Solved by verified expert:Week 2 Discussion PostsHistoryRN-Evidence Based PracticeNursing and Medical
week_2_discussion_posts_nc.docx
week_2_discussion_posts_nc.docx
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Week 2 discussion posts.
*Please include references*
History
Discussion 1: What were the main problems with the Articles of Confederation that led to the
Constitutional Convention of 1787? How did the national government under the Constitution
differ from the Articles of Confederation?
Answer:
Discussion 2: How did the British colonists evolve from good citizens to revolutionaries who
could compose and back something as special as the Declaration of Independence? What were
the causes of the American Revolution?
Answer:
RN-Evidence Based-Practice
Discussion 3: This week’s graded discussion topic relates to the following Course Outcomes
(COs). CO1 Examine the sources of evidence that contribute to professional nursing practice.
(PO 7)
•
CO2 Apply research principles to the interpretation of the content of published research
studies. (POs 4 and 8)
Reflect on your practice, and identify a significant nursing clinical issue or change project that
you would like to search for evidence in online sources. Formulate searchable, clinical questions
in the PICO(T) format for your nursing clinical issue.
1. Next, review the guidelines for the PICOT Assignment due Week 3. Use your PICOT elements
to search for one report of a single, original study that has been published within the last 5
years from the CCN Library that is relevant to your nursing clinical issue.
2. Briefly describe how it is relevant to your nursing clinical issue. Remember to give a complete
reference to the study.
Sample (from another student’s post)
In the emergency department at Rockledge Regional Medical Center (P) how does using a
medication reconciliation personnel (MRP)(I) compared to the nurse at the time of triage
inputting a patients medication reconciliation (C) influence the amount of medication error
reduction (O ) over a 30 day period (T)?
Just the other day at shift change I took over four patients and two of those patients were up
for admission. In the chart of the admission patients, none of their medications have been
entered from the previous nurse. This was brought to my attention from the hospitalist that
was about to do the admission. Within the emergency department where I work, we are usually
understaffed. What happens is that we will get two patients at once and one of those patients
comes by ambulance. This patient does not have a list of medications that they are on but
relates to nursing staff that they are “on a bunch of medications”. Now the nurse has to call
around to two or three different pharmacies to find out what medication the patient is on. In
the ED this is sometimes not feasible to do.
Now, what if the emergency department would have a pharmacy tech on staff to do the
medication reconciliation? This person would be able to sit with the patient and go over their
medications. I had a patient hand me a large bag of pill bottles and says that they are on all
these medications. Even doing a medication reconciliation like this there are still errors. The
bottle says “200 mg once daily”. Their physician verbally told the patient to change to “100 mg
once daily”, so now the patient is taking half the dose. This will lead to a medication error.
With a study conducted by Digiantonio, Lund and Bastow (2018) having a medication
reconciliation personnel (MRP) will reduce the number of medication errors. It was concluded
when an MRP reviewed the charts that the medications were entered by the nurse that 98.5%
of charts had at least one discrepancy. A discrepancy is considered drug omission, commission,
wrong drug, wrong dose, or missing frequency. The study concluded that for the patient to
have a continuity of care is to implement the use of a pharmacy-led medication reconciliation
program. I feel that after reviewing this study that my hospital should do a trial run of having an
MRP in the ED during the “busy” times. When a patient has over 40 medications to enter this
can be time-consuming and errors could occur because we are usually busy in the ED.
Answer:
Week 2 discussion posts.
*Please include references*
History
Discussion 1: What were the main problems with the Articles of Confederation that led to the
Constitutional Convention of 1787? How did the national government under the Constitution
differ from the Articles of Confederation?
Answer:
Discussion 2: How did the British colonists evolve from good citizens to revolutionaries who
could compose and back something as special as the Declaration of Independence? What were
the causes of the American Revolution?
Answer:
RN-Evidence Based-Practice
Discussion 3: This week’s graded discussion topic relates to the following Course Outcomes
(COs). CO1 Examine the sources of evidence that contribute to professional nursing practice.
(PO 7)
•
CO2 Apply research principles to the interpretation of the content of published research
studies. (POs 4 and 8)
Reflect on your practice, and identify a significant nursing clinical issue or change project that
you would like to search for evidence in online sources. Formulate searchable, clinical questions
in the PICO(T) format for your nursing clinical issue.
1. Next, review the guidelines for the PICOT Assignment due Week 3. Use your PICOT elements
to search for one report of a single, original study that has been published within the last 5
years from the CCN Library that is relevant to your nursing clinical issue.
2. Briefly describe how it is relevant to your nursing clinical issue. Remember to give a complete
reference to the study.
Sample (from another student’s post)
In the emergency department at Rockledge Regional Medical Center (P) how does using a
medication reconciliation personnel (MRP)(I) compared to the nurse at the time of triage
inputting a patients medication reconciliation (C) influence the amount of medication error
reduction (O ) over a 30 day period (T)?
Just the other day at shift change I took over four patients and two of those patients were up
for admission. In the chart of the admission patients, none of their medications have been
entered from the previous nurse. This was brought to my attention from the hospitalist that
was about to do the admission. Within the emergency department where I work, we are usually
understaffed. What happens is that we will get two patients at once and one of those patients
comes by ambulance. This patient does not have a list of medications that they are on but
relates to nursing staff that they are “on a bunch of medications”. Now the nurse has to call
around to two or three different pharmacies to find out what medication the patient is on. In
the ED this is sometimes not feasible to do.
Now, what if the emergency department would have a pharmacy tech on staff to do the
medication reconciliation? This person would be able to sit with the patient and go over their
medications. I had a patient hand me a large bag of pill bottles and says that they are on all
these medications. Even doing a medication reconciliation like this there are still errors. The
bottle says “200 mg once daily”. Their physician verbally told the patient to change to “100 mg
once daily”, so now the patient is taking half the dose. This will lead to a medication error.
With a study conducted by Digiantonio, Lund and Bastow (2018) having a medication
reconciliation personnel (MRP) will reduce the number of medication errors. It was concluded
when an MRP reviewed the charts that the medications were entered by the nurse that 98.5%
of charts had at least one discrepancy. A discrepancy is considered drug omission, commission,
wrong drug, wrong dose, or missing frequency. The study concluded that for the patient to
have a continuity of care is to implement the use of a pharmacy-led medication reconciliation
program. I feel that after reviewing this study that my hospital should do a trial run of having an
MRP in the ED during the “busy” times. When a patient has over 40 medications to enter this
can be time-consuming and errors could occur because we are usually busy in the ED.
Answer:
…
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