1. Please watch the video of a nurse administering an oral medication and complete the clinical appraisal checklist Download clinical appraisal checklistbased on the practice you observe. You are not being assessed on your ability to accurately complete the peer appraisal checklist, but the completed checklist must be uploaded as part of the marking criteria.
2. Once you have viewed the video and completed the checklist, you will write a 500-word assessment based on your appraisal of the nurse’s practice. The written work must identify
a) 2 key practice deficits or errors in process that you observed during the video.
b) learning opportunities that include specific actions the nurse can take to address the practice deficits you observed. These actions must link to relevant practice standards and sub-standards such as NMBA or NSQHS standards.
Please ensure you use the Task 2 oral administration checklist and reattempt template provided below.
Goal examples.
The three checks will be completed at the correct points in the process.
The 5 moments of hand hygiene will be adhered to.
Oral Administration
Name
Institution
Date
Oral Administration
This paper will address the video provided for the case study about a patient by the name of Helen who needs to be put on pain medication. The video provided about Helen a patient requiring oral administration of paracetamol indicates two practice deficits. The first error in the video is that the nurse does not check whether the patient has any allergies to the prescribed medication by either asking the patient or comparing it to the chart. The second error is that the nurse does not perform the five moments of hand hygiene throughout the procedure.
Two Practice Deficits
The nurse responsible for the patient does not confirm whether the patient has any allergies related to paracetamol, which is the prescribed drug. Failure to ascertain whether the patient has a history of allergies to the drug indicates a deficit in practice, which could create gaps for poor patient outcomes. Harig et al. (2017) assert that an incomplete drug-allergy history assessment on a patient could have an impact on patient safety, and negatively influence the care of patients while at the same time affecting the healthcare practitioners’ workflow. The lack of information about a drug allergy may make the allergy be overlooked or worse still, the adverse reactions underestimated.
The second deficit in practice in the video provided is that the nurse does not perform the five moments of hand hygiene throughout the procedure. The five moments of hand hygiene during any process of care with a patient are before touching a patient, before a procedure, after a procedure, after touching a patient, and after touching a patient’s surroundings (Pires & Pittet, 2017). The nurse only observes hand hygiene twice throughout the procedure. She fails to practice hand hygiene before touching the patient, after touching the patient, and after touching the patient’s surroundings. Lack of proper hand hygiene among healthcare practitioners is a promoter and a driver of infection as it allows the cross-transmission of pathogens in the healthcare environment. Barriers that have been associated with poor hand hygiene among the clinical workers include poor hygiene at personal levels, poor knowledge of guidelines of hand hygiene, and skin irritation from the hand washing liquids (Santosaningsih et al., 2017).
Learning Opportunities
The two practice deficits observed in the video are likely to undermine patient safety by posing chances for adverse drug events as well as cross-transmission of pathogens resulting in the exposure of the patient to nosocomial infections. The above outcomes could result in the deterioration of the patient health as well as additional costs of care.
The nurse should refresh her knowledge and skills on hand hygiene as well as medication safety by going through online educational materials such as the National Safety and Quality Health Service standards and publications regarding handy hygiene and medication safety. The National Safety and Quality Health Service (NSQHS) standards provide standards for preventing and controlling infections and medication safety. The standard on medication safety requires that healthcare professionals record a patient’s medication history before beginning an episode of care with information such as medication allergies and adverse drug rations (Australian Commission on Safety and Quality in Healthcare, 2022). The standard for preventing and controlling infections requires the maintenance of clean and hygienic systems during the delivery of care through hand hygiene, aseptic technique, clean and safe environment.
References
Australian Commission on Safety and Quality in Healthcare. (2022). Retrieved 04 June 2022, from https://www.safetyandquality.gov.au/standards/nsqhs-standards/comprehensive-care-standard.
Harig, A., Rybarczyk, A., Benedetti, A., & Zimmerman, J. (2018). Clarification of Drug Allergy Information Using a Standardized Drug Allergy Questionnaire and Interview. P & T : a peer-reviewed journal for formulary management, 43(8), 480–504.
Pires, D., & Pittet, D. (2017). Hand hygiene mantra: teach, monitor, improve, and celebrate. Journal of hospital infection, 95(4), 335-337. doi: https://doi.org/10.1016/j.jhin.2017.03.009
Santosaningsih, D., Erikawati, D., Santoso, S., Noorhamdani, N., Ratridewi, I., Candradikusuma, D., … & Voor, A. F. (2017). Intervening with healthcare workers’ hand hygiene compliance, knowledge, and perception in a limited-resource hospital in Indonesia: a randomized controlled trial study. Antimicrobial Resistance & Infection Control, 6(1), 23. doi:https://doi.org/10.1186/s13756-017-0179-y