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NR 504 Week 6 Café Implementing Effective Medication Safety Practices


Model, the MSN-prepared nurse can effectively lead the implementation of new communication practices and improve medication administration processes. The nurse can drive sustainable change within the organization by creating a sense of urgency, forming a guiding coalition, developing a vision and strategy, empowering broad-based action, generating short-term wins, consolidating gains, and anchoring new approaches in the culture.

In the selected case scenario, the MSN-prepared nurse identifies a recurring safety concern related to medication errors in the context of dialysis patients. Specifically, the problem stems from communication gaps and inadequate coordination between shifts, resulting in the administration of blood pressure medications before dialysis. This practice potentially threatens patient safety, as it can lead to hypotensive crises. Recognizing the need for change, the nurse applies Kotter’s Change Model to address the identified problem and implement effective solutions.

The first step in applying Kotter’s Change Model is to create a sense of urgency. The nurse gathers data on previous incidents and communicates the potential consequences of medication errors related to improper timing. By sharing this information with key stakeholders, such as nursing staff, residents, and dialysis personnel, the nurse creates awareness and motivates the team to prioritize the change initiative.

NR 504 Week 6 Café Implementing Effective Medication Safety Practices

The nurse assembles a guiding coalition of nurses, residents, and dialysis staff to facilitate effective change. This multidisciplinary team brings diverse perspectives and expertise, ensuring the change initiative benefits from a holistic approach. The coalition collaborates on improving communication and medication administration practices to enhance patient safety.

A clear vision and strategy are essential components of successful change implementation. The team develops a concept emphasizing improved patient safety through accurate medication administration. They formulate a strategy that includes regular communication between shifts, clear documentation of dialysis schedules, and collaboration with the dialysis team to ensure medication timing aligns with patients’ needs. The group sets the foundation for successful change by developing a comprehensive strategy.

Effective communication is crucial in driving change. The nurse and the guiding coalition effectively communicate the vision and strategy to all stakeholders, ensuring that nurses, physicians, pharmacists, and patients know the importance of accurate medication administration. The communication highlights the potential risks of improper timing, creating a shared understanding and commitment to the change initiative.

NR 504 Week 6 Café Implementing Effective Medication Safety Practices

Empowering broad-based action is another critical step in implementing change. The nurse provides frontline staff with the necessary resources, training, and support to improve communication skills and enhance collaboration. Nurses are educated about the risks associated with administering blood pressure medications before dialysis and are equipped with alternative strategies to ensure patient safety. By empowering frontline staff; the nurse promotes a sense of ownership and active participation in the change process.

Setting measurable goals and celebrating short-term wins is essential to maintain momentum and build confidence. The team identifies quantifiable goals, such as reducing medication errors related to improper timing, and tracks progress toward these goals. Short-term successes are celebrated, reinforcing the positive impact of the change initiative and motivating the team to continue their efforts.

Consolidating gains and producing more change is an ongoing process. The nurse and the guiding coalition continuously evaluate the effectiveness of the implemented changes and address any remaining issues or barriers. Feedback from staff and patients is collected to identify further areas of improvement, promoting a culture of ongoing learning and change. Lessons learned from successful interventions can be applied to other medication-related safety concerns, fostering a culture of continuous improvement.

Finally, anchoring new approaches in the culture is essential for sustained adherence to the change initiative. The MSN-prepared nurse collaborates with the team to embed the latest communication practices into the organizational culture. This involves updating policies, procedures, and education programs to incorporate clear guidelines for medication administration and hand-off communication.

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