Assignment: Five Rights

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Assignment: Five Rights

Assignment: Five Rights

  1. Explain the process and purpose of the Five Rights.
  2. What are the various methods of drug administration? Explain why one method may be chosen over another.
  3. Assess the conditions under which a chest tube is placed and the maintenance and precautions needed.
  4. What purpose do arterial venous lines serve and which vessels are they placed in.
  5. Why is a pulmonary arterial line not an arterial line in the strictest sense of the word?
  6. Organize a plan for your participation in a code.
  7. What are the general requirements for a code cart setup?

APA format is not required, but solid academic writing is expected.

We’ve written about the drawbacks of relying on the five rights of pharmaceutical use in this newsletter for the past eight years (The “five rights,” April 7, 1999). 
When we first shared our thoughts with readers, we made it clear that the five rights are not the “be all, end all” of pharmaceutical safety. 
They are simply stated objectives or intended results of safe pharmacological practices with no procedural instructions on how to attain them. 
As result, just holding healthcare providers responsible for administering the correct drug to the right patient in the right dose via the appropriate channel at the right time falls short of ensuring medication safety. 
Adding sixth, seventh, or eighth right (for example, right cause, right medicine formulation, or right line attachment) isn’t the solution.
We also pointed out that the five rights fail to recognize that human factors and system flaws contribute to errors, and that the five rights’ emphasis on individual performance does little to reflect the fact that safe medication practices are the result of both interdisciplinary efforts by many people and reliable systems.
Despite these flaws, when pharmaceutical error occurs, ‘failure to follow the five rights’ is frequently highlighted as performance shortfall, obviously promoting the erroneous assumption that healthcare practitioners can be held individually responsible for accomplishing these goals. 
To be clear, nurses and other practitioners cannot be held liable for accomplishing the five rights; instead, they can be held liable for following the protocols that their organizations have devised and promoted as the most effective approach to verify the five rights.
Nurses, for example, can’t be sure they’re dealing with the appropriate patient if they don’t know if the patient is who they claim they are, if the name on the armband is correct, and so on. 
Before providing medications, they can only verify two unique patient identifiers issued to the patient at admission—a process the organization considers “enough” to ensure that this is the right patient. 
Similarly, nurses and pharmacists are unable to confirm that tablet or vial has the correct drug or that the dose/strength is correct. 
They can, however, be held accountable for reading the label, getting an independent double check if necessary, querying orders for drugs/doses that are unreadable or appear hazardous, and so on. 
These are the actions that the organization has determined are sufficient to ensure that the correct medicine and dose are used. 
As result, the healthcare practitioners’ responsibility is not so much to attain the five rights as it is to follow the organization’s procedural procedures in order to achieve these objectives. 
In addition, if the procedural norms cannot be followed due to system faults, healthcare practitioners must notify the situation so that it can be resolved.
Perceive the following: While some may consider this distinction to be insignificant, consider the following. 
If we hold people accountable for achieving the five rights, we should allow them the power to create their own systems to achieve these goals. 
After all, how can we hold people responsible for matters over which they have no control? 
Individuals who follow these processes, on the other hand, should not be held personally liable for an unfavorable outcome because organizations normally establish the processes that are required to achieve the five rights. 
Not the individual’s practice or behavior, but the institutions created to attain the five rights must be improved. 
The five rights are not behavioral model for improving drug safety; rather, they are objectives for which businesses must accept responsibility and devise failsafe methods of fulfilling them.
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