The National Standard Medication Charts (NSMC) & Holly Case Study - Medical Sciences Assignment Help

Assignment Task

Task 2 Case study for Group B
Holly presented to the Emergency Department complaining of a migraine headache last several hours that was unrelieved by over-the-counter analgesia.  Holly is 38 years old and 24-weeks pregnant. She was diagnosed with gestational hypertension 2-weeks ago and has been worried about her baby since then. Holly's holistic assessment showed eupnoea (20), tachycardia (102), hypertension (146/100), afebrile 36.6°C, SpO2 of 98%, nausea, photophobia, anxiety and agitation. A urinalysis was completed and showed no signs of proteinuria, but the specific gravity was 1.020.
She was triaged and promptly assessed. An intravenous cannula was inserted. Fluid therapy was commenced to keep the vein open along with Cardiac monitoring. The medication regimen is documented on the national standard medication chart associated with this case study. Refer to this case and the medication chart to respond to Task 2. 
 
Task 2 Template
Complete the questions in the boxes below. The boxes will expand as your type. Submit this completed document along with the completed NPS MedicineWise national standard medication chart course certificate to the Task 2 area on Blackboard. 
Q1. Describe three (3 x 150-words) of the national standard medication chart's embedded safety features, as explained in the NPS MedicineWise online learning course. Relate the safety features to published practice examples. Use relevant academic sources to support your responses (450 words). 
A major initiative to improve the safe use of medicines is the national standardisation of medicines management documentation in hospitals through medication charts. The charts support the delivery of appropriate care for hospitalised patients to help communicate information consistently between clinicians on the intended use of medicines for an individual patient. The charts are based on the best evidence available at the time of development. Healthcare professionals are advised to use clinical discretion and consideration of the circumstances for individual patients when using the charts for patient medication management in acute care settings. A medication chart in a residential aged-care facility serves as a communication tool between doctors, nurses, pharmacists, other health professionals and hospitals regarding a resident's medicines. It is used to direct how and when drugs are to be administered and as a record of their administration

In Q1, the relation to Holly can be brief and in part of a sentence that highlights that this safety feature is also helping to keep Holly safe. 

If you can point to the section on the medication chart and have evidence to discuss it's impact on patient safety, then you can use it as a safety feature. 

so each safety feature and it's published example should be 150 words each

There are a number of safety features in the suite of National Standard Medication Charts. You should only pick 3 of these features. You have listed examples of some. Given that there is a case study related to this assessment, you should pick safety features that have relevance to the case study. 

The National Inpatient Medication Chart (NIMC) is a national standard medication chart used across health service organisations in medical and surgical wards, emergency departments and intensive care units. It facilitates the prescribing, supply and administering of medicines. It does not allow claiming of eligible PBS medicines.

A major initiative to improve the safe use of medicines is the national standardisation of medication charts.
The National Standard Medication Charts (NSMC) are a suite of standardised medication charts. The charts aim to communicate information consistently between healthcare professionals involved in the provision of medicines to patients. Examples of charts included in the suite of NSMC include the Pharmaceutical Benefit Scheme Hospital Medication Chart and the National Inpatient Medication Chart.
The NSMC reduce the risk of prescribing, dispensing and administration error by health professionals through standardising the presentation of information.
The charts are developed and designed in collaboration with an expert group. Human factors experts evaluate each chart’s design to identify potential problems. The proposed chart is then piloted at hospital sites.
Use of the NSMC is mandatory for health service organisations seeking accreditation against National Safety and Quality Health Service (NSQHS) Standard 4. Ongoing stewardship is provided by The Australian Commission on Safety and Quality in Health Care (the Commission).

“When considering the Australian literature collectively across three reviews of medication safety (2002, 2008 and 2013), the proportion of all hospital admissions that are medication-related is between 2% and 3%. There were 9.3 million separations from Australian hospitals in 2011–2012, which would suggest a medication hospital admission rate of 230,000 annually.”2
Updated figures in 2014–15 show 10.2 million separations, which suggest 255,000 hospital admissions.

Australian studies report 2% to 5% of medication charts contain prescribing errors and 5% to 18% of medicines are administered in error (wrong medicine, wrong patient, wrong route, wrong dose or wrong time).2, 4

Published practice examples are those in literature such as journal articles, government standards or textbooks. Examples could include how the safety feature keeps patients safe in medication administration or conversely how harm or errors occurred in the absence of these safety features. You should relate these to the safety feature of the medication chart that you are discussing in your response. 

The National Standard Medication Charts (NSMC) are a suite of charts that use evidence-based standardised strategies (processes, terminology, documentation, risk–assessment tools) to present and communicate information on the use of medicines consistently between healthcare professionals providing care to patients.
In 2004, Australian Health Ministers agreed to implement a standard inpatient medication chart in all Australian public hospitals to reduce harm to patients from medicine errors. An initial pilot of the standard inpatient medication chart in 2005–6, and subsequent analysis demonstrated a significant reduction in prescribing errors and reduced risks of subsequent adverse medication events.
In 2006–7 the National Inpatient Medication Chart (NIMC) was implemented across Australian public and private hospitals with supporting educational materials.
In 2016 the PBS Hospital Medication Chart (PBS HMC) was introduced.
Use of nationally standard forms such as the PBS HMC and NIMC, to order and record the administration of medicines is required under NSQHS Standard 4: Medication Safety.5
The Australian Commission on Safety and Quality in Health Care (the Commission) is responsible for the development and maintenance of the NSMC and is advised by an expert, representative group; the Health Services Medication Expert Advisory Group.
 
You can discuss the VTE section as a safety feature with supporting evidence. This assessment has been indicated as completed in the medication chart. 
 
Published practice examples are those in literature such as journal articles, government standards or textbooks. It is not looking for news articles. Examples could include how the safety feature keeps patients safe in medication administration or conversely how harm or errors occurred in the absence of these safety features. 
 
Due to the required format of the references for modules, you should have a different reference for different sections of the modules. 
Citations with the same author and year are described at this link:
 
Published practice examples are those in literature such as journal articles, government standards or textbooks. Examples could include how the safety feature keeps patients safe in medication administration or conversely how harm or errors occurred in the absence of these safety features. You should relate these to the safety feature of the medication chart that you are discussing in your response. You do not need to "make up" what would have happened if the chart was implemented. You should reference supporting evidence for your discussion. 
 
The NPS module is not considered a practice example. The focus of question 1 is the particular safety features of the medication chart. 
Published practice examples are those in literature such as journal articles, government standards or textbooks. It is not looking for news articles. Examples could include how the safety feature keeps patients safe in medication administration or conversely how harm or errors occurred in the absence of these safety features. 
The relationship of the safety feature to the case study only needs to be brief (1/2 -1 sentence) and would highlight how this feature was used for Holly. While the best practice example is linking the safety feature to a specific case published in evidence, it can also link relevant statistics of harm related to the safety feature. 
 
The Australian Commission for Safety and Quality in Health Care developed the medication charts and have a variety of resources related to them. Additionally, depending on what you have chosen, there may be relevant journal articles about medication errors in that particular area. 
 
I was wanting to talk about the 'once-only and nurse-initiated medicines and pre-medications' as an embedded safety feature for Q1 and how the administration of Holly's IV Labetalol is an example of patient safety
 

Q2. Review the medication chart of the Task 2 case study. Describe each medication's indication, the relevant pharmacodynamics and pharmacokinetics of each drug (4 x 150-words). Use relevant academic sources to support your responses (600 words). 
Try the Australian Medicines Handbook under chapters/cardiovasular-drugs/antihypertensives/beta-blockers/labetalol. This is where I found the doseage information for this drug via the I.V Infusion route, I used MIMS for all other specific drug information. Hope this helps you out.

Hi, I am in group B. I have Holly's medication chart which has paracetamol, labetalol, nifedipine, and diazepam.
making 4 medications

Your response should be framed concisely with discussion of only information relevant to the case study. Question 2 is not asking for a broad discussion of adverse drug reactions and interactions. The safety concepts should relate to the pharmacology you are discussing. 
Additionally, the rubric descriptors are interpreted in light of the word allocation. 

question 2 should be written in language at a health professional level. This should use the correct medical terms when discussing indiciation, pharmacodynamics and pharmacokinetics. 

The most useful sources for Question 2 will be drug and pharmacology resources. There are some links here - https://libguides.usc.edu.au/c.php?g=938604&p=6793513

This section has been intentionally left unfilled so that you can look this up for the assessment. It does not need to be considered an error but the indication should be discussed in question 2. The ??? indicates that in clinical practice, this should be completed. 

You should be discussing only the drugs that have been prescribed, not the drug family in general. 
 

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