Chapter 28, Problem 5RP

Summary Introduction

To discuss:

Can you identify the essential information that must be available in person FB’s electronic health record to support safe patient care and coordination of care?

Case summary:

During the clinical rotation, the nurse met person FB who was an elderly man with a wound infection. He requires an intravenous antibiotic therapy. He was due for a certain antibiotic which has to be hung at 1000. When the nurse checked his drawer at 0800 and 0900, the antibiotic was not there. Another nurse told not to call pharmacy since the pharmacy staffs will replace the medication carts before the time. At 1000, the nurse found the medication bag in the drawer. It was found to be the right drug and the right dose, but it was the wrong patient. The label on the bag had another patient’s name on it. This patient was also in the same unit who is receiving the same drug and same dose but at a different time.

Summary Introduction

To discuss:

What information should be documented in the electronic health record regarding the student’s assessments and interventions?

Case summary:

During the clinical rotation, the nurse met person FB who was an elderly man with a wound infection. He requires an intravenous antibiotic therapy. He was due for a certain antibiotic which has to be hung at 1000. When the nurse checked his drawer at 0800 and 0900, the antibiotic was not there. Another nurse told not to call pharmacy since the pharmacy staffs will replace the medication carts before the time. At 1000, the nurse found the medication bag in the drawer. It was found to be the right drug and the right dose, but it was the wrong patient. The label on the bag had another patient’s name on it. This patient was also in the same unit who is receiving the same drug and same dose but at a different time.

Summary Introduction

To discuss:

Can you think of other ways to respond to or approach the situation?

Case summary:

During the clinical rotation, the nurse met person FB who was an elderly man with a wound infection. He requires an intravenous antibiotic therapy. He was due for a certain antibiotic which has to be hung at 1000. When the nurse checked his drawer at 0800 and 0900, the antibiotic was not there. Another nurse told not to call pharmacy since the pharmacy staffs will replace the medication carts before the time. At 1000, the nurse found the medication bag in the drawer. It was found to be the right drug and the right dose, but it was the wrong patient. The label on the bag had another patient’s name on it. This patient was also in the same unit who is receiving the same drug and same dose but at a different time.