Question

During PEP students will identify one communication event (examples are - a telephone call, phone medication order, non-administration of a drug or a medication error, patient education episode, written and electronic documentation or any other appropriate communication event ) that they have PERSONALLY been involved in (NOT Handover). They will write a report describing the event, analysing the communication processes, and evaluating the degree to which the processes comply with venue policies and professional standards. Finally they need to reflect on how this event has influenced the way that they communicate within their own nursing practice.

Answer 1

A student nurse who involved in a communication through telephone order by charge nurse and physician.She had written the report of this event. Eventhough the charge nurse can only take the telephone order by policy then also In her own nursing practice this incident will make a high influence while she handle the same situation.

The Nursing Practice Act (NPA) includes the "administration of medications or treatments ordered by a physician, podiatrist or dentist" as part of the practice of nursing. There are no other healthcare professionals listed thus leading to questions regarding nurses carrying out orders from other licensed healthcare providers

A physician is not required to be present at all times at the location where the PA is providing care and orders are not required to be countersigned by the physician. A nurse may carry out these orders. As with any order, the nurse must seek clarification if he/she believes the order or treatment is inaccurate, non-efficacious or contraindicated by consulting with the PA and physician as appropriate. A list of physician assistants credentialed by the medical staff and policies directing their practice should be available to the nursing staff.

Verbal orders have been identified as a risk factor for the patients and, when combined with the pressure of overwork and inexperience of staff, the possibility of error increases. It is necessary for healthcare institutions to perform actions while using these orders to reduce errors. Some common errorsin using verbal orders include: incorrect expression of patient’s status, naming similarity of the patients, making the wrong decision, no request for clarification, confusion and/or not read back the verbal order, errors in prescription writing.