At an acute care hospital, a change in the process of medication administration is occurring because
the unit is piloting use of a bar coding system for medication administration.
One month after the barcoding system was initiated, the nursing unit receives information from the
Performance Improvement Department identifying that a significant decrease in the timeliness of
administration of antibiotics has been noted. The nurse manager has written several reprimands for
the staff involved. Using concepts from the chapters and required articles, answer the following
questions.
1. Is this nurse manager taking an appropriate approach to this problem? Address the concept of
“Blame or a Culture of Safety”.
2. During this same time, the nurse educator and the students notice that additional patient ID bands
have been placed on the side rails of the beds. The instructor explains that this is a form of a
“work around”, allowing the staff to scan the patient’s ID band more easily for the bar coding
system. What are the inherent risks associated with work arounds and this one in particular?
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