Essay on Bcma - 1027 Words

Errors with Barcode Medication Administration Erin Graham West Texas Aamp;M October 02, 2012 Abstract Medication errors are among the most significant cause of patient injury in all types of medical errors (Johnson, Carlson, Tucker, amp; Willette, n.d). In the nursing profession, medication administration errors occur 34% of the time, second only to physician ordering errors (Gooder, 2011). The introduction of information technology, such as the Bar Code Medication Administration (BCMA), offers new opportunities for reducing medication administration errors. BCMA was developed by the Veteran’s Affairs Medical Center in 1998 to help improve the documentation of medication administration, decrease medication errors and provide†¦show more content†¦The nurse must verify the physician’s medication order, including the dose and time, and then the pharmacy is responsible for their own checks and balances via the BCMA system in order to complete the dispensing phase of the medication (Gooder, 2011). The nurse enters the BCMA system with a login and password and is able then to see a list of the virtual due list for a specific patient. The computer on wheels is then taken to that patient’s room and the five rights of medication administration begin. As nurses, we are taught to use the five rights of drug administration are (1) right patient (2) right medication (3) right dose (4) right route and (5) right time. By scanning the barcode on the patient’s hospital identification band, the nurse then asks for the patient to verbally state their name and date of birth, which can be verified by the nurse on the virtual due list and then choses the medication that are due for administration at that time. The medication is dispensed and the nurse is able to scan the barcode on the medication, the scanning triggers the automatic documentation of the medication given (Kelly, 2012). According to pharmacist T. Perryman, the errors he sees the most in the pharmacy setting â€Å"occurs when hospital made barcodes are being added to the medication rather than the medication having factory barcodes already present.† The process of standardizing all pharmaceutical drugShow MoreRelatedBar Code Medication Administration ( Bcma ) Coordinator At The Va Southern Nevada Healthcare System975 Words   |  4 Pagescapabilities impressed me and asked her five questions in person, in order to gain her insightful information of what I will be facing during these next few months. Career Overview My co-worker in question is the Bar Code Medication Administration (BCMA) Coordinator at the VA Southern Nevada Healthcare System (VA for short). She graduated with a Bachelor of Science in Nursing degree at University of Alaska, Anchorage in 2010 and as a result, has been working as a nurse for five years. She has workedRead MoreThe Advantages and Disadvantages of Bar Code Scanning in Medication Administration1325 Words   |  6 Pagesmedication administration. Although bar code scanning has its advantageous aspects, there are also disadvantageous qualities. Background Bar-code-assisted medication administration (BCMA) has replaced the traditional paper-based medication administration (PBMA) systems in some health care facilities. The BCMA system’s objective is to verify the five rights of medication administration meaning that â€Å"the right patient receives the right dose of the right drug by the right route at the right timeRead MoreAssisted Medication Administration : A Method For Predicting Repackaging Resource Needs741 Words   |  3 Pagesorg/10.2146/ajhp120200 (Strykowski, Hadsall, Sawchyn, VanSickle, Niznick, 2013) conducted a study at two hospitals to know the effectiveness of barcode medication administration (BCMA). Data included scanning failures and staff resource needs. Strykowski et al., (2013) conducted studies using hand-held devices. On the BCMA database, the packaging labels were programmed to match national drug code (NDC) label. A Dutch study was conducted. The data collected were used to identify failed bar-code scansRead MoreEssay on Qr Codes and Nursing1094 Words   |  5 Pagesregards to saving someone’s life. Having access to their medical history, and or current medications could be critical in an emergency situation, when time is of the essence. In the medical field, this has become known as BCMA, which is bar code-assisted medication administration. BCMA technology is being used as an aid to combat medication administration errors, improve patient safety and provide more accurate medication administration documentation. Not only is this technology being used in the UnitedRead MoreMedication Errors And The Efficiency Of Medication Administration1274 Words   |  6 Pagesand Nelson, (2011) a BCMA system was implemented in in 13 care homes in replace of PMARs system. The aim of the study was to identify potential medication errors by evaluating the rate of error and system alerts. Unlike the other studies which used observational methods, this study soley relied on the electronic documentation of the BCMA system. Szcepura et al. (2011) states that the implemented system was simple and that staff was given four weeks to become familiar with the BCMA system. The authorsRead MoreMedical Errors And Unsafe Care Harm1319 Words   |  6 Pagesis bar-code-assisted medication administration. â€Å"Bar-code-assisted medication administration (BCMA) has been shown to reduce medication errors in various settings within hospitals† (Raman, Heelon, Kerr, Higgins, 2011). Most of the errors BCMA prevent are associated to the medication administration timing and also minimizing wrong-drug, wrong-technique, and dose-omission errors. During a trial of a BCMA system and scanning procedure at a medical center’s intensive care unit, it was prominent thatRead MoreBar Code Medication Administration Procedure1073 Words   |  5 Pagesto add the ability to not only understand but be able to utilize technology to impact a patient?s health. There are many technological changes employed in healthcare practices, however, I have chosen to address bar-code medication administration or BCMA. According to an article in the Journal of Patient Safety, ?bar-code medication administration has been shown to be effective in reducing patient medical errors, yet is still only utilized in 5% of the country?s health care facilities? (Sands, SlebodnikRead MoreThe For Nursing And Allied Health Literature ( Cinahl )831 Words   |  4 PagesWilliams (2014) conducted a study which implemented BCMA and eMAR system in community hospitals. The authors provide a convincing argument outlining the risk to the patient due to medication errors and a proposed interventions. The study’s purpose was to evaluate the effects of BCMA-eMAR on the rate of medication errors. The authors stated that â€Å"a pretest-posttest nonequivalent comparison group designs was used to investigate the effect of BCMA used in conjunction with an eMAR on the rate of medicationRead MoreResearch Report On Informatics Guest Speaker978 Words   |  4 Pagesmachines can work together. 2 In your experience, does BCMA improve client safety? Bar code medication administration system is not currently in use at her clinics, do to the fact they do not have a Pyxis or similar type of machine and that their formula of medications in which they can give it limited. They also do not dispense any type of narcotics. 3 How many errors have you heard about that BCMA has prevented? Since they do not use the BCMA systems she, is not able to apply this answer this questionRead MoreComparing Informatics And Clinical Informatics866 Words   |  4 Pagesright information downloaded into the smart pump (Harrison Peacock, 2015). Another example my facility has used to improve patient care by implementing barcode medication administration (BCMA). BCMA systems have been shown to decrease medication errors (Staggers, Iribarren, Guo, Weir, 2015). The use of the BCMA links the patient’s identification band to the electronic medication record. Once the patient’s band is scanned and the nurse asks the patient her three identifiers to ensure this is the

The Reality Of War By Ambrose Bierce - 1254 Words

â€Å"The Reality of War† Death; destruction; crawling, bloody men without jaws; and a child in the middle of it is just a glimpse of the grotesque short narrative â€Å"Chickamauga† by Ambrose Bierce. Chickamauga Creek is an area near Chattanooga, Tennessee and northwestern Georgia, plagued by war, suffering, and bloodshed from the Civil War (Bohannon). Bierce served in the Union Army during the American Civil War (Campbell). Many Americans then, and today, romanticize war with glory, heroism, and patriotism. Bierce defied literary status quo, creating graphic accounts of war, in an age of sentimentalism and melodrama (Morris). Lesser publicized were the perspectives, thoughts, and realities of the soldiers after serving and surviving in the civil†¦show more content†¦The irrational mindset of leaders and generals in the Civil War led to needless bloodshed. Once the boy comes upon the soldiers retreating from battle, he pretends to lead them onward with his sword. The fact that he is pretending to lead them is significant in and of itself. Young men are thrown into war, and move up the ranks quickly due to causalities. They are often young and inexperienced, and catapulted into roles of leadership. Not having the experience to know how to be a leader, they pretend to be the leaders in the overdramatized, delusional war tales of heroism and patriotism, just as the boy did. He even tries to play with the soldiers, as they â€Å"reminded him of the painted clown whom he had seen last summer in the circus† (Bierce, 58-59). Just as inexperienced young officers enter the war with delusions of grandeur, oblivious of the realities of war, the boy is also oblivious of the grotesque situation he has come upon. The boy eventually found his way back to his home, which he found destroyed. Many of the leaders of the Civil War led their men acr oss their own country, bruised, bloodied and battered, only to return to their own homes, which were destroyed by war, as well. The boy looks at the creeping, bloodied men, and draws a connection to circus clowns, and his father’s slaves who would â€Å"creep upon their hands and knees for his amusement† (Bierce 59). The boy thought the retreating UnionShow MoreRelatedAn Occurrence At Owl Creek Bridge By Ambrose Bierce1283 Words   |  6 Pages 1. â€Å"An Occurrence at Owl Creek Bridge† by Ambrose Bierce Theme: Time can be the perception of each person at each different event in their life In this story one of the key factors is time and how Farquhar sees it.While mere seconds for the soldiers can be hours for the man about to be hanged, time is perceived to be different for each individual, â€Å"Its recurrence was regular, but as slow as the tolling of a death knell.† The idea that time can feel slower at one point and faster at anotherRead MoreAn Occurrence At Owl Creek Bridge By Ambrose Bierce1283 Words   |  6 Pages 1. â€Å"An Occurrence at Owl Creek Bridge† by Ambrose Bierce Theme: Time can be the perception of each person at each different event in their life In this story one of the key factors is time and how Farquhar sees it.While mere seconds for the soldiers can be hours for the man about to be hanged, time is perceived to be different for each individual, â€Å"Its recurrence was regular, but as slow as the tolling of a death knell.† The idea that time can feel slower at one point and faster at another throwsRead MoreThe Occurrence At Owl Creek Bridge By Ambrose Bierce Essay1189 Words   |  5 Pagesline between Reality and Illusion In the story â€Å"The Occurrence at Owl Creek Bridge† by Ambrose Bierce Peyton Farquhar a southern planter is being hung on a railing above the Owl Creek Bridge for interfering with the railroad posted by confederate soldiers. Within minutes before his execution Farquhar begins to have vivid hallucinations about breaking free and escaping. In his story â€Å"An Occurrence at Owl Creek Bridge,† Ambrose Bierce’s theme describes the perception of illusion vs. reality and showsRead MoreAmbrose Bierce’s Experience During the Civil War and Its Influence on His Writing934 Words   |  4 PagesHeeding to the call to arms to help defend the North.,Bierce joined the Army The next four years were spent traveling the states fighting in some of the most well known battles of the Civil War . Ambrose Bierce’s experience during the Civil War where he faced the dangers of nature and man influenced his writing. After being struck in the head by a bullet during a battle, the recouperating time gave Bierce time to write calling on his actual war time memories and experiences to fuel the ideas forRead MoreAn Occurrence At Owl Creek Bridge1338 Words   |  6 PagesIllusion versus Reality Ambrose Bierce’s short story, â€Å"An Occurrence at Owl Creek Bridge,† illustrates a theme of illusion versus reality distorted by the human mind. In the story, a man named Peyton Farquhar is about to be hanged on a railroad bridge towards the end of the American Civil War. Farquhar, a Confederate citizen eager to help the Confederate States of America’s cause, ventures out towards Owl Creek Bridge at the advice of a Union scout in disguise. Unbeknownst to Farquhar, Union troopsRead MoreEssay on An Occurrence at Owl Creek Bridge, by Ambrose Bierce1215 Words   |  5 Pagesreaders to query Ambrose Bierce about the numerous point of view shifts his story takes. Ambrose Bierce’s descriptive writing style grasps the reader’s attention, unknowingly manipulating the reader throughout the entire story. This statement holds to be true as the story line develops. â€Å"An Occurrence at Owl Creek Bridge† has a variety of ups and downs throughout t he story, changing the direction and perspective through its point of view of omniscient and limited omniscient. Ambrose Bierce’s variousRead MoreAn Occurrence At Owl Creek Bridge By Ambrose Bierce Essay1484 Words   |  6 PagesJustifiably Bitter Bierce Ambrose Bierce led a relatively full but tragic life. After losing his sons Day and Leigh to suicide and alcoholism respectively, his wife left him for another man (â€Å"Ambrose Bierce†). His struggles with death and the inequity of life are evident throughout his literary works. â€Å"An Occurrence at Owl Creek Bridge† illustrates many of the power struggles that Bierce was fighting throughout much of his life. Much of the first half of the story focuses on the conflict betweenRead MoreAnalysis of An Occurrence at Owl Creek Essay1035 Words   |  5 PagesAlthough the story â€Å"An Occurrence at Owl Creek,† is ironic, there are other literary elements represented in the story. Perhaps Ambrose Bierce’s most famous works, he used imagery from his own personal experiences in the Civil War, which adds to the suspense of the short story. Imagination is a difficult word to define. The ability to have a daydream, or picture with vivid details, is what imagination could be. An imagination is key for some people, who escape real life into a fantasy world. BiercesRead MoreContrasting Themes Essay1174 Words   |  5 Pagesto keep the audience interested. Ambrose Bierce’s short story and Robert Enrico’s film adaptation entitled, â€Å"An Occurrence on Owl Creek Bridge,† is a great example of differing themes in a piece of work. In the entry, evident themes include : reality verses imagination and deception, war, death and dying, and time. Some are expressed in the film clearly, while others are hidden to the untrained eye. Bierce laid a concrete foundation for the theme of reality verses imagination. The protagonistRead MoreAmbrose Gwinnett Bierce: A Brief Biography560 Words   |  2 PagesBitter Bierce When Bierce was a child, he did not attend school because as his family grew in the number, with a total of ten members and three more soon to join, the need for farm hands increased. As a result, he received very little proper schooling and tackled a mountain of chores rather than homework. Despite his lack of schooling, Bierce grew to have a love of literature and he borrowed volumes from his father’s small personal collection (â€Å"Ambrose†). Bierce’s love of literature followed him

Downfall from Arrogance Free Essays

Downfall from Arrogance The Crucible Is a peculiar name to put for a play. In literal meaning, a crucible Is a special pot In which you put materials In. The pot then goes In the fire, and you end up melting the contents, but not the pot itself. We will write a custom essay sample on Downfall from Arrogance or any similar topic only for you Order Now The way Miller named his play as The Crucible is what literary experts call symbolism. Arthur Miller’s basic purpose of writing this play was to signify that people react to situations in many dfferent ways. In that same way, he symbolizes the attributes of each character as well. In this play, The Crucible, the character Reverend Parris’s consistent arrogance conveys the uthor’s message that before anything else, people will always tend to care for themselves. Reverend Parris’s personality trait can be examined through chronological order † from Act 1 to Act 4. Who was Reverend Parris? As described in Act 1, Parris is the head of the church of the town, and he is considered a respectable person. In his mid-forties, he has already lost his wife, and has a daughter named Betty. In Act 1, Reverend Parris plays a dominant role, along with his arrogance and pride. At the beginning of this act, when Betty is on the bed lying what seems to be nconscious, Reverend Parris tells Thomas Putnam, â€Å"leap not to The people wanted to call In Reverend Hale, the towns expert on witchcraft, to examine Betty and find out what had been going on. Parris, through his arrogance, decided that it would not be a good idea to call in Hale because if Betty were to be announced as a witch, it could ruin his name, since she was his daughter. Just to save his name of being the head preacher of the town, he persisted on not calling in Reverend Hale. Parr’s, along with his undermining arrogance, created a saddening effect on the the town. He Is the main pastor, and so when people hear things from him, they tend to believe him. All that he did was not to keep the people of the ton away from evil. He did what he did so he would hear what he wanted to hear. He wanted to hear that he would not lose his position. Eventually, he did give in and towards the end of Act 1, they do call in Hale. Parris was not at all present in Act 2 directly, although he was in fact mentioned once when they talked about a book in which he kept a record of all the people present on Sabbath Day. Throughout the whole act, however, there was ot a single Instance where his arrogance took an effect on any of the people. In Act 3, however, his arrogance plays a crucial role. When Danforth is talking to John Proctor and Abigail, he decides to step in and say to Danforth that â€Å"this is a trick to blind the court! † (107). He does this again to protect his own name because he does not want Danforth to believe what Mary Warren is saying. During the trial, he asks Mary Warren to faint in front of all the people, falsely. The reason for his demand is because he Is grasping for evidence to prove that Abigail and the girls are not guilty. Parris has a convincing effect on Danforth throughout the whole of the trial because he is trying to protect Abigail, and Danforth has come to a point where he cannot go back. Danforth’s own arrogant nature wont let him reconsider his decisions. Since Abigail has already been proven innocent, Danforth literally won’t listen to new evidence unless some creative logic occurs. Once Elizabeth comes to the trial, Parris Is even more Olstraugnt He tnlnKs tnat EllzaDetn wlll agree wit n Proctor aoout tne adultery he committed, and thus ruin his name for sheltering an adulterer. Ironically, that does not happen. Elizabeth, who Just wanted to save her husband’s name, said that Proctor did not commit adultery. All this while, she knew that he did. At the end of Act 3, we can see that Parris’s arrogance and prideful nature is helping him to get through another round of impulsive evidence put indirectly against him, that could have again hurt his position in Salem. Act 4 is the last act of the play, and in this act, everything changes. Parris comes running to the Jail, where he tells Danforth that Abigail has vanished, along with all of his money. He asked Betty, who told him that they girls were talking about some ships. Within the lines, we can interpret that Abigail disappeared by riding off on a boat. Parris’s view of the whole situation changes, because he then realizes that he made a grave mistake by blaming innocents. He pleads to Danforth to postpone execution and to free the accused, but Danforth, again with his pride that he never failed to make the right decision, decides that he will not reconsider his decision. When Proctor tears up the paper that could have saved his life, Parris looks unto him in utter astonishment. If Parris was in such a situation, he would probably live with the shame, although his arrogance might ake him suffer. That happens when he realized that people are turning against him. He â€Å"fear[s] that there will be riot here† (127). He completely breaks down in front of Danforth after he recounts the knife incident. In conclusion, Parris signifies many different characteristics, but his most important trait being his arrogance, and it affected him negatively. This essay analyzed this trait through the chronological order of acts, from Act 1 to Act 4. He may have gotten through with his arrogance by directing people to love him and keep him in his position, but when the people How to cite Downfall from Arrogance, Papers