Nursing Reflection on Medication, Blood and Fall Safety
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This nursing reflection essay discusses medication, blood and fall safety in the clinical care unit. It covers the positive and negative experiences, evaluation and analysis, and an action plan to develop awareness of patient safety.
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Nursing reflection1 Student name: Student number: Word count: 1262 Description: The activities performed in the nursing for the medication safety and blood safety is to provide right amount of dosage of medication to the right patient in a particular time. The blood safety activity is done by administrating in less than four hours. Registered nurses and licensed nurses are only allowed to maintain or monitor blood transfusion. Fall and injury prevention is still a challenge considered by the care unit around the world. Medical errors occurs due to failure of planned action to be completed as intended that is error of execution or the use of wrong plan to achieve an aim also known as error of planning(Posey et al., 2011). Feelings: Medication safety is essential for every patient as well as nurses. If the medication dosage is not correct or the timing of giving the medication is not right a patient may be harmed. At first, I was feeling restless during medication and blood safety but with my knowledge and skills everything started to look easy. Blood transfusion is a common procedure done by the nurses where blood is given to the patient through an intravenous line in the blood vessels. Being a nurse, I was focused in the details required for blood safety. The important safety rules about blood transfusion are giving required blood group to the right patient. Checking the donor’s blood so that blood contamination does not takes place and patient does not get harm by blood transfusion(Duric, 2017). Checking every donor’s blood and checking on right dosage and other safety measures is essential part of being a nurse. Evaluation and analysis: Positive impact from this experience was that I learned medication safety, blood safety and to prevent falls. The activities practiced for medication safety had positive outcome such as
Nursing reflection2 Student name: Student number: Word count: 1262 giving accurate amount of medication to the right patient. In addition, checking on the basic medication details before giving the medication such asexpire date, name of the drug or unauthorised medication administration(Medhi et al., 2014).Dosage and time are important safety measure to practice. By this activity, I learned to check the medication measures before giving the medication to a particular patient. Fromtheactivitiesnursesalsostartedtoensurethesafeenvironmentbyreducing distractions, improving lighting, and minimizing noises levels. The area where nurses prepare medications have accurate amount of lighting and a silent atmosphere.In addition, to improve safety measures the medication room now have one medication dispensing system in the care unit(Kowiatek, 2011). The blood safety included activities such as testing the donor’s blood before donating to the patient. Contaminated blood is harmful for anyone. Blood transfusion is a risky process. Infections are one of the main risks that are faced by the patients. Transfusion reactions and other non-infectious problems can be faced by the patients(NIH, 2016). Hence, from this activity I applied the knowledge of following the blood safety measure effectively. The other blood safety measure required in transfusion of blood is to meet the specific requirements of the patient’s blood component. Nurses play a significant role in correct, scientific, and safe usage of blood and its components and by evaluating all the roles make the blood transfusion risk reduced to a minimum level(PSQH, 2018). In nursing practice, I used my knowledge provided by the professionals and awareness while blood transfusing services and practices. Falls occur frequently in medical practice. Thus, medication and blood safety is essential in nursing field. There are three different types of inpatient falls such as accidental falls,
Nursing reflection3 Student name: Student number: Word count: 1262 anticipated physiological falls and unanticipated physiological falls. The common falls in nursingpracticeinmedicationsafetyispsychoactivemedications.Thesekindsof medications have a tendency to be painkillers,modify the sensorial, and weaken balance and gait(Organization, 2018). A key scheme is todecrease the dosage of any indicated medication that adds fall risk and to decrease and stop any medications that are no longer indicated. The negative experience about the medication safety is that a clinic contain a huge amount of patients and as a new nurse sometimes I get confuse as some patient have same kind of medication with different dosage or time interval. In blood safety, the negative experience I have faced as a nurse is the transfusion effects a patient faces after blood transfusion. A patient’s safety can be improved by observing the patient’s physical or internal reactions towards the new blood(Hill, 2010). The hazard of being a nurse and working can impair health both acutely and in long term. These health issues includes, fall and injuries, infections or mental health problems and many more. The major problem I faced was when lifting a patient if injured which includes awkward postures or any kind of physical demand. Another negative experience faced by me was long shift hours in case of emergency injuries. Working continuously without getting enough sleep gives stress and makes me tired of my work. Conclusion: From this essay, I have learned about three patient safeties that are medication, blood and fall. The clinical quality is focused on the safety activities in the care unit. Some of the basic medication safety is to use accurate dose of drugs and to check before giving the drug to the right patient. Medication giving in the wrong time can also make a big difference and it can harm the patient. Being a nurse, I have used my knowledge and skills in managing the safe
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Nursing reflection4 Student name: Student number: Word count: 1262 environment and gone through every precaution before giving the exact amount of dose to the patient. The blood safety is another activity to be concerned about in the nursing practice. I have learned the basic blood transfusion safety and used my knowledge and skills to practice blood safety rules on the patients as well as donors. The basic rules are to check the donor’s blood group, haemoglobin level, or checking if the donor has contaminated blood or not. I have to improve the knowledge of using blood transfusion at different places such as in surgeries or any other medication emergency. Falls or injuries is common, from the above activities I have realised that falls have high risk in the clinical care unit. To prevent fall risk I have learned some basic prevention methods such as checking on the patient in intervals, providing safety companions, keeping the patient busy and setting bed alarms. I have improved my knowledge and skills and exercised it well in the care unit. Action plan: From the safety awareness activities, I have learned to maintain the safety rules and follow it. I need to develop confidence while I work for example; I need to focus on one patient at a time. I have to increase my understanding and communication level with the patients. I will read the NSW health policy and apply the core values of the policy in the nursing practice. The core values of NSW health is openness towards the patient and their respective families, in addition with respect and empowerment(NSW, 2016). The three specific actions to continue to develop my awareness of patient safety are: To follow the basic medication safety rules before giving the patient their medications such as checking the name of the drug, expire date, dosage, time of giving the drug,
Nursing reflection5 Student name: Student number: Word count: 1262 and giving to the right patient. Awareness can be also developed by maintaining silence to work properly and check on the patient’s. To develop my awareness in blood safety I need to run blood tests accurately and check it twice before blood transfusion with the help of professionals. Todevelopawarenessinfallandinjuriesthepatient’smusttakehis/her responsibility. Other than that, it being a nurse I try to prevent any kind of fall risk in the health care unit(Bremdal et al., 2016). References: Bremdal, A., Olofsen, H. & Danielsen, A., 2016. Increasing fall risk awareness using wearables: A fall risk awareness protocol.Journal of Biomedical Informatics, pp.184-94. Duric, P., 2017. Blood donors’ awareness and attitudes towards bloodtransfusion safety in the Autonomous Provinceof Vojvodina, Serbia.Transfusion Medicine. Hill, K.S., 2010. Improving Quality and Patient Safety by Retaining Nursing Expertise. OJIN, 15. Kowiatek, J., 2011. Establish a Successful Medication Safety Program.Pharmacy purchasing and products, 8(10), p.6. Medhi, B. et al., 2014. A prospective study to evaluate awareness about medication errors amongst health-care personnel representing North, East, West Regions of India.International Journal of Applied Basic Medical Research, 4(1), pp.43–46. NIH, 2016.2016 Scientific Priorities in Pediatric Transfusion Medicine. [Online] Available at:https://www.nhlbi.nih.gov/events/2016/2016-scientific-priorities-pediatric-transfusion- medicine[Accessed 18 january 2019].
Nursing reflection6 Student name: Student number: Word count: 1262 NSW, 2016.NSW Health Policy Directives and Other Policy Documents. [Online] Available at:https://www1.health.nsw.gov.au/pds/ActivePDSDocuments/PD2016_049.pdf[Accessed 18 january 2019]. Organization, W.H., 2018.Falls. [Online] Available at:https://www.who.int/news-room/fact- sheets/detail/falls[Accessed 18 january 2019]. Posey, L.M. et al., 2011. Chapter 5. Principles and Practices of Medication Safety. In Pharmacotherapy: A Pathophysiologic Approach. 8th ed. China: McGraw-Hill Education. PSQH, 2018. CAN NURSES LOOK FORWARD TO NEEDLE-FREE BLOOD DRAWS? Health Leaders.