Implementation of medication administration and documentation on a shoestring budgetTara Strawn, DNP, MSN-Ed, RNAssociate Professor in Clinical SimulationSouth Plains College

ANCC

International Nursing Association for Clinical Simulation & Learning is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s

Commission on Accreditation.

Continuing Nursing Education

Disclosures

• Conflict of Interest• Tara Strawn (author) reports not conflict of interest• Donna Badowski (INACSL Conference Administrator) reports no conflict of interest• Mary Ann Cantrell (INACSL Lead Nurse Planner) reports no conflict of interest

• Successful Completion• Attend 100% of session• Complete requirements and create Certificate of Completion

Acknowledgements

Grateful Acknowledgement to:• South Plains College administration for their support of innovative

ideas

• South Plains College Center for Clinical Excellence Simulation Team that always wants to improve student and faculty experiences in simulation.

Learning OutcomesUpon completion of this educational activity, participants will be able to:

1. List some different ways that using these learning types of medication and documentation tools could impact student learning.

2. Describe how these tools could be implemented into learning institutions skills labs and simulations.

3. Describe any barriers when using these types of tools in the learning environment.

Background• Needed to find a way to offer realistic tools to engage students

during simulations and lab activities.• It was important to fulfill our mission of keeping education costs

low and trying to find ways to not pass costs on to students or to the college.

• Using simulation to facilitate learning experiences by enhance student competency, clinical judgement, and critical thinking.

• Wanted to create a realistic experience without the students having to buy anything extra.

Standards and Theories• Using the INACSL Standards of Outcomes and Objectives – Learning

Outcomes were developed.• Looked at the skills gained from training that would improve the

safety of medication administration.• Bloom’s Taxonomy provided the framework for the students to build

upon when learning medication administration.• Students can develop from basic to higher level medication

administration and documentation skills.

Standards and Theories• Using the INACSL Standards Simulation Design – Medication

administration was designed to incorporate best practices.• Learning objectives were developed to reflect true clinical practice with

goal that the students would have consistency through the program.• Medication errors are a huge issue. Implemented realistic medication

administration labs with students before going to clinicals.• This was done by creating a low-cost option to the simulation center

and no extra cost to the students. • The Electronic Health Record and medication labeling system was

developed.

Nurses Station

• Each hospital room has a mobile laptop for bedside charting.

• These were old computers in our testing lab that were rotated out and repurposed for the medication room.

Bar Coded Medications

• Each medication has a unique bar code scan.

• Created easily

• Created at a low cost

• No special software needed

Generating Free Barcodes

Printer Labels

Free barcode generator websitehttps://www.barcodesinc.com/generator/index.php

How to create your own bar codes

Inexpensive options to make own medications • Access to a printer – laser works best

• Use a free barcode scan website• Bar Code Scanner for bedside computer

on wheels• Vials for medications• Medication packaging for PO meds• Arm bands for patient identification• Velcro Dots and different size file labels• Tape• Scissors

How to create your own chart

Some areas are just text boxes to type

Some areas are drop in the boxes

Most of the boxes were completed using drop down prompts

How to create your own chartTabs are on the bottom of the excel chart to move through each page Vital Sign Sheet

How to create your own chart

MAR Diabetic Record

ReferencesAgrawal, A. (2009). Medication errors: Prevention using information technology systems. British Journal of Clinical Pharmacology, 67(6), 681-686. doi:10.1111/j.1365-2125.2009.03427Jarvill, M., Jenkins, Akman, O., Schafer, K., Pohl, C., & Jacobs, P. (2018). Effect of simulation on nursing students' medication administration competence. Clinical Simulation In Nursing, 14, 3-7.Thompson, K., Swanson, K., Cox, D., Kerchner, R., Russell, J., Wermers, R., . . . Naessens, J. (2018). Implementation of bar-code medication administration to reduce patient harm. Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 2(4), 342-351. doi:10.1097/SIH.0000000000000174

Contacts

Tara Strawn, DNP, MSN-Ed, RNAssociate Professor in Clinical Simulation

South Plains College – Reese Campus806-716-4726

Thank You

Please complete the survey for this session and create and save your Certificate of Completion.