NURS FPX 4020 Assessment 3 Improvement plan in-service presentation

Sample Answer for NURS FPX 4020 Assessment 3 Improvement plan in-service presentation Included After Question

For this assessment, you will develop an 8-14 slide PowerPoint presentation with thorough speaker’s notes designed for a hypothetical in-service session related to the safe medication administration improvement plan you developed in Assessment 2.

As you prepare to complete the assessment, consider the impact of in-service training on patient outcomes as well as practice outcomes for staff nurses. Be sure to support your thoughts on the effectiveness of educating and training staff to increase the quality of care provided to patients by examining the literature and established best practices.

Instructions

The final deliverable for this assessment will be a PowerPoint presentation with detailed presenter’s notes representing the material you would deliver at an in-service session to raise awareness of your chosen safety improvement initiative focusing on medication administration and to explain the need for it. Additionally, you must educate the audience as to their role and importance to the success of the initiative. This includes providing examples and practice opportunities to test out new ideas or practices related to the safety improvement initiative.

A Sample Answer For the Assignment: NURS FPX 4020 Assessment 3 Improvement plan in-service presentation

Title: NURS FPX 4020 Assessment 3 Improvement plan in-service presentation  

Agenda and Outcomes

During this presentation, I will discuss a current problem concerning medication administration in our healthcare setting. I will also propose an improvement plan to address the medication administration problem and discuss what the improvement plan seeks to address. In addition, I will explain why our healthcare organization must address this current problem in medication administration.

By the end of the presentation, you will learn about your role in implementing and driving the improvement plan. You will also acknowledge why your role is vital to the success of the improvement plan and how your practice can benefit from embracing the role in the plan. Therefore, you will be expected to understand your role and importance in the improvement plan. Furthermore, you will be expected to understand the new skills needed to implement the medication administration improvement plan.

Overview of the Current Problem

The current medication administration problem in the care home facility is Medication errors. Elderly patients in the care home encounter distinct issues associated with medication errors. There have been various reports of medication errors in the care home caused by nurses failing to uphold the five rights of drug administration: right patient, right medication, right dose, right time, and right route. This has increased the incidence of adverse drug reactions (ADEs). 

Medication errors have also led to poor health outcomes due to drug-drug interactions, adverse drug reactions, and drug allergic reactions, which lead to prolonged patient stays. Besides, medication errors lower patients’ quality of life due to adverse outcomes and lead to a negative patient experience with care in the facility.

They have also led to increased healthcare costs due to prolonged hospitalization, increased use of health services, and preventable hospital admissions.

The Proposed Plan

The proposed safety improvement plan is computerized medication reconciliation to reduce medication errors in the care home. Medication reconciliation entails comparing a patient’s medication list with the prescribing physician’s to ensure accuracy of drug type, frequency, dose, and route of medication during hospital admission, transfer, and discharge and reduce medication errors (Tamblyn et al., 2019). Healthcare organizations must maintain and transmit accurate drug information and compare the drug information a patient brings into the hospital with the drugs ordered for the patient by the physician to identify and address discrepancies (Kreckman et al., 2018). Since most medication errors occur at care transition points, we will have a computerized medication reconciliation to reconcile medication lists during admission, transfer, and discharge of patients, which is a major step in improving patient safety.

What the Improvement Plan is Trying To Address

The computerized medication reconciliation plan seeks to involve a transition of the care team to reduce the number of patients’ medications with errors during hospital admission, discharge, and follow-up visits. This is an electronic system created to correct medication discrepancies at transitions of care for patients (Marien et al., 2018). It will address the medication error problem by reviewing patients’ medication history, resolving medication discrepancies, and identifying the appropriate list of medications for a patient. It will decrease the number of unintentional medication discrepancies at transfers of care. Using information technology will increase the accuracy of documentation used for medication reconciliation and facilitate the reconciliation process.


Why the Organization Needs to Address the Current problem

The organization must address medication errors to improve patients’ health outcomes by preventing adverse outcomes like adverse drug reactions, drug-drug interactions, and allergic reactions (Tamblyn et al., 2019). The organization’s goal is to provide high-quality healthcare that prioritizes patient safety. Thus, addressing the medication error issue will improve the facility’s quality of care and patient safety.

Besides, this will lower health costs for the organization and patients by reducing the length of patient stays and medication error-related hospital admissions. Addressing the issue will also save the care home and health providers from legal costs when the facility is sued for causing harm to the patient due to adverse patient outcomes related to medication errors (Tamblyn et al., 2019). In addition, it will improve patient satisfaction with care given and providers’ satisfaction. 

Staff Expectations

Nurses will be crucial in implementing and driving the computerized medication reconciliation plan. Their main roles will be: Assessment of patients’ medication history, Identification of medication discrepancies, and Joint role in medication reconciliation. In this regard, nurses will carry out a two-step verification of prescribed medications, update the EMR, and inform the physician to sign off on the list during the admission of every patient. At discharge, nurses will reconcile the drugs prescribed in the care home and forward ambulatory records to the patient’s provider.

During follow-up visits, a nurse and physician will verify the medication list (Kreckman et al., 2018). Nurses will kick off the ambulatory medication reconciliation at admission, review the list within 24 hours of discharge, and attend the follow-up visit to ensure continuity of care. Therefore, they have a major role in improving the medication reconciliation process and reducing medication errors.


Why the Staff Are Critical To the Success

Nurses will be important to the success of the computerized medication reconciliation plan since they play a vital role in the safety of medicines management during transitional care. They will be significant members of the transitional care team. They are critical to the improvement plan’s success since they are well-versed in evaluating transitional care plans, identifying potential problems, and addressing them appropriately to improve patient safety (Mardani et al., 2020).

Furthermore, involving nurses in medication management of transitional care helps provide access to care for patients with fragmented care or those at risk of readmission. Nurses are critical because they will improve the workflow for referring physicians and support care navigation back to community healthcare providers through patient education and medication self-management (Mardani et al., 2020).

How Their Work Could Benefit

Nurses’ work can significantly benefit from embracing their role in the improvement plan since they will participate in interdisciplinary collaboration to promote patient safety. Besides, nurses will be able to take more responsibility and get more involved in patient safety initiatives (Mardani et al., 2020). They will also be able to act proactively to protect and maintain the safety of medication management by disclosing and reporting errors. Furthermore, nurses will be involved in decreasing medication side effects and ADRs by monitoring medication and providing informational support to physicians, pharmacists, patients, and their families (Mardani et al., 2020). Lastly, they can apply fundamental nursing interventions to reduce potentially adverse consequences on patients’ wellbeing.

New Process and Skills Practice

The staff will need skills in using the admission electronic medication reconciliation tool. Thus, they will be trained on the medication reconciliation tool and provided electronic documents with step-by-step instructions. Providers will need skills in determining the accuracy of the discharge medication lists made with the Discharge Instruction element in the tool and given to the patient by comparing this list with the list provided in the discharge summary (Marien et al., 2018). They will also need to learn techniques for presenting a medication list to a patient and for updates to the medication list.

Simulation training will be conducted whereby providers will use a medication reconciliation tool to model the real-clinical scenario. During the simulation-based training, the providers will be taught how to perform various medication reconciliation tasks in different clinical scenarios. They will also ask questions about the implementation of the tool.

Likely questions and responses include:

1.How do we gather the best possible medication history: Use information from various sources and obtain this information electronically by linking the tool to medication lists of other systems like EMR, CPOE, and pharmacy claims.

2.How will the tool help in the identification of discrepancies? The tool uses animations and has different filters for classification. This will help providers to recognize, contextualize, and manage medication discrepancies (Marien et al., 2018).

3.How will the medication discrepancies be resolved? We will explore and develop decision support algorithms to help providers identify clinically meaningful discrepancies.

Soliciting Feedback

I would ask for feedback from the audience on the electronic medication reconciliation by brainstorming with them to give their views on the benefits and potential challenges of implementing the plan. For the challenges given, I will ask them to give possible strategies that can be used to mitigate the plan’s drawbacks. In addition, I will ask them about the tasks or activities that would improve the improvement plan and help meet the intended goals more effectively.  

I would also solicit feedback by administering questionnaires to obtain information on the audiences’ perception of the plan, including benefits, challenges that will be addressed, potential drawbacks, and measures to mitigate them.

I will integrate the audience’s feedback by evaluating the practicability of the proposed strategies to mitigate the drawbacks. The practical strategies will be included in the plan, while for the impractical ones, I will identify alternatives.


References

Kreckman, J., Wasey, W., Wise, S., Stevens, T., Millburg, L., & Jaeger, C. (2018). Improving medication reconciliation at hospital admission, discharge and ambulatory care through a transition of care team. BMJ open quality7(2), e000281. https://doi.org/10.1136/bmjoq-2017-000281

Mardani, A., Griffiths, P., & Vaismoradi, M. (2020). The Role of the Nurse in the Management of Medicines During Transitional Care: A Systematic Review. Journal of Multidisciplinary Healthcare, p. 13, 1347–1361. https://doi.org/10.2147/JMDH.S276061

Marien, S., Krug, B., & Spinewine, A. (2018). Electronic tools to support medication reconciliation: a systematic review. Journal of the American Medical Informatics Association: JAMIA24(1), 227–240. https://doi.org/10.1093/jamia/ocw068

Tamblyn, R., Abrahamowicz, M., Buckeridge, D. L., Bustillo, M., Forster, A. J., Girard, N., … & Winslade, N. (2019). Effect of an electronic medication reconciliation intervention on adverse drug events: a cluster randomized trial. JAMA Network Open2(9), e1910756-e1910756. https://doi.org/10.1001/jamanetworkopen.2019.10756