Safe Medication Administration Presentation

Course Navigation  Lisa Tutorials Newton Support Log Out  FACULTY 34 NEW Jonathan AndhonyCarver Rivera  COACH Assessment 3 Instructions: Improvement Plan In-Service Presentation For this assessment, you will develop an 8-14 slide PowerPoint presentation with thorough speaker’s notes designed for a hypothetical in-service session related to the safe medication administration improvement plan you developed in Assessment 2. As a practicing professional, you are likely to present educational in-services or training to staff pertaining to quality improvement (QI) measures of safety improvement interventions. Such in-services and training sessions should be presented in a creative and innovative manner to hold the audience’s attention and promote knowledge acquisition and skill application that changes practice for the better. The teaching sessions may include a presentation, audience participation via simulation or other interactive strategy, audiovisual media, and participant learning evaluation. The use of in-services and/or training sessions has positive implications for nursing practice by increasing staff confidence when providing care to specific patient populations. It also allows for a safe and nonthreatening environment where staff nurses can practice their skills prior to a real patient event. Participation in learning sessions fosters a team approach, collaboration, patient safety, and greater patient satisfaction rates in the health care environment (Patel Wright, 2018). As you prepare to complete the assessment, consider the impact of in-service training on patient outcomes as well as practice outcomes for staff nurses. Be sure to support your thoughts on the effectiveness of educating and training staff to increase the quality of care provided to patients by examining the literature and established best practices. You are encouraged to explore the AONE Nurse Executive Competencies Review activity before you develop the Improvement Plan In-Service Presentation. This activity will help you review your understanding of the AONE Nurse Executive Competencies – especially those related to competencies relevant to developing an effective training session and presentation. This is for your own practice and self-assessment, and demonstrates your engagement in the course. Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 1: Analyze the elements of a successful quality improvement initiative. Explain the need and process to improve safety outcomes related to medication administration. Create resources or activities to encourage skill development and process understanding related to a safety improvement initiative on medication administration. Competency 4: Explain the nurse’s role in coordinating care to enhance quality and reduce costs. List clearly the purpose and goals of an in-service session focusing on safe medication administration for nurses. Explain audience’s role in and importance of making the improvement plan focusing on medication administration successful. Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care. Communicate with nurses in a respectful and informative way that clearly presents expectations and solicits feedback on communication strategies for future improvement. Reference Patel, S., Wright, M. (2018).Safe Medication Administration Presentation

Development of interprofessional simulation in nursing education to improve teamwork and collaboration in maternal child nursing. Journal of Obstetric, Gynecologic, Neonatal Nursing, 47(3), s16s17. Professional Context As a baccalaureate-prepared nurse, you will often find yourself in a position to lead and educate other nurses. This colleague-to-colleague education can take many forms, from mentoring to informal explanations on best practices to formal in-service training. In-services are an effective way to train a large group. Preparing to run an in-service may be daunting, as the facilitator must develop his or her message around the topic while designing activities to help the target audience learn and practice. By improving understanding and competence around designing and delivering in-service training, a BSN practitioner can demonstrate leadership and prove him- or herself a valuable resource to others. Scenario For this assessment it is suggested you take one of two approaches: 1. Build on the work that you have done in your first two assessments and create an agenda and PowerPoint of an educational in-service session that would help a specific staff audience learn, provide feedback, and understand their roles and practice new skills related to your safety improvement plan pertaining to medication administration, or 2. Locate a safety improvement plan through an external resource and create an agenda and PowerPoint of an educational in-service session that would help a specific staff audience learn, provide feedback, and understand their roles and practice new skills related to the issues and improvement goals pertaining to medication administration safety. Instructions The final deliverable for this assessment will be a PowerPoint presentation with detailed presenter’s notes representing the material you would deliver at ;an in-service session to raise awareness of your chosen safety improvement initiative focusing on medication administration and to explain the need for it. Additionally, you must educate the audience as to their role and importance to the success of the initiative. This includes providing examples and practice opportunities to test out new ideas or practices related to the safety improvement initiative. Be sure that your presentation addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score. List the purpose and goals of an in-service session focusing on safe medication administration for nurses. Explain the need for and process to improve safety outcomes related to medication administration. Explain to the audience their role and importance of making the improvement plan focusing on medication administration successful. Create resources or activities to encourage skill development and process understanding related to a safety improvement initiative on medication administration.Safe Medication Administration Presentation

Communicate with nurses in a respectful and informative way that clearly presents expectations and solicits feedback on communication strategies for future improvement. There are various ways to structure an in-service session below is just one example: Part 1: Agenda and Outcomes. Explain to your audience what they are going to learn or do, and what they are expected to take away. Part 2: Safety Improvement Plan. Give an overview of the current problem focusing on medication administration, the proposed plan, and what the improvement plan is trying to address. Explain why it is important for the organization to address the current situation. Part 3: Audience’s Role and Importance. Discuss how the staff audience will be expected to help implement and drive the improvement plan. Explain why they are critical to the success of the improvement plan focusing on medication administration. Describe how their work could benefit from embracing their role in the plan. Part 4: New Process and Skills Practice. Explain new processes or skills. Develop an activity that allows the staff audience to practice and ask questions about these new processes and skills. In the notes section of your PowerPoint, brainstorm potential responses to likely questions or concerns. Part 5: Soliciting Feedback. Describe how you would solicit feedback from the audience on the improvement plan and the inservice. Explain how you might integrate this feedback for future improvements. Remember to account for activity and discussion time. FSafe Medication Administration Presentation

or tips on developing PowerPoint presentations, refer to: Capella University Library: PowerPoint Presentations. Guidelines for Effective PowerPoint Presentations [PPTX]. Additional Requirements Presentation length: There is no required length; use just enough slides to address all the necessary elements. Remember to use short, concise bullet points on the slides and expand on your points in the presenter’s notes. If you use 2 or 3 slides to address each of the parts in the above example, your presentation would be 10–15 slides. Speaker notes: Speaker notes should reflect what you would actually say if you were delivering the presentation to an audience. Another presenter would be able to use the presentation by following the speaker notes. APA format: Use APA formatting for in-text citations. Include an APA-formatted reference slide at the end of your presentation. Number of references: Cite a minimum of 3 sources of scholarly or professional evidence to support your assertions. Resources should be no more than 5 years old. Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course. SCORING GUIDE Use the scoring guide to understand how your assessment will be evaluated. VIEW SCORING GUIDE  Running head: ROOT-CAUSE ANALYSIS AND SAFETY IMPROVEMENT PLAN Root-Cause Analysis and Safety Improvement Plan Andhony Rivera NURS-FPX4020 Capella University January 1, 2021 1Safe Medication Administration Presentation

ROOT-CAUSE ANALYSIS AND SAFETY IMPROVEMENT PLAN Root-Cause Analysis Healthcare and medicine are some of the most vital aspects and components of human life. People get sick and they seek treatment from the various healthcare facilities within their area of residence. Some might need specialized care. However, there are some instances where the healthcare facilities and the various healthcare professionals can experience errors that affect the patients. In the recent past, Clarion Court Nursing Facility has experienced an increase I n the number of medication errors that occur within the facility. Some cases are serious in that they result in the overdosing of the patients which has the potential to become fatal. Completing a root cause analysis can help in identifying the causes behind the medication errors and also help in devising and implementing an improvement plan to improve the safety of the patients in the facility. A root cause analysis serves to identify areas that need improvement in terms of patient safety (Haxby & Shuldham, 2018). Analysis of the Root Cause The nursing professionals at the healthcare facility comprise of CNAs, LPNs, and RNs. There are specific nursing professionals who have the obligation or mandate of delivering the medication to the patients. In the last year, there has been a significant rise in the number of medication errors in the care facility. One case saw a patient overdose that can have devastating effects for all the parties involved. Such incidences have warranted the application of a root cause analysis to improve patient safety in the care institution. According to the World Health Organization (2016), medication errors refer to any avoidable and preventable event that has the potential to result to inappropriate medication that might cause patient harm while the medication is in the control of the consumer, patient, or healthcare professional. The organization further explains that the events can relate to the method 2 ROOT-CAUSE ANALYSIS AND SAFETY IMPROVEMENT PLAN of medication prescription, the healthcare products, professional practice among other things. The healthcare professionals working in the healthcare facility discovered the near overdose during a bedside shift change. The nurse that took over the shift discovered that the patient was unresponsive to the attempts of the nurse to arouse him. After extensive investigation into the issue, the discovery was that the patient had received an extra dose of oxycodone.Safe Medication Administration Presentation

The interim nurse had administered pain medication after the patient requested for it as he was in pain. Unfortunately, the interim nurse did not did not document the administered medication. The primary nurse assigned to the patient on the other hand was on a lunchbreak and upon returning to the patient, administered another dose at the request of the patient who has dementia. The request was not less than an hour later after the first administration. According to Makary and Daniel (2016), it is not possible to completely eliminate human error, however, the relevant people and authorities can study the problem and develop a safer system of doing things. The root cause analysis conducted in the institution sought to identify the recent increase in medication errors. The main objective of the analysis was to understand why the medication errors have been on the rise and identify the issues that cause the medication errors. The person in charge of conducting the analysis interviewed the various nurses in the facility from different shifts. They obtained important information from the interviews that contributed or served to explain the rise in the medication errors. Some of the information that came up from the interviews include things such as poor listening among the nursing staff. Another thing is that there is a high rate of turnover in the facility and the new employees are not conversant with the residents in the facility. Another observation was that the charting system in use in the facility is challenging to use and causes some of the nurses that have not mastered its use to fall behind. 3 ROOT-CAUSE ANALYSIS AND SAFETY IMPROVEMENT PLAN Communication is also an issue in the organization with the LPNs stating that there is lack of proper communication that leads to some not having all the necessary information on a patient. A response from the RNs showed that it was difficult finding a balance between meeting the needs of the patients, keeping up with their various duties and following the appropriate protocol. The interviews also indicated that the staff feel that the facility does no have the appropriate number of employees, leaving the ones that are currently there feeling overburdened, overworked, and exhausted. All these are some of the factors that can result in medication errors in healthcare facilities. According to Tawfik et al. (2018), all the identified factors are independently associated with significant medical errors. Evidence from research indicates that there are a lot of factors that can result in medical errors. These factors include things such as medications having improper labels, poor communication on the part of the healthcare professionals working on a specific case, distractions, exhaustion, and missing patient information among others. In this case, the cause of the medication error was lack of proper communication and documentation on the part of the nurses assigned to the resident.

The primary nurse was unavailable when the patient required pain medication. As a result, the interim nurse who was still getting familiar with the various processes administered the medication and failed to document it on the patient chart. The primary nurse upon arrival administered the same dose as requested by the patient who has dementia and has no recollection of receiving the medication earlier. Improvement Plan with Evidence-Based and Best-Practice Strategies Understaffing, poor communication, unfamiliarity with eh residents, and large patient to nurse ratios were the main factors that contributed to the increase in medication errors and near 4

ROOT-CAUSE ANALYSIS AND SAFETY IMPROVEMENT PLAN patient overdoes in the facility. These factors all pose various patient safety concerns. Many of these errors occurred in cases involving patients with cognitive impairments. There are various strategies that the facility can put in place to address the issue of medication errors. The improvement plan should include things such as putting in place an automated medication dispensing machine. According to Risør et al. (2018), automated medication dispensing machines have the potential to greatly reduce medication errors. It also serves to improve patient safety. Another alternative that can be combined with the automated medication dispensing machines is barcode scanning of the medication. Nurses that fail to scan the medication will be liable and face disciplinary actions as the facility will monitor the scans. The facility can also create a quality improvement program that will comprise of the various nurses in the facility, the charge nurse, and the director of nursing. These members will meet regularly and strategize on the various ways that they can improve patient safety and quality of care. Implementing an SBAR tool would help address the issue of communication as it would offer immediate access to relevant patient information. According to Stewart (2016),

the tool enables all users to communicate through a common structure. Finally, the improvement plan should also include a strategy on how to increase the staff numbers to better accommodate the number of residents in the facility to reduce exhaustion and large patient to nurse ratios. Existing Organizational Resources Some of the resources that the organization requires include state of the art technology, more human resources within the facility among other things. However, the facility already has some resources that it can leverage to ensure that the improvement plan is a success. For instance, the facility has various nursing professional that can e a part of the quality improvement team. It can set aside a room within the facility that will serve as a meeting place for the team 5 ROOT-CAUSE ANALYSIS AND SAFETY IMPROVEMENT PLAN where they can meet and hold discussions to try and find a way forward. The facility will require additional resources such as stationery and projectors for the meetings as well as hiring additional staff among other things. Conclusion Medication errors are a common but a highly preventable issue in the US medical system. There are various factors that lead to medication errors and they include things like understaffing, poor communication among other things. Conducting a root cause analysis can help a healthcare facility identify the factors and develop an appropriate improvement plan. 6Safe Medication Administration Presentation

ROOT-CAUSE ANALYSIS AND SAFETY IMPROVEMENT PLAN References Haxby, E., & Shuldham, C. (2018). How to undertake a root cause analysis investigation to improve patient safety. Nurs Stand, 32(20), 41-46. Makary, M. A., & Daniel, M. (2016). Medical error—the third leading cause of death in the US. Bmj, 353. Risør, B. W., Lisby, M., & Sørensen, J. (2018). Complex automated medication systems reduce medication administration errors in a Danish acute medical unit. International Journal for Quality in Health Care, 30(6), 457-465. Stewart, K. R. (2016). SBAR, communication, and patient safety: an integrated literature review. Tawfik, D. S., Profit, J., Morgenthaler, T. I., Satele, D. V., Sinsky, C. A., Dyrbye, L. N., … & Shanafelt, T. D. (2018, November). Physician burnout, well-being, and work unit safety grades in relationship to reported medical errors. In Mayo Clinic Proceedings (Vol. 93, No. 11, pp. 1571-1580). Elsevier. World Health Organization. (2016). Medication errors. World Health Organization. 7 …Safe Medication Administration Presentation