Please enable JavaScript.
Coggle requires JavaScript to display documents.
Increasing knowledge on medication preparation and delivery. - Coggle…
Increasing knowledge on medication preparation and delivery.
Clarification on the personal action (learning) was evidenced by NSW Health policy, communicated by my buddy RN(s).
SWSLHD policy (NSW Health, ) on medication via the Intravenous (IV) route sets out the requirement to check the use-by-dates of fluids for IV administration, equipment used, as well as the use-by-dates of drugs.
Both my ED and Perioperative placements took place in the South Western Sydney Local Health District (SWSLHD).
SWSLHD policy on medication via subcutaneous injection also sets out the requirement to swab the injection site prior to administration.
The action identified from my WPE placement (learning) can link to the pre-requisites from the Person-Centred Practice Framework (McCormack and McCance, 2017).
Prerequisite: Professional competence
Describes the clinician developing skills, knowledge and abilities needed to effectively provide care.
The degree of professional competence required is set out by regulatory frameworks and bodies, such as the Nursing and Midwifery Board of Australia.
Prerequisite: Commitment to the job
Clinicians demonstrating commitment to providing best quality and safe practice.
Commitment to the job can be viewed in physical acts to become better, such as engaging in purposeful reflection to consider how to improve nursing practice.
What was the personal action?
During my WPE Placement in the Perioperative Unit and Emergency Department (ED), I clarified areas of my knowledge on medication administration that were not well embedded in my current practice.
On Day 3 of my Perioperative placement, it was brought to my attention that I needed to prepare the area for subcutaneous injection with a sterile swab.
This was something I did not know was embedded in NSW Health policy.
Day 1 of my ED placement it was pointed out that I was forgetting to check the use-by-date of the fluid bag (Sodium Chloride 0.9%), the flush and equipment (syringes, needles, and other).
How can improvement of knowledge on medication preparation preparation and delivery improve future practice?
Improvement of knowledge will lead to imrpovement in action, observable in nursing practice.
Elimination of medication-related errors
Reduction in adverse effects caused by expired equipment
Improvement can be achieved in future WPE placements by:
Ensuring I understand medication administration guidelines, policy and requirements
Guidelines can vary by Local Health District in New South Whales
Participating in reflection by completing documentation of knowledge gained during WPE placements to ensure I can use the information on the next WPE placement.
Ensuring I continue to have close guidance and observation by a buddy RN when administering medications.
Contributing to development of hospital-acquired infection by not swabbing subcutaneous injection site.