Discussion Post Topic #5: In dealing with cultural differences/potential conflict in nursing/healthcare, what assessments and strategies would you incorporate to gain compliance from your culturally diverse client(s). Provide examples of the culture(s) discussed and your evidenced-based strategies. 

 

Develop a PowerPoint presentation that includes the following criteria:

• Slide 1: Title Page.
• Slide 2: SBIRT overview – Describe the history of SBIRT, the SBIRT process and how it is used in clinical practice settings using US research articles.
• Slide 3:  Case Presentation – Do not include patient identifying information but include demographics i.e. age, gender, race/ethnicity, chief complaint, social history, family psychiatric history, psychiatric history, and risk factors.
• Slide 4:  Screening Tool used – Describe the screening tool, validity (sensitivity and specificity), scoring information, and citation.  Your patient’s score and the interpretation of the patient’s score are required.
• Slide 5:  Brief Intervention – How was the Motivational Interviewing process applied and shared your client’s score and need for behavioral changes? Discuss the four stages of motivational interviewing and provide details of how the techniques were used.  A transcript of your encounter with the patient conducting the OARS technique is expected.  Discuss the roadblocks used or those avoided to obtain full points. Discuss the patient’s stage of change before the intervention was performed
• Slide 6:  Referral for Treatment – Describe 3 referrals for follow-up treatment plan.  Include the name, address, and telephone number of the local large organization.  Be specific with the department where necessary.
• Slide 7:  Evaluation of the process – Share the patient’s outcome and your evaluation of the SBIRT process.
• Slide 8:  References –5 references.  7th Edition APA format.  Include Screening Tool authors.

 1) Watch the entire scenario. In the scenario assignment, you are asked to reflect on responses to the presented scenario. 

2) Fill out the template attached below

3) Compose the last question on the template reflection in a Word document and be sure to address, at a minimum, the following questions:

*Why do you feel the way you do about the issue presented?

*Of the four responses offered in the scenario, which do you think is the most ethical and why?

*Which ethical theory would you use to support your stance? Why does this theory work?

4)  Support your conclusions with evidence and specific examples from the textbook, including a minimum of one theory of ethics to defend your stance.

Cassandra Birth

Yesterday Oct 2 at 11:04am

Bar code medication administration (BCMA)

 

Bar code medication administration (BCMA) is when the patient’s armband is scanned along with the medication, if they match, the medication may be administered (Hebda et al., 2019). This is new technology that helps prevent medication errors. BCMA and e-MAR ensures that the right patient receives the correct medication, this adheres to the 5 patient rights for medication administration (Naidu & Alicia, 2019, p. 511). The 5 patient rights for medication administration are right patient, right medication, right time, right dosage, and right route. While scanning the patient and each medication, if the e-MAR doesn’t recognize the medication for the patient, it won’t allow for the nurse to document that it was given. However, nurses still need to be aware of these pop-ups and place the medication aside because that medication isn’t supposed to go to that patient at that specific time and they need to figure out why. BCMA doesn’t completely prevent medication errors. Nurses still need to focus on the medications they are giving to their patients. Getting distracted by patients and their families can cause the nurse to misplace a medication when scanning them. Ensuring that all the scanned medications are the ones actually given to the patient is critical. Nurses still need to be aware that some medications may be the wrong dosage and may need to be split. They also need to be aware of vital signs and if the medication is still appropriate for the patient to take. Ethically this can be taking away some of the nurse’s autonomy of checking the medication name, dosage, and expiration date on the medication label. BCMA is supposed to reduce medication error, but nurses still need to be focused when administering medications. They need to ensure the patient is in the right condition to be taking specific medications. BCMA doesn’t take into consideration patients vital signs and stability to take a medication, so the nurse will have to still document “not given” in these scenarios. Patient armbands could also be ripped, or wet and unreadable to the scanner. Ensuring that the scanner is working properly and if something is wrong to fully check that it is the correct patient before administering the medications.

 

Naidu, M., & Alicia, Y. L. (2019). Impact of bar-code medication administration and electronic medication administration record system in clinical practice for an effective medication administration process. 
Health, 
11(05), 511-526. 

https://doi.org/10.4236/health.2019.115044

Links to an external site.

 

 

Hebda, T., Hunter, K., & Czar, P. (2019). 
Handbook of informatics for nurses & healthcare professionals (6th ed.). Pearson.