Evaluating Safe Medication Administration

Dr. Ali Galindo:

This is a very important area and it’s well known in the healthcare industry that medication errors occur and they occur are often. Nurses are overworked, we are stressed. We are tackling so many things at one time and there are many distractions. So one of the things that we found in the literature is that our goal is to try and build our new graduates sense of resilience to workplace stress, because we know that workplace stress exists. So we drill into them, I know you know this, the rights of medication administration.

Dr. Ali Galindo:

So the following video demonstrates how students can break it up slowly, this whole ability to break up the rights of medication administration through verbal communication, and also through demonstrating how they, for example, do a subcutaneous or an intramuscular injection. So you can just look here at the feedback that was provided. And I want to show you another feature. Sometimes we’ll have an extended timed video. This one, for example, is 11 minutes, 32 seconds. We can put it in a faster speed just to make sure that we look through the video, we look again, and we may want to go a little bit faster.

Alice:

Today, we’re going to be doing the subcutaneous and the intramuscular medication administration. So the first thing I’m going to be doing is accessing the medication administration records to determine which medications to give. And it states that I’m giving regular insulin and the flu vaccine today. So I will assess if there’s any data that needs to be collected prior to administration. And because I’m giving regular insulin, I will need to get a finger stick blood glucose. So I will consult the drug guide pharmacist as needed. And I will perform hand hygiene and put gloves on to a use the medication distribution system to obtain my medication.

Dr. Ali Galindo:

So you can see that you can fast forward just to make sure. And then once the student gets to the point where they’re actually performing. So I wanted to go to this timestamp here about date and time, please. It’s a reminder to the student that some activities have to be performed multiple times.

Alice:

Preparation for the insulin. So now to prepare for the flu vaccine. Once again, I’m going to be taking the syringe and attaching the needle.

Dr. Ali Galindo:

And you can see a little bit of hesitancy there, but she’s being cautious.

Alice:

And I’m going to be taking the top off of the flu vaccine and cleansing it. And since I’m giving 0.5 milliliters, I’m going to place 0.5 milliliters into the syringe and take the cap off the needle, input 0.5 milliliters of air, then completely invert it and take out 0.5 milliliters of the vaccine.

Dr. Ali Galindo:

Now I wanted to bring up another point and that is something called markers, which I think I have, possibly in the final video. Markers will show up right here. They’re little tabs that can have predesignated pieces of advice, camera. Right now, she’s off camera. So you may just put camera, the view, you weren’t able to assess that particular task and the student may need to resubmit, or you just tell them to move on, et cetera. So that’s an example of utilizing this platform to really get students ready for medication administration.