MConstantineau_Module 2_041318.docx

This can set a nurse up for a shift in focus and

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their risk of making an error. This can set a nurse up for a shift in focus and resulting medication error. A simple solution to this is to have nurses dock phones just outside the medication room before entering to prepare the medications. Calls are temporarily forwarded to the unit coordinator and the nurse avoids this distraction. An important culture shift for nurses is also to assume accountability for interruptions by avoiding social chattng in the medication room. When the whole team commits to this, the risk of error goes down substantially. Similar to the yellow sash technique, all medication rooms should have signage reminding nurses of their commitment to staying focused when inside the medication room. Working in the operating room is a fast-paced, demanding environment where nurses can easily be tempted to cut corners. However, keeping track of medicines from beginning to end of a procedure should be foremost in the nurse’s mind. Multiple medicines and fluids are used in the operating room and perioperative area. However, when a fluid is emptied into a basin, or an
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DANGER: CUTTING CORNERS 4 additive added to an infusion bag, or a medicine drawn up in a syringe, that medicine or fluid must be labeled with information that safely identifies the medicine or fluid in the perioperative area (Jensen & Shipp, 2015). Incomplete or inaccurate labeling and the devices used to deliver them, is a recognized risk to the safe administration of medicines and is preventable. Based on evidence-based practices and recommended by the Association of Perioperative Nurses (AORN), three key implementations can address the risk of error. These
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