간호관리학 1.부적절한 약품관리) 에 관한내용이며 A+ 받았고, 해당 과제 조별 내 1위 하였습니다. 문제해결방안 기재 및 그에따른 대안책도 게시하였습니다.

소개글

"간호관리학 1.부적절한 약품관리) 에 관한내용이며 A+ 받았고, 해당 과제 조별 내 1위 하였습니다. 문제해결방안 기재 및 그에따른 대안책도 게시하였습니다."에 대한 내용입니다.

목차

가. 사례제시............................................................................................................................
1) 병원 조직의 내·외적 상황
2) 병동 현황

나. 문제규명········································································································································
1) 문제정의···································································································································································
2) 문제이해를 위한 탐구········································································································································
①문제를 일으키는 원인
3) 최종문제확인··························································································································································

다. 문제해결방안 탐구·····························································································
1) 문제해결을 위한 계획 수립(조직적 차원, 개인적 차원)···································································
2) 건강관리 팀 내에서의 협력방안···················································································································

라. 성과기준 확인·················································································································

마. 참고문헌······································································································································

본문내용

가. 사례제시
ⅰ. 병원 조직의 내외적 상황

※ 내적상황

- 간호행위 간호전달체계 : “ Modify Team method ”
듀티별로 간호사 배치 ⇒ Day, Evening, Night(3교대)
근무시간동안 my patient로 지정하여 담당
근무조별 간호사 배치는 2명의 간호사가 A, B팀으로 나누어 환자(약 20명)를 분담
각 팀의 charge존재. 평일 업무량이 집중되는 시간대에는 팀원 splint(10:00~18:00)로 1명이 추가 근무하며, 현재 82병동에는 helper 1명도 존재함.

※ 외적상황 (약물과 관련된)

“주사제 나눠쓰기에 마약까지…병원 내 약물관리 '허술'”

이대목동병원 신생아 사망사고가 관행처럼 이어진 '주사제 나눠쓰기' 때문으로 확인된 가운데 서울대병원에서는 간호사가 마약을 상습 투여한 사실이 적발돼 병원 내 허술한 약물관리가 여론의 도마위에 올랐다.

<중 략>

나. 문제규명
ⅰ. 문제정의
*약품
- 인슐린(고위험약물) 개봉 후 실온 / 개봉 전 냉장
→ 개봉 전 실온
-환자 경구투약 아침약이 환자 자리 밑에 떨어짐.
-간호사의 바쁜 업무 때문에 환자 부재시, 약을 테이블 위에 올려두고 오는 경우 많음
(환자 확인하지않고 약주는 경우임)
-마약관리 열쇠 여러명이 돌아가면서 지니고 있는 것 관찰
-약물 잔량이 이유도 모르게 남아서, 재고파악 하는 데 시간이 소요됨.
-투약시간표에 있는 투약카드 종이 바닥에 있는 것 관찰함.

*근무환경
-간호인력 부족하여 op환자 이송 전 후로 간호사 업무증가
-오버타임 심함 (나이팅번 : 오전 9시에 퇴근) , 근무신청에 있어서 연차에 따른 차등분배.
-찔림사고 발생함.
-수직적인 업무환경
-환자확인 제대로 하지않음.

#1. 부적절한 약품관리

정의 : 병원에서의 구입, 분배, 통제, 투약
약사(조제), 간호사(투약), 의사(처방)에 의해 약품 관리의 질 결정
간호사는 약품 관리의 최일선에 있는 자

참고 자료

염영희, 고명숙 외 3명(2014). 간호관리학(학습성과기반). 수문사
간호국시요약집[퍼시픽] 2019년