Using critical thinking skills to improve medication administration - reflective paper topics









using critical thinking skills to improve medication administration

using critical thinking skills to improve medication administrationUsing critical thinking skills to improve medication administration -Students should be able to gather information on the patient and then move to physical skills including identifying the correct pill packet or vial, opening the medication packaging and dispensing the medication properly.Instructors can make sure to show a patient chart in EHR Tutor with orders for the Practi-Meds purchased for that lab. After scanning the patient and medication, students have the ability to record the proper information. Up to 6.5% of patients who enter a hospital will fall victim to a medication error.2 Nurses are the last step in the medication administration process and are the most important link to ensure patients are safely given medications while in an inpatient facility.Without getting hands on experience with vials, patches and pill packets, nurses can find it difficult to differentiate between medications.Interpretation of clinical data and multiplying by fractions were the areas that improved the most for this group of students.While there are few studies that examine medication errors caused by improper calculation alone, we do know that many nursing students and current nurses do not fare well when it comes to medical math tests.For example, ANW in Minneapolis prefers to hire nurses with four year degrees and/or graduate degrees and their administration often uses clinical visits as a way to familiarize potential hires with the facilities.3 There are many factors causing the decrease in clinical hours that spurred the need for more simulation.Nurses simply aren’t familiar enough with the minor differences between medications because they don’t know what to look for on the package.To solidify math skills and practice finding the correct dose, students can enter work done to get to the right dose in the additional comments field within the EHR Tutor MAR. A., Alexander, M., Kardong-Edgren, S., Jeffries, P. (2014) The NCSBN national simulation study: A longitudinal, randomized, controlled study replacing clinical hours with simulation in prelicensure nursing education. It is important to help nursing students predict calculation errors and identify imminent drug-administration errors. The purposes of this study were to determine the medication-calculation skills of practicing registered nurses and senior baccalaureate nursing students and to evaluate the effectiveness of a teaching/learning strategy based on adult learning theory to promote medication safety and improve computation skills.Students must receive hands on experience with every step of the medication administration process.Most of the nursing programs required students to complete high-school algebra instruction satisfactorily.Educational programs and healthcare institutions are responsible for ensuring that practitioners demonstrate preparation for safe practice. In this quasi-experimental study, the effectiveness of using several strategies to build mathematical skills and increase nursing students’ ability to conceptualize drug-calculation problems was evaluated.Although both groups significantly improved test scores from pretest to posttest, there was no statistically significant difference in the students’ scores compared with those of the practicing nurses.Every process students will do with real patients is necessary to do in a lab setting, otherwise they will either slow down or, worse, make errors when administering medications to live patients.From that point forward, it’s important to provide students with the opportunity to simulate every single step of the medication administration process in order to form good habits.With the current nursing shortage, there are fewer nurses to cover the patient load on the floor of any inpatient facility.All acute-care agencies required 80% correct to pass.using critical thinking skills to improve medication administrationUnfortunately, that means that two year colleges and technical school lose out on the majority of clinical opportunities with that facility.On posttesting and retesting, participants in the interactive multimedia group scored as well as comparison groups did for math knowledge.Allowing students free reign to chart can be a liability to the facility considering all information in approved EHR systems is permanently recorded.A low 32% (14) of the students achieved 83% or higher scores on the posttest.Participants chose one of four strategies to improve their computational skills and, 4 weeks later, completed the medication-calculation posttest.Students are rarely able to view all medication orders and allergies for a patient within the electronic charting system and if they are, it’s less likely that they will have access to use barcode scanning features in the Medication Administration Records (MAR) for that patient.To prevent any potential HIPPA violations, hospitals occasionally allow students to access EHR systems only through an instructor or staff nurse’s account.By doing each step of the medication administration process including barcode scanning, students get a chance to practice the hands on aspect of scanning and recording a medication. Drug-calculation scores from pretest to posttest improved for the group and for individual students.Once a patient chart is chosen for the simulation, students will be able to assess allergies, view orders and review the patient’s situation beforehand.This paper will describe how you can improve students’ medication administration skills by creating a realistic simulation environment.A total of 71 second-year nursing students initially completed a 30-item drug-calculation pretest.Oftentimes, schools will be selected based on prior relationships with a clinical facility or based on the facility’s needs.Even for those schools with secured clinical facilities, the ability to chart at those facilities is often limited.Using an electronic charting system like EHR Tutor along with practice medications like Practi-Meds, it’s possible to fully prepare students for the workplace.Passing scores on tests evaluating math competency varied among nursing programs.In lieu of clinical hours, realistic simulation must be available to nursing students when it comes to practicing medication administration.Self-efficacy scores were comparable among all groups.Pretest scores of practicing nurses were related to how often they performed medication calculations.Should a student dispense a medication properly but make an error on the chart, that error could be tracked in any legal debate surrounding a patient’s care. using critical thinking skills to improve medication administration Math comprehension skills were tested before the students were taught the triangle technique, and a posttest was used to assess math comprehension after the teaching. The purpose of this national study was to determine how mathematical skills for medication administration are validated in U. nursing-education programs and in acute-care agencies. A total of 318 nursing programs (diploma, associate-degree, and baccalaureate-degree programs) and 42 acute-care institutions with Magnet Program status completed a 28-question survey.To create a realistic simulation environment for medication administration it’s important to have two things: an electronic charting system and a set of practice medications.Orders can always be added or edited to fit the practice pills, vials or patches on hand. Rodriguez, Sarah M., (2013) The Impact of Limited Clinical Sites on Prelicensure Nursing Education Programs: Current Issues and Recommendations for the Future. Those skills can help not only with NCLEX pass rates, but also with basic medication administration skills like those tested with the MAE mentioned in the introduction. Ofusu R, Jarrett P (2015) Reducing nurse medicine administration errors.Unlimited access to a patient’s information can also lead to privacy concerns.As clinical hours continue to decrease for nursing students, it’s important that we provide a realistic environment to familiarize students with all aspects of the medication administration process.First of all, the context given to a student by reviewing a patient chart before simulation allows students to use critical thinking skills to assess the situation before passing a medication.Students in the interactive multimedia group reported higher levels of satisfaction with the strategy. The purpose of this study was to document nurses’ reported thinking processes during medication administration.To prevent any of those concerns from becoming a reality, charting can be entirely nonexistent in the clinical facility.Nurses used a wireless mobile computer, scanned the barcode for medications, and accessed patients’ electronic medication administration record (e MAR).Because of that, they prefer nurses in BSN or graduate programs.The mathematical ability of nursing students and new graduates is inadequate and cannot be improved through addressing system issues.The online tool was compared with learning tools using text only, text and images, or multimedia alone.According to American Nurse Today, “Administration errors account for 26% to 32% of total medication errors.”5 It’s crucial that we find a way to minimize those errors by properly educating our future nurses.Instructors can use EHR Tutor’s prebuilt patients for simulation, edit the prebuilt patients to include additional orders or create patient scenarios from scratch.With increasingly few clinical hours and limited access to electronic orders, student nurses get very little exposure to real life medication administration and are failing to learn key components of passing medications.“The NCSBN National Simulation Study: A Longitudinal, Randomized, Controlled Study Replacing Clinical Hours with Simulation in Prelicensure Nursing Education.” has recently agreed that simulation can be effectively used to teach clinical skills.A recent study found that in one nursing program, 25 percent of junior level students failed their first attempt when taking a medication administration exam (MAE).1 With additional simulation time, scores for students went up drastically on the MAE as compared to students who only had additional classroom and lecture time.“From 2003 to 2006, 25,530 such errors were reported to the Medication Errors Reporting Program”. using critical thinking skills to improve medication administration Students should be able to scan the patient and medication barcode and then record the medication properly in the patient chart.At 7 months following the pretest, a total of 44 of the original group of students completed a posttest.One of the leading issues with medication administration is the confusion that results from similarly named and packaged medications.More research is needed to determine the long-term retention of drug-calculation skills as well as the effectiveness of other strategies to improve skills involving fractions, ratios, and place value.Most validation tests were created by faculty in nursing programs or in acute-care agencies.Across the country similar situations are arising, leaving quite a few schools coming up short on clinical time.EHR Tutor integrates with all Practi-Meds barcodes so students can scan the standard barcode on any medication produced by Wallcur. The comfort level of nursing students with calculating IV medication doses and flow rates was significantly correlated with test-score results. A pilot study was conducted to evaluate the triangle technique, which incorporates evidence-based learning techniques and visual, auditory, and kinesthetic learning styles to demonstrate calculation of pediatric medication doses.That way, when they administer medications in real life, the process will be entirely familiar. Harris, Margaret A., Pittiglio, Laura, Newton, Sarah E., Moore, Gary (2014) Using Simulation to Improve the Medication Administration Skills of Undergraduate Nursing Students. Warburton P (2010) Poor numeracy skills must be tackled to cut medication errors. A convenience sample of 31 senior baccalaureate nursing students and 22 practicing registered nurses completed a general-information session about medication errors and a medication-calculation survey pretest.All sections of the drug-calculation test improved statistically from pretest to posttest.Not only are nurses responsible for reviewing orders and assessing patients before giving medications, but they often have to do quick dosage calculations at the patient’s bedside while juggling a barcode scanner and EHR system.Strategies used included online math sessions, lectures, use of a drug-calculation workbook, sessions in a skills lab linking drug calculations to clinical practice, and individual or private study with recommended books.With realistic simulation encounters, the next generation of nurses will graduate prepared for real life medication administration and will have the potential to drive down medication errors within hospitals.After reviewing the patient’s chart, students use a barcode scanner plugged into any device with internet access to scan the barcodes for both the patient and the Practi-Med, exactly as they would at any hospital with an electronic charting system. Ask any Nursing Instructor and you’ll find that access to the EHR systems at clinical facilities is rare.Unfortunately that means that any charting done would be under the instructor or RN’s name, which prevents the account holder from allowing students full access to many of the charting features.The sample consisted of 30 senior nursing students who were enrolled in their pediatric rotations.First of all, competition for clinical sites is higher than ever.All of the acute-care agencies and almost all of the nursing programs required some type of validation of mathematics skills before medication administration. using critical thinking skills to improve medication administration After scanning the patient and medication, students have the ability to record the proper information. using critical thinking skills to improve medication administration

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