Nursefriendly.com: Medication Administration (Safe)

Showing posts with label Medication Administration (Safe). Show all posts

Friday, July 8, 2011

When Nurse Make Mistakes (Theresa Brown, RN) - NYTimes.com

By THERESA BROWN, R.N.
This year, a Seattle nurse named Kim Hiatt committed suicide. Ms. Hiatt’s death came nearly seven months after she had given an unintended overdose to an infant heart patient, a medical error that was said to have contributed to the child’s death days later.
Ms. Hiatt had been a nurse for 27 years and had often cared for the 8-month-old girl during the child’s stay in the pediatric intensive care unit of her hospital. She had probably drawn up the right dose of the drug hundreds of times in her career. But once, she made a life-changing error. A baby died, and she was suspended, then fired from a profession she loved. And now she’s dead.

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Saturday, May 14, 2011

Silent Treatment Study, silenttreatmentstudy.com #rnchat #nursing #nurses

Research and regulatory bodies have long confirmed that poor communication in healthcare is harmful at best and deadly at worst.

In the 2005 study, Silence Kills, VitalSmarts and the AACN found that 84 percent of healthcare professionals observe colleagues take dangerous shortcuts when working with patients and yet less than 10 percent speak up about their concerns.

Since that time, the healthcare community has turned to safety tools and checklists to reduce unintentional slips and errors. And yet, a new study called The Silent Treatment has found that the effectiveness of safety tools is undercut by undiscussables. Every day, healthcare professionals are making calculated decisions to not speak up—even when safety tools alert them to potential harm.

The Silent Treatment reveals that despite the safety interventions taken in the last decade, silence still kills. Safety tools do not compensate for crucial conversations failures in the hospital.

via silenttreatmentstudy.com

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Monday, April 18, 2011

FDA orders safety studies for some asthma drugs | Reuters

U.S. health regulators have ordered drugmakers to conduct clinical trials involving a total of 53,000 patients to test the safety of a controversial class of inhaled asthma drugs that are already on the market.

The trials are being required to demonstrate the safety of medicines known as long-acting beta-agonists (LABAs) when used in combination with inhaled steroids, another class of asthma drugs, the U.S. Food and Drug Administration said on Friday.
LABAs to be studied are AstraZeneca's Symbicort, GlaxoSmithKline's Advair Diskus, Merck & Co's Dulera, and Novartis AG's Foradil.

via reuters.com

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Saturday, March 19, 2011

How to Give an IM Injection, Kathy Quan RN BSN

When it is necessary to inject medication, the route is determined by the chemical make up and viscosity of the medication. Many times the route will be intramuscular (into the muscle) known as an IM injection or "shot' as opposed to subcutaneous or intradermal injection.

The injection site will be determined by the volume of medication to be injected. Other considerations are the age of the patient, the size and weight of the patient and mobility issues. The patient’s ability to relax and cooperate can also play a role in determining a safe injection site. Needle size depends on factors such as the site, medication and size/weight of the patient.

via thenursingsite.com

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Friday, February 11, 2011

Medical News: Nursing Home Med Errors Vary by Form of Drug - in Geriatrics, General Geriatrics from MedPage Today

Residents in nursing and old age homes are four times as likely to get an incorrect dose of medication if it's in liquid rather than pill form, researchers reported.

In a study in 55 British homes, errors included such things as incorrect measurements and not shaking a suspension, according to David Phillip Alldred, PhD, of the University of Leeds in Leeds, England, and colleagues.

Errors also were more likely with inhalers and other drug formulations, compared with pills or tablets dispensed using a monitored dosage system, Alldred and colleagues reported online in BMJ Quality and Safety.

Monitored dosage systems -- also known as unit dose systems -- consist of a tray or cassette with compartments for one or more doses for a particular day and time and are intended to simplify the administration of medications for staff, the researchers noted.

But such systems can't be used for all medications -- liquids, among others -- and it's not clear that they are safer than delivering drugs from the manufacturer's own packaging, Alldred and colleagues noted.

via medpagetoday.com

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Monday, January 31, 2011

Institute For Safe Medication Practices

Newsletters Professional Development

Consulting Services Self Assessments

Educational Programs Consumers

NEW Standard Concentrations of Neonatal Drug Infusions

FDA and ISMP List of Drug Names with Tall Man Letters

Guidelines for Standard Order Sets

Tool to assess risk in community pharmacy

Quarterly Action Agenda (Free CE)

High-Alert Medication List

Updated Confused Drug Name List

Community Pharmacy Medication Safety Tools and Resources

Articles of Interest

List of Products with Drug Name Suffixes

Error-Prone Abbreviation List

Pathways for Medication Safety

ISMP Guidelines

"Do Not Crush" List

Improving Medication Safety with Anticoagulant Therapy

ISMP and Doctor's Digest iPhone app.

More Tools...