Reflection On Professional Accountability

The use of bar code scanning utilizes the perfection of computers into medication-administration process. Training to use (BCMA) indicated from the article can be cumbersome and staff can be apprehensive about the change. The time needed

Barcode medication administration system decreases the cost of medication errors, and provides a method that is “standardized” for administering drugs. According to (Melnyk & Fineout-Overholt (2011), adverse drug events are at least 25% preventable. Several study have implied that implementing the BCMA system not only protects our patients, promotes quality improvement and quality of care. Most studies reviewed indicated that having the BCMA system in place is highly recommended, verses not having a BMCA system in place. These studies are truly pertinent and reflex the project proposal in understanding the need for implementing the barcode medication administration

patient assessment and plan followed by entering the patient notes, ordering labs and typing patient discharge

The Importance of Accountability is so my chain of command knows where everyone is so if they need a soldier for something they will know where to find them. It is also necessary to have accountability to make sure everyone in my class, platoon, or unit is safe and to make sure they are where they are supposed to be.

During this seven-week placement, the student will spend 75% of their time performing pediatric, patient-centered care and observation in the inpatient, outpatient, neonatal intensive care unit (NICU), pediatric intensive care unit (PICU), and preemie follow-up clinic settings. The student will work with children along the lifespan, including infant, toddlers, pre-adolescents, and adolescents presenting to physical therapy with simple and complex conditions. The student will split her time

Errors pervade in our lives whether it is our home, in our workplace, or in our society. The effects of healthcare errors have impacted all our lives either directly or indirectly. Patient safety and quality care are at the core of healthcare system which strongly depends upon nurses. “To achieve goals in patient safety and quality, thereby improve healthcare, nurses must assume the leadership role. Nurses need to ensure that they and other healthcare providers center healthcare on patients and their families. Even though the quality and safety of healthcare is heavily influenced by the complex nature

Use the medical software for proper documentation of patient care, including medications given, nursing procedures,

The Personnel Accountability System (PAS) is used to keep track and identify who is on that particular truck or engine during that operation. For example: once we get off the truck during a structural fire the red, and white passports are removed and put in their respective area. The white either goes to who is in charge of the IDLH and if that hasn’t been setup before entry it stays with the crew chief. The red will stay on the truck to be picked up by the IC or the safety officer. It is the crew chief’s responsibility to make sure the entire pass tags are on that passport, but however just like everything that pertains to safety it is all of our responsibility to make sure we put our pas tags on the passports in the cab during morning checkout.

The preceptor assists the novice nurse in bridging the gap between education and clinical practice (Sonya Blevis, 2016). In an NETP (Nurse Entry To Practice), a new graduate is partnered with an experienced nurse who is proficient in teaching a novice. New graduate nurse gets to work in the ward for 1 year and have 6 weeks of orientation phase. Staff nurse introduces the new staff member to the nursing, medical and non-medical team, orientates to the unit and guides until the orientation is complete. Preceptor hands down the torch to the preceptee by orientating, imparting knowledge and ward traditions, teaching new skills, overseeing new staff when the task is implemented and gives positive and/or negative feedbacks. The preceptor needs to offer a conducive learning environment and must be able to give opportunities for the new graduate staff member to ask questions when there are uncertainties. Creating a good relationship is essential when working with a new staff member. Analyzing one 's flexibility and adaptability are crucial to success. Transitioning from a 6 to 8 weeks clinical placement to the real nursing world can be overwhelming. This is where the preceptor enters to break the barrier that will hinder the new graduate to excel in her chosen field. While the success of transitioning to the real world is multi-faceted, the foundation of transition success begins on the first day the new nurse graduate enters the facility (Adams, P et al, 2014)

One aspect I have learned from my feedback from previous tutors is I am able to form a strong nurse-client relationship with my patients. This helps me provide them with the best possible care as I do not treat them as a diagnosis, but provide them with holistic care. My preceptor at my maternity placement stated that I have an enthusiastic personality and I bring my energy to the nursing care that I provide. She also stated that I interact and communicate well with all developmental age groups. For example, when I communicate with the younger siblings I answer any of their questions in an appropriate manner. Some constructive feedback that has been given to me over the years, is the need to work on my communication both verbal and written. In my last placement, I have gotten better at communicating with the interprofessional team, patients and family members; and I have also improved on documenting the care that I have provided. I have been slowly improving this skill throughout my years as a nursing student and I am continuing to do so in my current

This weekend started off like every other weekend, but this time my preceptor decided to shake things up a little bit. She told me to move away from task oriented procedures and focus more on assessments. I was glad she decided to take this path because it allowed me to take more responsibility for my patients. This really took me out of my comfort zone, but as the shift progressed I slowly gain a little more confidence. Instead of waiting on orders for medications, urine samples, and IV starts I would go into the room with the clients and do a health history as well as head to toe assessment to try and figure out what was going on with them. We had a patient to come in with a dislocated ankle that needed to be put back in place. I was able

Everything in my second week of clinical was definitely a new learning experience for me. For the first time, I finally got the chances to take a BP on an infant. Unlike the adult BP, the cuff is put at the lower leg. The patient I got to take care of was a 9 months baby girl that been admitted for Esophageal atresia and Trachesoesophageal fistula. She was transferred to BCH due to poor weight gain, impaired nutrition, and evolution of esophageal tear. She was such a cute little patient who likes to be held especially by her mother. Comparing to other normal baby, you can tell she was having delayed growth development due to her size. Since she was not growing, she was on a quarter-liter of oxygen which is a lot of an infant. Through all my

The American School Counselor Association is a professional organization whose members have a unique and distinctive preparation, grounded in the behavioral sciences, with training in clinical skills adapted to the school setting. The school counselor assists in the growth and development of each individual and uses highly specialized skills to protect the interests of the client within the structure of the school system. The Ethical Standards for School Counselors were developed to clarify the nature of ethical responsibilities held in common by school counseling professionals. The purpose is to serve as a guide for the ethical practices of all professional school counselors regardless of level, area, and population served. As well as provide benchmarks for both self appraisal and peer evaluations.

This Friday, September 15th, I had my clinical observation experience in the ED. I was there from 7:00 am till noon, viewing the flow and duties of the nursing staff on the unit, as well as practicing the skills I have thus learned in school. Throughout most of the morning, I followed Jessica, who had been a nurse in the ER for ten years. It was an insightful experience that broadened my previously limited knowledge of the roles and experience of an emergency nurse.

​The first article aims to alleviate the issue by implementing a bar-code verification technology within an electronic medication-administration system (bar-code eMAR) which allows delivery of the correct medication, dose, and time to