To conclude, reflection is a skill necessary to the efficient function of a nurse in order to identify risk factors, which can be reduced by better preparation.
To summarize, there is a constant need for health frameworks to govern nursing procedures. Nursing assessments require frameworks to reduce risks of wrong treatment, effective communication is required between colleagues and patients to avoid confusion.
Lastly reflection is ideal to analyse the positives and negatives, it is best to follow the Gibbs reflective cycle when evaluating methods. Healthcare providers have an ethical obligation to inform patients about their on-going plan of care, including if a medical error has occurred.
Current thinking in nursing advocates the need for education in the ways of autonomy, critical thinking, and sensitivity to others. Good communication encourages collaboration and helps prevent medication errors. Many potential and actual medical errors fall within the sphere of nursing practice. Thus, nurses have an ethical obligation to help prevent and manage medical. Open Document. Essay Sample Check Writing Quality. Eliminating abbreviations can reduce errors in the healthcare profession when it comes to medication errors, patients dealing with a life threatening medical error, and similar abbreviations.
Many medication errors occur due to abbreviated words symbols, and dosage that cant be read and become misunderstood. These mistakes can cause harm if no one notices it. Many patients end up with a life threatening problem due to a medical error.
A nurse might give the patient the wrong dose because of the handwritten abbreviation the doctor wrote is not clear. Many abbreviations are similar and this can cause complication. If abbreviations are similar the best thing to do is write the abbreviation completely out and always ask if not sure. Providing unabbreviated prescriptions, communication, and writing all abbreviations out can reduce errors in the healthcare setting.
Another consideration would be to make sure in the healthcare setting written policies are mentioned and used. Written policies should be developed in the healthcare field when dealing with abbreviations. These policies should include information on how to correctly write out the abbreviation and also show how important spelling is when writing out the words.
It should also include which abbreviations are okay to use and which ones should be avoided. If the problem still continues with abbreviation errors, maybe a class needs to be taken so workers get the basics on why abbreviations do cause errors and how we as workers can avoid these errors.
When it comes to using abbreviations they should be used with care and understanding. Mistaken as cc, leading to administering volume instead of units e. Mistaken as intratracheal, intratumor, intratympanic, or inhalation therapy.
Mistaken as right eye OD, oculus dexter , leading to oral liquid medications administered in the eye. Mistaken as q. Mistaken as unit dose e. Mistaken as OD or OS right or left eye ; drugs meant to be diluted in orange juice may be given in the eye. Unnecessary period mistaken as the number 1, especially if written poorly. To prevent confusion, avoid abbreviating drug names entirely. Examples of drug name abbreviations involved in serious medication errors include:.
Mistaken as Pitressin, a discontinued brand of vasopressin still referred to as PIT. Mistaken as tetracaine, Adrenalin, and cocaine; or as Taxotere, Adriamycin, and cyclophosphamide. Avoid drug regimen or protocol acronyms that may have a dual meaning or may be confused with other common acronyms, even if defined in an order set.
Coined names for compounded products e. Coined names for compounded products should only be used if the contents are standardized and readily available for reference to prescribers, pharmacists, and nurses. Number embedded in drug name not part of the official name e. Use complete drug names, without an embedded number if the number is not part of the official drug name. Mistaken as the designated letter e.
Use a leading zero before a decimal point when the dose is less than one measurement unit. Ratio expression of a strength of a single-entity injectable drug product e. Express the strength in terms of quantity per total volume e. Exception: combination local anesthetics e. Drug name and dose run together problematic for drug names that end in the letter l [e. The m in mg, or U in Units, has been mistaken as one or two zeros when flush against the dose e. Large doses without properly placed commas e.
Use commas for dosing units at or above 1, or use words such as thousand or 1 million to improve readability. Note : Use commas to separate digits only in the US; commas are used in place of decimal points in some other countries.
Mistaken as the number 1 e. Explicit apothecary or household measurements may ONLY be safely used to express the directions for mixing dry ingredients to prepare topical products e. Otherwise, metric system measurements should be used. Common Abbreviations with Contradictory Meanings. For additional information and tables from Neil Davis MedAbbrev. Day or dose e. Therefore, the person who uses an organization-approved abbreviation must take responsibility for making sure that it is properly interpreted.
If an uncommon or ambiguous abbreviation is used, and it should be defined by the writer or sender. Where uncertainty exists, clarification with the person who used the abbreviation is required.
Recommendations List of Error-Prone Abbreviations. Do Not Crush List. Access this Free Resource You must be logged in to view and download this document. You must have JavaScript enabled to use this form. Log in. Not Yet Registered? Examples of drug name abbreviations involved in serious medication errors include: Antiretroviral medications e.
B Breast, brain, or bladder Use breast, brain, or bladder C Cerebral, coronary, or carotid Use cerebral, coronary, or carotid D or d Day or dose e. List of Confused Drug Names. Medications requiring special safeguards to reduce the risk of errors and minimize harm. View all Recommendations. International unit s. Mistaken as IV intravenous or the number Million Thousand. Mistaken as thousand Mistaken as million M has been used to abbreviate both million and thousand M is the Roman numeral for thousand.
Use million Use thousand. Mistaken as mg Mistaken as nasogastric. Unit s. Use unit s. Abbreviations for Route of Administration. It would be therefore for the best and benefit of everyone to be well guided by written policies on usage of abbreviations. The JCAHO has been also striving to reach out to the healthcare professionals and organizations to help in elimination of errors rooting from the use of abbreviations AARC, References AARC.
JCAHO seeks your input in medical abbreviations. In the long run, penmanship classes for doctors won't do much for patient's safety. ISMP's list of error-prone abbreviations, symbols, and dose designations.
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