Length: 2000 words
Ms Charlotte Humphrey is a 75yo woman who has been on the medical ward for 3 days after an exacerbation of her rheumatoid arthritis, leading to decreased mobility and reduced ability to attend to her own ADLs. She is prescribed ibuprofen 400mg 8/24, Prednisone 10mg daily and atorvastatin 10mg daily for her cholesterol. On the medication round this morning the RN realises that Ms Humphrey has been receiving 70mg of Prednisone daily rather than 10mg. She informs the Doctor and registers it on the Incident Information Management System (IIMS).
Discuss the following in relation to this case.
1. What is required of the RN in administering medication in relation to knowledge, skills and medication administration policies? (400 words)
2. What could have been the contributing factors to this medication error? What are the legal and ethical breaches in this case? (400 words)
3. Medical orders after the error include BGL monitoring. Why is assessment, documentation and reporting of BGL’s important in this case and what are the considerations for BGL monitoring? (400 words)
4. Discuss the professional nursing standards that underpin this case. (400 words)
Structure and presentation
This assignment is a piece of academic writing and needs to be structured as such, with an introduction(200 words) and conclusion(200 words). You may use sub-headings as needed.
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