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Please read discussion number one, which is written by the student, and provide a response (75-100 words). Cited per APA (7th ed) comparing the nursing protocols discussed in discussion number one to the nursing protocol in discussion number two (discussion number two is written by me). Ensure that your cultivated responses are complete and rationale is provided from text or other scholarly resources. So, basically, you are comparing two discussions. The first one is written by the student , which is the main one, and the second one is mine. Please only use references from the last five years only. We need to mention what are the mutual things (for example both focus on patient educations) and then we need to mention the differences. I attached the rubric as well.
Discussion number one:
Medication errors are unfortunate and can potentially cause significant harm to the patient. In To Err is Human: Building a Safer Health System, from the Institute of Medicine, the impact of medication errors on patient mortality was highlighted and resulted in policies emphasizing safe medication administration (Institute of Medicine, 2000).
When I worked in the hospital setting, systems such as barcode scanning ensured that the right medication was administered to the right patient at the right time. In my current position, my patients are intellectually and developmentally disabled adults who live in residential homes, and even in this setting, medication administration protocols must be followed.
Direct Support Personnel who work with my patients are trained under an Approved Medication Administration Personnel (AMAP) program, which covers safe medication administration procedures (OPWDD, 2020). I ensure that orders are followed, provide additional training, and staff follow the rights of medication administration, including the right patient, drug, route, time, and dose (Hanson & Haddad, 2023).
It helps when patients can say what medications they expect to receive, but most patients are non-verbal and cannot articulate this information. Due to the vulnerability of this population, the medication administration protocol must be followed to prevent harm.
References:
Hanson, A., Haddad, L.M. (2023). Nursing Rights of Medication Administration. StatPearls, https://www.ncbi.nlm.nih.gov/books/NBK560654/
Institute of Medicine (US) Committee on Quality of Health Care in America, Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (Eds.). (2000). To Err is Human: Building a Safer Health System. National Academies Press (US).
New York Office for People With Developmental Disabilities. (2022). Medication Administration Training Curriculum for Direct Support Staff, https://opwdd.ny.gov/system/files/documents/2022/08/final-adm-medication-administration-and-3-tasks-curriculum-8_11_22.pdf
Discussion number 2:
The nursing protocol I have recently worked with is Chronic Care Management (CCM). It is a Medicare-sponsored virtual care program for patients with chronic conditions. Implemented in a primary care office, the program promises continuous, remote care and lets patients monitor and manage their home health. The main aim of the CCM is to ensure that patients acquire regular care and supervision to help prevent their condition from worsening (Tandan et al., 2024).
A dedicated virtual care team allows patients to access CCM anytime, anywhere, without appointments or office visits (Dufour et al., 2023). The team coordinates cross-provider care to achieve the patient’s health goals. CCM helps patients avoid serious health events like emergency department visits or falls by engaging patients via regular, coordinated check-ins and communication. It also intends to lower long-term healthcare bill costs by addressing such issues before they become problematic.
Medicare guidelines and evidence-based practices in chronic disease management underline the development of the CCM protocol (Gibbs et al., 2021). The informed consent form explains the personalization of care and coordinated support. CCM builds on focusing on patients’ health and quality of life and helps people manage their condition effectively. The program’s structure provides an opportunity to continue interacting with healthcare providers, resulting in improved health outcomes and increased effectiveness in chronic care.
References
Dufour, E., Bolduc, J., Leclerc-Loiselle, J., Charette, M., Dufour, I., Roy, D., … & Duhoux, A. (2023). Examining nursing processes in primary care settings using the Chronic Care Model: an umbrella review. BMC Primary Care, 24(1), 176.
Gibbs, J. F., Guarnieri, E., Chu, Q. D., Murdoch, K., & Asif, A. (2021). Value-based chronic care model approach for vulnerable older patients with multiple chronic conditions. Journal of Gastrointestinal Oncology, 12(Suppl 2), S324.
Tandan, M., Dunlea, S., Cullen, W., & Bury, G. (2024). Teamwork and its impact on chronic disease clinical outcomes in primary care: a systematic review and meta-analysis. Public Health, 229, 88-115.
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