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parentral Medication.ppt

  1. Assess Level of Nurses Knowledge Regarding Safe Administration of Parenteral Medicine in Institute of Kidney Diseases Peshawar By Inayat Ullah Mph Student Supervisor Dr. Abdul Bias 2
  2. introduction o Safe drug administration is the prime responsibility of nurses. A common opinion has been that the nurses’ involvement in medication management is quite simple: giving the Right patient the Right drug in the Right dose and Right administration form at the Right time. ( 1 ) o In order to ensure a safe storage, dispensing and administration of the drugs, the nurses must know the pharmacological principles for each drug; the Regulations of drug management; precautions for preparation; and considerations concerning administration to patients. (2) 3
  3. introduction  Nurses are responsible for parenteral medication administration to the patients and they must have updated knowledge and training, to minimizing human error and adverse events. (3)  Adverse events of medication increase hospital stay and cost. The most common cause of such preventable events is human error related to lack of knowledge regarding parenteral medication and attention to care. All over the world 53% of events are preventable. (3) 4
  4. Rationale  This study identify the knowledge gap regarding parenteral medication among nurses which may leads to medication error in term of route error, dosage error, dose insufficiency, adverse effects, complications and premature death.  This study provide recommendations for making policy regarding interventions to correct parenteral medication error and prevent unwanted consequences and premature death. 5
  5. Research objective  To Assess Level of Nurses Knowledge Regarding Safe Administration of Parenteral Medicine. 6
  6. Operational Definition  Administration route of medicine for the purpose of treatment or investigation.  Parenteral medicine use IM/IV/SC  Medicine 7
  7. Methodology Study Design: cross sectional study design Research Setting: Hayatabad Medical Complex Peshawar, Duration: From November 2020 to JANUARY 2021 8
  8. Methodology. • Sample Size: • the propose sample size was 100 in this study.  Sampling Technique: Convenient Sampling 9
  9. Faculty Inclusion Criteria  Staff Nurses working in Hayatabad Medical Complex Peshawar. Exclusion Criteria Unwilling and those who are not directly involve in patient care 10
  10. Cont.….  Data collected after departmental permission.  adopted questionnaire was filled from participants.  Informed consent was taken from eligible participant 11
  11. Cont.….  Data entered into SPSS version 22 , and analyzed accordingly  The data displayed in the form of percentage and frequency, chart and table used to present study findings. 12
  12. Research Finding 13 S # Variables Categori es Frequen cies Percent ages 1 Age 20-30 30 30 31-40 60 60 >41 10 10 2 Gender Male 20 20 Female 80 80 3 Qualification (Nursing) Diploma 65 65 Bachelor 30 30 Master 5 5 4 Experience (in years) 1-2 30 30 3-5 20 20 >5 50 50
  13. Knowledge Regarding Safe Administration 14
  14. Results ) 15
  15. Result 16
  16. KEY=10-15 Degree 3/26/2023 17
  17. 19
  18. What do you think ,which one of them give only Intravenous Frequency Percent Valid Percent Cumulative Percent Ceftrixone, Mecobalmin, Dimenhydrante,Calcium Gluconate 54 94.7 94.7 94.7 Mecobalmin, Promethizine,Piroxicam,Bi corbonate 2 3.5 3.5 98.2 Erothromycin,ATS,Dexame thasone,Dimenhydrinate 1 1.8 1.8 100.0 Total 57 100.0 100.0 KEY=Ceftrixone, Mecobalmin, Dimenhydrante,Calcium Gluconate 3/26/2023 20
  19. KEY=Erthromycine 21
  20. KEY=1ML 3/26/2023 22
  21. S # Questions Stron gly Agree Agr ee Disag ree Stron gly disag ree Don ’t Kno w 1 Is Safe administration of injection very important? 91.2 % 8. 8% 0% 0% 0% 2 Do you think checking of expiry date before administration of parenteral medications is important? 77.2% 19.3 % 1.8% 0% 1.8 % 3 Do you think unsafe administration of medicine cause complications? 59.6 % 28.1 % 1.8% 0% 10. 5% 4 Do you think Aseptic techniques are important during parental medication? 52.6 % 36.8 % 3.5% 1.8% 5.3 % 5 Do you think IM injection site, rout and angle is different from IV injection? 59.6 % 36 .8% 0% 3.5% 0% 6 Do you think hand washing is important before and after 54.4% 40.4 % 3.5 % 1.8% 0% 3/26/2023 23
  22. Results S # Questions Stron gly Agree Agr ee Disag ree Stro ngly disag ree Don ’t Kno w 7 Do you think following proper guidelines are important for parenteral medication? 52.6% 43.9 % 1.8% 0% 1.8% 8 Do you think Aspiration of intramuscular injection is important? 66.7% 22.8 % 5.3% 0% 5.3% 9 Do you think different types of needles are required for different types of parenteral medication? 49.1% 42.1 % 1.8% 3.5% 3.5% 10 Do you think work burden causes parenteral medication error? 54.4% 29.8 % 1.8% 5.3% 8.8%
  23. Conclusion It is concluded from the study result that majority of the nurses have an average level of knowledge regarding parenteral medication. Majority of the nurses practice standard and safely to facilitate patient while giving medication. Results shows that maximum of participants were using universal precaution measures while caring patients.
  24. Recommendation  It is recommended that nurses knowledge regarding medicine and their proper administration have to be increased by including a quantified hours of study in the curriculum.  The knowledge regarding medication must be updated with continuous refresh courses time by time in the institution.  Standard operating procedure have to be supervised by the experts in the relevant field to enhance the nursing care in light of developed SOPs.
  25. References  1 Kelly J. Gonzales. Address: UNMC College of Nursing 985330 Nebraska Medical Center, Omaha, Nebraska.  2 Arzu Bahar, RN, PhD, Asissant Proffesor, Girne American University School of Nursing, Kyrenia, Cyprus E  3. E. Tissot, C. Cornette, S. Limat, M. Jacquet and M.-C. Woronoff-Lemsi (correspondence, e-mail: marie- christine.woronoff@ufc-chu.univ- fcomte.fr) Pharmacy Department M. Becker and J.-L. Dupond: Geriatric Department J.L. Mourand and J.-P. Etievent: Cardiovascular-Thoracic Surgery Department, Besançon University Hospital, Boulevard Fleming, 25030 Besançon Cedex, France  4 Vincent C, Neale G, Woloshynowych M. Adverse events in British hospitals: preliminary retrospective record review. Bmj. 2001 Mar 3;322(7285):517-9. 5 Ehsani JP, Jackson T, Duckett SJ. The incidence and cost of adverse events in Victorian hospitals 2003–04. The Medical Journal of Australia. 2006 Jun ;184(11):551- 27
  26. References  6 Regenbogen SE, Greenberg CC, Studdert DM, Lipsitz SR, Zinner MJ, Gawande AA. Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients. Annals of surgery. 2007 Nov 1;246(5):705  7 Anderson DJ, Webster CS. A systems approach to the reduction of medication error on the hospital ward. Journal of advanced nursing. 2001 Jul 1;35(1):34-4  8 Bates DW. Preventing medication errors: A summary. American Journal of Health-System Pharmacy. 2007 Jul 15;64(14). 28
  27. 29 Thanks for being with us any question
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