Reducing Errors by Improving Pain Medication Knowledge Thesis Proposal

Decreasing Errors by Improving Pain Medication Knowledge - Thesis Proposal Example In this manner, it is important for the post-sedation care unit medical attendant to be acquainted with these drugs with the end goal that prescription blunders or overdoses might be dodged. So as to set up a medical attendant to be satisfactory in the PACU, legitimate method ought to be inspected with respects to these prescriptions with the goal that the person is decidedly ready to confront difficulties in torment the executives, which include: having the option to deal with the control of torment with dilaudid furthermore, fentanyl, having the option to lighten forlornness or other mental difficulties of the patient; and helping the family to be strong of the patient in the post-sedation care unit. Territory I: The Problem and its Environmental Context The particular issue is that the subject of this investigation works in the Post-Anesthesia Care Unit (PACU) at UC Davis Medical Center in Sacramento, California. The Unit has a staff of 60 RN's who are confirmed medical attendants at levels I, II, and III. Now and again the Unit will get patients that have gotten prescriptions for explicit reasons or they have gotten torment meds for post-medical procedure purposes. Ordinarily, the patients have gotten both fentanyl (a short-acting agony drug) and dilaudid (long-acting) torment medicine. Now and again the anesthesiologist won't report when they gave the last portion of torment prescription. The drug has been controlled right off the bat at times, or late on account of the patient having been in the working room. Nonetheless, this data is reported on the sedation work sheet. The Unit gets the patient from the working room (OR) in the PACU and the patient may shouting or saying they are in torment. Likewise, on occasion they are not breathing very well at all and need incitement, oral...However, this data is recorded on the sedation work sheet. The Unit gets the patient from the working room (OR) in the PACU and the patient may shouting or saying they are in torment. Likewise, on occasion they are not breathing very well at all and need incitement, oral aviation routes, nasal aviation routes, and Narcan. Medical attendants will in general give a great deal of dilaudid in five-minute additions per the sedation orders, not realizing it tops in a single hour. It is hard to figure out where patients are in the narcotic cycle as they might be still calmed from sedation and not the torment prescriptions. Hence, the patients may have a lot of dilaudid or fentanyl on board upon appearance to the PACU. Some of the time the best decision is to utilize the fentanyl-which is short-acting and makes some pinnacle memories of 30 minutes and limited quantities of the dilaudid. On the off chance that an attendant gives a patient a lot of either fentanyl or dilaudid, the patient may quit breathing or have complexities which is viewed as a drug blunder and additionally overdose. Overseeing torment prescription in the PACU dependent on evaluation is a workmanship. It takes understanding, incredible evaluation aptitudes, and knowing one's meds. Overseeing an excessive amount of may back the patient's bre athing off and narcan might be should have been given.