Approximately one third of all medication errors in the United States acute care hospitals are due to administration of IV medications resulting in substantial patient morbidity and mortality
Responses to classmates must consist of at least 350 words (not including the greeting and the references), do NOT repeat the same thing your classmate is saying, try to add something of value like a resource, educational information to give to patients, possible bad outcomes associated with the medicines discussed in the case, try to include a sample case you've seen at work and discuss how you feel about how that case was handled. Try to use supportive information such as current Tx guidelines, current research related to the treatment, anything that will enhance learning in the online classroom. Approximately one third of all medication errors in the United States acute care hospitals are due to administration of IV medications resulting in substantial patient morbidity and mortality (Wood & Burnette, 2012). There has been minimal research related to under-dosing of single dose or intermittent IV antibiotic administration.
The purpose of my proposed DNP project is to develop an evidence-based standardized procedure for administering IV antibiotics designed to reduce/eliminate under-dosing of IV medications. In today's clinical setting the use of IV "smart" infusion pumps have helped decrease or eliminate administration medication errors, but the "smart" pump is only as smart as the programmer. If you use a primary infusion set to deliver the IV antibiotic the "smart" pump has no way of knowing that the 25 mL it takes to prime the infusion set will not be infused into the patient resulting in the patient not receiving the full prescribed dose of medication.
The broad purpose of the project is to bridge the knowledge gap by starting a dialogue that increases awareness of residual volume and how to ensure the patient receives the full dose of prescribed medication. Although there has been an increasing awareness of the reasons that lead to errors in programming infusion pumps, minimal research has been conducted into the errors that can result from under-dosing of IV antibiotics or single dose medication. Based on my observations and communication with nurses in several different states and hospitals under-dosing of IV antibiotics is a medication error that has been overlooked.
Without a clear policy/procedure under-dosing of IV antibiotics will continue to be a problem resulting in patients developing multi drug resistant organisms (Cooper, Rassam & Mellor, 2018). Successful implementation of this project will ensure the patient receives the prescribed dose of medication based on an evidence-based practice guideline. The healthcare industry to include patients, and hospitals would benefit from successful application of the project by Improving patient outcomes and decreasing patient length of stay resulting in decrease in the overall health care cost and decrease in patient mortality.
Reference:
Cooper, D. M., Rassam, T., & Mellor, A. (2018). Non-flushing of IV administration sets: an under-recognized under-dosing risk. British Journal of Nursing (Mark Allen Publishing), 27(14). https://doi.org/10.12968/bjon.2018.27.14.S4 Wood, J. & Burnette, J. (2012). Enhancing patient safety with intelligent intravenous infusion devices: Experience in a specialty cardiac hospital. Heart & Lung: The Journal of Cardiopulmonary and Acute Care 41(2). https://www.clinicalkey.com/nursing/#!/content/journal/1-s2.0-S0147956311003724?scrollTo=%23top
ANSWER.
PAPER DETAILS
Academic Level
College
Subject Area
Nursing
Paper Type
Admission - Application Essay
Number of Pages
1 Page(s)/275 words
Sources
3
Format
APA
Spacing
Double Spacing
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