What medical records action should be taken each time a…

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Question Answered step-by-step What medical records action should be taken each time a… What medical records action should be taken each time a prescription is renewed or given by telephone?   Health Science Science Nursing Share QuestionEmailCopy link Comments (0)

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Miriam is an EN working regularly in a large residential aged care service. The facility is a well-organisedorganisation providing high-quality and safe residential care for the residents. Its goals and objectives areto:● Provide care services that recognises the rights, dignity, values, and beliefs of residents and theirfamilies;● Ensure involvement and commitment of all employees in a 'team approach' to quality care;● Maintain a microbiological safe environment by preventing the risk and spread of infection; and;● Continually review care and service delivery as part of Continuous Quality Improvement Plan, andthat all identified problems and feedback are addressed to the satisfaction of staff, residents andtheir relatives.Miriam works in the morning shifts (0700-1500 hours) with her workgroup. She is mainly responsible forproviding nursing care for 38 residents; some of them need percutaneous endoscopic gastrostomy (PEG)feeding tubes. Thenursing activities she undertakes in a shift include handover, medication administration, wound care,physical review, infection control, verbal communication, documentation, print and fax, transit and staffbreak and other (the detailed classification of activities could be found in the Table 1 of journal article titled'Nursing staff work patterns in a residential aged care home: a time-motion study' (Reference 2 below).Miriam's shift work schedule is very tight and her common work process in morning shifts normally startsand ends with handovers. Three major tasks that she performs during the shift are medicationadministration, wound care and documentation. Documentation is completed at the point-of-care and aftercare provision. If she has time, she would undertake a physical review; otherwise, this task would beallocated to a personal carer who provides personal care. She takes a break after the morning medicationround and before and after the noon medication round (the detailed work process in morning shifts andime spent on each activity could be found in Figure 1 and Table 2 of the journal article titled 'Nursing staffwork patterns in a residential aged care home: a time-motion study' (Reference 2 below).To organise and prioritise all tasks required in a shift, Miriam decided to create a work plan and shift workschedule with the assistance of her supervisor (an RN).Reference:1. https://www.maci.org.au/about-us/quality-of-care-objectives/2. Qian, S., Yu, P., & Hailey, D. (2016). Nursing staff work patterns in a residential aged care home:
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