Nursing Management and Leadership: Analysis of Medication Error Case Study

Running Head: NURSING MANAGEMENT AND LEADERSHIP
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Nursing- management and leadership
11/17/2018

NURSING MANAGEMENT AND LEADERSHIP
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Contents
Introduction..............................................................................................................................2
Description of the Clinical experience.....................................................................................2
Theoretical analysis/Application..............................................................................................2
Implications for Professional practice and Management..........................................................4
Conclusion............................................................................................................................... 5
References.............................................................................................................................................6

NURSING MANAGEMENT AND LEADERSHIP
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Introduction
The report brings about the discussion of the nursing assignment which encounters the
description of the management concepts and the aspects of the professional practice in
context to the given case study. The case study will state about the medication error which
takes place in the patient’s care by the nurse and the application of management concepts.
Description of the Clinical experience
The clinical case scenario is the description of the patient Mr Tan, who was looked
after by the nurse after the change was observed in the condition of the patient. The case
described about the wrongdoing or mishandling of the patient’s condition by the nurse as the
patient required several other procedures. The nurse displayed the irresponsive behaviour in
reading the warning of ‘Do not crush’ mentioned on the electronic medication administration
records, impacted the health of the patient. She crushed an extended calcium channel blocker,
and administered it through the Nasogastric tube, which resulted into lowered pulse rate of
the patient. The calcium channel blocker when given to any patient works prevents calcium
to enter the cells of the heart and the blood vessels, which leads to the lowering down of the
blood pressure. Slower heart rate is one of the side-effect of drug which was identified in the
case with Mr Tan, affecting his condition. The case identifies the issue of clinical risk
involved in administration and high risk medication errors committed by the nurse in this
case by crushing of extended calcium channel blocker in NG tube in hurriedness, in clinical
settings (Elliott et al., 2016).
Theoretical analysis/Application
The given case study has led to an analysis that the patient Mr Tan’s health condition
suffered due to the incorrect administration of the medication given to the patient. It has been
known that the occurrence of errors is due to the combination of the human factors and
system factors in the clinical settings. Maintaining quality while eliminating the risk is one of
the major challenges faced by the healthcare and the professionals in undertaking patient
care. In today’s healthcare delivery system, it has been found that the patients have only a one
in two chances of receiving a recommended care for their health condition (Hayes et al.,
2015).