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![]() ![]() ![]() ![]() Time and again, we even hear that these capabilities are the key to making yourself indispensable - not just now but far into the future. These are all skills you need to thrive in the workplace and become a great leader. See more from Ascend here.Įmpathy, communication, adaptability, emotional intelligence, compassion. Standard, 27(44), 35-40.Where your work meets your life. The role of nurses in medicine administration errors. Journal of paediatrics and child health, 50(1), 71-77. Medication errors in hospitalisedĬhildren. Manias, E., Kinney, S., Cranswick, N., & Williams, A. MedicationĮrrors in pediatric nursing: Assessment of nurses' knowledge and analysis of the consequences of errors. American Journal of Health-System Pharmacy, 70(16). Enhancing insulin-use safety in hospitals: Practical recommendations from an ASHP Foundation expert consensus panel. I will also ensure that I have adequate understanding of the pharmacology, so that I may avoid medication errors. I will also re-check the dose of the insulin twice, before administering it to the patient. In future I will always check and will read the medication chart properly. Therefore, by sticking to policies and procedures of the healthcare setting can also help in reducing such medication errors.Īction Plan: My future action plan for any such event will be remember the competency standard that are required for the nurse to fulfill. The policies and procedures of the healthcare institutions require nurses to read medication order and to cross check the dose of medication. Nurses should also double check the dose given to patients before administering them. This is the reason of medication error in this incident.Ĭonclusion: Some of the possible actions that can be taken for avoiding such incidents are properly reading the medication charts or medication orders. The evidences have shown that “the most common cause relating to communication involves misreading or not reading medication orders” (Manias et al, 2014, p. Therefore, it can be said that such issues are happening because of the communication errors. The study of Lan et al (2014) that overdose medication errors take place frequently in case of pediatric patients, because of knowledge deficiency, distraction and not checking the dose properly. This incident occurred because we did not go through the medication chart of the patient appropriately before administering the insulin. For displaying the appropriate level of professionalism and to ensure the well-being of the patients, the correct dose of medication should be administered. It is important to follow the correct procedure while performing a duty. Overdosing the patient and doing a medication error was very bad experience.Īnalysis: On the analysis of the event, it was proved that accuracy is paramount at the time of administering insulin. According to Wright (2013), reading the medication chart inappropriately and overdose of the medication can significantly increase the chances of morbidity and mortality in patients. Something that was very bad about this experience was that I and registered nurse did not observed the medication chart in proper manner. Also, when the patient’s blood glucose level deteriorated, I informed the registered nurse immediately. Therefore, I felt such insulin related medication errors could be life threatening for the patients.Įvaluation: After evaluating the incident, I can say that something that went well was that the medication was administered in the presence of the registered nurse. ![]() Evidences have shown that most serious consequence of insulin related medication error is ‘overdosing’ (Cobaugh et al, 2013). Studies have shown that insulin is very vital for the patients suffering with type 1 diabetes (Prescrire, 2014) therefore, it should be administered with care. This incident made me realize the importance of going through the medication chart before administering medication. I felt disturbed and depressed about the medication error that took place. Registered nurse was immediately informed and when we both checked the medication chart again, it was found that patient has been administered 24 units of insulin instead of 2.4 units.įeelings: This incident was very disturbing for me. However, on the return to the ward it was found that patient’s blood glucose level has dramatically dropped from 14mmol/l to 3.5mmol/l. The dose of 24 units was checked by me and registered nurse prior of administration of insulin. I administered the insulin in the presence of the registered nurse. Under the supervision of the registered nurse /I was asked to draw the insulin (24 units). The patient suffers from type 1 diabetes and his insulin was due at 10 am. Gibb’s Reflective Cycleĭescription: The incident took place in the pediatric ward. For this reflection the Gibb’s reflective cycle will be used for the detailed analysis of the incident. This paper will discuss the personal reflection on the medication error. ![]() ![]() ![]() TouchCopy is án essential recovery tooI for anyone whó has lost théir iTunes content éither by. 16.52 of TouchCopy for PC is available now with improvements in loading and transfer. 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![]() ![]() Mazda calls this golden moment the “control area” (illustration above) where the car can intervene. This works at low speeds only and is not for highway driving.Īccording to Dave Coleman, Mazda development engineer, in bad weather there’s a time of limited traction where the tires are just beginning to slip that can be noticed by the car’s sensors (but not yet by the driver), and acted upon, so that power quickly begins flowing to all wheels. Some allow the differentials to be locked so the wheels turn at the same speed. Some are part-time 4WD, where the driver selects when to engage the system and then chooses a low or high gear range. ![]() A 4WD vehicle has a transfer case splitting off from the driveshaft to send power back to the front wheels, and differentials front and rear. Go to YouTube and you’ll see Subarus beating up on the competition in rollers-on-ramps tests where three of four wheels are slipping, an extreme but not rare event.įour-wheel-drive, or 4WD, vehicles are typically trucks and big SUVs with big, heavy drivetrains. Still, Subaru has been considered the champ of winter driving among under $50,000 vehicles. You don’t want heavy parts of the car at the far ends of the vehicle. At least theoretically, a drivetrain with powertrain always working both front and rear is harder on fuel economy, and the engine and transmission packaging may push the engine farther forward relative to the front axle. A center differential allows front and rear wheels to turn at different speeds. It’s always delivering torque front and rear, more or less equally split, and can deliver the majority of torque to whichever end has better grip. Here’s what I found.Īmong mid-priced cars, Subaru’s Symmetrical All-Wheel-Drive (drivetrain image above) is an exception to the part-time AWD design philosophy. Among affordable compact SUVs, Mazda crossovers with i-Activ AWD show themselves to be on equal footing with Subaru and better in some cases. The difference between all-season and winter tires is a huge part of the difference. Most every all-wheel-drive vehicle should get you where you’re going in most bad conditions. Now comes Mazda with its i-Activ system that attempts to leapfrog the competition by predictively shifting to AWD, before you start to slip, based on inputs from more than two dozen sensors.īased on testing I did at multiple snowy and icy sites in the US and Canada this winter and in the past, it’s clear that good all-wheel-drive and winter tires make a significant difference. ![]() For years, Subaru’s Symmetrical All-Wheel-Drive has been highly regarded. Now that AWD is on one in five cars and crossovers sold, automakers are trying to show how their version is better. “And it has all-wheel-drive.” That’s a strong selling point most any time of year, and only more so in snow season. ![]() |
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