management can use this data as a way to see the workloads of nurses and what situations can lead to medication administration (Akiyama, Koshio, & Kaihotsu, 2010). Promising Healthcare Trends The most promising trend presenting itself in healthcare right now is that of telehealth or telemedicine. This technology will open up healthcare to so many people who do not have it readily available to them right now. It also will aid in the education of patients and help equip them to be more able to manage their own health. Patients who are informed and educated are known to pay more attention to the changes in their overall health and have better outcomes (McGonigle & Mastrian, 2017). Patient portals are extremely promising for the improvement of data management. Patients would be able to look at their appointments, medical history, and lab values with just the push of a button. This technology would also help with making healthcare more efficient. An example of this would be the use of email communication with patients. Instead of always having to make an office visit for evaluation of medication changes or diagnostic tests, these could be scheduled and performed before having to make the trip into the doctor (McGonigle & Mastrian, 2017). This could help with patient safety as well because the physician could help direct to a higher level of care if their symptoms presented as needing such. On the other hand, if the issue could simply be self-managed with advice from the healthcare
provider, the patient did not waste the time of themselves or the physician with an office visit. This would streamline healthcare delivery. Kayla, The BCMA as you mentioned is a safety net for patient safety to prevent medication errors. Best practices are to make sure to check the armband, ask the patient the two most essential identifiers, name and day of birth, and go through the 6 Rights of medication administration (Van Ornum, n.d.). Right patient, route, drug, dose, time and documentation, which includes proper assessments and reassessments of vital signs and pain scores (Wilson & DiVito-Thomas, 2004). In our EPIC system, it even tells us if our medication is being given outside of the administration window and prompts us for a reason. Also, when pain medication is administered, depending if it is intravenous or oral, it will also prompt us for a re-evaluation of the pain score or scale. We just integrated taking pictures of our patients also that shows up on the top left of the window before their names. Just like my post, I do believe that telehealth either through video conferencing or through patient portals have paved the way for more control over patient’s health and convenience. For example, a research study was done where telehealth was used as a secondary prevention intervention for coronary heart disease patients. Telemedicine which was used to follow up on patients, assess signs and symptoms, and provide rehabilitation at home for those who are not able to attend physically has significantly improved cardiovascular risk factors, lessened mortality, and further enhance accessibility to secondary prevention methods and evidence-practices (Jin et al., 2019). References Jin, K., Khonsari, S., Gallagher, R., Gallagher, P., Clark, A. M., Freedman, B., … Neubeck, L. (2019). Telehealth interventions for the secondary prevention of coronary heart disease: A systematic review and meta-analysis. European Journal of Cardiovascular Nursing, 18(4), 260–271. Van Ornum, M. (n.d.). Improving Bar Code Medication Administration Compliance in a Community Hospital Through a Nursing Leadership Initiative. JOURNAL OF NURSING CARE QUALITY, 33(4), 341–347. - org.ezp.waldenulibrary.org/10.1097/NCQ.0000000000000320 Wilson, D., & DiVito-Thomas, P. (2004). The sixth right of medication administration: right response. Nurse Educator, 29(4), 131–132. Retrieved from - com.ezp.waldenulibrary.org/login.aspx?direct=true&db=mnh&AN=15273586&site=eds- live&scope=site
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- keisha lovence