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Ethical principles of healthcare, nurses
Ethical principles of healthcare, nurses
Ethics and professionalism in the healthcare field
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Tayler Mortensen
November 8, 2017
Pharmacology
Dr. Garcia
The Magnitude of Medication Administration As I pursue my career in the nursing field, there are many safe practices I will incorporate each day to ensure safe medication administration to my patients. Although it may sound intimidating to administer such potent drugs, many methods prove to provide safety while doing so. Moving on, a nurse must always think ethically correct when considering safe medication administration. Lastly, I will discuss various aspects that enhance or impede medication safety and nursing care. In order to keep my patient’s safe, I will need to ensure that I practice safe medication administration. Methods producing safe nursing practice hold much value.
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Ethics are in every aspect of nursing, especially medication administration. Many aspects can enhance or impede medication safety and nursing care. Communication proves to be a crucial part of ensuring patient safety. Another way to provide patient safety is to limit distractions while calculating and delivering medication. A huge impairment of medication administration is not taking on the responsibility fully. As a nurse, one must keep in mind aspects that can help or impede medication safety and nursing care. To ensure patient safety, nurses must incorporate safe medication administration practices into everyday life. Because nurses have a job with such a potential to inflict danger on patients, all must consider methods to give medications as safely as possible. Having an ethical mind while considering safe medication administration proves crucial for nurses around the world. Certain actions may promote or obstruct medication safety and nursing care. While I further my career in the field of nursing, I will need to be sure to practice safe medication administration skills to keep my patients
4). Examples of how nurses can integrate this competency include; using current practice guidelines and researching into hospital’s policies (Jurado, 2015). According to Sherwood & Zomorodi (2014) nurses should use current evidence based standards when providing care to patients. Nurse B violated one of the rights of medication administration. South Florida State Hospital does not use ID wristbands; instead they use a picture of the patient in the medication cup. Nurse B did not ask the patient to confirm his name in order to verify this information with the picture in the computer. By omitting this step in the process of medication administration, nurse B put the patient at risk of a medication error, which could have caused a negative patient
In July 2001 Robert R. Courtney’s illegal and highly unethical behavior was brought to the attention of local authorities and the Federal Bureau of Investigation (FBI). Courtney’s blatant disregard for the trust patients placed in him was evidenced by his daily violations of their rights and expectations while he supposedly provided quality healthcare service. By August 2001, following investigation, the FBI filed 20 federal charges against Courtney that carried a maximum prison sentence of 196 years (United Press International, 2002). $8 million of his assets which were estimated to be in excess of $10 million were frozen to be used as restitution for victims in the criminal case. Following a plea agreement Courtney’s prison sentence was pared down to 30 years and he and his company received a $15 million fine
...estions if not 100% sure of something or use a double checking system. When a nurse is administrating medication, they should use the ten rights of medication administration (right patient, right drug, right route, right time, right dose, right documentation, right action, right form, right response, and right to refuse). Nurses should always keep good hand hygiene and always wear appropriate clothing to prevent from the spread of disease. Good communication with patients and healthcare team members is also key to success. Keeping on the eye on the patient within an appropriate time is important. If the patient ever seems to be looking different than their usual self vitals should be taken immediately. Encouraging patients to ask questions if they are unaware of something can prevent errors as well. Nurses should make sure the patient is on the same page as they are.
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
LEADERSHIP BRIEFING PAPER Leadership Briefing Paper After spending your entire working life in one giant corporation that went down overnight; investing most of your retirement in stock options that plummet to zero; you are suddenly jobless and your retirement money is gone. Yet, perhaps even more threatening; our skilled and managerial jobs are steadily going abroad, due to poor corporate ethics. The crisis of poor ethics has jeopardized public trust, caused an erosion of organizational cultures, created human suffering, caused unemployment, and profit losses. Poor ethics
This assignment will discuss the professional, legal and ethical issues related to the self-use of medication by nurses. It will also explore the importance of reporting this misconduct by both professionals in the scenario and how they might do so. The self-use of medication by nurses is not allowed or justifiable according to the guidance provided to nurses by An Bord Altranais (ABA 2007). It will also be evident throughout this assignment the need for Jack to report Linda’s self-use of the medication or urge Linda to do so regardless of the consequences it may present to both him and Linda as according to Nurses and Midwifery Board of Ireland (NMBI 2013), nurses can now be held responsible for not taking action. This is because delivering the greatest level of care to a patient is an essential role of a nurse and the main focus of the nurse’s work should be on caring for that patient (ABA 2010). There is also an ethical duty upon both nurses to report the misconduct according to the four ethical principles; Beneficence, non-maleficence, justice and autonomy (Edwards 2009).
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).
Patient safety is a top priority for every healthcare organization, but knowing where to direct patient safety can be a difficult task. To help guide organization in deciding where to focus their patient safety efforts, risk managers are hired by healthcare facilities to monitor and manage risk and liabilities. Nurses working in healthcare facilities keep their patients safe by risk management, according to studies. Interviews with RN revealed that nurses continually assess the clinical environment for possible risks of harm and use their knowledge of potential risks and knowledge of the patient to prevent harm. Successful risk management require nurses to recognize risks before they reach the patient, constantly prioritize the identified risks,
Responsibility and accountability become important when medical staff gives or doses patients with medication. The chance for making a medication error presents itself at all times. Those passing medications must follow established policies and procedures developed and laid forth by t...
Several businesses have become multinational due to globalization. Consequently, these companies are made to adhere to corporate ethics and responsibility in the foreign territories where they have advanced. The paper discusses New Jersey-based PharmaCARE pharmaceutical company on its global actions with regards to corporate responsibility of its actions in Colberia. The paper analyzes the company's stakeholders and the human rights issues caused by the corporation in its treatment of Colberia's indigenous community. The paper also discusses PharmaCARE's actions in relation to several ethical theories and concludes by comparing PharmaCARE to Nestle, a company that has also had moral and corporate responsibility issues.
Patient safety should be the highest priority when it comes to health care, so why wouldn't the administrators reduce the ratio of nurse to patients to provide maximum patient care? Nurses that have a higher workload of patients are probably more prone to commit a medication error because they may not have the time to do the five checks of medication administration: the right drug, the right dose, the right route, the right time, and the right patient.
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.
Care planning is one of these tasks, as expressed by, RNCentral (2017) in “What Is a Nursing Care Plan and Why is it Needed?” it says, “Care plans provide direction for individualized care of the client.” A care plan is for an individual patient and unique for the patient’s diagnosis. It is a nurse’s responsibility to safely administer a patient’s medication prescribed by the doctor. Colleran Michelle Cook (2017) in “Nurses’ Six Rights for Safe Medication Administration,” she says, “The right patient, the right drug, the right dose, the right route and the right time form the foundation from which nurses practice safely when administrating medications to our patients in all health care settings.” Nurses must be safe when dealing with medications, and making sure they have the right patient. Nurses document the care that is given to their patient, as said by, Medcom Trainex (2017) in “Medical Errors in Nursing: Preventing Documentation Errors,” it states, “Nurses are on the front lines of patient care. Their written accounts are critical for planning and evaluation of medical interventions and ongoing patient care.” Nurses must provide an exact, complete, and honest accounts of everything that happens with a patient. Doing this allows for the proper evaluation, and medical interventions for the patient. The typical tasks a nurse involves care planning, administration of treatments and medication, and documenting the care given to a
Trounce, J. (2000) Clinical pharmacology for nurses: the role of the nurse in drug administration. 16th Ed. London: Churchill Livingstone.
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