SCENARIO

Mary K. Emerson is a patient at Felder Community Hospital. She was admitted six days ago due to a diabetic episode and an upper respiratory infection that left her unresponsive at work. She was admitted to the ICU, and medical staff attempted to stabilize her condition. Unfortunately, there were some problems with her care due to the wrong information being entered into the patient’s medication record in her chart.

When the nursing staff was trying to update her medications from a previous admission, they chose Mary J. Emerson, who was also a patient admitted around the same time to another unit, instead of the current patient, Mary K. Emerson. To treat Mary K. Emerson’s respiratory infection, penicillin was ordered based on Mary J. Emerson’s chart that showed no known allergies. Mary K. was given the penicillin but was found to have an extreme allergy, which sent her into acute respiratory distress. The penicillin was administered and documented on Mary J. Emerson’s chart before the clinical staff noticed the error.

As Mary K. remained in the ICU and drifted in and out of consciousness, clinical staff tried to make sure she remained on schedule with her medications. On two noted occasions, the scheduled dose of 30 units of insulin that was to be administered subcutaneously with meals was delayed during the shift. On a separate occasion, the nurse tech drew up 40 units to be administered intramuscularly instead of the prescribed subcutaneous route. This resulted in the incorrect angle and depth of the injection used for the prescribed insulin.

On the fifth day of her admission, Mary K. was exhausted from the testing and medication changes. When the nurse came in to administer her scheduled dose of insulin, she stated “Please, no more meds!”

REQUIREMENTS

Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. The similarity report that is provided when you submit your task can be used as a guide.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

Tasks may not be submitted as cloud links, such as links to Google Docs, Google Slides, OneDrive, etc., unless specified in the task requirements. All other submissions must be file types that are uploaded and submitted as attachments (e.g., .docx, .pdf, .ppt).

A. Discuss the basic principles of pharmacology by doing the following:

1. Discuss the four stages of the drug cycle.

2. Discuss the physiological factors involved in drug absorption and drug distribution.

3. Discuss the difference between a side effect, a contraindication, and an adverse reaction to a medication.

a. Provide an example of a side effect, a contraindication, and an adverse reaction to a medication.

B. Using the scenario, discuss the seven drug rights that should be checked when auditing documentation for a patient encounter by doing the following:

1. Describe how each of the seven drug rights were violated in the scenario.

2. Discuss the process an HIM professional would need to take to report the violations in the scenario to the appropriate internal party.

C. Explain the roles of OSHA, the FDA, and the DEA in enforcing the Controlled Substances Act.

D. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

E. Demonstrate professional communication in the content and presentation of your submission