Re:Topic 2 DQ 1
The issue/problem I chose for my practicum is medication diversion. My organization is not alone in facing the problem. Medication diversion is a widespread problem and, unfortunately, not rare. I live in Ohio, where there is an opioid epidemic that is worse than in many other states. Medication diversion by professionals who are failing to meet standards of care, contribute further to the epidemic. Just recently, 3 young men were arrested in Franklin County in Ohio for possession of 4.5 pounds of fentanyl. Those young men had to get that Fentanyl from somewhere, likely a professional that had access to it.
Nurses have a responsibility to maintain professionalism and prudent standards of care, and to do no harm. Diversion causes “harm to the drug diverter and others…patients, co-workers, and employers” (Berge, et al., 2012, pg. 674). Diversion is not only illegal and dangerous, but it is unethical. We must do something to keep our patients safe and protect them from preventable harm.
One nursing implication is patient harm. When a patient is cared for by a nurse that is diverting, he/she experiences uncontrolled pain due to receiving a smaller dose of medication, or none at all. The Mayo Clinic (Berge et al., 2012) provides a vignette about a nurse in a procedural arena that had a pouch sewn into her scrubs where she would deposit vials of Fentanyl that she had obtained for the patient. She then administered saline to the patients instead. Other risks to patients include infection, and even death.
Another nursing implication of diversion is possible harm to other nurses. If a diverting nurse asks another nurse to waste a narcotic, but the medication vial has saline instead of medication, the witnessing nurse can be held responsible. It is of utmost importance to witness waste as it is pulled from the pyxis, not after. Additionally, if a patient experiences a negative outcome, other nurses that cared for the patient can be questioned and have legal consequences. If the diverting nurse administers something other than the medication ordered, he/she is obviously not going to pass that off in hand-off. If the patient subsequently expires, that could very possibly come down on the nurse that took over patient care from the diverting nurse. Other nurses are also at risk for injury as a result of working with a nurse that is altered (if he/she is diverting medication for personal use).
Berge, K., Dillon, K., Sikkink, K., Taylor, T., & W. Lanier (2012). Diversion of drugs within health care facilities, a multiple-victim crime: Patterns of diversion, scope, consequences, detection, and prevention. The Mayo Clinic Proceedings, 87(7):674-682.
NBC 4 Staff (2017). Prosecutor: Three men arrested had enough fentanyl to kill everyone in Columbus. NBC 4. Retrieved from http://nbc4i.com/2017/11/03/prosecutor-three-men-arrested-had-enough-fentanyl-to-kill-everyone-in-columbus/.
Are you busy and do not have time to handle your assignment? Are you scared that your paper will not make the grade? Do you have responsibilities that may hinder you from turning in your assignment on time? Are you tired and can barely handle your assignment? Are your grades inconsistent?
Whichever your reason may is, it is valid! You can get professional academic help from our service at affordable rates. We have a team of professional academic writers who can handle all your assignments.
Our essay writers are graduates with diplomas, bachelor, masters, Ph.D., and doctorate degrees in various subjects. The minimum requirement to be an essay writer with our essay writing service is to have a college diploma. When assigning your order, we match the paper subject with the area of specialization of the writer.
Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.
You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.Read more
Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.Read more
Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.Read more
Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.Read more
By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.Read more