NURSES COMPLIANCE WITH THE
FIVE RIGHTS OF MEDICATION ADMINISTRATION
Research Luckyhansel R. Cerezo
Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations (American Nursing Association, 2003).
It is inevitable for some professionals and nurses to commit medication errors. This anomaly has led to myriad of issues surrounding the medical field. It has brought about change in the way health care is being delivered across the life span.
Medication errors can lead to manslaughter charges. The topic of medication error will make harm vigilance instruction more relevant and interesting. It will help prevent malpractice litigation and promote public health safety and awareness. While it is the drug regulator s role to help improve the quality of drug and drug use by providing standards, medication errors can be minimized, if not completely eradicated at the clinical side. Its occurrence reflects on the quality of health care. In order to avoid measures that are detrimental to patients, Nurses have different ways on preventing the occurrence of medication errors. They differ a lot from understanding, patience, knowledge, experience and dedication to the profession ,but nurses have a standard method that they have learned from their respective schools and it is universal for the nurses to follow, these are the basic five rights of the patient on receiving medication: Right Patient, Right Medication, Right Dosage, Right Time and Right Route.
Nurse Julie Thao was charged with felony for making a fatal medication error at St. Mary's Hospital which is why pressing charges against a veteran nurse is going to make hospitals less safe. Thao worked on a labor and delivery unit until she was fired July 2005. For 15 years, she had, by all accounts, been an exemplary RN. Yet she accidentally delivered a powerful painkiller, rather than penicillin, to a young woman who was giving birth. The anesthetic stopped Jasmine Gant's heart, causing her death (although hospital staff were able to save her baby).Gordon says these include poor medication checking and packaging systems, a bar code system that did not work properly, and the fact that Thao had been permitted to work too many hours just prior to the shift in question, since fatigue leads to more errors. Gordon suggests that the hospital has an obligation to implement human and technical safeguards that would make such errors effectively impossible to make. She closes by arguing that such errors cannot be effectively addressed if individuals are scapegoat for systemic problems, and that patients will only be safe when error is openly reported, discussed, and corrected in a no punitive environment. In this particular case, from what we know now, the system failures included excessive RN overtime work, which led to dangerous fatigue; poorly designed medication packaging and insufficient training with computer systems. (Gordon 2006)
This case of nurse Thao shows that even if you are veteran nurse you tend to commit error due to certain factors. In our study we would like to find out Nurses have the same ways in preventing errors in giving medication and who among them follows the correct guidelines in giving medication. There are different variables that are related and may have great significance to the research. Almost everyone in the modern world takes medication at one time or another. Most of the time these are beneficial or at least they cause no harm but on occasion they do injure the person taking them. When in hospitals it is difficult to avoid errors especially when it comes to giving medication. Errors are common during every step in of the medication process , procuring the drug, prescribing it, dispensing it, administering it and monitoring its impact, but mostly it would likely to occur in pribing and especially in administering stage.
PROFILES OF THE RESPONDENTS AGENDER BAGE CLENGTH OF SERVICE
NURSES COMPLIANCE TO THE FIVE BASIC RIGHTS IN MEDICATION ADMINISTRATION
RIGHT MEDICATION RIGHT DOSE RIGHT TIME RIGHT ROUTE RIGHT PATIENT
STATEMENT OF THE PROBLEM
This study determined the nurses compliance with the five basic rights of medication administration. Specifically it answered the following questions: What is the profile of the respondents in terms of : 1.1 Age 1.2 Gender 1.3 Length of service What is the Nurses level of compliance with the five basic rights to the five rights in medication administration? Is there a significant difference in nurses compliance to the five basic rights in medication administration when grouped according to their profile?
Luckyhansel R. Cerezo