Case Study for Variance Report You are the nurse caring for Louise… Case Study for Va

Case Study for Variance Report You are the nurse caring for Louise… Case Study for Variance Report You are the nurse caring for Louise Smalls, a 73-year-old wife of a farmer who was brought to your emergency department via ambulance after she fell while caring for her chickens. The external rotation of her left foot indicates the high likelihood that she fractured her hip with the fall. The provider orders an antibiotic preoperatively and a narcotic analgesic. The orders read: • Ceftriaxone (Rocephin) 2 gms IV now then every 12 hours • Morphine 1 mg IV now then every 4 hours PRN for severe pain The pharmacy provides a prefilled syringe of morphine 2 mg/1 mL in the automated medication dispensing system. You become busy caring for a new patient, Louis Smith, as he was just admitted and needed immediate attention. He was brought to the emergency room after a motor vehicle collision where he obtained some moderate injuries. The provider has placed orders for Louis Smith. • Morphine 2 mg IV now then every 3 PRN hours for severe pain. The pharmacy provides a prefilled syringe of morphine 2 mg/1 mL in the automated medication dispensing system. Meanwhile Louise has put on her call light and over the intercom states that she needs something for pain. The charge nurse has relayed that information to you as she is your patient. You go back to Louise Small’s room to medicate her as you have drawn up her morphine to administer. The medication was scanned, but you as the RN, ignored the override alert that popped up on the screen of the computer because you were sure that you had the correct dose, so you mistakenly administered 2 mg of morphine to Louise Smalls.  1. Name/dosage/route of medication calculated 2. What would be the impact to a client if this error were made in the practice setting? 3. What is your own comfort level (or lack thereof) with dosage calculations? 4. What is your responsibility in administering medications as a student nurse?5. Do you always rely on the given individual doses that are provided by pharmacy to be the correct dose for your patient? Why or why not?6. Briefly explain how similar errors might result from the actions of other members of the healthcare team.7. What are the RN’s responsibilities for communication in medication reconciliation?  What are the transition points where errors may occur?  8. How could this error have been prevented?  Health Science Science Nursing NUR 250 Share QuestionEmailCopy link Comments (0)

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