Clinical Practicum Reflection Essay

Clinical Practicum blame EssayDuring my first day of clinical practicum in MMW AQH, the register nurture made a medication error and did not hatch it, she rather she tried to cover it. I would like to reflect on the nonessential and what I have learned from that office lag as a nurse. voluptuaryThis incident happened during- my first clinical day in MMW AQH around 1pm era administering medicates by a register nurse, I was observing her practice in drug government. She started to prep ar the drugs on advance she asked me to collect the drug charts from affected role bedside and treat station .While she was distri hardlying drugs for enduring she was attending their needs and closureing doctors ensn ar by the time goes she beget distracted and lost her dumbness this situation made me confused and not knowing which tolerant is next. The nurse had umpteen task to do at the same time. She continued in drug administration but this time with improper representation of patient assignment, when we yield to the room where incident happen patient requested to take his drugs after as he still having his lunch she kept the drug effective to him and go away .After we finished three more patient she went back to him as remembered something she was looks stressed and panic, I asked her what happened she did not reply instead she asked the patient to open up her back the tablet.Patient handed the tablet back to her consequently she gave him some other tablet, I realized this was a drug error it was her luck that patient did not take the medicine, she start to explain to him what happen and asked for apology, the patient was so angry yet feeling sorry for her. He questioned her if he had the drug who will take the responsibility? She did not answer. He was not unforced to cause a trouble for her so he kept quiet. She proceeded with her devise like nothing happen, I was expecting her to report but she did not, when I asked the reason, she reply as long as no harm happen thither is no need to report beside that there is no time to report. This leftfield me thinking how many medication errors left un-reported?AnalyzeThis experience left me disappointed it was hard for me to accept what happen because I have primed(p) believe that patient safety is first regardless how busy the nurses are. Since then so many question gushed to my head, why this incident happen? What are the causes? Was the staff nurse afraid? Is the nursing negligence acceptable? To answer these questions I have to recall the situation .It was obvious that the circumstances the staff nurse was in made her prone to such incident, her lack of concentration and her unprofessionalism in administering medication made her close to put patient wellness in danger. However this should not excuse her from responsibility. I can guess that she was in panic and in a stressful situation but she is accountable for her action since she decides to become a nurse and deal with gay life. I believe that increased fix load made her go for short cuts and malpractice just to finish the assist .on the other hand she failed to advert the patient because of distraction. But the main reason why she did not report is whitethornbe she thinks about her colleagues reaction and she may be punished for that. From what I experienced drug error could be preventable if the staff nurses stick about strictly to hospital polices no matter what.ReviseThere is no exact definition for drug error but, the National Patient asylum Agency and the US National Coordinating Council for Medication Error reporting and Prevention define it as an any preventable event that may acquit or cause inappropriate medication use or patient harm while the medication is in the control of wellness professional (smith, 2004). According to the latest researches which conducted by Food and drug administration association and the National Patient Safety Agency drug errors evermore left unreport ed for many reasons, some of these reasons are related to hero-worship and work overload. These two factors were considered the most dominating factors when it comes to drug errors. Excessive work endlessly leaves the staff fatigued and preoccupied with many task to do and less time to finish it (Mayo, Duncan Chloe, 2004). Work over load lead the staff to go for the shortest and easiest ship canal which result in poor nursing practice. Failed patient identification is also another result of work overload, health care professional are not able to counter tame and verify patient identity correctly with other staff because of ebullient work. On the other hand Fear from consequences and the colleagues reaction are always the reason why health care professional tend to plow drug errors and not reporting it. Their self esteem will be badly affected in that moment because of that, they will loose the powerfulness to judge and they will comet more vital mistakes. However not reportin g drug error is worse and harmful to the patient life. Professionalism is the only way to develop the nursing practice in administering drugs. recompense patient identification, Right dose, Right drug, Right time, Right route and Right documentation are the safest bath to follow(ClaytonStock, 1997).New approachDrug errors are a vulgar problem in health care facilities which always associated with serious events so reporting about errors becoming a must to improve the musical arrangement and patient safety . intimately of the international accredited hospitals such as Alwasl Hospitel are now blame free culture, encouraging staffs to report the errors and not to become intimidated by it. Also they deal with reports in confidential bearing so the access to such documentation is restricted to authorize person. Their form _or_ formation of government stat that all incident report should be written in yarn description which should be comprehensive description of facts containing no personal judgments or opinion and no implication or accusations (AWH. PP,2004). These hospitals are providing educational seance about errors reporting which is important to increase the awareness among the staffs in coiffe to become a positive link in the hospital. These hospitals are maintaining annually competences in medication management and use for all health care professional. One goal that all health care facilities are assay to achieve is minimizing work load on the health care professional. Most of these hospitals are controlling patient numbers and trying not to go beyond their capacity, they also trying hard to solve the staff famine in way that will not affect patients and staffs. Other ways in improving medication administration system is by furnish the drug charts for more clarity and using unit dose system. This system helps the health care professional to minimize drug error, it include superstar unit package with generic and brand name, manufacture, lot num ber and limit date. Following this system has many advantages. First it reduces the time spent by nurses in preparing drugs. The pharmacist will have a clear visual sensation about patient situation regarding adverse reaction and contraindication. Patient identification will be easier as each single package has patient name and number so double check may not needed in emergency cases(ClaytonStock,1997).