Solution
Abhishek answered on
Nov 06 2021
Running Head: HIGH ALERT SALINE SOLUTIONS 1
HIGH ALERT SALINE SOLUTIONS 15
NURSING
HIGH ALERT SALINE SOLUTIONS
Table of Contents
Introduction 3
1. Identifying a Practice Problem and its Impact on My Cu
ent Unit 3
2. Supporting Evidence (addressing Lewin’s Change Theory) 4
Summary of the Sources 4
Summary Table of the Evidences 8
3. Evaluation of Evidence to be Strong Enough to Change or Support Chosen Practice 10
4. Recommendations Based on the Evidence and Applying These on My Unit 11
Implementing Virtual Sessions 11
Implementing Color Coding 12
Implementing Training Sessions 12
Implementing a Strict Control over the Protocols 13
Conclusion 13
References 14
Introduction
Nursing practices have evolved bidirectional, to ensure a safe environment and a comprehensive recovery of the patients that are kept either in a medical setting, healthcare setting or at a residential setting. Nursing activities directly regulate the overall health and wellbeing of the patients. It is the primary responsibility of a nurse to provide the basic forms of comfort and responsibility to a patient to ensure that they are not exposed to complications and risks (Mahamadou Harouna,Bounou Issoufa, Benkortbi& Amrane, 2019).
One of the major risks that are evident on the patients is the timely administration of saline and medications. It is the sole responsibility of the nurses to ensure that these fluids, saline and medications are timely provided to the patients. In many cases, the patients often suffer from severe complications after their operations, surgeries and diagnosis.
In these cases, often the medicine prescriptions and administrations are complex. It requires the closed and a careful commitment of the nurse to administer them properly to a patient. This report is based on the analysis of the differ risks that may be faced by a nurse as well the patients if these administrations are not distinguished before application.
1. Identifying a Practice Problem and its Impact on My Cu
ent Unit
One of the major problems that are evident in terms of the cu
ent unit and the theoretical as well as practical aspects of nursing in a care setting is the comprehensiveness in administration of medicines and other fluids. This practice problem if uncontrolled may lead to an eventual disruption of the entire setting unit as well as detrimental to the patient. The problem evident in this case is the distinguishing of the saline ingredients and the medications.
It is evident that different patients are admitted in a single ward that requires nursing interventions after their primary form of treatments, surgeries and operations (Tavares et al., 2020). Every patient has different complication and therefore has different medications, fluids and saline requirements. All these are usually kept at a single pace that is treated as inventories.
However, while taking care of all the patients in a single time, different nurses are employed. In many cases, it is evident that due to the lack of differentiation of the medications and the saline water containers, different medicines are sometimes administered to different patients (Rowell et al., 2016). This raises huge confusion and issue in the ward. This hampers the overall nursing interventions and dimensions in the unit.
Furthermore, in many cases, it is evident that the saline containers often get leakage and these are spilled in the inventory. This raises serious concern in the ward, as the medicines and their chemical properties are destroyed when these saline water and fluid mixes with the medicines. This renders all the medicines useless and leads to a huge financial loss and delay in medicine administration to the patient (Hernandez-Palazon et al., 2016). This leads to the discrepancy in the nursing interventions. Therefore, it is important to color code the saline containers and medicines separately.
2. Supporting Evidence (addressing Lewin’s Change Theory)
Summary of the Sources
Source
Article Name
Year of Publishing
Summary
Source 1
High-alert medications in the perioperative setting
2007
It is evident that high alert medications are one of the most important and critical aspects of nursing in the context of the course. In this article, the standardization of the medicines plays an important role that is of high action. Similarly, this article also demonstrates the impacts that high saline solutions that work as bases to these high action medicines pose if administered improperly. This article analyses the extent to which precautionary measures are needed to be implemented in order to ensure that ultimate care is taken for the safe administration of these solutions. Consequently, a change in management is another change that is important in this context. Applying Lewin’s change management in this case can be implemented through the improvisation of nurse training for distinguishing the different saline solutions in hospital setting.
Source 2
Fatal Confusion with Epinephrine: 1: 1,000 is NOT 1: 10,000
2005
It is often important to maintain a ratio of mixing medicines that are active or high alert medicines. In this case, if the ratio is changed, it can lead to serious consequences in the patients. In this article, the ratio of epinephrine with saline solutions has been elaborated and the effects caused if the ratio is distu
ed are elucidated. It is therefore important for the nurses to ensure that the dilutions of epinephrine with the saline solutions are ensured with perfection. If these cases are handled differently, it often leads to detrimental effects. However, Lewin’s Change management approach in this case may be established through analyzing the overall skills and the competencies of the nurses. Accordingly, the overall scenario of the care may be required to be updated through the provision of newer skills of careful administration while handling high alert saline solutions.
Source 3
Managing iv therapy:" high-alert" drugs keep nurse managers ever watchful
2000
Management has been the primary focus in this article. It is often evident that management plays an important role in managing the nurse, their schedules and their modes...