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snowkei's Latest Activity

  1. snowkei

    Medication Error Interview. Please help!

    I didn't realize the questions may result in someone being investigated and I clearly don't want that to happen. Can you just remove this thread or end it? Thanks.
  2. OH! I see what I did wrong. I described the pressure ulcer as the "as evidence by". The pressure ulcer IS the as evidence by. [sigh] I think I'm going to Barnes & Nobles to see if there are any other references that I can refer to. Thanks for your time Daytonite! Impaired skin integrity r/t physical immobility as evidence by stage II pressure ulcer on the right heel.
  3. snowkei

    Medication Error Interview. Please help!

    Oh, I'm sorry I wasn't clear. I'm a first semester nursing student and am doing a research on medication error. This is a learning tool for us (students) to become familiar with the real work world of nursing.
  4. snowkei

    Medication Error Interview. Please help!

    I'm sorry, I don't understand what you are asking. Can you please clarify? I'm a first year nursing student and am not working at a hospital, so I don't have a supervisor. Perhaps you are referring to my professor as the supervisor? Please advise.
  5. Hi, I'm a first semester nursing student and need to do a medication error interview report. I have questions for Staff Nurse and Charge Nurse/Nurse Manager/Supervisor. The interview is strictly confidential and all I would be using is your initials. I need as many inputs I can get, so if you can help me, I would be forever grateful for your kindness! I don't think I can post my email here, so you can PM me! Thank you! :) This is for the Staff Nurses: Initials ___ Age of Nurse ___ Length of time in nursing __________ 1. What did you learn about medication errors in your nursing program? 2. What are your beliefs about the cause and frequency of medication errors? 3. How often do you believe nurses do not report medication errors? What are the reasons? 4. Can you describe a medication error that happened on your nursing unit? How did it occur? 5. What is the procedure when a medication error occurs? 6. What do you feel would be the most helpful information to a new graduate to prevent or lower the incidence of medication errors? 7. How are medication error reports used to continuously improve the care of their clients? 8. What do you do to prevent medication errors? 9. My teacher told us (in a past lecture) that medication errors practically happen with all nurses at least once in their career. If that is true, what were you feeling/thinking when this happened to you? Okay, the following questions are for Charge Nurse/Nurse Manager/Supervisors: Initials ___ Age of Nurse ____ Length of time in nursing _____ Length of time as supervisor/manager ____ 1. What is the frequency of medication errors in your area of responsibility? 2. What are your responsibilities when an error occurs? 3. Did you have to develop educational plans or give letters of counseling because of medication errors? 4. What hospital committee makes decisions concerning medication errors? 5. What advice do you have for a new graduate nurse? 6. How are medication errors traced by nursing to find causes and improve client care? 7. What do you do to prevent medication errors? 8. My teacher told us (in a past lecture) that medication errors practically happen with all nurses at least once in their career. If that is true, what were you feeling/thinking when this happened to you?
  6. Hi daytonite! Thank you so much for your help!! I had to do 2 care plans (I made about 6 just so I can get a hang of it!) for the patient. I ended up not using "Risk for falls", instead I used "Impaired physical mobility r/t chronic paraplegia and decrease muscle strength." Since the patient could not move his lower extremities and has a pressure ulcer at his heel, I also came up with "Impaired skin integrity r/t physical immobility and pressure ulcer stage II as evidence by disruption of epidermal and dermal tissue." Okay, I finally understand what you meant with the nursing diagnosis being vague. My mom kept stressing that I need to individualize each care plan and that helped. Even though I didn't use Risk for falls, I just wanted to make sure I was doing it right. I came up with, Risk for falls with the risk factors of decreased lower extremity strength, impaired balance and ineffective tissue perfusion. I really hope these are good, I've been working on getting better with care plans. Thank you for your help daytonite! I very much appreciate it.
  7. Hi daytonite! Thank you for your help. Now i understand the "risk for" part!! So, if i use any "risk for" diagnosis, there will be no related to, but "risk factors of". Is that correct? For example, if i do plan to use the falls as a diagnosis, would this be correct: risk for falls with the risk factors of impaired physical mobility. Please advise, thank you!
  8. Freedom, thank you!! May I ask where you got the "risk factors" for injury/trauma?? I have the Nursing Diagnosis Handbook by Ackley, but I couldn't not find that anywhere under Risk for injuries. Does the r/t have to be in nanda? How did you come up with or where did you get "Inability to recognize/identify danger in environment"? My patient has poor static sitting balance and I think risk for injury r/t balancing difficulties would be appropriate. Is "Risk for injury r/t impaired physical mobility" a good nursing diagnosis? Or is "Risk for injury r/t balancing difficulties" more appropriate?
  9. Wow, thank you for reminding me about the ABC's!! With all the chaos in school, it really slipped my mind. I actually have to come up with three nursing care plans and this definitely helped me prioritize what is import. Again, thank you!
  10. Hi everyone! I'm in my first semester of nursing school. I'm having a problem with nursing diagnosis. I have to make a care plan for my patient. I chose risk for falls. However, I'm really having a hard time with the "related to" part of it. I followed Ackley's care plan constructor and came up with "Risk for falls related to history of falls." My professor handed back my care plan (after chewing me out) and said my "related to" wasn't NANDA. She said my related to MUST be a NANDA. I'm very confused I asked her for help, but she said I should have figured it out by now. [big sigh]. My patient is a 63 y/o male. He's diagnosed with osteomylitis, history of chronic paraplegia (he stated he does not have feeling from his knees to toes), acute renal failure, CHF. I was thinking my diagnosis should be "Risk for falls related to impaired physical mobility." If I was to use impaired physical mobility as a related to, what would my interventions be? Perform ROM exercises? But how would that help reduce his risk for falls? I'm so confused. Any help would be very much appreciated! Thank you.

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