Hnn215 - Quality Use Assessment Answer

Purpose of assessment task : 

Nurses have an active role in medication management, including safe administration

practices, knowledge of risks such as medication errors, adverse effects and drug

interactions. Patient participation in medication management and patient education

are also essential to patient safety.

Assessment task:

On 6th of March at 1500 hours, Mr. Michael Fazio, aged 74 years, was admitted to the

medical unit having been transferred from the emergency department where he was

admitted with a non-ST-segment elevation myocardial infarction (NSTEMI). It is now

7 th March at 1200 hours and Mr. Fazio is in bed six and his wife is in attendance. Mr.

Fazio has a history of hypertension, and hyperlipidaemia.

Mr. Fazio’s vital signs were taken two hours ago:

Heart rate:                 62 bpm, regular

Blood pressure:        103/60 mmHg

Respiratory rate:      22 breaths/min

Oxygen saturation:   96% on room air

Temperature:             36.8°C

Blood glucose level:  9.1mmol/L

The plan for Mr. Fazio is to have serial electrocardiograph’s (ECG’s) and cardiac

enzymes.

Questions

Q1a. Assess Mr. Fazio’s medication chart and identify and explain two significant risks that may be associated with the use of these medicines.

Q1b. Describe the nursing strategies a nurse may implement to prevent/manage the risks you have identified in Question 1a.

Q2a. Explain the clinical benefits of patient participation in medication management during hospitalisation.

Q2b. Describe the nursing strategies that could be implemented to enhance Mr Fazio’s participation in his medication management.