong patient (Frith, Anderson, Tseng, & Fong, 2012).
I have been a register nurse for 15 years and feel comfortable with indications for many drugs, however I know that there are many other aspects of pharmacology that I have neglected throughout my nursing career. One of the expectations I have during my transition as an APRN is to become proficient in pharmacology. To achieve this expectation, I plan to master many of the pharmacology aspects that I have neglected since nursing school, such as pharmacokinetics and pharmacodynamics. I realize that the indication for a drug and knowing common dosages is only a small portion of proscribing a medication, knowing how the drug functions and focusing on individual patient pros and cons is essential when prescribing a medication. Another goal I would like to gain from this course and my shift to prescribing medications, is knowledge of the appropriate resources I can use for pharmacology information in the clinical setting.
Overall, I retain three goals for this clinical day: Safely and efficently administer medication, enhance my nursing/CNA skills, and determine how to implement infection control into a health care setting. This week reflects my assigned time to administer medication in a health care setting for the first time, with a resident who retains nearly twenty medications. I except this experience will be a great learning experience, but it will also subsist slightly stressful. With the assistance of my FOR, my goal is to administer all of my resident 's medications without complications. To ensure that medication safety, I will perform the six medication rights and three checks prior to administration. Along with medication administration, a goal
Drug administration forms a major part of the clinical nurse’s role. Medicines are prescribed by the doctor and dispensed by the pharmacist but responsibility for correct administration rests with the registered nurse (O'Shea 1999). So as a student nurse this has become my duty and something that I need to practice and become competent in carrying it out. Each registered nurse is accountable for his/her practice. This practice includes preparing, checking and administering medications, updating knowledge of medications, monitoring the effectiveness of treatment, reporting adverse drug reactions and teaching patients about the drugs that they receive (NMC 2008). Accountability also goes for students, if at any point I felt I was not competent enough to dispensing a certain drug it would be my responsibility in speaking up and let the registered nurses know, so that I could shadow them and have the opportunity to learn help me in future practice and administration.
Sharing the personal health records with patients has the potential to improve the safety of medication prescribing and trending of physiologic data (e.g. blood pressure, clotting times, blood glucose, and daily weights). Patient portals can serve as personal health records in which health information is preserved over time (Gephart & Effken, 2013). Humana provides great features of patient portal for their members. The patient portal can be viewed on a computer, a smart phone, and a tablet. The members can utilize the portal to order and search medication, find physicians, view existing claims and benefits, and submit requested documents. Using the patient portal makes the members to monitor and manage their health easier than
Who ensures that companies are being responsible and handling consumer items with careful consideration? That is one of the many jobs of the Food and Drug administration, or FDA. It is an important federal agency that protects consumers and the environment. It was established in 1906, making it over a century old. The FDA is run by leadership roles such as the commissioner, deputy commissioners, and various other officers.
Firstly, nurses are expected to practice evidence-based health care hence a mastery of information about the essential and safe dose of drugs for a patient is very important for a nurse. Consequently, it could be the determinant between the life and the death of the patient. Pharmacology is a discipline which is mandatory for the nurse to excel in to be efficient in discharging his/her duties. Understanding which drug to use, the right dosage, the expected side effects which may occur and the contra-indications of the various drugs are key in the preservation of
Trounce, J. (2000) Clinical pharmacology for nurses: the role of the nurse in drug administration. 16th Ed. London: Churchill Livingstone.
I was also responsible for monitoring medication orders and reviewing patient profiles to ensure that the proper drugs and dosages were prescribed and that the pharmacy technician had prepared them properly. In many instances there were mistakes made in the preparation phase and sometimes even before, with incorrect dosages or drugs being prescribed and prepared, which could result in serious adverse effects for the patient. A clinical pharmacist’s role, however, is to make sure that these mistakes never reach the