Regulations Concerning Venipuncture

Regulations Concerning Venipuncture

Regulations Concerning Venipuncture 150 150 Peter

Regulations Concerning Venipuncture

Homework is to be presented as a short (50-100-word) response to the topics given below. Be sure to clearly address each question. The assignment is to be submitted as a Microsoft Word document electronically to the instructor.

Identify the regulations concerning venipuncture, drug administration, and IV medication and how these standards in your field.
Explain the repercussions that could arise from violating these standards.
What are the responsibilities of a person in your health care position during a code arrest?
Discuss the repercussions that could arise, both for the patient and you, in regards to injection of contrast media.
Explain the organization of the information supplied in the Physicians’ Desk Reference (PDR).
What are the benefits of physicians using PDAs in ordering prescriptions for their patients?
Compare the ratings of addictive drugs on the controlled drug standard. Give an example of each category.
What are some reasons the imaging professional should chart carefully? In which ways is charting accomplished?
Which examinations require charting and how is this done?
APA format is not required, but solid academic writing is expected.

You are not required to submit this assignment to LopesWrite.

Sample Paper

Week Three Assignment

Regulations on Venipuncture, Drug Administration, and IV Medication

The clinicians should sterilize the puncture site (in venipuncture and IV medication). Cleaning and disinfecting the skin around the puncture site reduces the risk of infections to the patient (Olson. 2010). Additionally, the clinician must identify an appropriate vein, ideally one that is both visible and clear. In so doing, they protect patients from the agony of multiple puncture attempts, lower infection risk, and reduce unintended bleeding. Finally, all clinicians must ensure they administer the correct medication (chemical composition, dosage, and validity), regardless of administration route.

The Repercussions of Violating The Standards

Patients may complain of experiencing unnecessary pain from basic procedures, such as venipuncture and IV drug administration. Hence, the facility could suffer a reputation of poor service delivery. Infection incidences and incorrect drug administration could cost the healthcare providers a lot of money in litigation for safety and malpractice cases. Therefore, violating the standards exposes the facility to professional and legal criticism, resulting in loss of public trust.

Responsibilities during a Code Arrest

A registered nurses’ responsibilities during a code arrest include initial reporting, checking vitals, and clearing the airways. Often, nurses will be the first responders to a cardiac arrest and hence will alert other caregivers to the emergency care need (Guetterman et al., 2019). The nurse will also measure the patient’s vitals, allowing other nurses and senior clinicians to determine the right course of action. Finally, nurses may check the patient’s airways, ensuring that they eliminate any obstructions.

Repercussions of Injecting Contrast Media

The patient could experience acute adverse reactions such as skin irritation, nausea, hypotension, and in rare cases, arrhythmia and cardiac arrest. A caregiver’s repeated handling of the contrast media, especially if accidental spillages occur frequently, may also cause chemotoxicity (Kaller & An. 2021). The symptoms may vary depending on the extent and frequency of exposure.

Information Organization in the Physicians’ Desk Reference (PDR)

The PDR organizes its information by manufacturer, trade/brand name, drug class, and generic names. The manufacturer indexing allows users to find all the products a particular pharmaceutical company produces in one section. Meanwhile, trade names make it easy to find similar-sounding drugs and create caveats to avoid mis-prescription and wrongful administration. Drug category indices allow physicians to find the appropriate medications for general needs, such as antibiotics, anti-inflammatories, etc. Finally, the generic name index enhances finding the availability of individual drugs, even when they have different brand names.

Benefits of Physicians Using PDAs in Ordering Prescriptions for Their Patients

PDAs allow physicians to countercheck their prescriptions, enhancing patient safety. Phones, tablets, and other mobile devices also have internet connectivity, allowing physicians to access multiple suppliers and manufacturers. Thus, they can order the drugs that best fit the patient’s needs, including the price range. Hence, the PDAs promote patient satisfaction by facilitating the acquisition of economically affordable medicines for each patient.

Ratings of Addictive Drugs

  • Schedule I. They are the most addictive and have no authorized medical use in the US. Examples include heroin and 3,4-methylenedioxymethamphetamine.
  • Schedule II. They are medically approved but are only usable under extreme scenarios due to their high addiction potential. E.g., fentanyl
  • Schedule III. They are less addictive than schedule II drugs and include ketamine and anabolic steroids
  • Schedule IV. They have low addiction potential. They include drugs such as Xanax, valium, and Ambien.
  • Schedule V. They are the least addictive. Examples include Motofen and Lomotil (DEA, 2022).

Reasons for Careful Charting by an Imaging Professional and Ways to Accomplish It

Charting allows for elaborate planning, resulting in few or no mishaps. Charting also assists the professional in communication with their patients, resulting in better patient experiences and high satisfaction. Finally, charting promotes comprehensive information organization, eliminating the risk of patient data mix-ups. One can accomplish effective charting by using evidence-based procedures, utilizing standard terminology (and avoiding restricted abbreviations), and making the charts legible and unambiguous (Duquesne University, 2020).

Examinations Requiring Charting

  • Admission examinations. Clinicians must make accurate records of patient information during the first encounter. Here, they use clinical observation skills, interrogation, and basic tests (such as blood pressure and pulse measurement) to collect the data.
  • Laboratory and diagnostic tests. The examining professional should report all their findings, including those that appear trivial.
  • Post-operative examination. The clinician should record all functionality, general health, and recovery data following an operation. Depending on the surgeries focus area, they can use standard tools such as mobility and eyesight tests.

 

References

Duquesne University. (2020, Apr. 6). Tips for Patient Charting. https://onlinenursing.duq.edu/blog/tips-for-patient-charting/

Guetterman, T. C., Kellenberg, J. E., Krein, S. L., Harrod, M., Lehrich, J. L., Iwashyna, T. J., Kronick, S. L., Girotra, S., Chan, P. S., & Nallamothu, B. K. (2019). Nursing roles for in-hospital cardiac arrest response: higher versus lower performing hospitals. BMJ Quality & Safety, 28(11), 916-924. https://qualitysafety.bmj.com/content/28/11/916

Kaller, M. O., & An, J. (2021). Contrast Agent Toxicity. In StatPearls [Internet]. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK537159/

Olson, J. (2010). Clinical pharmacology made ridiculously simple (4th ed.). MedMaster, Inc.

The United States Drug Enforcement Administration [DEA]. (2022). Drug Scheduling. https://www.dea.gov/drug-information/drug-scheduling